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Trial Title: Stratification of Cutaneous Squamous Cell Carcinomas According to Its Transcriptomic, Metabolic and Inflammatory Characteristics

NCT ID: NCT06476964

Condition: Skin Cancer

Conditions: Official terms:
Carcinoma
Carcinoma, Squamous Cell

Conditions: Keywords:
Actinic keratosis,
Cutaneous squamous cell carcinoma
mitochondria
metabolism

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: skin biopsies
Description: Additional punches of 3 mm from a skin lesion part of a skin biopsy performed as part of routine care, an additional (optional) biopsy of healthy skin
Arm group label: patient with invasive metastases (cSCC with cutaneous metastases)
Arm group label: patients with actinic keratosis(AK)
Arm group label: patients with squamous cell carcinoma in situ (in situ cSCC)
Arm group label: patients with squamous cell carcinomas infiltrative (infiltrative cSCC)

Summary: A collection of biological samples (skin) will be created to meet the objectives. Skin biopsies will be taken (excluding on face and fold), in accordance with standard practice.

Detailed description: Skin cancers are the most common type of cancer in human. Among them, cutaneous squamous cell carcinomas (cSCCs) represent the 2nd most frequent, with an incidence that continues to grow (+300% between 1994 and 2006) in line with the ageing of the population and sun exposure habits. cSCCs is a multi-stage carcinogenesis model: the pre-cancerous lesion is actinic keratosis (AK), which can either regress or progressively evolve into cSCC in situ and then infiltrating, and in some patients into a metastatic stage, initially lymph node and then distant, life-threatening. cSCCs are classified as low-risk or high-risk according to clinical and histological criteria associated with the risk of recurrence and metastasis. However, there is currently no tool for predicting this risk for a given cSCC, particularly according to its genetic characteristics. Indeed, the high mutation rate makes it difficult to identify specific genetic profiles. Similarly, there is no tool to predict the potential for a precancerous lesion (AK) to regress or to develop into a cSCC. The aim of this study is to characterize the molecular and metabolic features as well as immunologic landscapes of precancerous AK and cSCCs in order to uncover epithelial and immune cell subpopulations supporting tumor progression.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patients aged 18 or over, - Patients with suspected AK, or cSCC lesions (in situ, infiltrating or metastatic), - Patients able to sign a consent form, - Patients affiliated to a French Social Security system. Exclusion Criteria: - Patients who have previously received systemic treatment (chemotherapy, immunotherapy), - Patients with cSCC or AK localized on visible zone of the face or folds - Patients under guardianship or guardianship, - Patient not affiliated to a French Social Security system.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University Hospital of Bordeaux - Department of Dermatology

Address:
City: Bordeaux
Zip: 33000
Country: France

Status: Recruiting

Contact:
Last name: Marie BEYLOT-BARRY, MD, PhD

Phone: +335 57 82 25 00
Email: marie.beylot-barry@chu-bordeaux.fr

Contact backup:
Last name: Christine ALFARO

Phone: +335 57 82 25 09
Email: christine.alfaro@chu-bordeaux.fr

Investigator:
Last name: Marie BEYLOT-BARRY, MD, PhD
Email: Principal Investigator

Start date: July 4, 2024

Completion date: July 31, 2026

Lead sponsor:
Agency: University Hospital, Bordeaux
Agency class: Other

Collaborator:
Agency: Institut National de la Santé Et de la Recherche Médicale, France
Agency class: Other

Source: University Hospital, Bordeaux

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06476964

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