TumorGraft- Guided Therapy for Improved Outcomes in Head and Neck Squamous Cell Cancer- A Feasibility Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 41
- 试验地点
- 2
- 主要终点
- To determine the rate of PDX engraftment for HNSCC and RMHNSCC samples
研究概览
简要总结
Primary objectives:
- Evaluate the feasibility of rapidly accruing 30 participants with recurrent metastatic head and neck squamous cell carcinoma for the development of patient derived xenographs (PDX) from fresh, real time biopsies in which sensitivity to < 4 Ontario funded chemotherapeutic regimen will be tested. Written feedback to the primary oncologist will be provided.
- There is also a curative intent cohort of 30 participants undergoing surgical resection with curative intent. These PDX models will undergo exome sequencing with written feedback.
- Feasibility in both surgical and recurrent cohorts will be a measure of i) engraftment rate, ii) patient status at the time of drug testing completion and iii) rate of accrual.
详细描述
Tumour samples from 30 participants with HNSCC that undergone curative surgery will be used to establish patient-derived xenografts (PDXs). These tumours will also undergo exome sequencing. This will provide a biobank of PDX models with available genomic information for future research projects. Another 30 participants with recurrent or metastatic HNSCC (RMHNSCC) will be recruited to this study. PDX models will be developed from these patient tumours, followed by genomic sequencing. PDX models are developed by transplanting small tumour pieces into immunocompromised mice. These mice are then treated with different available drugs for RMHNSCC at the discretion of their medical oncologist. These mice will be then followed up to examine the tumour response to treatments. When studied in clinic, PDX models have shown high correlation with patient response to the treatment. The PDX drug testing results will be provided to the treating medical oncologist to guide care at the oncologists discretion. Investigators' hope is that improved chemotherapy responses are observed with this strategy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with recurrent metastatic squamous cell carcinoma of the head and neck.
- •Lesion amenable to biopsy (1 cm or more)
- •Lesion capable of yielding 4 biopsy cores
- •18 years or older
- •Capable of providing and signing for informed consent
排除标准
- •Cognitive impairment prohibitive to providing informed consent
- •Pregnant or lactating women.
研究组 & 干预措施
HNSCC -PDX development
Participants with HNSCC who will undergo curative surgery will be included in this group. This involves PDX development only, no drug testing will be done on the PDX.
干预措施: Drug testing on PDX per Investigator's choice (upto 4) (Other)
RMHNSCC -PDX drug testing
Participants with RMHNSCC who are under palliative treatment will be included in this group. Drug testing on PDX per Investigator's choice (upto 4): PDX will be developed and upto four Chemotherapeutics (that are funded in Ontario) will be tested on the PDX. Chemotherapeutics will be selected at the discretion of the treating Medical Oncologists. Result of the drug testing will be provided to the responsible physician and can be utilized in patient care.
干预措施: Drug testing on PDX per Investigator's choice (upto 4) (Other)
结局指标
主要结局
To determine the rate of PDX engraftment for HNSCC and RMHNSCC samples
时间窗: 1-2 years
Time to engraftment
时间窗: 1-2 years
Participant status at the time of completion of drug testing
时间窗: 1-2 years
Participant status at the time of completion of drug testings(i.e. what percentage of participants are alive and well enough to receive further chemo).
Percentage of models successfully undergoing drug testing
时间窗: 1-2 years
次要结局
未报告次要终点