Cancer Clinical Trial
Official title:
Study of Polyfunctionality of Anti-tumor T Lymphocytes in Cancerology: Potential Biomarker for Emerging Immunotherapies
Purposes of this study are :
- Characterization of polyfunctionality of anti-tumor T lymphocytes using in vitro
inhibition of PD-1/PDL-1 pathway
- Study and comparison of polyfunctionality of anti-tumor T lymphocytes in cohorts of
patients with melanoma, lung cancer and renal carcinoma. This cancers are chosen
because of use of anti-PD-1 or anti-PDL-1 antibodies
- Comparison of this technique with IFN-γ Elispot assay for detection and quantification
of anti-tumor T lymphocytes after in vitro blockade of PD-1/PDL-1 pathway.
In this study an immunomonitoring of specific responses of T lymphocytes to tumor-associated
antigens based on detection of intracellular cytokines through flow cytometry, after
stimulation with all-tumor antigens and blockade of PD-1/PDL-1 interaction is used.
Peripheral blood mononuclear cells of patients with cancers are stimulated with 4
telomerase-peptides or peptides overlapping the entire sequence of survivin.
This project studies the frequency and role of polyfunctionality of anti-tumor T lymphocytes
in cancerology with an in vitro technique detecting polyfunctional T lymphocytes with a
better sensitivity based on removal of an inhibitory PD-1/PDL-1 pathway. It is a flow
cytometry protocol with various theoretical advantages in terms of reproducibility and
dynamic monitoring of functionality of different sub-populations of polyfunctional
anti-tumor T lymphocytes. Moreover, it allows the study of molecular mechanisms involved in
proliferation of polyfunctional anti-tumor T lymphocytes with the possibility to sort
sub-populations.
The use of all-tumor antigens allows the use of this technique to evaluate the presence and
prognostic or predictive value of this biomarker in various cancers.
Detection of polyfunctional anti-tumor T lymphocytes can be a biomarker of anti-tumor
lymphocytic adaptive immunity and a potential eligibility or efficacy criteria for new
immunotherapies, such as anti-PD-1 or anti-PDL-1 treatments.
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Observational Model: Cohort, Time Perspective: Cross-Sectional
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