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Trial Title: Characterisation of the Immune Infiltrate and Molecular Features of Thymic Epithelial Tumors Tumors (TETs)

NCT ID: NCT05558644

Condition: Cancer

Conditions: Keywords:
thymic epithelial tumors

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Other

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: single arm for all patients
Description: - tumor samples will be taken for RNA sequencing of epithelial tumour cells during surgery. - blood samples will be taken for Exome Sequencing (WES) at baseline, during surgery and one month post surgery.
Arm group label: single arm for all patients

Summary: The IMMUNO-TET trial aims to assess the feasibility of characterising the immune environment of TETs and the constitutional and somatic molecular profiles of patients with localised thymic epithelial tumour (TET).

Detailed description: In this prospective study, patients undergoing thymectomy and thymomectomy as part of routine care undergo the following care pathway: 1. During the pre-surgical visit (for n = 50 patients): as part of routine care, a blood sample is collected for analysis of CBC, leukocytes, lymphocytes, CRP, ferritinemia, TSH, T3L, T4L, anti-acetycholine receptor antibodies, ...CMV, EBV, HSV, HIV serologies, ...and HLA class I and class II typing. 2. During thymectomy and thymomectomy surgery, the following samples are taken (for n = 50 patients): - 6 blood samples on EDTA tubes are collected at the time of surgery for analyses. - 3 fresh samples of the surgical specimen are taken by the pathologist: tumour T, juxta-tumour J and distant D locations for analyses by flow cytometry and RNA sequencing. Anatomopathology blocks/slides are also cut in the same way (tumour T, juxta-tumour J and distant D locations) for additional exploratory analyses. - The feasibility of developing patient-derived xenografts (PDX) from TETs will be tested for n = 20 tumor samples. These models will allow to test potential therapeutic agents for this pathology. 3. During the 1st month (+/- 7 days) post-surgery check-up, a blood sample is taken again (for n = 50 patients) for routine care: CBC, leukocytes, lymphocytes, CRP, ferritinemia, anti-acetycholine receptor antibodies and for peripheral immune system analysis at a distance from surgery and for constitutional molecular analysis. Informed consent is given to participate in this prospective study.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Patient with suspicion of localised thymic epithelial tumour. 2. Age ≥ 18 years. 3. Treatment-naïve patient for this disease. 4. Patient with an indication for thymectomy and thymomectomy in one of the partner centers. 5. Signed informed consent form of the patient. Exclusion Criteria: 1. Neoadjuvant chemotherapy. 2. No social security affiliation. 3. Person under legal protection. 4. Other neoplasia in progress or cured within the last 3 years (except for operated carcinoma in situ).

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Institut Curie Paris

Address:
City: Paris
Country: France

Status: Recruiting

Contact:
Last name: Clémence Basse, MD
Email: clemence.basse@curie.fr

Investigator:
Last name: Clémence Basse, MD
Email: Principal Investigator

Facility:
Name: Institut Mutualiste Montsouris

Address:
City: Paris
Country: France

Status: Recruiting

Contact:
Last name: Alessio MARIOLO, MD

Investigator:
Last name: Alessio MARIOLO, MD
Email: Principal Investigator

Facility:
Name: Hôpital FOCH

Address:
City: Suresnes
Country: France

Status: Recruiting

Contact:
Last name: Edouard SAGE, MD
Email: e.sage@hopital-foch.com

Investigator:
Last name: Edouard SAGE, MD
Email: Principal Investigator

Start date: August 3, 2023

Completion date: October 5, 2026

Lead sponsor:
Agency: Institut Curie
Agency class: Other

Source: Institut Curie

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05558644

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