Clinical trial Recruiting at 1 site Interventional

xDRIVE personalized tumor testing for Florida cancer patients

Official title: xDRIVE Functional Precision Medicine + Artificial Intelligence Individualized Treatments for Florida-based Cancer Patients With Relapsed/ Refractory Cancers

Run by First Ascent Biomedical Inc. · NCT07167381 · Data updated 2026-11-12

This program will try a functional precision medicine and AI platform (xDRIVE) to help guide next treatment options for Florida patients with recurrent or refractory cancer, including children and people from underserved communities.

Quick facts

Study typeInterventional
SexAll
Enrollment210 (estimated)
SponsorFirst Ascent Biomedical Inc.
Industry-sponsored
Locations2 sites (Miami, Florida and 1 other locations)
StatusRecruiting
StartedNovember 1, 2025
Main results expectedNovember 1, 2026
Study endsApril 1, 2027
Registry record updatedMay 19, 2026
Trial IDNCT07167381 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are Florida residents with recurrent or refractory cancer (pediatric patients up to 18 years or adults ≥18) who have had at least one prior standard therapy, can provide prior treatment and outcome information, have adequate performance status (ECOG 0–2 for adults), and have accessible tumor tissue for testing.

Probably not a fit

Patients without sufficient or accessible malignant tissue, those too medically frail for further cancer therapy (e.g., ECOG >2), newly diagnosed patients who have not received prior therapy, or people unable to provide required samples or treatment information are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective, single-arm feasibility program enrolling 210+ Florida patients with recurrent or refractory cancers to deliver the xDRIVE Functional Precision Medicine (FPM) platform combined with artificial intelligence. Sites will obtain tumor tissue (biopsy, excision, or resection) and matched normal material (blood or buccal swab) for ex vivo drug testing and molecular profiling; results are returned to the treating physician to inform next-line therapy. The study emphasizes inclusion of pediatric patients and adults from Black, Brown, Hispanic, and rural communities and also collects health economics data to measure cost and access impacts. The primary focus is statewide feasibility and clinical utility of providing the xDRIVE platform outside major tertiary centers.

Why it matters

Potential benefit: If successful, the program could help identify personalized drug options and improve access to tailored therapies for underserved Florida patients, possibly improving outcomes and reducing travel-related costs.

How similar studies have gone: A related feasibility study in advanced pediatric solid and hematologic cancers (NCT03860376) reported positive results that were published in Nature Medicine, demonstrating prior success with this functional precision medicine approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with recurrent/refractory cancer patients up to age 18 (willing to sign assent if ages 7 - 17 years)
* -OR- Patients with recurrent/refractory cancer ≥18 years of age.
* Patients who have received at least one prior line of standard of care therapy.
* Patients able to provide treatment and outcome information from previous line(s) of therapy.
* Patients with sufficient health status to undergo cancer therapy, e.g., Eastern Cooperative Group (ECOG) performance status of 0, 1, or 2 for adult patients.
* Patients who are scheduled for or have recently undergone a tumor biopsy, excision, or resection.
* Patients willing to have a blood draw or buccal swab performed for matched normal material for comparison during tumor DNA profiling.

Exclusion Criteria:

* Patients who do not have malignant tissue available and accessible, patients where the amount of excised malignant tissue is insufficient material for ex vivo drug testing and/or genetic profiling, defined as \<0.3g for resections or core/fine-needle biopsies not containing malignant tissue by pathology review, or insufficient malignant tissue in peripheral blood or bone marrow aspirate samples.
* Patients with insufficient health indicators to undergo therapeutic intervention.

Where it's running

  • First Ascent Biomedical
    Miami, Florida, United States
    Recruiting
  • Florida International University
    Miami, Florida, United States
    Active not recruiting

Similar studies

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

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.