Exploration of Adaptive Antitumoral Immune Cells Through Lymphapheresis in Cancer Patients : ALCYTA (ALCYTA)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Cyrine EZZILI, PhD
- Phone Number: 0033147111657
- Email: cyrine.ezzili@curie.fr
Study Contact Backup
- Name: Fouzia AZZOUZ
- Email: fouzia.azzouz@curie.fr
Study Locations
-
-
-
Paris, France, 75005
- Recruiting
- Institut CURIE
-
Contact:
- Nicolas GIRARD, MD
- Phone Number: 0033144324606
- Email: nicolas.girard2@curie.fr
-
Saint-Cloud, France, 92210
- Recruiting
- Institut CURIE
-
Contact:
- François-Clément BIDARD, MD
- Phone Number: 0033147111607
- Email: francois-clement.bidard@curie.fr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient aged 18 or over,
- Patient presenting an invasive tumor pathology (proven or suspected). The location and / or stage of which are defined for each cohort through an amendment to the protocol,
- Patient treated with immune-modulators or other treatments likely to modify immunological parameters,
- Suspicion of immune mediated response or toxicities (assessed by the immunologists),
- Peripheral venous capital usable and compatible with the realization of 2 venous accesses for lymphapheresis and absence of cardiovascular problem (heart failure, arrhythmia ...), per investigator assessement,
- Total circulating lymphocytes> 1000 / mm3,
- Availability of DNA and RNA from the tumor,
- Information to the patient and signature of informed consent or his legal representative,
- Affiliated with a social security scheme or such a scheme.
Exclusion Criteria:
- Inability to undergo study follow-up for geographical, social or psychological reasons,
- Infection with HIV or hepatitis B or C viruses,
- Patients on high dose corticosteroid treatment (> 1 mg / kg continuously),
- Any concomitant serious illness that may interfere with participation in the study or significantly affect the results of the study (pulmonary, heart or liver disease),
- Contraindication to performing lymphapheresis (coagulation disorder, cardiovascular problems, venous access, hypocalcemia, psychological inability to undergo extracorporeal circulation, cachexia, etc.),
- Pregnant patient or of childbearing age without effective contraception,
- Persons deprived of their liberty, under guardianship or legal protection.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Factorial Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: first type, called "A" Cohorts
The first type, called "A" Cohorts, corresponds to indications for which the treatment induces a high response rate (>30%).
These patients will have a lymphapheresis before and during treatment with immunotherapy.
In addition, a blood sample in CellSave® tubes (15mL) will be taken at baseline and three weeks, and EDTA tubes (15mL) will be taken at baseline, 3 weeks after treatment start and at progression.
|
lymphapheresis before and during treatment, blood sample in CellSave® tubes (15mL) will be taken at baseline and three weeks, and EDTA tubes (15mL) will be taken at baseline, 3 weeks after treatment start and at progression
lymphapheresis will be performed between 8 weeks and 18 months after the start of treatment
|
|
Experimental: second type, called "B" Cohorts
The second type, called "B" Cohorts, corresponds to indications for which a role of the immune system is suspected.
Only the so-called "informative" patients (responders or surprising evolution) will have one lymphapheresis during treatment.
The lymphapheresis will be performed between 8 weeks and 18 months after the start of treatment and depending on the clinical course determined by the clinicians in consultation with at least one immunologist (Olivier Lantz, Emanuela Romano, Marion Alcantara).
|
lymphapheresis before and during treatment, blood sample in CellSave® tubes (15mL) will be taken at baseline and three weeks, and EDTA tubes (15mL) will be taken at baseline, 3 weeks after treatment start and at progression
lymphapheresis will be performed between 8 weeks and 18 months after the start of treatment
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evaluation of the presence of tumor-antigen specific T cells for Cohorts A
Time Frame: before treatment
|
Presence of tumor-antigen specific T cells using multiplex tetramers and ELISPOTs.
|
before treatment
|
|
Evaluation of the presence of tumor-antigen specific T cells for Cohorts A
Time Frame: During treatment
|
Presence of tumor-antigen specific T cells using multiplex tetramers and ELISPOTs.
|
During treatment
|
|
Evaluation of the presence of tumor-antigen specific T cells for Cohorts A
Time Frame: at baseline
|
Presence of tumor-antigen specific T cells using multiplex tetramers and ELISPOTs.
|
at baseline
|
|
Evaluation of the presence of tumor-antigen specific T cells for Cohorts A
Time Frame: 3 weeks after treatment start
|
Presence of tumor-antigen specific T cells using multiplex tetramers and ELISPOTs.
|
3 weeks after treatment start
|
|
Evaluation of the presence of tumor-antigen specific T cells for Cohorts A
Time Frame: at progression (up to 100 weeks)
|
Presence of tumor-antigen specific T cells using multiplex tetramers and ELISPOTs.
|
at progression (up to 100 weeks)
|
|
Evaluation of the presence of tumor-antigen specific T cells for Cohorts B
Time Frame: between 8 weeks and 18 months after the start of treatment
|
Presence of tumor-antigen specific T cells using multiplex tetramers and ELISPOTs.
|
between 8 weeks and 18 months after the start of treatment
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IC 2020-12
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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