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Trop2 NMR Concordance Study
Sponsor: AstraZeneca
Summary
This is a two-stage, multi-center study to compare concordance of Local solution and Mixed solution with "Ground-truth" Ventana solution in testing TROP2 NMR in untreated advanced NSCLC patients, as well as clinical application and robustness in real world labs. TROP2 NMR testing by QCS is composed of three main components: IHC assay, digital scanner and QCS algorithm. This study mainly focuses on end-to-end comparisons from different solutions or real-world labs. TROP2 NMR status results will be compared and the end-to-end concordance between solutions or labs will be assessed by PPA, NPA, and OPA. Three different solutions will be included in this study: Ventana solution\\Local solution\\Mixed solution. Stage 1 will evaluate concordance of Local solution and Mixed solution with Ventana "Ground-truth" solution in a central lab. Totally about 600 samples will be tested using Local solution, Mixed solution and Ventana solution. When solutions concordance in stage 1 is achieved, the study will proceed to stage 2. Stage 2 will then assess the robustness and reproducibility of different solutions in real world pathology labs. About 1,000 TROP2 NMR positive (TROP2 NMR+) and 1,000 TROP2 NMR negative (TROP2 NMR-) samples will be identified by central lab using Ventana solution, then these status-known samples will be distributed to approximately 50 participating site labs with 20 TROP2 NMR+ and 20 TROP2 NMR- per site, and subsequently tested at site labs in a blinded manner using Ventana solution, and/or Local solution and/or Mixed solution, depending on Stage 1 results.
Official title: A Two-stage, Multi-center Concordance Study of Trophoblast Cell Surface Antigen 2 (TROP2) Normalized Membrane Ratio (NMR) in Non-Small Cell Lung Cancer Without Systemic Therapy (TROP2 ALINEAR)
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
3400
Start Date
2026-06-15
Completion Date
2027-06-15
Last Updated
2026-06-03
Healthy Volunteers
No
Conditions
Interventions
Ventana solution
Ventana solution for TROP2 NMR testing is defined as TROP2 IHC staining using VENTANA® TROP2 (EPR20043) RxDx, and stained slides will be transformed into digital images using VENTANA® DP 600 scanner. Images will be analyzed by VENTANA QCS algorithm RUO and the results will be reviewed by the pathologist to accept or reject the analysis. Ventana solution will be the reference test (Ground-truth) in this concordance study.
Local solution
Local solution for TROP2 NMR testing is defined as TROP2 IHC staining using identical clone as class I TROP2 IHC assay, and stained slides will be transformed into digital images using KFBIO scanner (KF-PRO series). Images will be analyzed by Dipath QCS algorithm RUO and the results will be reviewed by the pathologist to accept or reject the analysis.
Mixed solution
Mixed solution for TROP2 NMR testing is defined as TROP2 IHC staining using VENTANA® TROP2 (EPR20043) RxDx, and stained slides will be transformed into digital images using KFBIO scanner (KF-PRO series). Images will be analysed by Dipath QCS algorithm RUO and the results will be reviewed by the pathologist to accept or reject the analysis.
Locations (3)
Research Site
Beijing, Beijing Municipality, China
Research Site
Guangzhou, Guangdong, China
Research Site
Shanghai, Shanghai Municipality, China