MelanomaNKCD160MELNCT04477876
Study of CD160, an Activating NK Cell Receptor, in Melanoma: a Potential Therapeutic Target?
An observational study of Melanoma, run by Assistance Publique - Hôpitaux de Paris.
Trial summary
Although immunotherapy revolutionized melanoma outcomes over the last 10 years, only 40-50% of patients respond to treatments and 25% develop acquired resistances. Natural Killer (NK) cells naturally recognize and kill tumor cells. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Melanoma
- How many people
- 55 participants
- Where
- No sites listed yet
- Study dates
- 1 Sep 2020to 15 Dec 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Inoperable stage III/ stage IV melanoma patients
Who may be able to join
- Patients aged18-years old or over
- ECOG score between 0-2
- Inoperable stage III or stage IV melanoma
- Naïve of treatment or in progression after one or several treatment lines
- Give their written consent for the present study and be included in MelBase cohort.
- health insurance coverage.
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- Supplementary inclusion criteria for part II :
- skin or subcutaneous melanoma lesions
- agree and inform consent for a cutaneous biopsy or a tumor sample if presenting lymph nodes involvement if part of the usual clinical practice.
Who cannot join
- Pregnant and breastfeeding women
- Patients with psychiatric disorders
- Patients already included in another clinical trial
- Having received chemotherapy or radiotherapy during the last 4 weeks,
- Patient presenting another solid or blood cancer, chronic viral infection (e.g. HIV, HBV or HCV)
- Been treated with more than 10mg of steroids until the 4 weeks before inclusion.
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- Refusal to participate to the study
- Patients under guardianship or curatorship
- Patients on state medical aid
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Although immunotherapy revolutionized melanoma outcomes over the last 10 years, only 40-50% of patients respond to treatments and 25% develop acquired resistances. Natural Killer (NK) cells naturally recognize and kill tumor cells. However, the immunosuppressive micro-environment generated by the tumor decreases NK cells' killing activity. CD160 is a NK cell receptor identified and characterized in our laboratory. Engagement of the GPI isoform (CD160-GPI) initiates NK cell cytotoxic response. Upon NK cell activation, a transmembrane isoform (CD160-TM) is neo-synthesized which promotes the amplification of activated NK cell cytotoxicity.
The aim of this study is to assess the phenotypic profile of advanced stages melanoma patients' NK cells (mainly CD160-TM expression or its induction) and therefore the therapeutic potential of the use of an anti-CD160-TM agonist antibody to boost the NK-dependent mechanism leading to tumor depletion.
- Conditions
- Melanoma
- Medical subject headings
- Melanoma
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of effector cells activation and degranulation (CD69 and CD107a staining )
Difference between cells incubated with the anti CD160-TM antibody and with isotipic control ab ( flow cytometry)
Measured: at inclusion
Secondary outcomes (18)
Overall survival
Measured: at 1 year post inclusion
Overall survival
Measured: at 2 years post inclusion
Overall survival
Measured: at 3 years post inclusion
Overall survival
Measured: at 4 years post inclusion
Overall survival
Measured: at 5 years post inclusion
Progression free survival
Measured: at 1 year
Progression free survival
Measured: at 2 years
Progression free survival
Measured: at 3 years
Progression free survival
Measured: at 4 years
Progression free survival
Measured: at 5 years
Objective response rate
Measured: at one year
Objective response rate
Measured: at 2 years
Objective response rate
Measured: at 3 years
Objective response rate
Measured: at 4 years
Objective response rate
Measured: at 5 years
Phenotypic characteristics of NK cells
Assessment by flow cytometry of the expression levels of activating or inhibitory receptors (e.g. CD160-GPI, NKp46), phenotypic markers (e.g CD16, CD3), as well as activation (CD69) and degranulation (CD107a) markers by the NK cell population (defined as CD3- CD56+ cell). Results will be expressed as the % of positive cells for each marker among the NK cell population
Measured: at inclusion
cytokine profile
Assessment by flow cytometry using a cytokine beads array (BD Biosciences) of the Th1/Th2/Th17 cytokine content. The presence of the following cytokine will be assessed: IL17-A, IFN-g, TNF, IL10, IL-6, IL-4 and IL-2. The mean fluorescence intensities will be recorded and quantifications will be done, using an individual standard curve, for each cytokine. Results will be expressed in pg/ml.
Measured: at inclusion
Détection and quantification of sCD160 in patients' serum
Measured: at inclusion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jul 2020
- Study start1 Sep 2020 (estimated)
- Primary completion15 Dec 2027 (estimated)
- Study completion15 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for MelanomaStudies of the same condition, open and under way.
- More trials run by Assistance Publique - Hôpitaux de ParisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 55 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Assistance Publique - Hôpitaux de Paris
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04477876
- Sponsor's protocol ID
- APHP190953
- Acronym
- NKCD160MEL
- Status last verified
- Feb 2020
- First submitted
- 11 May 2020
- Last updated
- 20 Jul 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 20 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study of CD160, an Activating NK Cell Receptor, in Melanoma: a Potential Therapeutic Target?
- ClinicalTrials.gov ID
- NCT04477876
- Acronym / sponsor ID
- NKCD160MEL / APHP190953
- Conditions
- Melanoma
- Study type
- Observational
- Recruitment status
- Not yet recruiting
- Enrolment
- 55 participants (estimated)
- Lead sponsor
- Assistance Publique - Hôpitaux de ParisUniversity, hospital or other
- Study start
- 1 Sep 2020 (estimated)
- Primary completion
- 15 Dec 2027 (estimated)
- Study completion
- 15 Dec 2027 (estimated)
- First posted
- 20 Jul 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Although immunotherapy revolutionized melanoma outcomes over the last 10 years, only 40-50% of patients respond to treatments and 25% develop acquired resistances. Natural Killer (NK) cells naturally recognize and kill tumor cells. However, the immunosuppressive micro-environment generated by the tumor decreases NK cells' killing activity. CD160 is a NK cell receptor identified and characterized in our laboratory. Engagement of the GPI isoform (CD160-GPI) initiates NK cell cytotoxic response. Upon NK cell activation, a transmembrane isoform (CD160-TM) is neo-synthesized which promotes the amplification of activated NK cell cytotoxicity.
The aim of this study is to assess the phenotypic profile of advanced stages melanoma patients' NK cells (mainly CD160-TM expression or its induction) and therefore the therapeutic potential of the use of an anti-CD160-TM agonist antibody to boost the NK-dependent mechanism leading to tumor depletion.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Inoperable stage III/ stage IV melanoma patients
Key inclusion criteria (9 listed)
- Patients aged18-years old or over
- ECOG score between 0-2
- Inoperable stage III or stage IV melanoma
- Naïve of treatment or in progression after one or several treatment lines
- Give their written consent for the present study and be included in MelBase cohort.
Key exclusion criteria (9 listed)
- Pregnant and breastfeeding women
- Patients with psychiatric disorders
- Patients already included in another clinical trial
- Having received chemotherapy or radiotherapy during the last 4 weeks,
- Patient presenting another solid or blood cancer, chronic viral infection (e.g. HIV, HBV or HCV)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Percentage of effector cells activation and degranulation (CD69 and CD107a staining )
Time frame: at inclusion
Difference between cells incubated with the anti CD160-TM antibody and with isotipic control ab ( flow cytometry)
18 secondary outcomes
Overall survival
Time frame: at 1 year post inclusion
Overall survival
Time frame: at 2 years post inclusion
Overall survival
Time frame: at 3 years post inclusion
Overall survival
Time frame: at 4 years post inclusion
Overall survival
Time frame: at 5 years post inclusion
Progression free survival
Time frame: at 1 year
Progression free survival
Time frame: at 2 years
Progression free survival
Time frame: at 3 years
Progression free survival
Time frame: at 4 years
Progression free survival
Time frame: at 5 years
Objective response rate
Time frame: at one year
Objective response rate
Time frame: at 2 years
Objective response rate
Time frame: at 3 years
Objective response rate
Time frame: at 4 years
Objective response rate
Time frame: at 5 years
Phenotypic characteristics of NK cells
Time frame: at inclusion
cytokine profile
Time frame: at inclusion
Détection and quantification of sCD160 in patients' serum
Time frame: at inclusion
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jul 2020.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
An observational study of Melanoma, run by Assistance Publique - Hôpitaux de Paris.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 20 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Celeste Lebbe, Pr (01 42 49 99 61, celeste.lebbe@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of effector cells activation and degranulation (CD69 and CD107a staining ) (time frame: at inclusion). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jul 2020.