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*Deep phenotyping of the gut immune system during Immune Checkpoint Inhibitor therapy* (DEFENCE)

Recruiting
Conditions
cancer
10027655
Registration Number
NL-OMON55053
Lead Sponsor
niversitair Medisch Centrum Groningen
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
40
Inclusion Criteria

•18 years or older
•Written informed consent
•Evaluable according to iRECIST v1.1
•Indication for treatment with anti-PD-1 ICI or a combination of anti-PD-1 and
anti-CTLA-4 ICI
for locally advanced or metastatic cancer for which no curative local
treatment is available.
• Informed consent to participate in Oncolifes Immunotherapy or POINTING

Exclusion Criteria

•Concomitant, chronic or infectious illness in the past 6 months causing
moderate to severe colitis
•Use of a medication in the past 6 months with a known elevated risk of
developing moderate to severe colitis (such as mycophenolate mofetil)
•Gastrointestinal resection
•Ileostomy or colostomy
•Abdominal radiotherapy in the past 6 months
•Pregnancy

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>To define the difference in number of CD8+ T cells in the gut mucosa between<br /><br>pre-treatment biopsies and biopsies at 6-8 weeks after starting ICI therapy<br /><br>between responders and non-responders.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>To determine the difference in number of CD8+ T cell subpopulations (naïve,<br /><br>memory, effector/cytotoxic) between pre-treatment biopsies and biopsies at 6-8<br /><br>weeks after starting ICI therapybetween responders and non-responders to ICI<br /><br>therapy.<br /><br><br /><br>To determine differences in CD4+ T cell counts between pre-treatment biopsies<br /><br>and biopsies at 6-8 weeks after starting ICI therapy between responders and<br /><br>non-responders to ICI therapy.<br /><br><br /><br>To determine the difference in CD68+ macrophage to mucosal tissue ratio between<br /><br>pre-treatment biopsies and biopsies at 6-8 weeks after starting ICI therapy<br /><br>between responders and non-responders to ICI therapy.<br /><br><br /><br>. </p><br>
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