Personalizing Adoptive Cell Transfer for Solid Tumors: Towards a New Patient-tailored Treatment Option

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorOspedale San Raffaele

About this trial

This is a monocentric prospective observational study. This study will include patients with a diagnosis of non-small cell lung cancer for the collection of blood and tissue specimens.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participant is willing and able to provide informed consent for participation in the study.

Age: Adults aged 18 years or older.

Diagnosis: non-small cell lung cancer (Stage I-II, III), with or without lymph node involvement, ideally with sufficient tumor burden to provide adequate tissue for analysis. In accordance with good clinical practice, patients with early-stage disease will undergo direct surgery, whereas patients with advanced-stage disease will receive neoadjuvant treatment followed by surgery.

Ability to attend scheduled follow-up visits, if applicable, for additional peripheral blood sample collection during treatment.

Disqualifiers

Presence of any active infection or underlying condition that could compromise the safety of tissue and blood sampling.

Prior history of another malignancy that might interfere with data interpretation related to non-small cell lung cancer progression and immune response.

Any current use of immunosuppressive medications (e.g., high-dose steroids) which might alter immune response assessments, except as part of non-small cell lung cancer treatment.

Pregnancy and breastfeeding

Trial population

The study population includes adult patients diagnosed with non-small cell lung cancer. Individuals of diverse gender, age, and ethnicity will be included, specifically those with stage I-II and III non-small cell lung cancer, including cases with lymph node involvement.

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

20 Participants
are grouped into 1 trial group
Group A: Non-small cell lung cancer (NSCLC) patients

Trial outcomes

Primary outcomes

1

Frequency and cytotoxic activity of patient-specific tumor-reactive T cells.

The outcome will be evaluated by measuring the percentage of tumor-reactive T cells expressing activation markers (e.g., CD137, CD107a) via flow cytometry. Cytotoxic activity will be assessed through a tumor-killing assay, quantified as the percentage of tumor cell death measured by microscopy and flow cytometry.

Time frame
1-30 months

Secondary outcomes

1

Expression of activation, differentiation, and exhaustion markers in generated T cell product.

The outcome will be evaluated by measuring the percentage of T cells expressing activation (e.g., CD137, CD107a), differentiation (e.g., CD45RA, CCR7), and exhaustion (e.g., PD-1, TIM-3) markers via flow cytometry.

Time frame
12-30 months

Other outcomes

1

Time required for T cell generation and functional assessment.

The outcome will be evaluated by measuring the time (in days) required to generate tumor-reactive T cells and assessing their functionality through activation marker expression (e.g., CD137, CD107a) and cytotoxic activity via flow cytometry.

Time frame
18-30 months

Locations

This trial has no locations.

Sponsors and contacts

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Ospedale San Raffaele

Lead sponsor

Fondazione Umberto Veronesi

Collaborator

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