Plasma and Tissue SAA1 Levels in Cancer Patients to Predict Hyperprogression of Immunotherapy

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorNanfang Hospital, Southern Medical University

About this trial

Immune checkpoint inhibitors have ushered in a new era of cancer treatment, bringing significant survival benefits to patients. However, some patients have accelerated tumor growth in the early stage of immunotherapy, called hyperprogression. The quality of life of patients with hyperprogression is seriously reduced, and there is no effective treatment at present, and the prognosis is extremely poor. Therefore, early identification of high-risk groups of hyperprogression is the key to prevent hyperprogression. However, there are no effective biomarkers to predict hyperprogression. By sequencing, proteomics and metabolomics analysis of clinical tissue and blood samples, we found that the level of SAA1 was significantly increased in patients with hyperprogression, and SAA1 was an effective marker for predicting hyperprogression in pan-cancer. We planned to conduct a multicenter, prospective cohort study to verify the reliability of SAA1 as a marker for predicting hyperprogression of immunotherapy in pan-cancer patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Over 18 years of age

Voluntarily sign informed consent

The pathological diagnosis was nasopharyngeal carcinoma, head and neck tumor, lung cancer, breast cancer, stomach cancer, colorectal cancer, glioma, esophageal cancer, liver cancer, bile duct cancer, cervical cancer, prostate cancer, bladder cancer and other malignant tumors

Need to be treated with immune checkpoint inhibitors

Disqualifiers

There are contraindications to immunotherapy

Combined with other tumors (basal cell or squamous cell skin cancer that has been cured, and cervical cancer in situ removed) External)

Patients had any serious coexisting medical conditions that could pose an unacceptable risk or negatively affect trial adherence. For example, unstable heart disease requiring treatment, chronic hepatitis, kidney disease, poor disease status, uncontrolled diabetes (fasting blood glucose > 1.5 × ULN), and mental illness.

At the investigator's discretion, those who was not considered to be suitable for participation in the study.

Trial population

Cancer patients who need to accept immunotherapy

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Incidence of hyperprogression

Incidence of hyperprogression will be calculated.

Time frame
2 years

Secondary outcomes

1

Event-free survival

Event-free survival was defined as the time from the date of inclusion until hyperprogression or death from any cause.

Time frame
3 years
2

Progression-free survival

Progression-free survival was defined as the time from the date of inclusion until disease progress or death from any cause.

Time frame
3 years
3

Overall survival

Overall survival was defined as the time from the date of inclusion until death from any cause.

Time frame
3 years

Other outcomes

Sponsors and contacts

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