Monitoring of Immunological Mechanisms and Biomarkers Underlying Efficacy and Toxicity of Cancer Immunotherapy

ConditionSolid Cancers
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorInstitut Claudius Regaud

About this trial

This is a translational, open-label, multi-site, prospective cohort study aiming to identify and to monitor immunological biomarkers associated with therapeutic response to immune checkpoints blockade (ICB), in patients with multiple types of advanced (unresectable and/or metastatic) solid cancers.

The study will be conducted on a population of patients receiving ICB (anti-PD-1 or anti-PD-L1 or anti-CTLA4, alone or in combination) in the context of either routine care or a clinical study protocol.

Patients with any of the following tumor types may be enrolled in the trial:

* Non-Small Cell Lung Cancer (NSCLC), * Head and neck cancer, * Melanoma, * Bladder cancer, * Other tumor types when Immuno-Oncology agent is expected to be efficient or when a clinical trial is an option.

For each included patient, tumor biopsy specimens and blood samples will be collected at different time points.

All included patients will be followed-up until progression. After this date, survival data will be collected.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥18 years at the time of study entry.

Patient with histologically documented metastatic and/or unresectable solid malignant tumor (NSCLC, head and neck, melanoma (except uveal melanoma), bladder cancer or any other advanced solid tumor when I-O agent is expected to be efficient or when a clinical trial is an option).

Patient for which a treatment with immune checkpoint blockade including, but not limited to, anti-PD-1, anti-PD-L1 and anti-CTLA-4 mAb alone or in combination has been decided.

Archived tumor specimen available or feasible for pre-treatment tumor biopsy.

Disqualifiers

Patient pregnant, or breast-feeding.

Uveal melanoma

Any condition contraindicated with tumor /blood sampling procedures required by the protocol.

Known history of positive test for hepatitis B virus or hepatitis C virus or human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS).

Trial design

Design model

Single group

Treatments tested in this trial

  • Patients treated with immune checkpoint blockade

    Other intervention

    Tumor biopsy specimens and blood samples will be collected at different time points: * Baseline * before the 3rd ICB administration (blood samples only) * before the 5th ICB administration (blood samples only) * at the time of treatment permanent discontinuation (blood samples only) * at the time of progression (tumor biopsy specimens only) * after the last dose of ICB treatment (blood samples only taken twice per year until study termination)

Treatment groups

770 Participants
are divided into 1 treatment group
Group A: Patients treated with immune checkpoint blockadeOther 1 intervention

Trial outcomes

Primary outcomes

1

Rate of objective response (complete or partial response)

Response will be assessed according to RECIST 1.1 / investigator judgment

Time frame
18 months by patient

Secondary outcomes

1

Progression Free Survival defined as the time from inclusion until progression according to investigator judgment, or death, whichever occurs first.

Time frame
18 months by patient
2

Anti-tumor immune responses under immunotherapy defined by investigator judgment and/or iRECIST criteria

Time frame
18 months by patient
3

Immune related adverse event (irAE) will be evaluated using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03

Time frame
12 months by patient

Other outcomes

Sponsors and contacts

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