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OncoSNIPE - Study of Molecular Profiles Associated With the Development of Resistance in Solid Cancer Patients


2018-01-06


2021-12-31


2023-03-31


600

Study Overview

OncoSNIPE - Study of Molecular Profiles Associated With the Development of Resistance in Solid Cancer Patients

Precision medicine is considered to be one of the major issues in patient care. A lot of research has already proven itself with the implementation of targeted therapies including immunotherapies offering patients improved response and survival rates. But despite these major therapeutic advances, resistance to anti-cancer treatment is a major obstacle in the care of patients. Indeed, to date, many patients die of cancer, 9.6 million deaths worldwide in 2018. Nowadays, improving understanding of the mechanisms of resistance of cancer cells to anti-tumor treatments is therefore a major issue. The great diversity of molecular mechanisms involved in the phenomena of resistance to treatment, whether intrinsic (de novo, or primary) or acquired (secondary), constitutes a real therapeutic challenge. Indeed, a better understanding of the mechanisms of resistance would make it possible to explore new therapeutic strategies making it possible to circumvent these phenomena of escape in different types of cancer. It is in this context that the OncoSNIPE project was developed. The objective of this project is to identify early and / or late markers of resistance to treatment in 3 different pathologies concerned with resistance issues: triple negative breast cancer or Lum B or locally advanced or metastatic non -small-cell lung cancer or pancreatic cancer. In this project, in order to best cover the diversity of mechanisms involved in these resistances, the investigators propose a multidisciplinary approach with clinical, genomic, transcriptomic and immunological dimensions of the pathology through the data collected from 600 patients (200 for each pathology) for 4 years

Precision medicine is considered to be one of the major issues in patient care. A lot of research has already proven itself with the implementation of targeted therapies including immunotherapies offering patients improved response and survival rates. But despite these major therapeutic advances, resistance to anti-cancer treatment is a major obstacle in the care of patients. Indeed, to date, many patients die of cancer, 9.6 million deaths worldwide in 2018. Nowadays, improving understanding of the mechanisms of resistance of cancer cells to anti-tumor treatments is therefore a major issue. The great diversity of molecular mechanisms involved in the phenomena of resistance to treatment, whether intrinsic (de novo, or primary) or acquired (secondary), constitutes a real therapeutic challenge. Indeed, a better understanding of the mechanisms of resistance would make it possible to explore new therapeutic strategies making it possible to circumvent these phenomena of escape in different types of cancer. It is in this context that the OncoSNIPE project was developed. The objective of this project is to identify early and / or late markers of resistance to treatment in 3 different pathologies concerned with resistance issues : triple negative breast cancer or lum B or locally advanced or metastatic non- small-cell lung cancer or pancreatic cancer. In this project, in order to best cover the diversity of mechanisms involved in these resistances, the investigators propose a multidisciplinary approach with clinical, genomic, transcriptomic and immunological dimensions of the pathology through the data collected from 600 patients (200 for each pathology) for 4 years. The patient populations targeted in this study have one common thing: rapid progression of their pathology, making it possible to obtain models for evaluating markers of early and / or late responses over the period of follow-up of 2-year post-inclusion patients, and thus provide the information necessary to understand the resistance mechanisms. To explore the phenomena of resistance, during the therapeutic response and / or the progression of the pathology, the investigators will used a multidisciplinary approach including high-throughput sequencing (Exome-seq and RNAseq) and immunological profil by ELISA . Patients will have long-term follow-up with different biological samples, at baseline (blood and biopsy) and at each tumoral evaluation or tumoral progression evaluated by medical imaging.

  • CANCER
  • OTHER: cancer patients
  • 2017-A02018-45

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2020-07-06  

N/A  

2021-09-08  

2020-09-11  

N/A  

2021-09-09  

2020-09-16  

N/A  

2020-09  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Other


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
OTHER: cancer patients

cancer patients To explore the phenomena of resistance during the therapeutic response and/or the progression of the pathology, the investigatorswill used a multidisciplinary approach including high-throughput sequencing (Exome-seq and RNAseq) from blood

OTHER: cancer patients

  • Blood sample RNA\_seq at time of diagnostic, best response and relapse ; Biopsy Exom\_seq and RNA\_seq at time of diagnostic and relapse Immulogical Profiling at time of diagnostic, best response and relapse
Primary Outcome MeasuresMeasure DescriptionTime Frame
Combinatory analysis of genomic, transcriptomic and immunological profile1. Genomic changes associated with early and/or late resistance to treatment given alone or in combination in patients [ Time Frame: Through study completion, up to 2 years ] 2. Transcriptomic changes associated with early and/or late resistance to treatment given alone or in combination in patients [ Time Frame: Through study completion, up to 2 years ] 3. Immunophenotypic changes associated with early and/or late resistance to treatment given alone or in combination in patients [ Time Frame: Through study completion, up to 2 years ]up to 24 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Progression-free survivalClinical data from Baseline until 24 monthsup to 24 months
Over SurvivalClinical data from Baseline until 24 monthsup to 24 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: PHILIPPE GENNE, PhD

Phone Number: +33 3 80 78 82 60

Email: PMONGIN@ONCODESIGN.COM

Study Contact Backup

Name: SEBASTIEN VACHENC

Phone Number: +33 3 80 78 82 60

Email: SVACHENC@ONCODESIGN.COM

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. General

  • Adult patient, 18 years of age or older
  • Naive chemo patient
  • Performant status: 0,1 or 2.
  • Life expectancy> 3 months
  • Subject affiliated to a social security and health insurance scheme
  • Subject having dated and signed informed consent
  • For women of childbearing age (negative pregnancy test): effective contraception 2. Pancreatic cancer:


  • Patient receiving a biopsy, as part of the usual care of the patient:


  • Either from the primary tumor
  • Either a metastasis for a strong suspicion of locally advanced or metastatic pancreatic ductal adenocarcinoma;
  • With advanced or metastatic tumors (liver, lungs, peritoneum, others) that cannot benefit from local or locoregional treatment;
  • Presence of target lesion (s) measurable according to RECIST criteria
  • Patient who cannot be treated by surgery or radiotherapy 3. Lung cancer:


  • Patient with histologically proven non-small cell lung cancer
  • Locally advanced stage IIIB or IV
  • Treatment with chemotherapy, targeted therapy, immunotherapy
  • Tissue available after analysis of the usual biomarkers in the event of a non-epidermoid tumor
  • Rate of tumor cells observed on biopsies must be ≥ 30%.
  • Presence of measurable target lesion or disease assessable according to RECIST criteria 4. Breast cancer:


  • Breast cancer of recent diagnosis, histologically proven.
  • Triple negative breast cancer: negativity of estrogen and progesterone receptors in the tumor (<10%), absence of HER2 overexpression according to the IHC classification (score 0 or 1+) and / or FISH negative
  • or
  • LumB: RO positive, RP positive or negative, HER2 negative, high proliferation;
  • Stage I to III for triple negative breast cancer (including stage T4d = inflammatory cancer), Stage II or III of the UICC classification for LumB
  • Non-metastatic patient (M0 according to TNM classification)
  • Rate of tumor cells observed on biopsies must be ≥ 30%
  • Patient who cannot be treated exclusively by surgery or radiotherapy

  • Exclusion Criteria:
    General

  • History of chemotherapy (except adjuvant completed for more than at least 6 months) or radiotherapy
  • Patient whose monitoring and treatment will not be carried out in the study health establishments;
  • Tumor not histologically proven;
  • Life expectancy of less than 3 months
  • Pregnancy or breastfeeding
  • Refusal to participate in the trial
  • Persons deprived of their liberty, persons under guardianship or curatorship
  • Inability to submit to the medical follow-up of the test for social or psychological reasons
  • No affiliation to a social security scheme or state medical aid (AME) or universal medical coverage (CMU)
  • Any condition for which participation in the protocol would present a risk or which would not make it possible to comply with the requirements of the protocol according to the investigator
  • History of other cancers in the last 5 years except cervical cancer and skin cancer of the basal or epidermoid cells treated
  • Known HIV seropositivity Specific

  • Pancreatic cancer:

  • Other histologies: neuroendocrine cancer, acinar cancer, pancreatic metastasis of another cancer
  • Patient who cannot benefit from chemotherapy (Performans status (PS) 3 - 4);
  • Other progressive cancer during the management of pancreatic cancer;

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: FRANCOIS GHIRINGHELLI, MD, Centre Georges François Leclerc

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    • Vachenc S, Gobbo J, Moujarrebe SE, Desmoulins I, Gilabert M, Beau-Faller M, Mitry E, Girard N, Bertaut A, Dusetti N, Iovanna JL, Yousfi R, Pierrat F, Bruno R, Cueff A, Boidot R, Genne P. OncoSNIPE(R) Study Protocol, a study of molecular profiles associated with development of resistance in solid cancer patients. BMC Cancer. 2022 Jan 6;22(1):41. doi: 10.1186/s12885-021-09134-3.