Using Ex Vivo Tumoroids To Predict Immunotherapy Response In NSCLC

NCT ID: NCT05332925

Last Updated: 2024-02-23

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

RECRUITING

Total Enrollment

25 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-07-21

Study Completion Date

2027-02-28

Brief Summary

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To test whether it is feasible to perform the 3D-EX functional predictive response bioassay in the context of patients with advanced/metastatic NSCLC receiving immune checkpoint inhibitors in the standard of care clinical setting.

Detailed Description

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Non-small cell lung cancer (NSCLC), which accounts for approximately 85% of all lung cancer cases, remains the leading cause of cancer death worldwide. Immunotherapy such as using immune checkpoint inhibitors (ICIs) to target the programmed death-1 and its ligand (PD-1/L1) has revolutionized our management of this deadly disease.

However, a large proportion of patients do not derive benefit due to primary, adaptive or acquired resistance. Hence, better identifying this patient population, understanding the resistance mechanism and exploring novel combinations with current SOC immunotherapy are urgently needed to continue to benefit our NSCLC patients.

The investigators hypothesize that patient-derived immune cell containing ex-vivo tumoroids could serve these purposes. In this study, the investigators plan to develop such a 3D ex-vivo system utilizing fresh biopsied tissue from NSCLC patients. The investigators plan to prospectively evaluate the value of these ex-vivo tumoroids in immunotherapy naive advanced/metastatic NSCLC patients who will be receiving anti-PD-1/L1 (with or without anti-CTLA-4) per standard-of-care.

Conditions

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Lung Cancer NSCLC NSCLC Stage IV

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Interventions

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Standard of care immune checkpoint inhbitors

This is NOT an interventional study.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ability of participant OR Legally Authorized Representative (LAR) to understand this study, and participant or LAR willingness to sign a written informed consent
* Patients with advanced/metastatic NSCLC
* Must be immunotherapy naive
* Males and females age ≥ 18 years
* ECOG Performance Status 0 - 2
* Measurable disease by RECIST 1.1
* Must have a lesion (either primary or metastatic lesion) that can be safely biopsied to have sufficient tissue (at minimum, 3-4 cores using 20g or larger core biopsy) to generate tumoroids
* Must have at least one target lesion to evaluate treatment response
* Will be receiving anti-PD-1/L1 with or without anti-CTLA-4 per standard of care Adequate organ function defined per standard of care in this setting.
* Women of child-bearing potential and men with partners of child-bearing potential must agree to practice sexual abstinence or to use the forms of contraception as required/recommended by each immune checkpoint inhibitor used in the setting of standard of care.

Exclusion Criteria

* Incarcerated
* Not competent to make medical decision, noncommunicative or noncompliant per investigator's judgement.
Minimum Eligible Age

18 Years

Maximum Eligible Age

110 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nilogen Oncosystems

INDUSTRY

Sponsor Role collaborator

Jun Zhang, MD, PhD

OTHER

Sponsor Role lead

Responsible Party

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Jun Zhang, MD, PhD

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jun Zhang, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Kansas Medical Center

Locations

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The University of Kansas Cancer Center (KUCC)

Fairway, Kansas, United States

Site Status RECRUITING

The University of Kansas Cancer Center, Westwood Campus

Kansas City, Kansas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Darlene Kocher

Role: CONTACT

9135887132

Jonathon Barnette

Role: CONTACT

9135887132

Facility Contacts

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Clinical Trials Nurse Navigator

Role: primary

913-945-7552

Steve Williamson, MD

Role: backup

913-588-3808

Clinical Trials Nurse Navigator

Role: primary

913-945-7552

Other Identifiers

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IIT-2021-Tumorin

Identifier Type: -

Identifier Source: org_study_id

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