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| ID | Type | Description | Link |
|---|---|---|---|
| 23-5095 | Other Identifier | University Health Network |
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The purpose of this study is to collect data for assessing the improvement of the overall response rate for the overall cohorts and the proportion of patients accessing precision targeted therapy.
The UNIQUE umbrella protocol is an overarching framework to study precision medicine in patients with precise molecular data, who have exhausted all established treatment options and who are not eligible for any of the ongoing trials. Participants who have received/who may receive the following treatments may join the study and will be assigned to a study cohort (group):
Under the UNIQUE framework, data from participants will be evaluated. The following data will be collected:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | N-of-1 treatment with marketed drugs used on or off-label as per SOC. |
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| Group 2 | N-of-1 treatment with drugs accessed from SAP. |
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| Group 3 | N-of-1 treatment with non-marketed investigational agents. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient-specific treatments | Other | Treatment will be decided specifically for the patient based on biomarker test results. |
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| Measure | Description | Time Frame |
|---|---|---|
| Overall response rate for the overall cohorts and the number of patients accessing precision targeted therapy | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival rate | 5 years | |
| Progression-free survival | 5 years | |
| Number of participants with adverse events as assessed by CTCAE v5.0 |
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Inclusion Criteria & Exclusion Criteria:
Patient's existing genomic information from tumor molecular profiling will be discussed in the hospital expert molecular tumor board rounds consisting of representatives from specialist genomic profiling and medical oncology departments to decide N of 1 treatment for the patient. The discussion will surround the best next therapeutic option in the patient's cancer subtype with or without clear standard of care guidelines. Therefore, specific eligibility criteria aside from individual patient's medical history is not applicable.
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Patients have advanced and rare cancer with limited treatment options.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amit Oza, Dr. | Contact | 416 946 4450 | amit.oza@uhn.ca |
| Name | Affiliation | Role |
|---|---|---|
| Amit Oza, Dr. | University Health Network, Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Health Network, Princess Margaret Cancer Centre | Recruiting | Toronto | Ontario | M5G 2M9 | Canada |
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| ID | Term |
|---|---|
| D035583 | Rare Diseases |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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For Groups 1 and 2: Only Grade 3 and above AEs/AESIs and SAEs that are related (possibly, probably or definitely) to the study drug. For Group 3: All SAEs (regardless of causality). |
| 3 years |