Determine
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DETERMINE precision medicine trial

DETERMINE is the first UK national precision medicine trial in rare cancers

Led by the University of Manchester and sponsored and managed by Cancer Research UK's Centre for Drug Development, DETERMINE is a multi-drug, precision medicine trial for adults, teenagers and children with rare cancers.

It's run in collaboration with the University of Birmingham, the Royal Marsden NHS Foundation Trust and the Christie NHS Foundation Trust. DETERMINE is a trial open in the UK and is expected to recruit until 2027. This trial is exploring whether treatments approved for use in some cancer types can target identifiable genetic alterations in other types. It also provides new treatment options for those who might not have any left.

Drugs which show promising results will be accelerated for Cancer Drug Fund assessment and NHS approval.

How to join DETERMINE

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For patients

Taking part in the trial is a personal decision. Speak to your doctor if you're interested in participating.

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For clinicians

Learn more about patient eligibility, referrals, practicing sites across the UK and treatment arms.

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For partners

Find out about the benefits of becoming a commercial partner, meet our current partners and more.

Meet our investigators

Dr Matthew Krebs.

Dr Matthew Krebs

Chief Investigator University of Manchester

Dr Krebs is a medical oncologist with expertise in precision medicine. He is responsible for the medical, scientific and strategic oversight of the DETERMINE platform. He is also the Chief Investigator of the TARGET Precision Medicine program, which is a major route for patent identification for DETERMINE.

Find out more about Dr Krebs

Dr Lynley Marshall.

Dr Lynley Marshall

Paediatric Lead Royal Marsden Hospital

Dr Marshall is a paediatric oncologist with expertise in drug development. She is responsible for overseeing the medical and scientific aspects of the DETERMINE study with respect to children and young people.

Find out more about Dr Marshall

Professor Gary Middleton.

Professor Gary Middleton

Translational Lead University of Birmingham

Professor Middleton is a medical oncologist with expertise in the genomic, transcriptomic and immunological context underlying response to targeted therapy. He is Translational Lead for the DETERMINE study and will coordinate academic research at the Universities of Manchester and Birmingham and the Institute of Cancer Research.

Find out more about Professor Middleton

Professor Lucinda Billingham.

Professor Lucinda Billingham

Statistical Lead University of Birmingham

Professor Billingham is a biostatistician with an interest in cancer research. She is responsible for the design and statistical analysis of the DETERMINE study.

Find out more about Professor Billingham

With the potential to change outcomes for adults, teenagers and children with rare cancers, this trial will be ground-breaking for a patient population who often feel neglected by current cancer research.

- Dr Matthew Krebs, Chief investigator, DETERMINE trial

Meet our collaborators

University of Manchester logo.

University of Manchester

The DETERMINE trial is led by the University of Manchester.

Learn more about the University of Manchester

The centre for drug development logo.

The Centre for Drug Development

The DETERMINE trial is sponsored and managed by Cancer Research UK's Centre for Drug Development.

Explore the Centre for Drug Development

University of Birmingham logo.

University of Birmingham

The DETERMINE trial is run in collaboration with the University of Birmingham.

Discover the University of Birmingham

The Royal Marsden logo.

The Royal Marsden NHS Foundation Trust

The DETERMINE trial is run in collaboration with The Royal Marsden NHS Foundation Trust.

Find out about the Royal Marsden

Our participating sites

A map of the participating sites for adults on the DETERMINE precision medicine trial.

A map of the participating sites for paediatrics, teenagers and young adults on the DETERMINE precision medicine trial.

Adults

Paediatrics, teenagers, young adults

England

1. Manchester: Christie Hospital NHS Foundation Trust

1. London/Surrey: Royal Marsden Hospital

2. Birmingham: University Hospitals Birmingham NHS Foundation Trust

2. Bristol: The Bristol Royal Hospital for Children

3. Bristol: Haematology and Oncology Centre

3. Cambridge: Addenbrooke's Hospital

4. Cambridge: Addenbrooke's Hospital

4. Liverpool: Alder Hey Children's Hospital

5. Leicester: Leicester Royal Infirmary

5. London: Great Ormond Street Hospital

6. Liverpool: Clatterbridge Cancer Centre NHS Foundation Trust

6. Manchester: in set up

7. London: Guy's Hospital

7. Newcastle upon Tyne: Great North Children's Hospital

8. London: University College London Hospital

8. Oxford: John Radcliffe Hospital

9. Newcastle upon Tyne: Freeman Hospital

9. Sheffield: Sheffield Children's Hospital

10. Oxford: Churchill Hospital

11. Sheffield: Weston Park Hospital

12. Southampton: University Hospital Southampton NHS Foundation Trust

Wales

13. Cardiff: Velindre Cancer Centre

10. Cardiff: in set up

Scotland

14. Edinburgh: Western General Hospital

11. Glasgow: The Royal Hospital for Sick Children

15. Glasgow: The Beatson West of Scotland Cancer Centre

Northern Ireland

16. Belfast: Health and Social Care Trust

Coming soon

Explore our treatment arms and participating sites

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