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 volunteersQualifiers
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
Single group
Treatments tested in this trial
Patients treated with immune checkpoint blockade
Other interventionTumor 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
Trial outcomes
Primary outcomes
Rate of objective response (complete or partial response)
Response will be assessed according to RECIST 1.1 / investigator judgment
Secondary outcomes
Progression Free Survival defined as the time from inclusion until progression according to investigator judgment, or death, whichever occurs first.
Anti-tumor immune responses under immunotherapy defined by investigator judgment and/or iRECIST criteria
Immune related adverse event (irAE) will be evaluated using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03
Sponsors and contacts
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