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Trial Review
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Trial registered on ANZCTR
Registration number
ACTRN12625000217404
Ethics application status
Approved
Date submitted
16/12/2024
Date registered
26/03/2025
Date last updated
26/03/2025
Date data sharing statement initially provided
26/03/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
TReatment of Australian Colorectal Cancer
– SELECTing biomarkers of Interest (TRACC-SELECT) in metastatic colorectal cancer patients
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Scientific title
Real-world clinicopathologic presentation and TReatment of Australian Colorectal Cancer
– SELECTing biomarkers of Interest in metastatic colorectal cancer patients
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Secondary ID [1]
313474
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metastatic Colorectal Cancer
335883
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Condition category
Condition code
Cancer
332469
332469
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
5
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Target follow-up type
Years
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Description of intervention(s) / exposure
The TRACC-SELECT study is a non-interventional registry designed for prospective data collection on specific biomarker defined subsets of patients with metastatic colorectal cancer. The indication for the registry are patients with recurrent and/or metastatic colorectal cancer with biomarkers of particular interest, including but not limited to deficient MMR, BRAF V600E mutant, KRAS G12C mutant, HER2, POLE and/or NTRK.
From each sub-group, an initial 25-50 patients will be enrolled from 10-15 sites in Australia. Recruitment will take place over a 10 year period from 2022 with a study end date of December 2032.
There is no direct involvement by patients and all data is collected from the patient medical record. The data collected will include patient characteristics, tumour characteristics, treatment for metastatic disease and molecular analysis as described above.
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Intervention code [1]
330048
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Clinicopathologic presentation
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Assessment method [1]
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Biomarker testing on tumour biopsy samples including; -BRAF V600E mutation -KRAS G12C mutation -HER2 ISH positive -NTRK fusion (either IHC positive or NGS positive) -POLE mutation -FGFR2 amplification and -deficient mismatch repair proteins (dMMR) testing on blood sample
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Timepoint [1]
340007
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The clinicopathologic outcome is assessed at either time of initial primary cancer diagnosis (dMMR done by blood test) or at time of diagnosis of metastatic disease (the other biomarker testing is done on the metastatic tumour biopsy)
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Primary outcome [2]
340515
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Treatment selection
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Assessment method [2]
340515
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Treatment selected based on results of their biomarker tests and clinician decision. The data results are collected from the medical records
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Timepoint [2]
340515
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Initial diagnosis and subsequent change of therapy based on toxicity or progression of disease.
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Secondary outcome [1]
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To determine progression free survival (PFS) for each line of therapy
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Assessment method [1]
442279
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Data collection of progression data from medical records
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Timepoint [1]
442279
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Outcome assessed with 3 monthly CT scans during treatment
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Secondary outcome [2]
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To assess overall survival (OS) for patients in routine clinical practice
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Assessment method [2]
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Data collection of survival data from medical records
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Timepoint [2]
442280
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Outcome assessed at date of last patient visit (date last known to be alive) or date of patient death
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Eligibility
Key inclusion criteria
Patients eligible for enrolment on to study must meet the following criteria:
1. Patients greater than or equal to 18 years of age, with any Eastern Cooperative Oncology Group (ECOG) performance status and with histologically confirmed metastatic colorectal cancer (either de novo metastatic or relapsed) that harbour at least one of these biomarkers of interest
a) Deficient mismatch repair proteins (dMMR)
b) BRAF V600E mutation
c) KRAS G12C mutation
d) HER2 ISH positive
e) NTRK fusion (either IHC positive or NGS positive)
f) POLE mutation
g) FGFR2 amplification
2. Diagnosed with metastatic colorectal cancer after 1st January 2021
NB: Written informed consent from patients is not required for this study
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Diagnosed prior to 1st January 2021
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
4/03/2024
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Date of last participant enrolment
Anticipated
31/12/2029
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Actual
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Date of last data collection
Anticipated
31/12/2032
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Actual
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Sample size
Target
100
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Accrual to date
79
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,VIC
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Funding & Sponsors
Funding source category [1]
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Other Collaborative groups
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Name [1]
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The Walter and Eliza Hall Institute of Medical Research
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Address [1]
317914
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
The Walter and Eliza Hall Institute of Medical Research
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Address
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Country
Australia
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Secondary sponsor category [1]
320259
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None
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Name [1]
320259
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Address [1]
320259
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Country [1]
320259
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
316600
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The Royal Melbourne Hospital Human Research Ethics Committee
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Ethics committee address [1]
316600
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https://www.thermh.org.au/research/researchers/ethics
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Ethics committee country [1]
316600
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Australia
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Date submitted for ethics approval [1]
316600
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29/06/2022
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Approval date [1]
316600
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14/09/2022
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Ethics approval number [1]
316600
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Summary
Brief summary
This study aims to describe real-world clinicopathologic presentation and treatment selection in routine care of patients with recently diagnosed metastatic colorectal cancer that have a biomarker of interest. Who is it for? You may be eligible to join this study if you are aged 18 years and older with any ECOG performance status and with histologically confirmed metastatic colorectal cancer (either de novo metastatic or relapsed) that harbour at least one of these biomarkers of interest after 1st January 2021. Study details All participants who meet the eligibility criteria in this study will have their data collected on specific biomarker. During and after completion of the Metastatic colorectal cancer treatment participants data will be collected on biomarkers, progression free survival, overall survival, medical access, and disease free interval. It is hoped that this research project could help answer research questions around assessing the incidence, clinicopathologic associations, variation in treatment management and outcomes in routine care.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Peter Gibbs
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Address
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The Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9345 2555
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Fax
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Email
138374
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[email protected]
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Contact person for public queries
Name
138375
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Michael Harold
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Address
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The Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville VIC 3052
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Country
138375
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Australia
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Phone
138375
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+61 3 9345 2799
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Fax
138375
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Email
138375
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[email protected]
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Contact person for scientific queries
Name
138376
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Peter Gibbs
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Address
138376
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The Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville VIC 3052
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Country
138376
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Australia
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Phone
138376
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+61 3 9345 2555
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Fax
138376
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Email
138376
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
Only aggregated data provided for research
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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