MedPath

Immunomonitoring of Interventional Radiology Procedures in the Management of Hepatocellular Carcinoma

Conditions
Hepatocellular Carcinoma
Interventions
Procedure: Percutaneous ablation
Registration Number
NCT04892810
Lead Sponsor
University Hospital, Grenoble
Brief Summary

This cohort study compares immune response induced in two groups of small HCC patients treated by ablation (group1 RFA, group 2 MWA). Patients will benefit for tumoral and non tumoral biopsies prior to treatment and stepped peripheral blood samples juste before ablation and during the first month after.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Histologically proven HCC for less than 3 months before ablation
  • Decision of ablation treatment in multidisciplinary meeting
Exclusion Criteria
  • Fibrolamellar HCC
  • Hepatocholangiocarcinoma

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
RFAPercutaneous ablationPatient with HCC and decision of treatment with ablation
MWAPercutaneous ablationPatient with HCC and decision of treatment with ablation
Primary Outcome Measures
NameTimeMethod
To compare induced immunomodulation by RFA and MWA in HCC patientsone month

Comparison of modulation of immune cells (frequency, activity, function) between the two groups. Study of immune cells will include T cells with immune checkpoints molecules (PD-1+ CD8+ T, 4-1BB+ CD8+ T, LAG-3+ CD8+ T, Tim-3+ CD8+ T, COS+ CD8+ T) before and after the treatment (day 0, day 2, day 7, day 30)

Secondary Outcome Measures
NameTimeMethod
To evaluate early induced immunomodulation after RFA in HCC patientsone month

Differences of frequencies, activities, functions of immune cells before and after the RFA treatment (day 0, day 2, day 7, day 30). Study of immune cells will include T cells with immune checkpoints molecules (PD-1+ CD8+ T, 4-1BB+ CD8+ T, LAG-3+ CD8+ T, Tim-3+ CD8+ T, COS+ CD8+ T)

To evaluate early induced immunomodulation after MWA in HCC patientsone month

Differences of frequencies, activities, functions of immune cells before and after the MWA treatment (day 0, day 2, day 7, day 30). Study of immune cells will include T cells with immune checkpoints molecules (PD-1+ CD8+ T, 4-1BB+ CD8+ T, LAG-3+ CD8+ T, Tim-3+ CD8+ T, COS+ CD8+ T)

© Copyright 2025. All Rights Reserved by MedPath