A Brain Metastases Research Platform to Tackle the Challenge of CNS Metastases in Solid Tumours

Last updated: December 18, 2024
Sponsor: Jules Bordet Institute
Overall Status: Active - Recruiting

Phase

N/A

Condition

Neoplasm Metastasis

Treatment

Brain MRI

Samples collection: Plasma

Samples collection: Non-CNS Metastatic Tumour Tissue

Clinical Study ID

NCT04109131
IJB-BS-ODN-006
  • Ages > 18
  • All Genders

Study Summary

Despite some encouraging data, systemic treatment of CNS metastases from solid tumors remains experimental.

Better knowledge on the evolving epidemiology and biology of BM are key elements for the development of new treatment strategies and identification of promising therapeutic targets for new compounds. Further biological findings may help to better understand the heterogeneity between the primary tumor and the CNS metastases and to identify new targets for therapy thus improving patients' outcome.

In this context, the Oncodistinct network and the Jules Bordet institute propose to build a multidisciplinary Brain Metastases Clinical Research Platform called BrainStorm. The BrainStorm program will focus on patients with newly diagnosed non-CNS metastatic solid tumors with high risk of developing CNS metastases and will allow building a large clinico pathological database for CNS metastases including ctDNA analyzes from CSF samples. Substudies will be proposed at each time-period with the final objective to develop innovative treatment approaches and strategies.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age ≥ 18 years old

  2. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

  3. Female or Male

  4. Eligible for part A: Subjects (from cohorts 1 to 5) with newly diagnosed or up to 24months from diagnosis of non-CNS metastases. Enrolment of exceptional casessurpassing 24 months from diagnosis will be allowed for up to 20% of subjectsenrolled with HER2+ BC (cohort 2) and NSCLC harbouring driver mutations (cohort 3). Eligible for part B: Subjects (from cohorts 1 to 7) presenting with a first CNSevent and not yet enrolled in the program Seven cohorts of subjects are defined in this prospective multicenter study:

  • Cohort 1: Triple negative breast cancer (TNBC)

  • Cohort 2: HER 2 positive breast cancer (HER2+ BC)

  • Cohort 3: Non-small cell lung cancer (NSCLC)

  • Cohort 4: Small cell lung cancer (SCLC)

  • Cohort 5: Melanoma

  • Cohort 6: Other solid tumours (apart from the above mentioned subtypes

  • Cohort 7: Radiologically or cytologically confirmed leptomeningealcarcinomatosis

  1. Availability of either primary and/or non-CNS metastatic archival tumour tissue ismandatory for inclusion.

  2. Willingness to undergo lumbar puncture at diagnosis of CNS metastases unless medicalcontra-indications

  3. Predicted life expectancy > 3 months.

  4. Women of childbearing potential must have a negative urine pregnancy test donewithin 28 days prior to enrolment

  5. Effective contraception is in place for women of childbearing potential

  6. Completion of all necessary screening procedures within 28 days prior to enrolment.

  7. Signed Informed Consent form (ICF) obtained prior to any study related procedure. Inclusion criterion applicable to FRANCE only

  8. Affiliated to the French Social Security System

Exclusion

Exclusion Criteria:

  1. Pregnant and/or lactating women.

  2. Previous or current malignancies of other histologies within the last 2 years, withthe exception of in situ carcinoma of the cervix, and adequately treated basal cellor squamous cell carcinoma of the skin.

  3. Subject with a significant medical, neuro-psychiatric, or surgical condition,currently uncontrolled by treatment, which, in the principal investigator's opinion,may interfere with completion of the study. Exclusion criterion applicable to FRANCE only

  4. Vulnerable persons according to the article L.1121-6 of the Public Health Code,adults who are the subject of a measure of legal protection or unable to expresstheir consent according to article L.1121-8 of the Public Health Code.

Study Design

Total Participants: 600
Treatment Group(s): 5
Primary Treatment: Brain MRI
Phase:
Study Start date:
July 01, 2020
Estimated Completion Date:
January 31, 2029

Connect with a study center

  • Institut Jules Bordet

    Anderlecht, 1070
    Belgium

    Active - Recruiting

  • Hôpital Erasme

    Brussels, 1070
    Belgium

    Active - Recruiting

  • Cliniques Universitaires St Luc

    Bruxelles, 1200
    Belgium

    Active - Recruiting

  • Grand Hôpital de Charleroi

    Charleroi, 6000
    Belgium

    Active - Recruiting

  • UZA

    Edegem, 2650
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Gent

    Gent, 9000
    Belgium

    Active - Recruiting

  • UZ Brussel

    Jette, 1090
    Belgium

    Active - Recruiting

  • UZ Leuven

    Leuven, 3000
    Belgium

    Active - Recruiting

  • CHU Ambroise Paré

    Mons, 7000
    Belgium

    Active - Recruiting

  • CHU UCL Namur - Site de Sainte-Elisabeth

    Namur, 5000
    Belgium

    Active - Recruiting

  • Centre Oscar Lambret

    Lille, 59020
    France

    Active - Recruiting

  • Institut Paoli-Calmettes

    Marseille, 13273
    France

    Active - Recruiting

  • Institut Curie

    Paris, 75248
    France

    Active - Recruiting

  • Institut Universitaire de Cancérologie AP-HP Sorbonne Université, Hopital Tenon

    Paris, 75020
    France

    Active - Recruiting

  • Centre Henri Becquerel

    Rouen, 76038
    France

    Active - Recruiting

  • CHU Strasbourg

    Strasbourg, 67200
    France

    Active - Recruiting

  • Institut Universitaire du Cancer - Oncopole

    Toulouse, 31059
    France

    Active - Recruiting

  • Centre Hospitalier de Luxembourg

    Luxembourg, 1445
    Luxembourg

    Active - Recruiting

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