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NCT03452774Recruiting

SYNERGY-AI: Artificial Intelligence Based Precision Oncology Clinical Trial Matching and Registry

Massive Bio, Inc.

Start Date

1/1/2018

Completion Date

6/1/2040

Summary

International registry for cancer patients evaluating the feasibility and clinical utility of an Artificial Intelligence-based precision oncology clinical trial matching tool, powered by a virtual tumor boards (VTB) program, and its clinical impact on pts with advanced cancer to facilitate clinical trial enrollment (CTE), as well as the financial impact, and potential outcomes of the intervention.

Detailed Description

The SYNERGY Registry is an international prospective, observational cohort study of eligible adult and pediatric pts with advanced solid and hematological malignancies, for whom the decision to consider CTE has already been made by their primary providers (PP). Using a proprietary application programming interface (API) linked to existing electronic health records (EHR) platforms, individual clinical data is extracted, analyzed and matched to a parametric database of existing institutional and non-institutional CT. Machine learning algorithms allow for dynamic matching based on CT allocation and availability for optimized matching. Patients voluntarily enroll into the registry, which is non-interventional with no protocol-mandated tests/procedures - all treatment decisions are made at the discretion of PP in consultation with their pts, based on the AI CT matching report, and VTB support. CTE will be assessed on variables including biomarkers, barriers to enrollment. Study duration anticipated as \~36 mo (\~24-mo enrollment followed by 12 mo of data collection, to occur every 3 mo). The primary analysis will be performed 12 mo after last pt enrolled. The impact time to initiation of CTE on PFS and OS will be estimated by Kaplan-Meier and Cox multivariable survival analysis. Enrollment is ongoing, with a target of ≥50,000 patients.

Eligibility Criteria

Age Range: No minimum to No maximum

Inclusion Criteria: * Pts with solid and hematological malignancies; * Pts cancer-related biomarkers, gene variants, fusion and rearrangements (by immunohistochemistry, PCR, FISH or NGS): PD-L1, MSI (MMR), Claudin18.2, HER2/Neu, Tumor mutational burden/load (TMB), ABL1, ACVR1B, AKT1, AKT2, AKT3, ALK, APC, AR, ATM, ATRX, AURKA, AURKB, BAP1, BCL2, BCL6, BRAF, BRCA1, BRCA2, BTK, CCND1, CCND2, CCND3, CDK4, CDK6, CDKN1A/B, CEBPA, CHEK1, CHEK2, CSF1R, CTNNB1, DAXX, DDR1/2, DNMT3A, EGFR, ERBB2, ERBB3, ERBB4, ERCC4, ER, ESR1, FANCA, FAS, FBXW7, FGFR1, FGFR2, FGFR3, FGFR4, FLT3, GATA3, GATA6, GNAS, HDAC1, HGF, HRAS, IDH1, IDH2, IGF1R, JAK1, JAK2, JAK3, KDR (VEGFR2), KIT, KRAS, MAP2K2 (MEK2), MAP3K1, MCL1, MDM2, MDM4, MEN1, MET, MSH2, MSH3, MSH6, MTOR, MUTYH, MYC, MYCL (MYCL1), NF1, NF2, NOTCH1, NPM1, NRAS, NTRK1, NTRK2, NTRK3, PALB2, PARP1, PARP2, PARP3, PBRM1, PDCD1 (PD1), PDCD1LG2 (PD-L2), PDGFRA, PDGFRB, PIK3C, PMS2, POLD1, POLE, PRDM1, PTCH1, PTEN, RAF1, RB1, RET, RICTOR, ROS1, RPTOR, SDHA/B/C, SMAD, SMARC, SMO, STK11, TGFBR2, TP53, TSC1, TSC2, VEGFA, VHL, WT1, ZNF217, ZNF703, CEACAM, NRG1, among others. These biomarkers should be determined by local laboratory, external vendor, or next generation sequencing platform * Decision to consider clinical trial pre-screening enrollment (CTE) by primary provider and/or patient Exclusion Criteria: * ECOG PS \> 2; * Abnormal organ function; * Hospice enrollment

Interventions

OTHER

Clinical Trial Matching

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Conditions

Cancer, MetastaticCancerCancer of PancreasCancer of LiverCancer of StomachCancer LiverCancer of RectumCancer of KidneyCancer of EsophagusCancer of CervixCancer of ColonCancer of LarynxCancer, LungCancer, BreastCancer, AdvancedCancer ProstateCancer of NeckCancer of SkinNeuroendocrine TumorsCarcinomaMismatch Repair DeficiencyBRCA Gene RearrangementNon Hodgkin LymphomaLeukemiaNon Small Cell Lung CancerCholangiocarcinomaGlioblastomaCentral Nervous System TumorMelanomaUrothelial CarcinomaBladder CancerOvarian CancerEndometrial CancerTesticular CancerBreast CancerCOVIDMyelofibrosisMyeloproliferative NeoplasmMyeloproliferative DisordersFollicular LymphomaMantle Cell LymphomaMarginal Zone LymphomaMyelodysplastic Syndromes

Locations

Massive Bio SYNERGY-AI site

Birmingham, Alabama 35294

United States

Massive Bio SYNERGY-AI site

Mobile, Alabama 36604

United States

Massive Bio SYNERGY-AI site

Scottsdale, Arizona 85260

United States

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Little Rock, Arkansas 72205

United States

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Duarte, California 91010

United States

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Irvine, California 92618

United States

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La Jolla, California 92093

United States

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Orange, California 92868

United States

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San Francisco, California 94143

United States

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Stanford, California 94305

United States

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Aurora, Colorado 80045

United States

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Denver, Colorado 80218

United States

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Littleton, Colorado 80129

United States

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Hartford, Connecticut 06102

United States

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Norwalk, Connecticut 06856

United States

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Newark, Delaware 19713

United States

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Jacksonville, Florida 32224

United States

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Miami, Florida 33136

United States

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Tampa, Florida 33612

United States

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Atlanta, Georgia 30322

United States

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Savannah, Georgia 31405

United States

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Boise, Idaho 83706

United States

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Chicago, Illinois 60611

United States

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Iowa City, Iowa 52242

United States

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New Orleans, Louisiana 70112

United States

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Scarborough, Maine 04074

United States

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Baltimore, Maryland 21218

United States

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Bethesda, Maryland 20892

United States

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Silver Spring, Maryland 20904

United States

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Towson, Maryland 21204

United States

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Worcester, Massachusetts 01655

United States

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Ann Arbor, Michigan 48109

United States

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Lansing, Michigan 48912

United States

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Duluth, Minnesota 55805

United States

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Hattiesburg, Mississippi 39401

United States

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Kansas City, Missouri 64111

United States

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St Louis, Missouri 63110

United States

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Billings, Montana 59102

United States

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Omaha, Nebraska 68124

United States

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New Brunswick, New Jersey 08901

United States

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Albuquerque, New Mexico 87131

United States

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Buffalo, New York 14263

United States

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Hempstead, New York 11042

United States

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Manhasset, New York 11030

United States

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New York, New York 10006

United States

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Staten Island, New York 10314

United States

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Chapel Hill, North Carolina 27514

United States

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Winston-Salem, North Carolina 27157

United States

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Fargo, North Dakota 58102

United States

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Cincinnati, Ohio 45219

United States

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Columbus, Ohio 43210

United States

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Mayfield Heights, Ohio 44124

United States

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Tulsa, Oklahoma 74146

United States

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Portland, Oregon 97239

United States

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Philadelphia, Pennsylvania 19044

United States

Massive Bio SYNERGY-AI site

Providence, Rhode Island 02903

United States

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Greenville, South Carolina 29605

United States

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Memphis, Tennessee 38105

United States

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Nashville, Tennessee 37203

United States

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Dallas, Texas 75246

United States

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Houston, Texas 77030

United States

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Temple, Texas 76508

United States

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Salt Lake City, Utah 84112

United States

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Charlottesville, Virginia 22908

United States

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Seattle, Washington 98109

United States

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Morgantown, West Virginia 26506

United States

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Milwaukee, Wisconsin 53226

United States

Massive Bio SYNERGY-AI site

San Juan, 00917

Puerto Rico