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Analysis of Circulating Tumor Markers in the Blood (ALCINA)

Not Applicable
Completed
Conditions
Cancer
Interventions
Biological: Blood sampling
Procedure: Tumor sampling
Other: Stool sampling
Registration Number
NCT02866149
Lead Sponsor
Institut Curie
Brief Summary

Exploratory study on blood-borne biological markers and their correlation with clinical and pathological characteristics.

Detailed Description

Exploratory multi-cohort study including different types of cancer (different organs and/or different histological types).

Each kind of blood-borne biological markers analyses corresponds to a cohort.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
682
Inclusion Criteria
  1. Patient with any tumoral disease (proven or suspected), of any type and stage

  2. More than18 years old

  3. Signed informed consent form

    Additional inclusion criteria if a tumor sample is needed:

  4. Tumor considered as accessible by biopsy

  5. Normal blood coagulation tests on the last blood analysis

Non-inclusion Criteria:

  1. Patient in detention or protected by the law

  2. Patient who cannot comply with the study follow up for geographical, social or psychological reasons

    Additional non-inclusion criteria if a tumor sample is needed:

  3. Anticoagulant or antiaggregant that cannot be interrupted for the biopsy

  4. central-nervous system metastases only (unless a diagnostic or curative surgery is planned before the inclusion in the study)

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort 4 - "CDX PDX"Blood samplingEstablishment of xenografts from tumor (PDX) and from Circulating Tumour Cell (CDX) by tumour and blood sampling. One tumor sampling. Timing of blood sampling: * Inclusion * up to 3 other samples, timepoints decided by the investigator.
Cohort 4 - "CDX PDX"Tumor samplingEstablishment of xenografts from tumor (PDX) and from Circulating Tumour Cell (CDX) by tumour and blood sampling. One tumor sampling. Timing of blood sampling: * Inclusion * up to 3 other samples, timepoints decided by the investigator.
Cohort 5 - "Post-TP53"Blood samplingFollow-up of patients previously treated by neoadjuvant chemotherapy for triple negative breast cancer. Timing of blood sampling: * Inclusion * up to 3 other samples, timepoints decided by the investigator.
Cohort 7 - "CTC_PD-L1_Breast"Blood samplingDetection of PD-L1 in metastatic breast cancer patients Timing of blood sampling: * Inclusion * up to 3 other samples, timepoints decided by the investigator.
Cohort 9 - "NSCLC"Blood samplingMonitoring of patients with Non-Small Cell lung Cancer treated by immune therapy. Blood sampling at 4 timepoints.
Cohort 14 - CNBC SnipeTumor samplingThis cohort concerns patients with metastatic Non-Small Cell lung Cancer receiving anti-PD-1/PD-L1. One tumour sampling. Timing of blood sampling: * before treatment * at W8 of treatment (after radiological examination) * at W12 of treatment * at progression or 18 months after the beginning of treatment
Cohort 8 - "CTC_PD-L1_Broncho-Pulmonary"Blood samplingDetection of PD-L1 in metastatic lung cancer patients Timing of blood sampling: * Inclusion * up to 3 other samples, timepoints decided by the investigator.
Cohort 1 - "Anti checkpoint"Blood samplingMonitoring of patients with tumours treated by immune therapy. Timing of blood sampling: * inclusion * after #8 weeks on therapy * at progression or 6 months from inclusion for patient without progressive disease * if toxicity grade 3 or 4, or grade 2 until 1 month.
Cohort 2 - "Oncoscan®"Blood samplingMonitoring of patients with HER 2+/- breast cancer and correlation with genome-wide copy number, loss of heterozygosity detection, as well as identification of frequently tested somatic mutations (Oncoscan® assays). Timing of blood sampling: * inclusion * after 1 cycle of therapy (weeks 3-4) * up to 2 other samples, timepoints decided by the investigator
Cohort 9 - "NSCLC"Tumor samplingMonitoring of patients with Non-Small Cell lung Cancer treated by immune therapy. Blood sampling at 4 timepoints.
Cohort 12 - FasloradBlood samplingMonitoring of patient with a metastatic breast cancer initiating a treatment by Faslodex-Afinitor. Timing of blood sampling: * Inclusion * after #3-5 weeks of therapy * at the first tumoral evaluation (month 2 or 3) * at progression.
Cohort 14 - CNBC SnipeBlood samplingThis cohort concerns patients with metastatic Non-Small Cell lung Cancer receiving anti-PD-1/PD-L1. One tumour sampling. Timing of blood sampling: * before treatment * at W8 of treatment (after radiological examination) * at W12 of treatment * at progression or 18 months after the beginning of treatment
Cohort 16 - Mum immunothérapieBlood samplingThis cohort concerns patients with metastatic uveal melanoma before immunotherapy treatment. Timing of blood sampling : * at inclusion * at cycle 2 or 3 of treatment * at the first tumoral evaluation (C5D1) * at progression
Cohort 3 - "CirCe-PLA"Blood samplingFeasibility of Proximity-Ligation Assay (PLA) to study membrane proteins dimerisation by on isolated tumour cells in patients with HER2+/- breast cancer (HER 2+/-). One tumor sampling. Timing of blood sampling: * Inclusion * up to 3 other samples, timepoints decided by the investigator.
Cohort 3 - "CirCe-PLA"Tumor samplingFeasibility of Proximity-Ligation Assay (PLA) to study membrane proteins dimerisation by on isolated tumour cells in patients with HER2+/- breast cancer (HER 2+/-). One tumor sampling. Timing of blood sampling: * Inclusion * up to 3 other samples, timepoints decided by the investigator.
Cohort 6 - "Palbociclib"Blood samplingMonitoring of patients treated with palbociclib Timing of blood sampling: * Inclusion day (2 samples) * after #2 weeks of therapy * after #4 weeks of therapy * at progression.
Cohort 9 - "NSCLC"Stool samplingMonitoring of patients with Non-Small Cell lung Cancer treated by immune therapy. Blood sampling at 4 timepoints.
Cohort 11 - SarcomasBlood samplingThe cohort includes all patients with bone or soft tissue sarcoma. Timing of blood sampling depending on disease staging.
Cohort 13 - MUmBlood samplingThe cohort concerns patients with uveal melanoma in the 1st systemic line at the metastatic stage (may have had prior adjuvant therapy or surgery/radiofrequency). Timing of blood sampling: * J1C1 * J2C1 * J1C2 * J1C5 (first tumoral evaluation).
Cohort 15 - Breast CLIBlood samplingThis cohort concerns patients with metastatic lobular breast cancer One tumour sampling. Timing of blood sampling: * At inclusion * After biopsy post inclusion (or in 15 days after) * after 1 or 2 months of treatment * at progression or 18 months after inclusion
Cohort 10 - "Palbociclib II"Blood samplingMonitoring of patient with a metastatic breast cancer treated by palbociclib. Timing of blood sampling: * Inclusion * after #4 weeks of therapy * at the first tumoral evaluation (month 3 or 4) * at progression.
Cohort 15 - Breast CLITumor samplingThis cohort concerns patients with metastatic lobular breast cancer One tumour sampling. Timing of blood sampling: * At inclusion * After biopsy post inclusion (or in 15 days after) * after 1 or 2 months of treatment * at progression or 18 months after inclusion
Primary Outcome Measures
NameTimeMethod
Feasibility of the analysis of different blood-borne tumor biomarkers18 months

Success rate of the tested detection techniques. The success rate of a given detection technique is calculated by the ratio " detection success " / " number of screened patients ".

Secondary Outcome Measures
NameTimeMethod
Correlation with biological and clinical data18 months

Number of biological analysis results correlated to clinical data. Establishment of a proof of concept

Trial Locations

Locations (5)

Institut Curie (Paris hospital)

🇫🇷

Paris, France

Centre Georges François Leclerc

🇫🇷

Dijon, France

Institut du Cancer de Montpellier

🇫🇷

Montpellier, France

Institut Mutualiste Montsouris

🇫🇷

Paris, France

Institut Curie (St Cloud hospital)

🇫🇷

Saint-cloud, France

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