Metabolic Reprogramming and Microenvironment in Pancreatic Adenocarcinoma

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorInstitut Paoli-Calmettes

About this trial

The present project aims to elucidate the metabolic interactions within the tumor microenvironment of pancreatic adenocarcinoma, both in the primary tumor and in hepatic and pulmonary metastatic sites, as well as in circulating blood biomarkers.

Deciphering these complex interactions aims to identify exploitable vulnerabilities for predicting treatment efficacy or for guiding therapeutic strategies.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age > 18 years

Signed written informed consent specific to the PROMETAP study

Affiliation with a social security system

Treatment and follow-up performed at the Institut Paoli-Calmettes

Disqualifiers

None

Trial population

The study population will include adult men and women (≥18 years) diagnosed with metastatic pancreatic adenocarcinom

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Biopsy collection

    Other intervention

    Tumor cells isolation

  • Blood collection

    Other intervention

    Isolation of blood monocytes

Treatment groups

64 Participants
are divided into 3 treatment groups
Group A: Groupe 1-Initial2 interventions
Group B: Group 2- Relapse2 interventions
Group C: Group 3- Biological1 intervention

Trial outcomes

Primary outcomes

1

Evaluation and comparison of biological parameters reflecting metabolic alterations within the tumor microenvironment of pancreatic adenocarcinoma

* Assessment of stromal dependency mechanisms; * Characterization and comparison of the metabolic profiles of primary pancreatic tumors and associated liver and lung metastases. These analyses aim to identify potential therapeutic targets and to explore diagnostic, prognostic, and predictive biomarkers of treatment response.

Time frame
From sample collection to completion of analyses, estimated at 3 years

Secondary outcomes

1

Exploratory characterization of metabolic pathways, tumor microenvironment features, and associated biomarkers in pancreatic adenocarcinoma.

* Identification of prognostic markers of therapeutic response originating from the tumor microenvironment. * Identification of mechanisms of resistance to anti-tumor treatments linked to the microenvironment. * Identification of new therapeutic strategies capable of specifically targeting the tumor microenvironment.

Time frame
From sample collection to completion of analyses, estimated at 3 years

Other outcomes

Sponsors and contacts

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