Studies of Phenotypic and Functional Characteristics of Circulating Neutrophil Subpopulations in Patients With Lung Cancer
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Extra blood tubes.
- Кому может быть актуально
- Состояния в реестре: Lung Cancer. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Франция
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Studies of Phenotypic and Functional Characteristics of Circulating Neutrophil Subpopulations in Patients With Lung Cancer Undergoing Treatment
Обзор
The objective is to study the phenotypic, functional and metabolomic characteristics of neutrophils circulating subpopulations in lung cancer patients, and to compare them to a control group of healthy volunteers. A blood sample will be taken before the first treatment session for the lung cancer patient and a second blood sample will be taken during the first evaluation visit. The investigators hypothesize that there may be different circulating neutrophil subpopulations in patients with metastatic non-small cell lung cancer (NSCLC) involved in tumor progression and resistance to immunotherapy.
Подробное описание
Immune checkpoint inhibitors (ICI) have been shown to be effective in metastatic lung cancer. Unfortunately, 80% of patients do not respond and show rapid disease progression. Identifying predictive biomarkers of response is essential for early adaptation of management. Circulating lymphocytes and neutrophils represent a biomarker (NLR), predictive of immunotherapy response, in particular via the measurement of the neutrophils /lymphocyte ratio. Some preclinical work suggests a role for circulating neutrophil subpopulations like MDSC (myeloid derived suppressor cells) in ICI resistance. Certain circulating neutrophil subpopulations are thought to promote tumor progression, angiogenesis and metastasis with immunosuppressive activity. Identifying these pro-tumor subpopulations could predict the response to ICI and could be a potential therapeutic target. Our goal is to characterize the circulating neutrophil subpopulations of lung cancer patients and correlate these characteristics with response and survival phenotypically and functionally.
Вмешательства
- Другое Extra blood tubes
Extra blood tubes
Первичные конечные точки
- Presence of a subpopulation of circulating neutrophils [Срок оценки: Through study completion, an average of 3 years]
Вторичные конечные точки (9)
- Demographic characteristics [Срок оценки: Day 1]
- Performans status [Срок оценки: Day 1]
- Stage [Срок оценки: Day 1]
- Histologic type [Срок оценки: Day 1]
- Mutation status [Срок оценки: Day 1]
- Clinical assessment [Срок оценки: Up to the end of participation, between month 3 and month 4]
- irRECIST 1.1 response [Срок оценки: Up to the end of participation, between month 3 and month 4]
- Death [Срок оценки: Up to the end of participation, between month 3 and month 4]
- Mortality [Срок оценки: Up to the end of participation, between month 3 and month 4]
Критерии участия
Inclusion Criteria common to lung cancer and COPD patients :
- Age ≥ 18 years,
- male or female,
- affiliated with a Health Insurance,
Inclusion Criteria for lung cancer patients :
\- Diagnosis of metastatic stage lung cancer with mutation status, naïve treatment
Inclusion Criteria for COPD patients :
\- Diagnosis of COPD post-smoking
Критерии исключения
- Tuberculosis or other acute or chronic bacterial infections
- Chronic progressive viral infections (Hepatitis B and C, HIV)
- Previous or ongoing chemotherapy
- Impossibility of giving the subject informed information.
- Opposition to the research.
- Participation in another research study with an exclusion period still in progress at pre-inclusion (possible inclusion in an observational study)
- Vulnerable individual (pregnant, parturient or breastfeeding woman), persons under guardianship or curatorship, or deprived of liberty by a judicial or administrative decision)
- Patients benefiting from the AME
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Франция · 1 центр
- Assistance Publique - Hôpitaux de Paris (AP-HP) - Cochin Hospital - Pneumology unit — Paris
Идентификаторы
NCT: NCT06244355 · APHP220335 · 2021-A01939-32