Immune Checkpoints in COPD

NCT ID: NCT04654104

Last Updated: 2022-11-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-11-20

Study Completion Date

2023-12-10

Brief Summary

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The aim of this study is to investigate the mechanisms underlying the complex interaction between Chronic obstructive pulmonary disease (COPD) and lung cancer. Therefore, in order to identify a possible role of immune checkpoints not only in the susceptibility to COPD development but also in its evolution towards lung cancer, will be evaluate the correlation between PD-L1 expression and cigarette smoke exposure in COPD patients.

Although there are many epidemiological studies highlighting the interconnections between COPD and lung cancer and the influence of cigarette smoke, the molecular bases of this association are less well defined. Initially they were thought to be driven just by innate inflammation, however, recent studies have also demonstrated the influence of the adaptive immune system. Despite this, the role of immune checkpoints in chronic lung inflammatory diseases such as COPD is less well understood. COPD is currently the 4th leading cause of death worldwide but is assessed to be the 3rd by the end of 2020 resulting in an economic and social burden that is in continuous progression.

Detailed Description

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The aim of this study is to investigate the mechanisms underlying the complex interaction between Chronic obstructive pulmonary disease (COPD) and lung cancer. Therefore, in order to identify a possible role of immune checkpoints not only in the susceptibility to COPD development but also in its evolution towards lung cancer, will be evaluate the correlation between PD-L1 expression and cigarette smoke exposure in COPD patients.

Although there are many epidemiological studies highlighting the interconnections between COPD and lung cancer and the influence of cigarette smoke, the molecular bases of this association are less well defined. Initially they were thought to be driven just by innate inflammation, however, recent studies have also demonstrated the influence of the adaptive immune system. Despite this, the role of immune checkpoints in chronic lung inflammatory diseases such as COPD is less well understood. COPD is currently the 4th leading cause of death worldwide but is assessed to be the 3rd by the end of 2020 resulting in an economic and social burden that is in continuous progression.

Patients will be recruited from from the outpatient clinics of the Pulmonary and Critical Care Medicine department of "Mauro Scarlato" Hospital in Scafati, Italy in collaboration with the Operational Unit of Clinical Pharmacology and Pharmacovigilance of Catanzaro University.

171 patients will be divided according to the results of the anatomopathological examinations into four groups:

* Healthy never smokers
* Smokers with normal lung
* Cancer
* COPD (COPD group was divided in two subgroups: GOLD 1-2 group and GOLD 3-4 group).

Conditions

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Lung Cancer Severe ARDS Asthma Copd

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Healthy never smokers

Clinical evaluation of immune check points expression. A prospective study

check immune check points

Intervention Type OTHER

we will evaluate the expression of immune check points

Smokers with normal lung function

evaluation of immune check points expression

check immune check points

Intervention Type OTHER

we will evaluate the expression of immune check points

Lung cancer

evaluation of immune check points expression

check immune check points

Intervention Type OTHER

we will evaluate the expression of immune check points

COPD

evaluation of immune check points expression

check immune check points

Intervention Type OTHER

we will evaluate the expression of immune check points

Interventions

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check immune check points

we will evaluate the expression of immune check points

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* • over 18 years of age with suspected diagnosis of pulmonary neoplasia

* signed the informed consent

* subjects on glucocorticoid therapy
* alcohol consumption (\>3 alcoholic beverages daily)
* substance abuse
* inability to give written informed consent
* those who will not sign the consent to the processing of personal data

Exclusion Criteria

* • infected diseases

* interstitiopathy
* asthma,
* autoimmune diseases,
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Sanitaria Provinciale Di Catanzaro

OTHER

Sponsor Role collaborator

Azienda Ospedaliera Universitaria Mater Domini, Catanzaro

OTHER

Sponsor Role collaborator

University of Catanzaro

OTHER

Sponsor Role lead

Responsible Party

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Luca Gallelli

Principal Investigator, Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Luca Gallelli

Catanzaro, CZ, Italy

Site Status RECRUITING

AO Materdomini

Catanzaro, Italia, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Luca Gallelli, MD

Role: CONTACT

3339245656

Facility Contacts

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Luca Gallelli, MD

Role: primary

0961712322 ext. +39

Luca Gallelli, MD

Role: primary

+390961712537

Other Identifiers

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361/2020

Identifier Type: -

Identifier Source: org_study_id

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