Evaluating comprehensive molecular testing for advanced cancer patients

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

Observational BostonGene · NCT06272864

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
Enrollment400 (estimated)
Ages18 Years and up
SexAll
SponsorBostonGene Industry-sponsored
Locations7 sites (Rogers, Arkansas and 6 other locations)
Trial IDNCT06272864 on ClinicalTrials.gov

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.

Who should consider this trial

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

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.

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

Eligibility criteria

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 this trial is running

Rogers, Arkansas and 6 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Breast CancerNon-small Cell Lung CancerMelanomaSarcomaComprehensive Molecular TestingBostonGene Tumor Portrait TestMolecularly Matched TherapyDNA and RNA Targets
Last reviewed 2026-06-13 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.