Can early gene testing unlock better cancer treatments?
NCT ID NCT06958224
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether doing broad gene testing early, instead of later, helps find more effective treatments for people with advanced pancreatic, liver, or triple-negative breast cancer. About 360 adults with poor-prognosis cancers will be randomly assigned to early or standard timing of gene testing. The goal is to see if early testing leads to more patients actually starting a treatment matched to their tumor's genetic profile.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 360 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * \- Age \>18 years. * Advanced disease status ("unresectable" or "metastatic"). * Patient included either at the time of diagnostic investigation or during first line of treatment. * Good general conditions, still compatible with a therapeutic proposal, WHO 0-1. * The following tumour sites, with poor prognosis and for which ESCAT II/IV treatment targets can be found according to ESMO: * pancreatic adenocarcinoma * hepatocellular carcinomas, * triple negative breast cancer. * Tumour tissue a priori available in sufficient quantity: at least one biopsy from a visceral metastatic site or surgical specimen (if available) for eligible cancers. * Patient covered by a social sercurity scheme Exclusion Criteria: * \- General condition WHO \>1 and/or nutritional status not compatible with a therapeutic proposal * Limiting systemic cardiovascular, renal, bronchopulmonary or endocrinological comorbidities with the initiation of a therapeutic proposal * Active infection or active chronic disease (diabetes, liver dysfunction, immune disease) making the patient's condition incompatible with a therapeutic proposal. * A priori unavailable, in insufficient quantity or of suboptimal quality tumour material. * Administrative reasons: inability to receive informed information, inability to participate in the entire study, lack of social security coverage, refusal to sign consent.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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