Predictive Response to Chemotherapy (FOLFOX or FOLFIRI) by ex Vivo Culture 3D Technique in Metastatic Colorectal Cancer (CULTURE3D)
Predictive Response to Chemotherapy (FOLFOX or FOLFIRI) by ex Vivo Culture 3D Technique in Metastatic Colorectal Cancer: a Preliminary Study
연구 개요
상세 설명
The CULTURE 3D study is a prospective, open labelled, multicenter trial. The aim is to evaluate the feasibility of ex vivo culture 3D (chemogram) on biopsies in order to estimate the predictive value of this technique for treatment response in patients treated by two different chemotherapies (FOLFOX or FOLFIRI) for colorectal cancer.
Patients will have biopsies in a metastasis or in the primitive tumor before treatment. The sample will be used for a 3D ex vivo cells culture. A chemogram will be made based on cells proliferation data (Ki67) and apoptosis (M30).
Results from this chemogram will not interfere with the treatment combination choice.
The treatment response will be evaluated by the RECIST assessment and will be then compared to the chemogram.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Paris, 프랑스, 75005
- Institut Curie
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Paris, 프랑스, 75475
- Hôpital Lariboisière
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Aged 18 years old or more
- Colorectal cancer with synchronous or metachronous metastases
- Metastasis and/or primitive tumor (in case of synchronous metastases) accessible to biopsy
- Measurable metastatic disease (echography, CT and/or MRI, PET-FDG)
- Indication for treatment with a combination including FOLFOX/FOLFIRI associated to an anti VEGF drug (Avastin)
- No adjuvant chemotherapy for the primitive colorectal cancer and no line of chemotherapy for metastatic disease during the year prior to inclusion.
- Life expectancy > 3 months (ECOG 0-1-2).
- Informed and signed consent by the patient.
Exclusion Criteria:
- Elevation of Carcinoembryonic antigen (CEA) without measurable metastatic disease
- Medical contraindication to chemotherapy or biotherapy as FOLFOX/FOLFIRI or Avastin.
- Treatment with FOLFOX/FOLFIRI and biotherapy anti-EGFR (epidermal growth factor receptor)(Erbitux) planned
- Patient already enrolled in an other clinical trial with another first line of chemotherapy.
- Pregnant women, breastfeeding or of childbearing age not taking contraceptive
- Persons deprived of liberty.
- Subject unable to make follow up schedule
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 다른
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: biopsy to obtain a chemogram
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All patients enrolled will have biopsies (on primary tumor or on a metastasis) before treatment in order to obtain a chemogram by ex vivo 3D culture cells
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Number of interpretable chemogram
기간: through study completion, an average of 1 year
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In ex vivo 3D culture from tumor biopsies, number of interpretable chemogram.
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through study completion, an average of 1 year
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Correlation between chemogram results obtained by 3D culture and RECIST 1.1 response assessement.
기간: through study completion, an average of 1 year
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Number of chemogram showing the same response to treatment than patient RECIST 1.1 measured response.
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through study completion, an average of 1 year
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Chemosensitivity evaluated on 3D culture.
기간: through study completion, an average of 1 year
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on untreated and treated fragments : proliferating index (ki67) and apoptosis (M30) will be assessed.
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through study completion, an average of 1 year
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time to obtain chemogram
기간: through study completion, an average of 1 year
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through study completion, an average of 1 year
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공동 작업자 및 조사자
스폰서
수사관
- 수석 연구원: Pascale Mariani, MD, Institut Curie
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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