- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06181656
Serologic Response to Pneumococcal Vaccination Among Esophageal Cancer Patients With High Grade Lymphopenia After Chemoradiation
Study Overview
Status
Intervention / Treatment
Detailed Description
Primary Objectives
- Determine the impact of Grade IV radiation-induced lymphopenia on serologic responses to pneumococcal vaccination.
Secondary Objectives
- Determine the impact of chemoradiation on serologic responses to pneumococcal vaccination.
- Determine the impact of radiation modality on serologic responses to pneumococcal vaccination.
- Determine the impact of radiation modality on systemic immunity.
- Determine the incidence of pneumonia among patients treated with a pneumococcal vaccine.
- Determine the impact of radiation modality on pathologic response.
- Determine the impact of radiation modality on intratumoral immunity.
- Determine the relationship between changes in systemic and intratumoral immunity and clinical outcomes (i.e., incidence of pneumonia and pathologic response)
- Determine the impact of tumor histology on serologic responses to pneumococcal vaccination.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Steven H Lin, MD
- Phone Number: (713) 563-8490
- Email: shlin@mdanderson.org
Study Locations
-
-
Texas
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Houston, Texas, United States, 77030
- Recruiting
- MD Anderson Cancer Center
-
Contact:
- Steven H Lin, MD
- Phone Number: 713-563-8490
- Email: shlin@mdanderson.org
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
Group 1A
a. Participants currently receiving, planning to receive, or recently completed chemoradiation for esophageal cancer with protons.
Group 1B
a. Participants currently receiving, planning to receive, or recently completed chemoradiation for esophageal cancer with intensity-modulated radiation therapy (IMRT)
Group 2A
a. Participants currently receiving, planning to receive, or recently completed definitive proton therapy for unresectable hepatocellular carcinoma.
Group 2B
a. Participants currently receiving, planning to receive, or recently completed definitive IMRT for unresectable hepatocellular carcinoma.
Group 3
a. Healthy age- and gender- matched individuals
All Groups
- Participants of all genders, races and nationalities will be solicited.
- Age >18 years
- Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
Participants with compromised immunologic responses due to an uncontrolled intercurrent immunodeficiency (e.g., Human immunodeficiency virus (HIV), X-linked agammaglobulinemia) or previous or current immune suppressive therapy
a. Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial.
- Participants receiving intravenous immunoglobulin (IVIG) during the study or in the three months prior to study enrollment.
- Participants with psychiatric illness/social situations that would limit compliance with study requirements.
- Participants with previous pneumococcal vaccination
- Participants with severe allergy to any of the vaccine components
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Group 1
30 participants currently receiving, planning to receive, or recently completed chemoradiation for esophageal cancer.
This group will be subdivided into Group 1A, which will comprise 15 participants treated with proton therapy, and Group 1B, which will comprise 15 patients treated with intensity modulated radiation therapy (IMRT).
|
Given by SC
|
Group 2
30 participants currently receiving, planning to receive, or recently completed chemoradiation for hepatocellular carcinoma.
This group will be subdivided into Group 2A, which will comprise 15 participants treated with proton therapy, and Group 2B, which will comprise 15 patients treated with intensity modulated radiation therapy (IMRT).
|
Given by SC
|
Group 3
20 Healthy Volunteers.
|
Given by SC
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Impact of grade IV radiation-induced lymphopenia on serologic responses to pneumococcal vaccination
Time Frame: through study completion; an average of 1 year
|
Serologic responses will be calculated as the average fold change in antibody titer for each of 20 pneumococcal serotypes between baseline (time 0) and the first post-vaccination blood draw.
|
through study completion; an average of 1 year
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Steven H Lin, MD, M.D. Anderson Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Immunologic Deficiency Syndromes
- Immune System Diseases
- Neoplasms
- Neoplasms by Site
- Hematologic Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Head and Neck Neoplasms
- Esophageal Diseases
- Leukopenia
- Leukocyte Disorders
- Esophageal Neoplasms
- Lymphopenia
Other Study ID Numbers
- 2023-0370
- NCI-2023-10646 (Other Identifier: NCI-CTRP Clinical Registry)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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