Sign in

NCT05846594Completed

A Study to Evaluate the Impact of Liquid Biopsy in Participants With a Clinical Diagnosis of Advanced Cancer

An International Prospective Study to Evaluate the Impact of Liquid Biopsy in Participants With a Clinical Diagnosis of Advanced Cancer (L1ST)

Source: ClinicalTrials.gov · Last updated 17 Dec 2025

Brief summary (registry, in English)

This is an international, prospective study to assess the impact of concomitant early use of liquid biopsy (FoundationOne® Liquid CDx) within the diagnostic pathway, compared with the standard of care diagnostic pathway, on the timing of routine cancer care in treatment-naïve participants presenting with a clinical diagnosis of advanced cancer, where the pathologic diagnosis has not yet been confirmed. Participants with one of the following two clinical presentations will be included: participants with evidence of de novo metastatic lung cancer or participants with evidence of de novo metastatic gastrointestinal cancer. Participants may have undergone different levels of diagnostic workup prior to enrollment. Participants who have not had tissue biopsy performed prior to enrollment will be classified as 'basic workup' and those who have had tissue biopsy performed prior to enrollment will be classified as 'extended workup'. During the diagnosis period, eligible participants will undergo liquid biopsy (FoundationOne® Liquid CDx assay; as per label) on blood samples. Blood samples will be tested using the FoundationOne® Liquid CDx assay at a central laboratory. In parallel, participants will undergo the standard of care diagnostic pathway, including tissue biopsy and histology workup, if not already done before enrollment, and molecular workup according to ESMO guidelines or national guidelines for each tumor type included in this study. Once a complete pathologic diagnosis has been made, the investigator (or multidisciplinary team) can complete an anti-cancer treatment recommendation assessment. Anti-cancer treatment recommendation should follow current practice and professional guidelines based on the results provided by either liquid biopsy (as per label) or tissue biopsy/standard of care.

Status (registry)
Completed
Study type
Interventional
Enrollment
463 (actual)
First submitted
27 Apr 2023
Start date
14 Sept 2023
Primary completion date
6 Sept 2024
Lead sponsor
Hoffmann-La Roche
Diseases
Lung cancer
NCT number
NCT05846594

What you commit to

  • Study type: Interventional
  • Participants enrolled: 463
  • From 14 Sept 2023 to the primary completion date, 6 Sept 2024
  • 18 sites in 4 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Participants deemed not fit for treatment with systemic therapy
  • Prior treatment for metastatic cancer with the exception of participants who have already been diagnosed and treated for cancer, other than the cancer type under study, who have no evidence of relapse

Other illness

  • Participants with primary malignant neoplasm of the brain
  • History of malignancy within 5 years prior to screening, with the exception of the cancer under investigation in this study and malignancies with a negligible risk of metastasis or death (e.g., 5-year overall survival rate \> 90%), such as adequately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, localized prostate cancer, ductal carcinoma in situ, or Stage I uterine cancer

Lab values

  • Participants with any previous molecular testing (NGS or other methods) e.g., all immunohistochemistry staining recommended by ESMO aiming to define the treatment decision (i.e., for lung cancer ALK, EGFR, and PD-L1 IHC staining must not have already been performed). Participants in which tissue biopsy and primary histotyping have been performed can be included in the study.

Other

  • Participants deemed not fit for tissue biopsy
  • Participants with hematological neoplasm

Who the study is looking for

  • Participants presenting with a clinical diagnosis of advanced cancer, falling into one of the following two clinical presentations:
    • De novo metastatic lung cancer as evidenced by imaging demonstrating a lung nodule/mass and objective evidence of a metastatic process; OR, ii) De novo metastatic gastrointestinal cancer as evidenced by imaging demonstrating a metastatic process in the abdomen/pelvis
  • Participants who are treatment naïve for the metastatic setting under study
  • Ability to comply with the study protocol
  • Participants must either:
    • Have a tissue biopsy intended/planned to confirm malignant disease and histology; OR, ii) Have a tissue biopsy already performed but pathology has not yet been finalized.
    • If a tissue biopsy has already been performed prior to ICF signature, then the subtyping of primary tumor may have already been assessed (i.e., for lung cancer TTF1, p40, and napsin A IHC staining may have already been performed).

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (18)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Universitätsklinikum Hamburg-Eppendorf Onkologisches Zentrum Medizinische Klinik II
Coordinator of this site? Confirm its status
HamburgGermanyUnknown status
Med. Hochschule Hannover
Coordinator of this site? Confirm its status
HanoverGermanyUnknown status
Universität Mannheim
Coordinator of this site? Confirm its status
MannheimGermanyUnknown status
Klinikum der LMU München, Campus Großhadern, Krebszentrum München
Coordinator of this site? Confirm its status
MünchenGermanyUnknown status
Asklepios Klinik Gauting
Coordinator of this site? Confirm its status
München-GautingGermanyUnknown status
Klinikum Stuttgart - Katharinenhospital
Coordinator of this site? Confirm its status
StuttgartGermanyUnknown status
Hospital Universitario Reina Sofia
Coordinator of this site? Confirm its status
CórdobaSpainUnknown status
Clinica Universidad de Navarra Madrid
Coordinator of this site? Confirm its status
MadridSpainUnknown status
Hospital Universitario Son Espases
Coordinator of this site? Confirm its status
Palma de MallorcaSpainUnknown status
Institut Sainte-Catherine
Coordinator of this site? Confirm its status
AvignonFranceUnknown status
Hôpital Marie Lannelongue
Coordinator of this site? Confirm its status
Le Plessis-RobinsonFranceUnknown status
Centre Oscar Lambret
Coordinator of this site? Confirm its status
LilleFranceUnknown status
Centre Eugène Marquis
Coordinator of this site? Confirm its status
RennesFranceUnknown status
CHU Strasbourg - Nouvel Hopital Civil
Coordinator of this site? Confirm its status
StrasbourgFranceUnknown status
Gustave Roussy
Coordinator of this site? Confirm its status
VillejuifFranceUnknown status
Universita degli Studi della Campania Luigi Vanvitelli
Coordinator of this site? Confirm its status
NaplesItalyUnknown status
Azienda Ospedaliero-Universitaria Dipartimento Interaziendale Di Oncologia
Coordinator of this site? Confirm its status
UdineItalyUnknown status
Azienda Ospedaliera Universitaria Integrata Verona
Coordinator of this site? Confirm its status
VeronaItalyUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.