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RECRUITING
NCT05906407

COGNITION: Genomics-Guided Precision Oncology in Early High-Risk Breast Cancer

Sponsor: German Cancer Research Center

View on ClinicalTrials.gov

Summary

The COGNITION diagnostic platform elucidates the biomarker profile of neoadjuvant chemotherapy-resistant residual bulk tumors in high risk early breast cancer patients. The major goal is to provide a framework for genomic profiling, which serves as infrastructure for systematic biomarker-screening and -stratification for concise therapy-arm allocation in the interventional clinical phase II trial COGNITION-GUIDE (NCT05332561). In patients, who display a poor response to standard-of-care neoadjuvant chemotherapy, tissue samples before and after neoadjuvant therapy are subjected together with blood samples to comprehensive genomic profiling to identify patients potentially benefiting from biomarker-guided interventions in COGNITION-GUIDE. Samples not required for standard-of-care clinical procedures or genomic profiling are systematically collected in a dedicated bio-repository to fuel translational scientific companion programs. The continuously growing comprehensive database serves as an integrative resource for systematic, prospective multidimensional data collection (clinical records, biomaterial, genomic data). In summary, the overarching goal is to generate a precision oncology platform i) to identify clinically-actionable biomarkers and drug targets that drive genomics-guided therapies and ii) to couple the observational, diagnostic registry platform to the independent, biomarker-stratified clinical therapy trial COGNITION-GUIDE.

Official title: COGNITION: Comprehensive Assessment of Clinical Features, Genomics and Further Molecular Markers to Identify Patients with Early Breast Cancer for Enrolment on Marker Driven Trials (Molecular Diagnostic Platform)

Key Details

Gender

All

Age Range

18 Years - 80 Years

Study Type

OBSERVATIONAL

Enrollment

2000

Start Date

2019-04-19

Completion Date

2028-12-31

Last Updated

2025-03-19

Healthy Volunteers

No

Interventions

OTHER

Genomic Profiling / Sequencing

Procedure: genomic profiling (Whole-Genome- / Exome-Sequencing + RNA-Sequencing) in high-risk early breast cancer patients pre- and post neoadjuvant therapy

Locations (12)

University Hospital Augsburg

Augsburg, Germany

Charité - Berlin

Berlin, Germany

University Hospital Köln

Cologne, Germany

Medical Faculty and University Hospital Carl Gustav Carus

Dresden, Germany

University Hospital Erlangen

Erlangen, Germany

University Hospital Essen

Essen, Germany

National Center for Tumor Diseases (NCT) Heidelberg

Heidelberg, Germany

Caritas Hospital St. Josef

Regensburg, Germany

Robert Bosch Hospital Stuttgart

Stuttgart, Germany

University Hospital Tübingen

Tübingen, Germany

University Hospital Ulm

Ulm, Germany

University Hospital Würzburg

Würzburg, Germany