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The INFINITY study protocol: a retrospective cohort study on decision making and clinical impact of biomarker-driven
Uwe M Martens1,2, Jan Schröder3, Fee Bengsch4
1Clinic for Hematology, Oncology and Palliative Care, SLK Kliniken Heilbronn, Heilbronn, Germany.
Background:
Precision oncology, defined as treatment of patients with targeted therapies matched to specific molecular alterations, has entered routine clinical practice. Particularly in patients with advanced cancer or hematologic malignancies, for whom no further standard therapies are available, this approach is increasingly applied as last resort option outside of the approved indication. However, data on patient outcomes are not systematically collected, analyzed, reported, and shared. We have initiated the INFINITY registry to provide evidence from routine clinical practice to fill this knowledge gap.
Methods:
INFINITY is a retrospective, non-interventional cohort study conducted at approximately 100 sites in Germany (office-based oncologists/hematologists and hospitals). We aim to include 500 patients with advanced solid tumors or hematologic malignancies who received a non-standard targeted therapy based on potentially actionable molecular alterations or biomarkers. INFINITY aims to provide insights into the use of precision oncology in routine clinical practice within Germany. We systematically collect details on patient and disease characteristics, molecular testing, clinical decision-making, treatment, and outcome.
Discussion:
INFINITY will provide evidence on the current biomarker landscape driving treatment decisions in routine clinical care. It will also provide insights on effectiveness of precision oncology approaches in general, and of specific drug class/alteration matches used outside their approved indications.
Trial Registration:
The study is registered at ClinicalTrials.gov, NCT04389541.
Insights
The INFINITY registry collects real-world data on precision oncology treatments for advanced cancers in Germany. This study addresses the need for systematic outcome data in routine clinical practice for targeted therapies.
Area of Science:
- Oncology
- Genomics
- Clinical Trials
Background:
- Precision oncology uses targeted therapies based on molecular alterations, increasingly as a last resort for advanced cancers.
- Systematic collection and analysis of patient outcomes for these off-label precision oncology treatments are lacking.
- The INFINITY registry was established to address this knowledge gap by collecting real-world evidence.
Purpose of the Study:
- To provide evidence on the current biomarker landscape guiding treatment decisions in routine clinical care.
- To gain insights into the effectiveness of precision oncology approaches.
- To analyze specific drug class/alteration matches used outside approved indications.
Main Methods:
- Retrospective, non-interventional cohort study at ~100 German sites.
- Inclusion of 500 patients with advanced solid tumors or hematologic malignancies receiving non-standard targeted therapy.
- Systematic collection of patient/disease characteristics, molecular testing, decision-making, treatment, and outcomes.
Main Results:
- N/A - Study ongoing, results to be published.
Conclusions:
- The INFINITY registry will elucidate the biomarker landscape and treatment patterns in German precision oncology.
- It will offer crucial insights into the real-world effectiveness of targeted therapies in advanced cancers.
- Findings will inform clinical decision-making and guide future precision medicine strategies.
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