Colorectal Adenocarcinoma Clinical Trial
Official title:
Exhaustive Genetic and Immunological Characterization of Colon, Kidney and Liver Tumors to Define Potential Targets of Targeted and/or Immunomodulatory Therapies
Over the last 10 years, technological advances in molecular biology enabled a more accurate
genomic characterization of tumors. For each tumor location, this led to the identification
of subgroups with similar molecular characteristics. This identification allowed the
development of targeted therapies and thus to improve the patient prognosis. This molecular
characterization has also revealed the tumor heterogeneity. It may be the cause of treatment
resistance and therefore of relapses. Additionally, tumor cells are in constant dialogue
with their microenvironment composed of different immune or non immune cells. This
microenvironment is now targeted in cancer treatment.
To date, there are few studies that combine a deep genomic characterization of both tumor
and tumor microenvironment of the patient. Combining the two types of studies on the same
tumor should help to define new therapeutic targets and should allow a combination of
targeted and immunomodulatory therapies. To this end, our project is to conduct an
exhaustive integrated exploratory analysis at genomic, transcriptomic and immunological
levels of 3 tumor types (in colon, kidney and liver cancer).
The design consists in recruiting 50 patients per tumor location (colon, kidney, liver). For
colorectal and kidney cancers, a prospective enrollment will be done for patients who have
consented to the study. A retrospective enrollment will be done for patients with liver
cancer only and who have consented to a national biological resource center form with
genetic study approval.
The tumor samples will be taken during surgery. Blood and tumors samples will be taken as
part of the treatment.
In case of a accidental germline discovery a management by a genetic consulting will be
proposed.
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