RecruitingNot ApplicableNCT04576429

Immune Profiles Evolution Under Immunotherapy for Melanoma

Immune Profiles Evolution in Patients Treated by Immunotherapy for Melanoma


Sponsor

Assistance Publique - Hôpitaux de Paris

Enrollment

360 participants

Start Date

Jan 27, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

The primary objective of the study aims to compare the immune profiles (circulating cytokines and lymphocytes) before and after (6 to 8 weeks) the first infusion of immune checkpoint inhibitors in patients with melanoma treated in the adjuvant setting(cohort A) or in metastatic setting(cohort B); and to study the association of these immune profiles with relapse- or progression-free survival.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Patient aged ≥ 18 years;
  • Totally resected stage III or IV melanoma totally resected, treated with a immune therapy (pembrolizumab or nivolumab ou other immune checkpoint inhibitors) as adjuvant treatment;
  • Unresectable stage IIIC/D or IV metastatic melanoma, treated with immune therapy (pembrolizumab or nivolumab or immune checkpoint inhibitors) which should be associated by a radiotherapy ;
  • Patient has been informed about the study and signed the consent;
  • Affiliated to the French social security scheme.

Exclusion Criteria6

  • Pregnant or breastfeeding woman;
  • Patient refusal;
  • Patient receiving a immunosuppressor;
  • Undergo a general corticotherapy of \> 10 mg/kg/day since more than 7 days;
  • Patient who participate to another blind interventional study receiving blinded treatment;
  • Patient without any social protection by organization.

Interventions

PROCEDUREvenous puncture

Venous punctures will be performed: for patients of cohort A and B1: * before the first immune checkpoint inhibitors monoclonal antibodies infusion (baseline); * between week 6 and week 8 (before the immune checkpoint inhibitors monoclonal antibodies infusion); * each 3 months up to 12 months. for patients of cohort B2: * before the radiotherapy; * within the 6 weeks after the end of radiotherapy; * at the 2 following evaluations (every 3 months).

PROCEDUREtumoral biopsy

Cutaneous biopsy: superficial skin, or extended skin biopsy, if it is indicated for patient's care.


Locations(1)

Dermato-oncology department, Ambroise Paré hospital, APHP

Boulogne-Billancourt, France

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NCT04576429


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