[c09aa8]: / clusters / 9knumclustersv2 / clust_244.txt

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Patients must meet one of the following criteria:\r\n* Patients must have tumor amenable to image guided or direct vision biopsy and be willing and able to undergo a tumor biopsy for molecular profiling; patients with multiple myeloma other than plasmacytomas are to have a bone marrow aspirate to obtain tumor cells; biopsy must not be considered to be more than minimal risk to the patient\r\n** NOTE: Registration to screening steps (Step , , , ) must occur after stopping prior therapy; there is no specific duration for which patients must be off treatment prior to registration to the relevant screening step (and subsequently, the biopsy), as long as all other eligibility criteria are met OR\r\n* Patient will be undergoing a procedure due to medical necessity during which the tissue may be collected\r\n** NOTE: Registration to screening steps (Step , , , ) must occur after stopping prior therapy; there is no specific duration for which patients must be off treatment prior to registration to the relevant screening step (and subsequently, the biopsy), as long as all other eligibility criteria are met OR\r\n* Formalin-fixed paraffin-embedded tumor tissue block(s) are available for submission following pre-registration (not applicable for bone marrow aspirate specimens); criteria for the submission of formalin-fixed paraffin-embedded (FFPE) tissue are:\r\n** Tissue must have been collected within months prior to pre-registration to Step \r\n*** Patient may receive treatment after tissue collection; however, lack of response must be documented prior to Step ; the following restrictions apply:\r\n**** Enrollment onto another investigational study is not permitted\r\n**** Intervening therapy that constitutes a new, molecularly targeted therapy is not permitted; please note, immunotherapy is not considered molecularly targeted\r\n***** Continuation of an agent/regimen for which disease progression has been observed prior to biopsy is permitted, including targeted therapy\r\n**** A new immunotherapy regimen is permitted; but, lack of response must also be documented prior to registration to Step \r\n** Formalin-fixed paraffin-embedded tumor tissue block(s) must meet the minimum requirements OR\r\n* Results from one of the designated outside laboratories indicate a rare variant that is an actionable mutation of interest (aMOI) for specific designated rare variant subprotocols; the following requirements apply:\r\n** The outside laboratory notified the site that patient may be a potential candidate for MATCH due to a detected rare variant\r\n** Patients with an applicable rare variant must be able to meet the eligibility criteria for the appropriate subprotocols within weeks following entry on the EAY Step screening step\r\n** Registration to Step must occur after stopping prior systemic anti-cancer therapy; there is no specific duration for which patients must be off treatment prior to registration to Step , as long as all eligibility criteria are met\r\n*** NOTE: Other potential aMOIs that would be eligibility criteria for NON RARE arms, as determined by the above laboratories, are not applicable for direct treatment assignment on MATCH\r\n*** NOTE: Tumor tissue for the confirmation of rare variant by the MATCH assay is to be submitted, preferably from the same time of collection as that evaluated by the designated outside laboratory
Within weeks prior to screening step registration and within weeks prior to treatment step registration: Leukocytes >= ,/mcL
Within weeks prior to screening step registration and within weeks prior to treatment step registration: Absolute neutrophil count >= ,/mcL
Within weeks prior to screening step registration and within weeks prior to treatment step registration: Platelets >= ,/mcL
Within weeks prior to screening step registration and within weeks prior to treatment step registration: Creatinine clearance >= mL/min/. m^ for patients with creatinine levels above institutional normal
STEP II: Step registration must be within weeks of completing step therapy
STEP II: Any adverse event related to step therapy must have resolved to grade or less
STEP INITIAL REGISTRATION: HER- TESTING
STEP
Patients must have discontinued radiation therapy prior to registering to Step of the study and recovered from any adverse events associated with treatment; prior surgery must be >= weeks from registration to Step and patients must be fully recovered from post-surgical complications
REGISTRATION STEP -SPECIMEN SUBMISSION
REGISTRATION STEP -RANDOMIZATION: Patients must be registered to Step no more than days after registration to Step and no more than days after collection of specimens for FLT testing
PRE-REGISTRATION (STEP )
STEP REGISTRATION
STEP REGISTRATION
Site must verify that there is no known change in the step eligibility since initial registration
CRITERIA FOR MAINTENANCE THERAPY-STEP : Patients must have an ECOG performance status of -
REGISTRATION ELIGIBILITY CRITERIA (STEP )
Baseline testosterone level obtained post prostatectomy prior to step registration
Prostatectomy performed greater than days ( year) prior to step registration
RE-REGISTRATION ELIGIBILITY CRITERIA (STEP ): ECOG performance status -
RE-REGISTRATION ELIGIBILITY CRITERIA (STEP ): Platelet count >= x ^/L
RE-REGISTRATION ELIGIBILITY CRITERIA (STEP ): AST and ALT < . x upper limits of normal (ULN)
PRIOR TO STEP REGISTRATION
PRIOR TO STEP REGISTRATION
Documentation of steroid doses within days prior to step registration
Karnofsky performance status >= within days prior to step registration
Patents treated on any other therapeutic clinical protocols within days prior to step registration
Sites are required to complete Step registration before submitting specimens for EBV DNA analysis\r\n* Patients must have detectable pretreatment plasma EBV DNA, determined by the central lab prior to Step registration\r\n* For patients who have detectable plasma EBV DNA tested at one of the credentialed central labs within days prior to Step registration: that test result can be used for eligibility without the need for re-testing; to use this test result for eligibility, the central lab must enter the test result through the pathology portal
Karnofsky performance status of - within days prior to Step registration
Serum albumin >= . g/dL within days prior to Step registration
History of any of the following:\r\n* Seizure or known condition that may pre-dispose to seizure (e.g. prior stroke within year prior to Step registration)\r\n* History of documented inflammatory bowel disease\r\n* Transmural myocardial infarction within the last months prior to Step registration\r\n* Unstable angina and/or congestive heart failure requiring hospitalization within the last months prior to Step registration\r\n* History of any condition that in the opinion of the investigator, would preclude participation in this study
For patients who have not undergone prior Decipher analysis, submission of the specimen to GenomeDx should be as soon as possible after study registration (Step ) as these results can take up days after the specimen is received at GenomeDx; Step registration must occur within weeks ( days) of Step registration; if Decipher results have already been obtained, in lieu of tissue, results must be submitted to GenomeDx for validation
STEP : NEOADJUVANT
Platelets >= , documented within days prior to step registration
STEP : SURGERY
Patients must have postoperative oxygen consumption (VO) max > ml/kg/min prior to surgery obtained within days prior to step registration
STEP : MAINTENANCE
ANC > ,/mcl within days documented prior to step registration
Creatinine < . x ULN documented within days prior to step registration
REGISTRATION ELIGIBILITY CRITERIA (STEP )
Registration Step Post-Remission Therapy:
Registration Step Maintenance: Patients must have serum creatinine =< . mg/dl within days prior to registration
Registration Step Maintenance: Patients must have AST and ALT =< . x institutional upper limit of normal (IULN) within days prior to registration
Registration Step Maintenance: Patients must have adequate marrow function as evidenced by ANC >= /mcl within days prior to registration
PRIOR TO STEP REGISTRATION:
Step registration must occur within days of the initial surgery; within this day interval, a second surgery is permitted in order to achieve GTR, but even with a second surgery, step registration must occur within days of the initial resection
For step registration the operating neurosurgeon must provide the modified Simpson grade
PRIOR TO STEP REGISTRATION:
PRIOR TO STEP REGISTRATION
PRIOR TO STEP REGISTRATION
Karnofsky performance status >= within days prior to Step registration
Serum creatinine =< . mg/dl within days prior to Step registration
STEP I (IMAGING AND DOSIMETRY)
STEP II (THERAPY)
STEP I
STEP SUBJECTS ONLY:
STEP SUBJECTS ONLY:
STEP AND SUBJECTS:
PREREGISTRATION (STEP ): Patient must be scheduled to undergo a standard of care bone marrow biopsy within days of step registration
REGISTRATION TO TREATMENT (STEP ): Patients must have been on a stable dose of the TKI for the last months before prior to pre-registration
REGISTRATION TO TREATMENT (STEP ): Patients who received prior allogeneic transplant are not eligible
REGISTRATION TO TREATMENT (STEP ): Institution has received central BCR-ABL test results confirming MRD positive status following Step treatment
REGISTRATION TO TREATMENT (STEP ): Patients have an ECOG performance status of -
REGISTRATION TO TREATMENT (STEP ): Patients who received prior allogeneic transplant are not eligible
For patients with oropharyngeal or unknown primaries: p determination by immunohistochemistry (defined as greater than % strong nuclear or nuclear and cytoplasmic staining of tumor cells), confirmed by central pathology review\r\n* Note: for patients with oral cavity, laryngeal, and hypopharyngeal primaries, analysis of p status prior to step registration/randomization is not required (p status will be analyzed centrally post-hoc); step registration for these patients can be completed after step registration
PRIOR TO STEP REGISTRATION EXCLUSION CRITERIA
Within days of step registration, unless corrected prior to step registration: Sodium < mmol/L or > mmol/L
Within days of step registration, unless corrected prior to step registration: Potassium < . mmol/L or > mmol/L
Within days of step registration, unless corrected prior to step registration: Fasting glucose < mg/dl or > mg/dl
Within days of step registration, unless corrected prior to step registration: Serum calcium (ionized or adjusted for albumin) < mg/dl or > . mg/dl
Within days of step registration, unless corrected prior to step registration: Magnesium < . mg/dl or > mg/dl
STEP (REGISTRATION)
STEP (REGISTRATION)
STEP
STEP
STEP TO GDC- RE-REGISTRATION:
HbAc < % obtained within days prior to Step re-registration
STEP TO AZD RE-REGISTRATION:
STEP PALBOCICLIB RE-REGISTRATION:
STEP : REGISTRATION
STEP (REGISTRATION)
PRIOR TO STEP REGISTRATION BUT WITHIN DAYS PRIOR TO STEP REGISTRATION
CONDITIONS FOR PATIENT ELIGIBILITY PRIOR TO STEP REGISTRATION (HER-POSITIVE PATIENTS ONLY)
Radiation oncology consultation to confirm that disease can be encompassed in a radiotherapy field within days prior to step registration
Consultation with a medical oncologist within days prior to step registration
Stage TN-, T-N-, according to the AJCC th edition staging, based upon the following minimum diagnostic work-up:\r\n* History/physical examination, with documentation of the patients weight, within days prior to step registration\r\n* Whole-body PET/CT scan within days prior to step registration (if only CT performed prior to step registration)\r\n* Endoscopic ultrasound within days prior to step registration, unless the patient is found to have adenopathy per CT or whole-body PET/CT scan\r\n* Electrocardiogram (EKG) within days prior to step registration\r\n* Serum creatinine =< x the upper limit or normal within days prior to step registration
Patients or their legally authorized representative must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines; for Step registration of patients who have not yet submitted specimens for the Oncotype DX Breast Cancer Assay, the appropriate consent form is the Step Consent Form; for both Step and Step registration of patients whose Recurrence Score is already known and is or less, the appropriate consent form is the Step Consent Form
STEP REGISTRATION
SECOND REGISTRATION (STEP )
STEP REGISTRATION:
No tests or exams are required to be repeated for step registration (randomization); however, patients who are known to have a change in eligibility status after step registration are not eligible for step registration; for example, ANC is not required to be repeated between step and step registration, but the most recent ANC performed before step registration is required to be >= , mcL
STEP TO MEDI RE-TREATMENT REGISTRATION:
PRE-REGISTRATION (STEP )
PRIOR TO STEP REGISTRATION
PRIOR TO STEP REGISTRATION
STEP I INITIAL REGISTRATION: BRAFVE TESTING:
Brain metastases are allowed if they have been adequately treated with radiotherapy or surgery and stable for at least days prior to Step Initial Registration; eligible patients should be neurologically asymptomatic and without corticosteroid treatment for at least days prior to Step Initial Registration
Patients or their legally authorized representative must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines; for Step Initial Registration of patients who have not yet submitted specimens for the central BRAFVE testing, the appropriate consent form is the Step Consent Form; for both Step Initial Registration and Step Randomization of patients whose BRAF mutation status is already known, the appropriate consent form is the Step Consent Form
ANC >= ,/mcL within days prior to Step registration
STEP REGISTRATION:
STEP REGISTRATION:
Patients must register to Step prior to surgery
STEP (REGISTRATION)
PRIOR TO STEP REGISTRATION EXCLUSION CRITERIA
REGISTRATION (STEP ) ELIGIBILITY CRITERIA:
STEP - CONSOLIDATION
Patients cannot be receiving CYPA inhibitors beginning at least days prior to registration step
PRIOR TO STEP REGISTRATION
Patients must have a FSFI desire subscale baseline score less than .\r\n* NOTE-Both the PHQ and FSFI must be completed by the patient and data entered in Oncology Patient Enrollment Network (OPEN) at Step registration to determine eligibility within days prior to registration; both of these scores will be calculated in the OPEN system once submitted as part of Step registration; an error message will appear once the patient begins Step registration if one or both of the scores make the patient ineligible; in this situation, continue to complete Step with the reason the patient will not continue on the study as Other and specify ineligible
Completion of the FSFI and PHQ; both questionnaires will be required and data entered at the time of step registration
Completion of the following baseline quality of life forms: PHQ, FSFI, PROMIS sexual function and satisfaction, PROMIS fatigue short form a, impact of treatment scale, patient reported outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) items, and revised dyadic adjustment scale; these quality of life forms will be required and data must be entered in RAVE at step registration; if available at the time of step registration, step registration can take place immediately after step , but cannot occur more than days after step ; women who do not currently have a partner do not have to complete the revised dyadic adjustment scale; enter no partner for this form
STEP REGISTRATION
Patients must not have taken within days prior to step registration, be currently taking at the time of step registration, or planning to take once registered to step a beta blocker, ARB, or ACE inhibitor in order to be randomized (Arms and )\r\n* Patients currently taking a beta blocker, ARB, or ACE inhibitor at the time of step registration are eligible to register for the non-randomized observational cohort (Arm )
Site must verify that there is no known change in the step eligibility since initial registration
STEP REGISTRATION
PRIOR TO STEP REGISTRATION
Financial clearance for proton therapy treatment prior step registration
PRIOR TO STEP REGISTRATION:
PRIOR TO STEP REGISTRATION:
The following baseline neurocognitive assessments must be completed prior to Step registration: HVLT-R, TMT, and COWA; the neurocognitive assessment will be uploaded into the NRG RAVE System for evaluation by Dr. Wefel; once the upload is complete, within one business day a notification will be sent to proceed to Step ; NOTE: completed baseline neurocognitive assessments can be uploaded at the time of Step registration
Karnofsky performance status of >= within days prior to Step registration
STEP : REGISTRATION (Optional)
Patients with a primary colon or rectal cancer resection who are potentially eligible for S may be pre-registered at Step ; patients registered to Step will appear on an institutional patient tracking report; patients registered to Step are not registered to the S protocol; to participate in S, patients must be registered to Step after patient is consented and evaluation of eligibility; patients registered to S at Step continuing to Step registration must use the same Southwest Oncology Group (SWOG) patient identification (ID) for registration to S Step
STEP : REGISTRATION
REGISTRATION TO STEP
REGISTRATION TO STEP
Registration to Step :
Registration to Step :
Registration to Step :
Patients must be registered to the first screening step (Step ) for the National Cancer Institute (NCI)-MATCH trial (EAY)