This research trial studies the use of targeted genomic analysis of blood and tissue samples from patients with cancer. Genomic sequencing is a laboratory method that is used to determine the entire genetic makeup of a specific organism or cell type. Genomic sequencing can be used to find changes in areas of the genome that may be important in the development of cancer. It may also help doctors improve ways to diagnose and treat patients with rare cancers with poor prognosis or lack of effective therapy.
PRIMARY OBJECTIVES: I. To obtain blood and tumor tissue for next-generation sequencing and determine the frequency of finding genomic alterations for which there are clinically available (commercially or research based) targeted therapies. Treating clinicians will be provided with relevant validated mutation data for treatment or referral of the patient to pertinent studies. II. To collect clinical outcomes of patients with actionable mutations for which sequencing has been performed. III. To obtain tumor genome data for data storage and future computational analysis and correlation with clinical data. IV. To obtain tumor tissue for development of future in vitro and in vivo cancer models. OUTLINE: Previously collected tissue samples are analyzed for the presence of mutations via next generation sequencing. Patients may also undergo collection of blood samples for analysis of circulating cell-free deoxyribonucleic acid (DNA) and circulating tumor cells. After completion of study, patients are followed up every 3 months for 2 years and then every 6 months for 15 years.
Study Type
OBSERVATIONAL
Enrollment
1,100
Undergo collection of blood samples
Correlative studies
Ocean Medical Center
Brick, New Jersey, United States
COMPLETEDBayshore Community Hospital
Holmdel, New Jersey, United States
COMPLETEDRWJBarnabas Health - Jersey City Medical Center, Jersey City
Jersey City, New Jersey, United States
RECRUITINGSouthern Ocean County Medical Center
Manahawkin, New Jersey, United States
COMPLETEDMorristown Medical Center
Morristown, New Jersey, United States
COMPLETEDJersey Shore Medical Center
Neptune City, New Jersey, United States
COMPLETEDRutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, United States
RECRUITINGRiverview Medical Center/Booker Cancer Center
Red Bank, New Jersey, United States
COMPLETEDRiverview Medical Center
Red Bank, New Jersey, United States
ACTIVE_NOT_RECRUITINGOverlook Hospital
Summit, New Jersey, United States
COMPLETED...and 1 more locations
Frequencies of individual specific mutations and combinations of mutations of related pathway genes
Descriptive analysis will be used to determine frequencies of specific mutations and to determine the pathways that can be targeted most frequently in patients with rare/poor prognosis cancer.
Time frame: Up to 15 years
Rate of actionable mutations in rare and/or poor prognosis cancers
The actual rate of mutations found in this study will be determined to estimate the true underlying mutation rate.
Time frame: Up to 15 years
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