Actively Recruiting

Age: 18Years +
All Genders
ID05375266

Immune Biomarker Study for Head and Neck Cancer Prognostic Immune Signatures and Tumor Organoid Analysis A Prospective Observational Multicenter Trial

Led by University of Erlangen-Nürnberg Medical School · Updated on 2023-05-17

1100

Participants Needed

3

Research Sites

52 weeks

Total Duration

On this page

Sponsors

U

University of Erlangen-Nürnberg Medical School

Lead Sponsor

U

University Hospital Erlangen

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying the role of immune biomarkers both within tumors and in the bloodstream for people newly diagnosed with non-metastatic head and neck cancers such as squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, paranasal sinuses, or larynx. The goal is to understand how local immune activity in tumors relates to systemic immune status, to identify immune patterns that could help predict outcomes and guide future personalized treatments. This observational trial aims to create a prognostic score based on clusters of tumor immune characteristics. Participants include those with newly diagnosed head and neck squamous cell carcinoma in specific stages, as well as a control group of patients without cancer undergoing surgery. Blood, saliva, stool, and tumor tissue samples will be collected at various points, including before surgery, shortly after surgery, and during or after radiotherapy or immunotherapy. Tumor organoids will be grown outside the body for further biological analysis. During the study, patients will have multiple blood draws and other sample collections to monitor immune cell types, cytokines, gene activity, metabolic and microbiomic states over time, up to five years after treatment. Researchers will observe changes in the immune environment from before surgery through the end of radiotherapy and beyond. This long-term monitoring aims to correlate immune changes with patient outcomes and improve understanding of tumor-immune interactions.

CONDITIONS

Brief Title

Immune Biomarker Study for Head and Neck Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Initial diagnosis of squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, paranasal sinuses, or larynx in stage UICC II-IVB (study group)
  • Patients without current cancer undergoing head, ear, nose, or maxillofacial surgery (control group)
  • No current or previous malignant disease regardless of location (control group)
  • Patient agrees to provide blood, saliva, and stool samples and consent to storing samples for future research
  • Age 18 years or older
  • Able to understand the study purpose and give informed consent
Not Eligible

You will not qualify if you...

  • Presence of distant metastases or a second cancer at diagnosis
  • Tumors where sampling would interfere with pathological evaluation
  • Current drug abuse
  • Inability or unwillingness to follow study procedures
  • Legal guardianship preventing consent
  • Language barrier preventing study participation

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Sampling

Duration - Up to 5 years

Participants provide blood, saliva, sputum, stool, and tissue samples at specified time points for detailed immunomonitoring and biomarker analysis during and after treatment or surgery.

Visits at baseline (before surgery or treatment), day 7 after surgery, end of radiotherapy (day 60-80), and periodic visits up to 5 years

Trial Site Locations

Total: 3 locations

1

ENT - Head and Neck Surgery Department

Erlangen, Bavaria, Germany, 91054

Actively Recruiting

2

Maxillo-Facial-Surgery Department

Erlangen, Bavaria, Germany, 91054

Actively Recruiting

3

Radiation Oncology Department

Erlangen, Bavaria, Germany, 91054

Actively Recruiting

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Research Team

A

Antoniu-Oreste Gostian, PD Dr. med.

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Published Research Related To This Trial

Development and validation of a staging system for HPV-related oropharyngeal cancer by the International Collaboration on Oropharyngeal cancer Network for Staging (ICON-S): a multicentre cohort study.

Brian O'Sullivan, Shao Hui Huang, Jie Su...

https://pubmed.ncbi.nlm.nih.gov/26936027

The prognostic role of tumor infiltrating T-lymphocytes in squamous cell carcinoma of the head and neck: A systematic review and meta-analysis.

Emma J de Ruiter, Marc L Ooft, Lot A Devriese...

https://pubmed.ncbi.nlm.nih.gov/29147608

Safety and efficacy of single cycle induction treatment with cisplatin/docetaxel/ durvalumab/tremelimumab in locally advanced HNSCC: first results of CheckRad-CD8.

Markus Hecht, Antoniu Oreste Gostian, Markus Eckstein...

https://pubmed.ncbi.nlm.nih.gov/33023982

CD8+ and Regulatory T cells Differentiate Tumor Immune Phenotypes and Predict Survival in Locally Advanced Head and Neck Cancer.

Alessia Echarti, Markus Hecht, Maike Büttner-Herold...

https://pubmed.ncbi.nlm.nih.gov/31546872

Regulatory T cells and cytotoxic T cells close to the epithelial-stromal interface are associated with a favorable prognosis.

Julian Rudolf, Maike Büttner-Herold, Katharina Erlenbach-Wünsch...

https://pubmed.ncbi.nlm.nih.gov/32363115

Spatial distribution of FoxP3+ and CD8+ tumour infiltrating T cells reflects their functional activity.

Rebecca Posselt, Katharina Erlenbach-Wünsch, Matthias Haas...

https://pubmed.ncbi.nlm.nih.gov/27494875

Pembrolizumab alone or with chemotherapy versus cetuximab with chemotherapy for recurrent or metastatic squamous cell carcinoma of the head and neck (KEYNOTE-048): a randomised, open-label, phase 3 study.

Barbara Burtness, Kevin J Harrington, Richard Greil...

https://pubmed.ncbi.nlm.nih.gov/31679945

Hypofractionated Radiotherapy Upregulates Several Immune Checkpoint Molecules in Head and Neck Squamous Cell Carcinoma Cells Independently of the HPV Status While ICOS-L Is Upregulated Only on HPV-Positive Cells.

Sebastian Wimmer, Lisa Deloch, Michael Hader...

https://pubmed.ncbi.nlm.nih.gov/34502022

Prospective development and validation of a liquid immune profile-based signature (LIPS) to predict response of patients with recurrent/metastatic cancer to immune checkpoint inhibitors.

Jian-Guo Zhou, Anna-Jasmina Donaubauer, Benjamin Frey...

https://pubmed.ncbi.nlm.nih.gov/33593828