Clinical trial Recruiting at 7 sites Observational Ages 18 and up

Evaluating comprehensive molecular testing for advanced cancer patients

Official title: BostonGene and Exigent Genomic INsight (BEGIN) Study: A Prospective Study of Comprehensive Molecular Testing in Advanced Cancer Patients in the Community Setting

Run by BostonGene · NCT06272864 · Data updated 2026-11-12

This study is testing whether a new genetic test can help doctors choose better treatments for patients with advanced cancers like breast cancer and melanoma.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment400 (estimated)
SponsorBostonGene
Industry-sponsored
Locations7 sites (Rogers, Arkansas and 6 other locations)
StatusRecruiting
StartedApril 8, 2024
Main results expectedJanuary 8, 2026
Study endsJanuary 8, 2028
Registry record updatedFebruary 17, 2025
Trial IDNCT06272864 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include patients with locally recurrent, unresectable, or metastatic breast cancer, non-small cell lung cancer, melanoma, or sarcoma.

Probably not a fit

Patients who do not have a confirmed malignancy or those with a life expectancy of less than three months 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

The BEGIN Study by BostonGene and Exigent aims to assess the efficacy and feasibility of comprehensive molecular testing in patients with advanced cancers such as breast cancer, non-small cell lung cancer, melanoma, and sarcoma. Utilizing the BostonGene Tumor Portrait test, the study will identify actionable genomic findings and evaluate their impact on treatment decisions and patient outcomes. Over two years, four cohorts of 100 patients each will be monitored to determine the frequency of molecularly matched therapies and patient enrollment in clinical trials based on test results. The study seeks to demonstrate the clinical utility of genomic testing in guiding therapy in community settings.

Why it matters

Potential benefit: If successful, this study could enhance personalized treatment options for advanced cancer patients by identifying targeted therapies based on genomic profiles.

How similar studies have gone: Other studies have shown success with similar genomic testing approaches, indicating potential for meaningful advancements in cancer treatment.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients must have a confirmed malignancy of:

Locally recurrent, unresectable, or metastatic breast cancer or; Unresectable stage III or metastatic non-small cell lung cancer or; Unresectable or metastatic melanoma or; Locally advanced or metastatic l sarcoma.

* Life expectancy \> 3 months as per the treating physician
* Willingness to provide informed consent
* Living in the United States at time of enrollment
* Agree to participate in genomic and molecular profiling

Exclusion Criteria:

* not meeting the inclusion criteria

Where it's running

  • Highlands Oncology Group
    Rogers, Arkansas, United States
    Recruiting
  • Stockton Hematology Oncology Medical Group
    Stockton, California, United States
    Recruiting
  • Fort Wayne Medical Oncology and Hematology
    Fort Wayne, Indiana, United States
    Recruiting
  • New Mexico Cancer Center
    Albuquerque, New Mexico, United States
    Recruiting
  • Oklahoma Cancer Specialists and Research Institute
    Tulsa, Oklahoma, United States
    Recruiting
  • Oncology Consultants
    Houston, Texas, United States
    Recruiting
Show 1 more location
  • Northwest Medical Specialities
    Puyallup, Washington, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.