Understanding and Anticipating Therapeutic and ADverse Responses in Anti-cancer Immune Checkpoint Inhibition Towards a Better Therapeutic Management of Patients
This study aims to understand how immunotherapy, a type of cancer treatment, affects people. We're especially interested in finding out why some patients develop side effects, called immune-related adverse events (irAEs), and whether we can predict these early on using blood tests. We'll collect blood samples and health information from people with cancer who are receiving immunotherapy as part of their usual care. By closely examining immune cells in these samples, we hope to discover 'biomarkers' – tiny clues in your blood – that could tell us who might have a good response to treatment and who might be at risk of developing side effects. This knowledge could help doctors tailor treatments better and manage side effects more effectively.
At a glance
What is this study about?
Imagine your body's immune system as an army designed to fight off invaders like infections. Immunotherapy for cancer, specifically immune checkpoint inhibitors (ICIs), helps this army recognize and attack cancer cells more effectively. It works by removing the 'brakes' that stop immune cells from attacking cancer.
While this treatment can be very successful for some people, boosting the immune system in this way can sometimes lead to it overreacting and mistakenly attacking healthy parts of the body. These unwanted side effects are called immune-related adverse events, or irAEs. They can affect different organs, causing issues like skin rashes, gut problems, or thyroid problems. We don't yet fully understand why these side effects happen to some people and not others, or why some get good results from the treatment while others don't.
This study hopes to change that. We want to investigate whether we can find specific signals in your blood – called biomarkers – that can tell us early on who might be more likely to develop these side effects or who might respond well to immunotherapy. By collecting blood samples and health information from patients receiving these treatments as part of their routine care, we can look closely at how their immune systems are behaving. The goal is to gain a deeper understanding that will eventually help doctors predict and manage these treatments better, leading to improved care for future cancer patients.
Key takeaways
- This study aims to discover why some cancer patients on immunotherapy get side effects and others respond well.
- Researchers will examine blood samples collected during routine hospital visits.
- The goal is to find clues (biomarkers) that can predict how patients will react to treatment.
- Taking part involves no extra appointments or new medical procedures.
- The findings could lead to better and safer immunotherapy for future patients.
Who may be eligible?
To join this study, you need to be an adult, aged 18 or older, and have a type of cancer that is being treated with immunotherapy (ICI), either on its own or with other treatments like chemotherapy. You should generally feel well enough to carry out most daily activities.
Your blood tests for your liver, kidneys, and blood cells need to be within a healthy range, as these are important for your general health and safely receiving cancer treatments. You must also be monitored for your cancer at the CHU of Brest hospital.
There are also some reasons why you might not be able to join. For example, if you already have a very weak immune system, have certain serious uncontrolled health conditions, or are currently pregnant. You also can't have already started immunotherapy before joining the study.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years old or older?
- Are you being treated for cancer with immunotherapy (ICI)?
- Are your routine blood tests for organs like your liver and kidneys generally healthy?
- Is your cancer care managed at CHU of Brest?
- Have you not started immunotherapy yet (or are you about to start)?
- Are you okay with your samples and health information being used for research?
What does participation involve?
If you decide to take part in this observational study, you won't receive new treatments or undergo any extra procedures specifically for the research. Instead, we will collect some blood samples during your regular check-up appointments for your cancer treatment. We will also use existing health information from your medical records. This means your routine hospital visits won't change, and you won't need to make any extra trips to the clinic because of the study. The study involves collecting samples and data over time as you continue your standard cancer care.
Potential risks and benefits
Locations (1)
- Brest University HospitalVerified postcodeBrest, France· Recruiting
Common questions
What is immunotherapy?
Immunotherapy is a type of cancer treatment that helps your body's immune system fight cancer cells more effectively.
What are irAEs?
IRAEs are 'immune-related adverse events' – side effects that happen when immunotherapy causes the immune system to attack healthy parts of the body.
Will I get any new medicine in this study?
No, this is an observational study. You will continue to receive your standard cancer treatment as decided by your doctors.
What are 'biomarkers'?
Biomarkers are specific substances in your blood or body that can give doctors clues about your health, how a disease is progressing, or how you might respond to treatment.
Can I leave the study at any time?
Yes, you are free to stop taking part in the study whenever you wish, and it will not affect your medical treatment or care.
How to find out more
Benjamin Auberger
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
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