CureOne Registry: Advanced Malignancy or Myelodysplasia, Tested by Standard Sequencing and Treated by Physician Choice
CureOne Registry: Advanced Malignancy or Myelodysplasia, Tested by Standard Sequencing and Treated by Physician Choice
Registry participants with advanced malignancy or myelodysplasia will have a sample of their
 tumor or tissue analysed for genetic alterations using next generation sequencing (NGS)
 performed in a lab that has been certified to meet a high quality standard. Treatments and
 outcomes will be reported to the registry to allow further understanding of how genetic
 differences can lead to better diagnosis and treatments.
Every malignancy or myelodysplasia is different on a molecular (genetic) level even in
 patients with the same diagnosis. These differences often give prognostic information,
 determine what types of treatments are available for a patient, as well as determine
 outcomes. In this registry, the method of identifying the genetic difference of the disease
 (using Next Generation Sequencing or NGS) is standardized, the treatments received by a
 patient, and the outcome of these treatments are entered into a database where all
 identifying information is removed.

 Payers (insurance companies) or others will generally pay for the testing, laboratories will
 report the genetic information, physicians and eventually patients will report treatments and
 outcomes. This information will then be reviewed frequently and analyzed to find better
 methods to improve the testing or treatments of disease.

 It is expected that dozens of other trials or registries will eventually be available for
 participants.
Inclusion:

 1. Patient is ≥ 18 years old.

 2. Patient is able to understand and agrees to comply with the requirements of the study
 and provides written informed consent indicating voluntary consent to participate in
 the registry. If the patient is unable to provide consent, but is able to comply with
 other study requirements, informed consent must be obtained by a durable power of
 attorney or healthcare proxy.

 3. Patient is diagnosed with any of the following malignancies or disorders AND with the
 corresponding American Joint Commission on Cancer (AJCC) 7th Edition Staging OR listed
 clinical scenario (i.e. a patient initially diagnosed with early stage lung cancer
 would not be a candidate, but if they later developed metastatic disease, they would
 be eligible and could be enrolled in this registry):

 1. Solid Malignancies Tumor Type (Initial Stage: Clinical Scenario) Lung and
 Bronchus (Stage IIIB or IV: Metastatic or Extensive) Colorectal (Stage IVB:
 Metastatic) Pancreas (Stage IV: Metastatic) Breast (Stage IV: Metastatic)
 Prostate (Stage IV: Castrate resistant) Hepatobiliary (Non-resectable:
 Metastatic) Tumor of Unknown Primary (Non-resectable: Initial Diagnosis) Bladder
 (Stage IV: Metastatic) Esophageal (Stage IV: Metastatic) Brain and CNS (All:
 Initial Diagnosis) Ovarian Cancer (Stage IV or Non-resectable: Recurrent) Kidney
 or Renal Pelvis (Stage IV: Metastatic) Stomach (Stage IV: Metastatic) Endometrial
 (Stage IV: Metastatic) Melanoma (Stage IV: Metastatic) Oral Cavity and Pharynx
 (Stage IVC: Metastatic) Less common Solid Malignancies* (Stage IV: Metastatic)

 *Defined as <1% annual death rate in the SEER database. This also includes
 histologies of common tumors that have been shown to have a more aggressive
 phenotype and require a different treatment approach than their more common
 counterparts.

 2. Hematologic Malignancies Tumor Type (Initial Stage: Clinical Scenario)
 Non-Hodgkins Lymphoma (N/A: Progressed or relapsed after initial treatment)
 Multiple Myeloma (Non-smoldering disease: Requiring Treatment) Acute Myelogenous
 Leukemia (N/A: Initial Diagnosis or Relapse) Chronic Lymphocytic Leukemia (N/A:
 Progressed or relapsed after initial therapy) Acute Lymphoblastic Leukemia (N/A:
 Initial Diagnosis or Relapse) Hodgkins Lymphoma (N/A: Progressed or relapsed
 after initial therapy) Chronic Myelogenous Leukemia (N/A: Progressed or relapsed
 after initial therapy) Less common Hematologic Malignancies (N/A: Requiring
 Treatment)

 3. Myelodysplasia with cytopenias at time of requiring treatment

 4. Unless otherwise specified, all participants will have NGS testing of an appropriate
 somatic tissue specimen (biopsy tissue or cell-free DNA) at a CureOne approved lab
 using the testing outlined in the protocol. The specimen used for testing must have
 been obtained within 6 months (180 days) preceding consent or on a specimen(s)
 obtained within 3 months (90 days) following consent to participate in this
 observational registry. Any non-registry biomarker testing must also be reported.
 Patient will be treated by physician-determined care plan.

 5. Patient has an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 at
 initial screening.

 6. Patient is willing and able to be treated by physician-determined care plan.

 7. Patient may participate in other clinical studies or registries while participating in
 this observational registry.

 8. Patient agrees with regular follow up (see Assessment Schedule below).