Study of the Contribution of Mutant p53/YAP Proteins to Therapy Resistance in Recurrent Head and Neck Cancer
NCT ID: NCT06791941
Last Updated: 2025-01-24
Study Results
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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RECRUITING
18 participants
OBSERVATIONAL
2024-03-07
2029-03-07
Brief Summary
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Detailed Description
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Furthermore, the existence of a significant relationship between the time of onset of recurrence and the deregulation of the identified molecular networks will be studied.
This study will therefore allow to:
1. Identify networks associated with the presence of mutation in the TP53 gene relevant in the development of relapse, comparing the tissues of the primary tumor to the respective tissue of the relapse of patients affected by head and neck cancer, by:
1. expression profiles of coding and non-coding RNAs (retrospective cohort)
2. mutational profile by NGS (retrospective cohort)
3. Single cell RNA-sequencing (SC-RNAseq) on samples belonging to the prospective cohort
2. Characterize the molecular mechanisms underlying TP53-dependent networks with a key role in resistance to therapy, using resistance cell systems and in organoid cultures derived from head and neck tumors HNSCC (PDO) (prospective cohort).
3. Identify the best treatment combinations able to target the networks identified as associated with resistance (prospective cohort).
4. To evaluate the response of treatments in vivo using a syngeneic model of head and neck tumors HNSCC (MOC model).
Conditions
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Study Design
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OTHER
CROSS_SECTIONAL
Interventions
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Culture of organoids
Culture of organoids prepared from both the primary tumor and the respective relapse, using the material from the prospective part of the study, the response to treatment will be carried out by macroscopic analysis, evaluating the size and number of organoids before and after treatment,
Eligibility Criteria
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Inclusion Criteria
* Patients with squamous cell tumors of the oral cavity, pharynx or larynx
* Surgical patients with primary HNSCC tumors, who have not had previous tumors in other sites or adjuvant treatments prior to surgery.
* Availability of adequate material (tissue) for the planned analyses
* Availability of follow-up data for at least one year (retrospective part)
* Written informed consent (prospective part and/or, for the retrospective part, traceable patients and/or patients in follow-up and/or if necessary for the legal nature/institutional purposes of the participating centers).
Exclusion Criteria
* Previous head and neck cancer
* Second cancer undergoing treatment or follow-up for less than 5 years
18 Years
ALL
No
Sponsors
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Regina Elena Cancer Institute
OTHER
Responsible Party
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Principal Investigators
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Giovanni Blandino, Doctor
Role: PRINCIPAL_INVESTIGATOR
IRCCS National Cancer Institute
Locations
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IRCCS National Cancer institute
Roma, Rome, Italy
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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RS105/IRE/24
Identifier Type: -
Identifier Source: org_study_id
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