PLATON (Platform for Analyzing Targetable Mutations) is a prospective, multicentre, observational cohort study with biobanking. In a first approach PLATON's pilot-study assesses genomic profiling in gastrointestinal cancer therapy and the frequencies of targetable mutations including Tumor Mutational Burden (TMB) and Microsatellite Instability Status (MSI), performing Next-generation deep sequencing (NGS) using the Foundation Medicine assays on tumor specimen and EDTA-whole blood samples. The Study Protocol does not define any further medical intervention or evaluate the efficacy or safety of the treatment decision made by the investigator. Another important objective of PLATON's pilot project is to evaluate whether and how many patients are treated based on their genomic profiles.
PLATON (Platform for Analyzing Targetable Mutations) is designed to improve personalized therapy for patients in different cancer entities, such as in hepatocellular cancer (HCC), intra- and extrahepatic cholangiocellular carcinoma (CCA), gallbladder carcinoma (GBCA), pancreatic cancer (PanCa) and esophagogastric cancer (EC/GC), and elevate the treatment guidance within its framework. The key to understand the mechanisms in initiation, progression and response to treatment of cancer is the data integration of genetic mutational signatures with medical and physiological data of diseased cohorts. PLATON is a prospective, multicentre, observational cohort study with biobanking and does not define any medical intervention or evaluate the efficacy or safety of the treatment decision made by the investigator.In a first approach PLATON's pilot-study assess genomic profiling in gastrointestinal cancer therapy and the frequencies of targetable mutations including Tumor Mutational Burden (TMB) and Microsatellite Instability Status (MSI), performing Next-generation deep sequencing (NGS) using the Foundation Medicine assays on tumor specimen and EDTA-whole blood samples. Another important objective of PLATON's pilot project is to evaluate whether and how many patients are treated based on their genomic profiles. The pilot-study starts with the national-wide enrolment of 200 participants of both sexes and ages over 18 at 40 german study sites. The long-term vision is to enable cancer patients to receive the best available, scientifically founded, biomarker-based care, tailored to his or her individual needs
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
400
FoundationOne CDx is a FDA-approved broad companion diagnostic (CDx) that is clinically and analytically validated for solid tumors. The test is designed to provide physicians with clinically actionable information - both to consider appropriate therapies for patients and understand results with evidence of resistance - based on the individual genomic profile of each patient's cancer. Every test result includes microsatellite instability (MSI) and tumor mutational burden (TMB) to help inform immunotherapy decisions. FoundationOne®Liquid is a liquid biopsy test for solid tumors that analyzes circulating tumor DNA (ctDNA) in blood.
KHNW Frankfurt
Frankfurt am Main, Hesse, Germany
Hannover Medical School
Hanover, Lower Saxony, Germany
Onkologische Schwerpunktpraxis Speyer
Speyer, Rhineland-Palatinate, Germany
Elblandklinikum Riesa
Ried, Saxony, Germany
Friedrich-Ebert-Krankenhaus Neumünster
Neumünster, Schleswig-Holstein, Germany
Distribution of mutations in patients with HCC, intra- and extrahepatic CCA, GBCA, PDAC and gastric cancer
Relative frequency of targetable mutations (incl. TMB and MSI status) computed as the number of patients who harbors at least one mutation divided by the number of total patients in the pooled patient population.
Time frame: up to 4 weeks after biospecimen provision
Heterogeneity of targetable alterations in paraffin embedded specimen vs. cfDNA
Number of differences (heterogeneity) in targetable alterations in paraffin specimen vs. cfDNA
Time frame: up to 4 weeks after biospecimen provision
Relative frequency of targetable mutations (incl. TMB and MSI status) per disease group
Relative frequency of targetable mutations (incl. TMB and MSI status) per disease group
Time frame: up to 4 weeks after biospecimen provision
Number of patients receiving therapies in accordance to their genomic profiles
Number of patients receiving therapies in accordance to their genomic profiles
Time frame: up to 4 weeks after biospecimen provision
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
MVZ Oskar-Helene-Heim Berlin
Berlin, State of Berlin, Germany
Sana Kliniken Leipziger Land
Borna, Thuringia, Germany
HELIOS Klinikum Bad Saarow
Bad Saarow, Germany
Klinikum Bayreuth
Bayreuth, Germany
Vivantes Klinikum Spandau
Berlin, Germany
...and 36 more locations