PRecision Oncology CUhk pRogrammE (PRO-CURE)

Study Overview
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Brief Summary
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The main aim of this project is to establish an innovative model of a comprehensive precision oncology platform to help individualizing drug therapy for patients with advanced cancers at The Chinese University of Hong Kong. The other objectives include to optimize the genomic matching and access of patients with unique cancer subtypes to the relevant clinical trials of novel therapies, and to construct a personalized drug screening platform for individuals using novel cancer models established from patient-derived cancer cells and tissues. Other objectives include to investigate the utility and feasibility of genomic sequencing using circulating tumor DNA(ctDNA), and to establish a biobank of tumor tissues derived from patients with unique cancer subtypes.

Official Title
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Comprehensive Precision Oncology Program at The Chinese University of Hong Kong

Conditions
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Gastrointestinal Cancers

Intervention / Treatment
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* Genetic: NGS, PDO/PDX establishment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must be aged between 18 to 75 years Must have ECOG performance status of 0 to 1 Must have histologically/cytologically confirmed cancers of certain subtype Medically fit patients who would need systemic therapy as part of their oncological treatment in any one or more of the following oncological setting(s): palliative, neoadjuvant, adjuvant, concurrent with radiotherapy. This includes patients who have limited systemic therapeutic options for their cancers and are candidates for clinical trials. Able to give written informed consent Willing to have blood samples taken. Availability of an archived paraffin-embedded tumor block Exclusion Criteria: Patients who refuse or are medically unfit for systemic therapy for their cancer Patients with more than one invasive cancers diagnosed over the last FIVE years. Patients without measurable tumor lesions on radiological imaging Patients who are unable to give written informed consent.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| NGS and PDO/PDX establishment<br> | Genetic: NGS, PDO/PDX establishment<br>* Patients' tumor specimens will be collected for next generation sequencing, PDO/PDX establishment and tissue banking.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Establishment of an innovative model of a comprehensive precision oncology platform |  | 4 years | 
| Construction of a personalized drug screening platform for individuals using novel cancer models established from patient-derived cancer cells and tissues. |  | 4 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Describe the prevalence of actionable genomic aberrations in patients with advanced cancers in Hong Kong |  | 4 years |