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Trial Title: Characterization of Circulating and Tumor-infiltrating Immune Cells in Malignant Brain Tumors

NCT ID: NCT05831631

Condition: Brain Tumor, Primary
Brain Tumor - Metastatic

Conditions: Official terms:
Neoplasms
Brain Neoplasms

Conditions: Keywords:
Immunophenotype
Primary and secondary brain tumor

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Diagnostic Test
Intervention name: Circulating leukocytes immunophenotype
Description: Blood samples will be tested with flow cytometry in order to characterize leukocyte subpopulations and to evaluate the circulating immunophenotype
Arm group label: Included patients

Intervention type: Diagnostic Test
Intervention name: Tumor sampling
Description: Immunohistochemical analysis will be performed on tumor samples in order to characterize immune T cells distribution within the tumor.
Arm group label: Included patients

Summary: The goal of this observational study is to characterize the circulating leukocyte profile and the immune T cells distribution within the tumor in patients with malignant brain tumors and to correlate these findings with the oncological outcome. Participants will be subjected to blood sampling before surgery and for 12 months of follow-up. Additional sampling and analysis will be performed on tumor samples.

Detailed description: High-grade gliomas are the most frequent type of primary brain tumor in adults, and among them, glioblastoma multiforme (GBM) is the most malignant with an associated poor prognosis. Although significant advances have been achieved in GBM biology comprehension, patients' life expectancy is still limited to 18 months. Brain metastases (BM) are the most frequent neoplasm in the CNS; it is estimated that up to 14% of all newly diagnosed cancers will soon or later metastasize into the brain. A variety of mechanisms to escape a tumor-specific T cell-mediated immune response have been identified in glioma and other cancer entities. This project is an observational, prospective, monocentric study on patients candidates for neurosurgical procedures for brain malignant tumors with additional collection of biological material. With the present study, we aim to characterize the phenotype of both circulating- and tumor-infiltrating- immune cells at the diagnosis and their changes during disease progression and after treatment in primary and secondary brain tumors. Samples will be taken at baseline (before surgery) and at time-points: 3, 6, 9, 12 months

Criteria for eligibility:

Study pop:
Adult patients with a diagnosis of malignant brain tumor (primary or secondary) and meeting the criteria for undergoing neurosurgical treatment (radiosurgery, stereotactic biopsy, surgery).

Sampling method: Non-Probability Sample
Criteria:
Inclusion criteria: - Adult patients (≥18 years) - Able to express informed consent - With primary or secondary malignant brain tumor - Requiring neurosurgical treatment (radiosurgery, stereotactic biopsy, surgery) Exclusion Criteria: - Patients who do not meet inclusion criteria.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: IRCCS San Raffaele Scientific Institute

Address:
City: Milan
Zip: 20132
Country: Italy

Status: Recruiting

Contact:
Last name: Laura Sincinelli

Phone: 003926435568
Email: sincinelli.laura@hsr.it

Start date: August 1, 2022

Completion date: August 1, 2025

Lead sponsor:
Agency: Pietro Mortini, MD, Prof.
Agency class: Other

Source: IRCCS San Raffaele

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05831631

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