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Predicting Responsiveness in Oncology Patients Based on Host Response Evaluation During Anti Cancer Treatments

Recruiting
Conditions
Stage IV Non-small Cell Lung Cancer
Stage IV Malignant Melanoma
Stage IV Small Cell Lung Cancer
Stage III Malignant Melanoma
Interventions
Other: Plasma sample collection
Registration Number
NCT04056247
Lead Sponsor
OncoHost Ltd.
Brief Summary

This study will develop an algorithm of identifying patients with stage IV NSCLC and Melanoma who could benefit from cancer treatment they receive.

Detailed Description

The goal of this research study is to develop an algorithm that predicts the patient's treatment outcome.This algorithm will serve as a tool for physicians when making treatment decisions, specifically for stage IV NSCLC and malignant melanoma patients receiving anti-cancer treatments. The investigators also aim to identify the metabolic pathways that could lead to better therapeutic options. The patients will be given their treatment according to the institute's standard of care. The patients will provide two blood samples and clinical data will be collected from their medical records.

In the first part of the trial, the data obtained from the blood samples and the medical records of the patients will be used to develop the prediction algorithm, and in the second part of the trial, the algorithm will be validated by comparing the objective response rate of the patients to the theoretical response prediction of the algorithm.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
2000
Inclusion Criteria
  • Cancer patients with stage IV NSCLC or stage IV malignant melanoma

  • Patient must have at least one measurable lesion and the relevant images in order to enable assessment of response

  • ECOG PS - 0/1-2

  • Normal hematologic, renal and liver function:

    1. Absolute neutrophil count higher than 1500/mm3
    2. Platelets count higher than 100,000/mm3
    3. haemoglobin higher than 9 g/dL
    4. Creatinine concentration ≤1.4 mg/dL, or creatinine clearance higher than 40 mL/min
    5. Total bilirubin lower than 1.5 mg/dL, ALT and AST levels ≤ 3 times above the upper normal limit.
Exclusion Criteria
  • Concurrent and/or other active malignancy that has required systemic treatment within 2 years of first dose of study drug
  • Generalized impairment or mental incompetence that would render the patient unable to understand his/her participation in the study.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Newly diagnosed NSCLC stage IVPlasma sample collectionPatients with newly diagnosed stage IV NSCLC treated with Immunotherapy or Immunotherapy + Chemotherapy.
NSCLC stage IV 2nd line and further of immunotherapyPlasma sample collectionPatients with NSCLC stage IV treated with Immunotherapy at 2nd line or consecutive lines.
Malignant melanoma stage IVPlasma sample collectionPatients with stage IV malignant melanoma treated with Immunotherapy with or without targeted therapy.
Malignant melanoma stage IIIb-dPlasma sample collectionPatients with stage IIIb-d malignant melanoma treated with Immunotherapy as adjuvant therapy.
SCLC stage IVPlasma sample collectionPatients with stage IV SCLC treated with Immunotherapy or Immunotherapy + Chemotherapy.
Primary Outcome Measures
NameTimeMethod
Overall response rate (ORR) at 3 monthsAt 3 months after therapy

ORR as defined by RECIST 1.1 or other validated method for ORR evaluation

Overall response rate (ORR) at 6 monthsAt 6 months after therapy

ORR as defined by RECIST 1.1 or other validated method for ORR evaluation

Changes in the blood levels of different proteins that represent the host responseAt baseline (pre-therapy) and after 1st dose administration (post therapy)

Changes in Blood levels of proteins representing the Host response

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (41)

Shamir Medical Center

šŸ‡®šŸ‡±

Be'er Ya'aqov, Israel

Rambam Medical Center

šŸ‡®šŸ‡±

Haifa, Israel

Meir medical center

šŸ‡®šŸ‡±

Kfar Saba, Israel

Royal Bournemouth General Hospital

šŸ‡¬šŸ‡§

Bournemouth, United Kingdom

Rutgers Cancer Institute

šŸ‡ŗšŸ‡ø

New Brunswick, New Jersey, United States

Helen Nassif Community Cancer Center

šŸ‡ŗšŸ‡ø

Cedar Rapids, Iowa, United States

Mayo Clinic

šŸ‡ŗšŸ‡ø

Jacksonville, Florida, United States

Northwest Community Healthcare

šŸ‡ŗšŸ‡ø

Rolling Meadows, Illinois, United States

Roswell Park

šŸ‡ŗšŸ‡ø

Buffalo, New York, United States

Asklepois

šŸ‡©šŸ‡Ŗ

Gauting, Germany

West Clinic

šŸ‡ŗšŸ‡ø

Germantown, Tennessee, United States

151-Christus Health St. Michael

šŸ‡ŗšŸ‡ø

Texarkana, Texas, United States

Thoraxklinik Heidelberg gGmbH

šŸ‡©šŸ‡Ŗ

Heidelberg, Germany

Barzilai Medical Center

šŸ‡®šŸ‡±

Ashkelon, Israel

Haemek Medical Center

šŸ‡®šŸ‡±

Afula, Israel

Soroka Medical Center

šŸ‡®šŸ‡±

Be'er Sheva, Israel

Bnai Zion Medical Center

šŸ‡®šŸ‡±

Haifa, Israel

Rabin Medical Center

šŸ‡®šŸ‡±

Petah tikva, Israel

Hadassah Medcial Center

šŸ‡®šŸ‡±

Jerusalem, Israel

Kaplan Medical Center

šŸ‡®šŸ‡±

Reįŗ–ovot, Israel

Assuta Medical Cetner

šŸ‡®šŸ‡±

Tel Aviv, Israel

Sheba Medical Center

šŸ‡®šŸ‡±

Tel Aviv, Israel

Sourasky Medical Center

šŸ‡®šŸ‡±

Tel Aviv, Israel

Sheba medical center

šŸ‡®šŸ‡±

Tel HaShomer, Israel

044 Hospital Universitario Virgen Macarena

šŸ‡ŖšŸ‡ø

Seville, Spain

Aberdeen Royal Infirmary

šŸ‡¬šŸ‡§

Aberdeen, United Kingdom

Bradford Teaching Hospitals

šŸ‡¬šŸ‡§

Bradford, United Kingdom

Withybush Hospital

šŸ‡¬šŸ‡§

Haverfordwest, United Kingdom

Cheltenham General Hospital

šŸ‡¬šŸ‡§

Cheltenham, United Kingdom

Mount Vernon Cancer Centre

šŸ‡¬šŸ‡§

Northwood, United Kingdom

Swansea Bay UHB Singleton Hospital

šŸ‡¬šŸ‡§

Swansea, United Kingdom

The Shrewsbury and Telford Hospital

šŸ‡¬šŸ‡§

Shrewsbury, United Kingdom

South Tyneside

šŸ‡¬šŸ‡§

South Shields, United Kingdom

Lister Hospital

šŸ‡¬šŸ‡§

Stevenage, United Kingdom

Sunderland Royal Hospital

šŸ‡¬šŸ‡§

Sunderland, United Kingdom

Torbay Hospital

šŸ‡¬šŸ‡§

Torquay, United Kingdom

Michael E. Debakey VA Medical Center

šŸ‡ŗšŸ‡ø

Houston, Texas, United States

Birmingham VAHCS

šŸ‡ŗšŸ‡ø

Birmingham, Alabama, United States

University of Miami

šŸ‡ŗšŸ‡ø

Miami, Florida, United States

Florida Cancer Specialist and Research Institute

šŸ‡ŗšŸ‡ø

Orlando, Florida, United States

Protean Biodiagnosics

šŸ‡ŗšŸ‡ø

Orlando, Florida, United States

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