Characterisation of T Lymphocytes, NK Cells and Macrophages in Melanoma Patients (IMMUMELA)
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Purpose
Melanoma tumor tissue ( in particular regressive areas) present a lymphocytic infiltrate with an anti-tumoral specificity. The aim of the study is to analyse at different stages of the disease, tumor samples and to characterise the cellular infiltrate in situ ( in particular T lymphocytes, NK cells and macrophages), the role of inhibitor receptors on in situ immunosuppression, and potential modulation by medical treatments such as dacarbazine.
| Condition | Intervention |
|---|---|
|
Melanoma |
Other: biological collection |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort |
| Official Title: | Characterisation of T Lymphocytes, NK Cells and Macrophages in Melanoma Patients: Impact on Immunity Versus Immunosuppression |
- Impact of cellular infiltrate - Group 1 [ Time Frame: 2 years ] [ Designated as safety issue: No ]Impact of cellular infiltrate on disease free survival at 2 years
- Impact of NK cell infiltrate - Group 2 and 3 [ Time Frame: 2 and 3 years ] [ Designated as safety issue: No ]Impact of NK cell infiltrate in metastatic lymph node on disease free survival and overall survival at 2 and 3 years
- Modifications of cellular infiltrate - Group 4 [ Time Frame: 2 months ] [ Designated as safety issue: No ]Modifications of cellular infiltrate after chemotherapy (after 2 months)
Biospecimen Retention: Samples With DNA
A bank of biological samples (human plasma and cells) will be done
| Estimated Enrollment: | 225 |
| Study Start Date: | May 2011 |
| Estimated Study Completion Date: | June 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
MELANOMA 10mm
patients with a melanoma larger than 10mm or with cutaneous metastasis
|
Other: biological collection
to collect some human cell samples in melanoma
Other Name: to collect some human cell samples in melanoma
|
|
STAGE III MELANOMA
stage III melanoma patients who shall undergo a regional lymph node dissection
|
Other: biological collection
to collect some human cell samples in melanoma
Other Name: to collect some human cell samples in melanoma
|
|
SENTINEL NODE PROCEDURE
retrospective study of patients who underwent a sentinel node procedure
|
Other: biological collection
to collect some human cell samples in melanoma
Other Name: to collect some human cell samples in melanoma
|
|
STAGE IV MELANOMA
stage IV patients achieves of inoperable melanomas the stage(stadium) III or IV that must receive in treatment(processing) a chemotherapy (by the dacarbazine or by the cisplatin or by the inhibitor of B-raf) and carrier of at least two cutaneous metastases
|
Other: biological collection
to collect some human cell samples in melanoma
Other Name: to collect some human cell samples in melanoma
|
Detailed Description:
The study is divided in 4 parts:
Part 1: study of cellular infiltrate (lymphocytes) performed on large primary melanoma and cutaneous metastasis ( fresh samples) Part 2: NK cells study on metastatic regional lymph nodes ( fresh samples) and blood samples Part 3: a retrospective study of macrophages in sentinel lymph nodes and in corresponding primary melanomas Part 4: study of the cellular modulation by the chemotherapy (DTIC or cisplatin or inhibitor of B-raf) which(who) will be made on two cutaneous metastases by patient (one taken before the treatment(processing) and one taken during the evaluation after 2 or 3 cycles of treatment(processing))
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Part 1: patients with a melanoma larger than 10mm or with cutaneous metastasis Part 2: stage III melanoma patients who shall undergo a regional lymph node dissection Part 3: retrospective study of patients who underwent a sentinel node procedure Part 4: stage IV Patient achieves of inoperable melanomas the stage(stadium) III or IV that must receive in treatment(processing) a chemotherapy (by the dacarbazine or by the cisplatin or by the inhibitor of B-raf) and carrier of at least two cutaneous metastases
Inclusion Criteria:
- Patients with confirmed melanoma-patients informed of the aims of the study , the modalities
- Patients who signed the consent form ou a non opposition form signed by the patient or by a relative
According to study part:
Part 1: patients with a melanoma larger than 10mm or with cutaneous metastasis Part 2: stage IV melanoma patients who shall undergo a regional lymph node dissection Part 3: retrospective study of patients who underwent a sentinel node procedure Part 4: Patients achieves of inoperable melanomas the stage(stadium) III or IV that must receive in treatment (processing) a chemotherapy (by the dacarbazine or by the cisplatin or by the inhibitor of B-raf) and carrier of at least two cutaneous metastases
Exclusion Criteria:
- Refusal to take part in the study (patient or relative)
- Contraindications known to the xylocaine (groups 1,2, and 4)
- No affiliated to the social security system (groups 1, 2, and 4)
Contacts and Locations| Contact: Marie Françoise Avril, MD, PhD | +331 58 411781 | marie-francoise.avril@cch.aphp.fr |
| Contact: Laurence Lecomte, PhD | ++33171196494 | laurence.lecomte@nck.aphp.fr |
| France | |
| Cochin Hospital | Recruiting |
| Paris, Ile de France, France, 75014 | |
| Contact: Marie Françoise Avril, MD, PhD +331 58411781 marie-francoise.avril@cch.aphp.fr | |
| Contact: Laurence Lecomte, Phd +33171196494 laurence.lecomte@nck.aphp.fr | |
| Principal Investigator: | Marie Françoise Avril, MD, PhD | AP-HP |
More Information
No publications provided
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT01336270 History of Changes |
| Other Study ID Numbers: | P090405 |
| Study First Received: | April 14, 2011 |
| Last Updated: | November 19, 2012 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Melanoma NK cells T lymphocytes macrophages |
Additional relevant MeSH terms:
|
Melanoma Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal |
Neoplasms by Histologic Type Neoplasms Neoplasms, Nerve Tissue Nevi and Melanomas |
ClinicalTrials.gov processed this record on May 22, 2013