Collecting samples from patients with certain types of cancer to improve detection and treatment.
Official title: Molecular Residual Disease in Solid Tumors: A Prospective Study to Collect Clinical Data and Biospecimens to Support Discovery and Development of Cancer Biomarkers
Run by Paradigm Health · NCT06605404 · Data updated 2026-11-12
This study is collecting blood and tissue samples from patients with certain types of cancer to see if it can help improve how we detect cancer and understand the risk of it coming back.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1350 (estimated) |
| Sponsor | Paradigm Health Industry-sponsored |
| Locations | 47 sites (Birmingham, Alabama and 46 other locations) |
| Status | Recruiting |
| Started | January 8, 2025 |
| Main results expected | December 2031 |
| Study ends | April 2032 |
| Registry record updated | September 24, 2026 |
| Trial ID | NCT06605404 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with a confirmed diagnosis of specific solid tumors eligible for curative intent therapy.
✕Probably not a fit
Patients who have received systemic therapy for their current cancer diagnosis prior to enrollment may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to gather clinical information, blood, and tumor tissue samples from participants diagnosed with stage I, II, or operable stage III cancers, including muscle invasive bladder cancer, esophageal cancer, gastric and gastroesophageal junction adenocarcinoma, melanoma, and non-small cell lung cancer. Participants will receive standard care from their healthcare providers while contributing to the study over approximately 5.5 years. The collected data will be utilized to develop tests that enhance cancer detection and assess the risk of recurrence.
Why it matters
Potential benefit: If successful, this study could lead to improved methods for detecting cancer and understanding its recurrence risk.
How similar studies have gone: Other studies focusing on biospecimen collection and observational data have shown promise in improving cancer detection and treatment strategies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Eligibility Criteria:
1. Age 18 years or older.
2. Confirmed histological or cytological diagnosis of a malignant solid tumor that is either specified in one of the pre-defined tumor cohorts or meets the enrollment criteria for the Mix of Solid Tumors (MOST) cohort (Table 1).
3. Eligible for curative intent therapy, with surgical resection of cancer planned.
a. If surgical resection has occurred, enrollment should occur within 3 months of surgical resection and before initiation of adjuvant therapy.
4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0, 1, or 2.
5. No systemic therapy for current cancer diagnosis administered before enrollment.
6. Willing and able to comply with required study procedures, including blood sample collection and primary tumor tissue submission from diagnostic biopsy or surgical excision.
7. Has completed all therapy (including endocrine therapy) 3 or more years ago for any previous invasive solid organ malignancy (with exception of nonmelanoma skin cancers) or hematologic malignancy. Individuals with a prior history of noninvasive (in situ) carcinomas may participate if they have received definitive treatment (no washout period required).
8. No concurrent diagnosis of another invasive cancer, except for nonmelanoma skin cancers.
9. No prior allogeneic hematopoietic stem cell transplant.
10. Able and willing to provide informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization for the release of personal health information.
Cohort Specific Criteria
11. Muscle-invasive urothelial carcinoma of the bladder and Melanoma Cohorts: Stage II or operable III cancer:
12. Esophageal, Gastric/GEJ, and NSCLC Cohorts: Stage I, II, or operable III cancer.
13. Pancreatic Cohort: Stage I, II or operable III cancer, exocrine only disease.
14. MOST cohort: Stage II or operable stage III solid tumor diagnosis that meets eligibility criteria and is not included in the other cohorts.
The following tumor types are excluded:
1. Central nervous system (CNS) malignancies
2. Colorectal cancer
3. Breast cancer
4. Squamous cell skin cancer
5. Basal cell carcinoma
6. Gastrointestinal stromal tumors (GIST)
7. Thyroid cancer
8. Uveal melanoma
9. Low or intermediate grade neuroendocrine tumors
■ Eligible tumor types: High-grade neuroendocrine tumors, including neuroendocrine carcinomas, Merkel cell carcinomas, and small cell lung cancer are permissible
10. Hematologic cancers including multiple myeloma or other plasma cell dyscrasias, Hodgkin\'s lymphoma, non-Hodgkin\'s lymphoma, acute or chronic leukemias including chronic lymphocytic leukemia / small lymphocytic leukemia
Where it's running
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Alabama Oncology
Birmingham, Alabama, United States Recruiting -
Mohtaseb Cancer Center and Blood Disorders
Bullhead City, Arizona, United States Recruiting -
Cancer & Blood Specialists of Arizona
Casa Grande, Arizona, United States Recruiting -
Carti
Little Rock, Arkansas, United States Recruiting -
Highlands Oncology Group (HOG)
Springdale, Arkansas, United States Recruiting -
Los Angeles Cancer Network (LACN)
Glendale, California, United States Recruiting
Show 41 more locations
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Ventura County Hematology Oncology Specialists
Oxnard, California, United States Recruiting -
Medical Oncology Associates of San Diego (MOASD)
San Diego, California, United States Recruiting -
Medical Oncology Associates of San Diego
San Diego, California, United States Recruiting -
Stockton Hematology Oncology Med Group
Stockton, California, United States Recruiting -
The Melanoma and Skin Cancer Institute
Englewood, Colorado, United States Recruiting -
Oncology & Hematology Associates of West Broward
Coral Springs, Florida, United States Recruiting -
Mid Florida Cancer Centers
Orange City, Florida, United States Recruiting -
Comprehensive Hematology Oncology (CHO)
St. Petersburg, Florida, United States Recruiting -
Piedmont Cancer Institute
Atlanta, Georgia, United States Recruiting -
Cancer Care Specialists of Illinois (CCSI)
O'Fallon, Illinois, United States Recruiting -
Carle Health
Urbana, Illinois, United States Recruiting -
Cotton O'Neil Cancer Center [Stormont Vail]
Topeka, Kansas, United States Recruiting -
Cancer Center of Kansas
Wichita, Kansas, United States Recruiting -
Baptist Health Corbin
Corbin, Kentucky, United States Recruiting -
Baptist Health Hardin
Elizabethtown, Kentucky, United States Recruiting -
Baptist Health Lexington
Lexington, Kentucky, United States Recruiting -
Baptist Health Louisville
Louisville, Kentucky, United States Recruiting -
Pontchartrain Cancer Center
Covington, Louisiana, United States Recruiting -
Christus Health Highlands
Shreveport, Louisiana, United States Recruiting -
The Cancer & Hematology Centers (CHC)
Grand Rapids, Michigan, United States Recruiting -
Mayo Clinic
Rochester, Minnesota, United States Recruiting -
Cox Health
Springfield, Missouri, United States Recruiting -
Cancer Partners of Nebraska
Lincoln, Nebraska, United States Recruiting -
San Juan Oncology Associates
Farmington, New Mexico, United States Recruiting -
Guthrie Lourdes Memorial Hospital (GLMH)
Binghamton, New York, United States Recruiting -
New York Cancer & Blood Specialists
Shirley, New York, United States Recruiting -
Carolina Oncology Specialists
Charlotte, North Carolina, United States Recruiting -
Southeastern Medical Oncology Center (SMOC)
Goldsboro, North Carolina, United States Recruiting -
Regional Medical Oncology Center
Wilson, North Carolina, United States Recruiting -
Gabrail Cancer Center
Canton, Ohio, United States Recruiting -
Taylor Cancer Research Center
Maumee, Ohio, United States Recruiting -
Oklahoma Cancer Specialists and Research Institute (OCSRI)
Tulsa, Oklahoma, United States Recruiting -
Oregon Health & Science University (OHSU)
Portland, Oregon, United States Recruiting -
Lancaster General Hospital (UPenn)
Lancaster, Pennsylvania, United States Recruiting -
Guthrie Foundation
Sayre, Pennsylvania, United States Recruiting -
Cancer Care Associates of York (CCAY)
York, Pennsylvania, United States Recruiting -
Onocology Consultants P.A. (Oncology Consultants [OC Houston])
Houston, Texas, United States Recruiting -
Community Clinical Trials
Kingwood, Texas, United States Recruiting -
Christus St. Michael's
Texarkana, Texas, United States Recruiting -
Virginia Cancer Institute
Richmond, Virginia, United States Recruiting -
Northwest Medical Specialties (NWMS)
Tacoma, Washington, United States Recruiting
Study contacts
- Study coordinator: Anosheh Afghahi, MD
- Email: anosheh.afghahi@paradigmhealth.ai
- Phone: 888-662-6367
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TS-104: a first-in-human, dose-escalation study for advanced solid tumors
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-
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EBNK-001 allogeneic NK cell therapy with low-dose IL-15, with or without pembrolizumab, for advanced solid tumors
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TGI-5 alone and with nivolumab for advanced or metastatic solid tumors
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SL-28 for Advanced Solid Tumours
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.