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Brief Title: EXPRESS: EXcePtional RESponSe - Exceptional and Unexpected Response to Targeted Therapies
Official Title: Low Level of Genomic Alteration to Predict Exceptional and Unexpected Response to Targeted Therapies in Patients With Solid Tumors
Study ID: NCT02701907
Brief Summary: Adult patients with metastatic or locally advanced solid malignancies (including but not limited to breast, cancer, lung adenocarcinoma or squamous cell carcinoma, colorectal cancer, ovarian cancer, renal clear cell cancer, skin cutaneous melanoma), presenting or having presented an exceptional and unexpected response to an antineoplastic targeted therapy.
Detailed Description: The primary endpoint is the rate of patients with tumors harboring a low level of genomic alteration (mutation, amplification or deletion) in genes (i.e. mutation, amplification, deletion) identified as causally implicated in cancer. A low level of genomic alteration is defined by the presence of less than the 5th quantile of genomic alterations to be expected in the given tumor type. Conversely, a high level of genomic alteration is defined by the presence of more than the 5th quantile of genomic alterations to be expected in the given tumor type. The list of genes for which alterations are identified as causally implicated in cancer is defined by the Cancer Gene Census. This is an ongoing effort to catalogue those genes for which mutations, amplifications or deletions have been causally implicated in cancer. It is constantly updated by the Wellcome Trust Sanger Institute (UK) and available at: http://cancer.sanger.ac.uk/census (n=571 genes in September 2015)
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Clinique de l'Europe, Amiens, , France
CHU d'Angers, Angers, , France
Institut de Cancérologie de l'Ouest (site Paul Papin), Angers, , France
Centre Hospitalier Annecy Genevois (CHANGE) - site d'Annecy, Annecy, , France
CHU d'Auxerre, Auxerre, , France
Institut Sainte-Catherine, Avignon, , France
Centre Hospitalier de la Côte Basque, Bayonne, , France
Institut Bergonié, Bordeaux, , France
Polyclinique Bordeaux Nord Aquitaine, Bordeaux, , France
Hôpital Privé Sainte Marie, Chalon-sur-Saône, , France
Centre Hospitalier Metropole Savoie, Chambéry, , France
Centre Jean Perrin, Clermont-Ferrand, , France
CH Sud Francilien, Corbeil, , France
Centre Georges-François Leclerc, Dijon, , France
Hôpital Privé Drôme Ardèche - Clinique Pasteur, Guilherand-Granges, , France
Centre Oscar Lambret, Lille, , France
CH de Longjumeau, Longjumeau, , France
Centre Léon Bérard, Lyon, , France
Hôpital Privé Jean Mermoz, Lyon, , France
Hôpital Nord, Marseille, , France
Institut Paoli-Calmettes, Marseille, , France
Hôpital Clinique Claude Bernard, Metz, , France
Institut de Cancérologie de Lorraine, Nancy, , France
Institut de Cancérologie de l'Ouest (site René Gauducheau), Nantes, , France
Centre Antoine Lacassagne, Nice, , France
CHR d'Orléans - Hôpital de la Source, Orléans, , France
Curie Paris, Paris, , France
Hôpital Européen Georges Pompidou (HEGP), Paris, , France
Hôpital Saint Louis, Paris, , France
Centre Hospitalier Lyon Sud - Hospices Civils de Lyon, Pierre-Bénite, , France
CHU de Poitiers - Pôle régional de Cancérologie, Poitiers, , France
Centre Eugène Marquis, Rennes, , France
Hôpitaux Drôme-Nord- Site de Romans sur Isère, Romans-sur-Isère, , France
Institut de Cancérologie de la Loire, Saint Priest en Jarez, , France
Institut Claudius Regaud, Toulouse, , France
Gustave Roussy, Villejuif, , France
Name: Charles Ferté, MD PhD
Affiliation: Gustave Roussy, Cancer Campus, Grand Paris
Role: PRINCIPAL_INVESTIGATOR