Immune Biomarker Study for Head and Neck Cancer
University of Erlangen-Nürnberg Medical School
1,100 participants
May 16, 2022
OBSERVATIONAL
Conditions
Summary
The aim of this prospective non-interventional multi-center trial is to study the prognostic value of intratumoral and systemic immune biomarkers in newly diagnosed non-metastatic head and neck cancer. Furthermore, the local immunological processes in the tumor will be correlated with the systemic immune status determined in the peripheral blood to identify prognostic immune signatures. In addition, tumor organoids will be generated ex vivo for functional biological analyses. The main objective is to create a prognostic score determined by clusters based on tumor immunologic criteria.
Eligibility
Inclusion Criteria6
- Initial diagnosis of squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, paranasal sinuses or larynx in stage UICC II-IVB (study group)
- Diseases other than malignant diseases (patients with the indication for surgery of the ear, nose nose or maxillofacial surgery) (control group)
- Absence of a currently existing or previous malignant disease regardless of the anatomical localization (control group)
- Agreement of the patients for sampling blood, saliva and stool as well as consent to the preservation of all samples for further study purposes
- Age ≥ 18 years
- Cognitive ability of the patients to understand the meaning and purpose of the study and agree to it
Exclusion Criteria6
- Distant metastases and / or simultaneous secondary carcinoma at the time of diagnosis (= inclusion date)
- Carcinomas in which it is (likely) impossible to take a sample without interfering with the further pathological assessment
- Present drug abuse
- Patients who are unable or unwilling to behave and receive treatment according to protocol
- Patients who are legally patronized
- Patients who are not eligible for participation in the study due to language barrier
Interventions
This is an observational study. Consequently, study participation does not alter the therapy of the treated disease. Blood will be drawn from patients at several time points during and after radiotherapy (RT) and therapy with immune checkpoint inhibitor (ICI) for detailed immunomonitoring of the patients. In addition, faeces and sputum of the patients for microbiomic and metabolomic measures will be collected. Whenever possible, adequate tissue samples are taken from the center of the tumor and a biopsy is taken from the edge of the tumor including the adjacent mucosa in the nearby area without affecting the pathological assessment (study group). Blood, faeces and sputum will be taken from patients of the control group prior to surgery. After surgery, only blood will be taken.
Locations(3)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05375266