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Trial Title: Clinical Study for Combined Analysis of CTC and Exosomes on Predicting the Efficacy of Immunotherapy in Patients With Hepatocellular Carcinoma

NCT ID: NCT05575622

Condition: Hepatocellular Carcinoma

Conditions: Official terms:
Carcinoma
Carcinoma, Hepatocellular

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Device
Intervention name: CTC PD-L1, exosomal PD-L1, and exosomal LAG-3 detection
Description: Collect peripheral blood sample of 200 HCC patients at treatment baseline, every time point response till disease progression.Blood samples will be transferred to central lab to detect CTC PD-L1, exosomal PD-L1, and exosomal LAG-3 by microfluidic chip.Tumor response evaluation will be performed after two cycles of therapy by CT/MRI based on RECIST.Clinical data, including tumor stage,metastatic organ ,regimen, objective response, progression free survival, overall survival, etc, will be collected according to study protocol.
Arm group label: Patients with hepatocellular carcinoma receiving immunotherapy

Summary: This project intends to perform CTC PD-L1 imaging, exosomal PD-L1 protein detection, and exosomal LAG-3 protein detection, so as to resolve the functional marker profiles of immunotherapy in the peripheral blood of HCC patients and comprehensively present the responsiveness of patients to immunotherapy.

Detailed description: Liquid biopsy methods such as PD-L1 of CTC, number of peripheral immune cells and their subtypes, and exosomal PD-L1 provide a dynamic monitoring strategy for immunotherapy evaluation. Monitoring CTC and immune-related functional markers in peripheral blood can dynamically reflect the multi-dimensional characteristics of tumor microenvironment, comprehensively represent the response of patients to immunotherapy, and provide a new strategy of companion diagnostics for immunotherapy in HCC. This project intends to perform CTC PD-L1 imaging, exosomal PD-L1 protein detection, and exosomal LAG-3 protein detection, so as to resolve the functional marker profiles of immunotherapy in the peripheral blood of HCC patients and comprehensively present the responsiveness of patients to immunotherapy.

Criteria for eligibility:

Study pop:
All patients in this study were enrolled by the Clinical Trial Centerin Zhongnan Hospital.

Sampling method: Probability Sample
Criteria:
Inclusion Criteria: - having signed informed consent - clinically or pathologically confirmed hepatocellular carcinoma; - liver tumor load not exceeding 50% of liver volume; - expected survival ≥ 12 weeks; - vital organ function meeting enrollment criteria; and (6) no need for pregnancy. Exclusion Criteria: - Patients who have been diagnosed with malignant tumors of other systems or organs; - Patients with hematologic disorders and extreme physical failure; - Patients with immune deficiencies or organ transplants; - Other conditions deemed by the investigator to be inappropriate for participation in this study.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Zhongnan Hospital of Wuhan University

Address:
City: Wuhan
Zip: 430071
Country: China

Status: Recruiting

Contact:
Last name: Fubing Wang, Doctor

Phone: 86-15872385253
Email: wfb20042002@sina.com

Start date: January 1, 2023

Completion date: December 31, 2024

Lead sponsor:
Agency: Zhongnan Hospital
Agency class: Other

Source: Zhongnan Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05575622

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