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Trial Title: Immune and Inflammatory Indices in Peripheral Blood Predict Prognosis of Glioma and Correlate With Grades and Subtypes

NCT ID: NCT05635435

Condition: Glioma
Immune Suppression

Conditions: Official terms:
Glioma

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Other
Intervention name: Detection of Immune and Inflammatory Indices in Peripheral Blood
Description: We detected immune and inflammatory indices in peripheral blood at each patient's at first hospitalizatin from October 13th, 2006, to April 6th, 2022.
Arm group label: primary glioma patients

Summary: Our study considered the relevant immune and inflammatory indices, such as immunoglobulin kappa light chain, TNF, and CD4+ Helper T lymphocyte% in a multi-institutional study with a large patient cohort (n=1282) from the east, northeast, and southeast of China. Our study shed light on the association of peripheral immune system status with prognosis, tumor grade, and subtype of glioma, which can potentially benefit future diagnostic and prognostic processes of glioma given its noninvasive nature. Moreover, the preoperative inflammatory status can be leveraged for timely interventions to reverse the immunosuppressive status of cancer patients and enhance anti-tumour immunity of glioma.

Criteria for eligibility:

Study pop:
In our cohort, there were more males (count, 761, percentage, 59.39%) than females. In addition, 762 patients (percentage, 59.4%) were diagnosed as grade IV glioma according to 2021 WHO criteria, which was far more than the other grades in our study. Similar characteristics were observed in the glioma subtype. IDH1 mutation status, 1p/19q codeletion status and MGMT promoter methylation status were known in 924, 771, and 855 patients, respectively. Among them, 630 of 924 patients were IDH1 mutant type, 124 of 771 patients had 1p/19q codeletion, and 369 of 855 patients were MGMT methylated. In addition, 916 patients received chemotherapy within one month after the resection of primary glioma, while 940 patients received radiotherapy postoperatively.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - glioma grading and classification histologically verified in a resection or biopsy specimen according to 2016 WHO criteria; - age > 18 years; - primary malignant glioma; - the duration of follow-up > 3 months; - available data of lymphocyte subsets, cytokines, immune proteins and immune complements measured at the patient's first hospitalization. Exculsion Criteria: - current infectious disease, hyperpyrexia, hematological disease, diabetes mellitus, serious heart disease, hypertension, metabolic syndrome, severe renal or hepatic dysfunction, other cancer, autoimmune disease, inflammatory disease, or medication usage related to an inflammatory condition; - prior cancer-specific pretreatment, such as chemotherapy or radiotherapy;

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Xuanwu Hospital, Capital Medical University

Address:
City: Beijing
Zip: 10000
Country: China

Status: Recruiting

Contact:
Last name: Ye Cheng, M.D.

Phone: 18344560369
Email: 947145386@qq.com

Facility:
Name: Sun Yat-sen University Cancer Center

Address:
City: Guanzhou
Zip: 510000
Country: China

Status: Completed

Facility:
Name: The First Bethune Hospital of Jilin University

Address:
City: Chang chun
Zip: 130000
Country: China

Status: Recruiting

Contact:
Last name: Zhiyun Zhang, M.M.

Phone: 15506015535
Email: 893554380@qq.com

Start date: October 13, 2006

Completion date: December 20, 2023

Lead sponsor:
Agency: Sun Yat-sen University
Agency class: Other

Source: Sun Yat-sen University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05635435

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