Cancerify Logo
Log inSign up
Back to clinical trials
RecruitingObservational

Using Ex Vivo Tumoroids To Predict Immunotherapy Response In NSCLC (TUMORIN)

NCT ID: NCT05332925Sponsor: Jun Zhang, MD, PhDLast updated: 2024-02-23

Summary

To test whether it is feasible to perform the 3D-EX functional predictive response bioassay in the context of patients with advanced/metastatic NSCLC receiving immune checkpoint inhibitors in the standard of care clinical setting.

Detailed description

Non-small cell lung cancer (NSCLC), which accounts for approximately 85% of all lung cancer cases, remains the leading cause of cancer death worldwide. Immunotherapy such as using immune checkpoint inhibitors (ICIs) to target the programmed death-1 and its ligand (PD-1/L1) has revolutionized our management of this deadly disease. However, a large proportion of patients do not derive benefit due to primary, adaptive or acquired resistance. Hence, better identifying this patient population, understanding the resistance mechanism and exploring novel combinations with current SOC immunotherapy are urgently needed to continue to benefit our NSCLC patients. The investigators hypothesize that patient-derived immune cell containing ex-vivo tumoroids could serve these purposes. In this study, the investigators plan to develop such a 3D ex-vivo system utilizing fresh biopsied tissue from NSCLC patients. The investigators plan to prospectively evaluate the value of these ex-vivo tumoroids in immunotherapy naive advanced/metastatic NSCLC patients who will be receiving anti-PD-1/L1 (with or without anti-CTLA-4) per standard-of-care.

Arms & interventions

  • DrugStandard of care immune checkpoint inhbitors

    This is NOT an interventional study.

Outcome measures

Primary

  • Feasibility of establishing 3D ex-vivo tumoroid model

    Twenty-five patients will be enrolled. The bioassay will be considered to be feasible if the 3D Ex-Vivo assay results are obtained on at least 20 patients.

    Time frame: 2 years

Secondary

  • Correlation of response in ex vivo tumoroids with clinical objective response

    Time frame: 2 years

Eligibility criteria

Sex: AllAge: 18 Years to 110 YearsHealthy volunteers: No
Inclusion Criteria: * Ability of participant OR Legally Authorized Representative (LAR) to understand this study, and participant or LAR willingness to sign a written informed consent * Patients with advanced/metastatic NSCLC * Must be immunotherapy naive * Males and females age ≥ 18 years * ECOG Performance Status 0 - 2 * Measurable disease by RECIST 1.1 * Must have a lesion (either primary or metastatic lesion) that can be safely biopsied to have sufficient tissue (at minimum, 3-4 cores using 20g or larger core biopsy) to generate tumoroids * Must have at least one target lesion to evaluate treatment response * Will be receiving anti-PD-1/L1 with or without anti-CTLA-4 per standard of care Adequate organ function defined per standard of care in this setting. * Women of child-bearing potential and men with partners of child-bearing potential must agree to practice sexual abstinence or to use the forms of contraception as required/recommended by each immune checkpoint inhibitor used in the setting of standard of care. Exclusion Criteria: * Incarcerated * Not competent to make medical decision, noncommunicative or noncompliant per investigator's judgement.

Study locations (2)

The University of Kansas Cancer Center (KUCC)

Fairway, Kansas, 66205

Recruiting
Clinical Trials Nurse Navigator · Contact
913-945-7552ctnursenav@kumc.edu
Steve Williamson, MD · Contact
913-588-3808SWILLIAM@kumc.edu

The University of Kansas Cancer Center, Westwood Campus

Kansas City, Kansas, 66205

Recruiting
Clinical Trials Nurse Navigator · Contact
913-945-7552ctnursenav@kumc.edu
Using Ex Vivo Tumoroids To Predict Immunotherapy Response In NSCLC | Cancerify