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COGNITION: Genomics-Guided Precision Oncology in Early High-Risk Breast Cancer
Sponsor: German Cancer Research Center
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
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