Clinical trial Recruiting at 1 site Observational Ages 18 and up

Investigating genetic reasons for unusual responses to cancer treatment

Official title: Genomic Investigation of Unusual Responders

Run by University Health Network, Toronto · NCT03740503 · Data updated 2026-11-12

This study is trying to find out how genetic differences in cancer patients affect their responses to treatment, so doctors can tailor therapies to work better for each individual.

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Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorUniversity Health Network, Toronto
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Toronto, Ontario)
StatusRecruiting
StartedNovember 1, 2013
Main results expectedNovember 2025
Study endsNovember 2025
Registry record updatedJanuary 31, 2025
Trial IDNCT03740503 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include patients with breast cancer, non-small cell lung cancer, colorectal cancer, or genitourinary cancer who have had an unusual response to treatment.

Probably not a fit

Patients who have not undergone treatment or do not have sufficient archival tumor samples available for analysis 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 explore the genetic factors that contribute to atypical responses to cancer therapies in patients. By analyzing tumor samples from individuals who have shown either exceptionally good or poor responses to treatment, researchers will utilize exome and next-generation sequencing techniques to identify underlying genetic variations. The goal is to enhance understanding of how certain tumors react differently to chemotherapy, potentially leading to more personalized treatment approaches in the future.

Why it matters

Potential benefit: If successful, this research could lead to improved treatment strategies tailored to individual genetic profiles, enhancing outcomes for cancer patients.

How similar studies have gone: While the investigation of genetic factors in treatment responses is a growing field, this specific approach focusing on unusual responders is relatively novel and has not been extensively tested in prior studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. The patient must have either an exceptionally good or poor response to treatment, as indicated by their treating physician.

   1. The exact definition of this is adaptable to the disease but a suggested guideline is a Complete Response, Partial Response or progression free interval of at least 6 months
   2. Exceptionally poor response includes patients who were expected to respond favourably to a treatment but instead responded poorly (e.g dramatic tumor growth or death)
2. The patient must have sufficient archival tumor available for sequencing.
3. Deceased patients will also be considered for analysis (up to 30 patients per year) if they meet at least one of the following requirements:

   a)) Patients who have archival tissue stored within the UHN Laboratory Medicine Program who have had a consent waiver granted by the REB to access the tissue.

   b) Patients who have archival tissue banked for further research within the UHN Biospecimen Sciences Program

   Exclusion Criteria:
   * None

Where it's running

  • Princess Margaret Cancer Centre
    Toronto, Ontario, Canada
    Recruiting

Study contacts

  • Principal investigator: David Cescon, MD — Princess Margaret Cancer Centre
  • Study coordinator: Celeste Yu
  • Email: celeste.yu@uhn.ca
  • Phone: 416-946-4501

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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  • Riluzole to prevent thinking and memory problems during chemotherapy

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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.