NCT03917537

Brief Summary

To choose a subgroup who could clearly benefit from Nivolumab, we are proposing a prospective observational study. Whole-genome study (WGS) analysis will be performed on archived cancer tissues from patients who were (1) cisplatin-refractory and subsequently (2) received Nivolumab (at least 4 doses) and (3) had completed imaging response evaluation at 3-4 month after Nivolumab. The estimated sample size was designed to be 80, including 20 responders and 60 non-responders (1:3 design) after Nivolumab alone at a dosage of 2-3mg/kg every 2 weeks (+/- 7 days could be allowed), given the minimal requirement of statistical significance. The specific bio-signature(s) found in this prospective observational study could possibly greatly contribute to precision immuno-oncology medicine, especially Nivolumab.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
80

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Apr 2018

Longer than P75 for all trials

Geographic Reach
1 country

2 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2018

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

April 15, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 17, 2019

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2021

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2022

Completed
Last Updated

April 25, 2019

Status Verified

July 1, 2018

Enrollment Period

3 years

First QC Date

April 15, 2019

Last Update Submit

April 24, 2019

Conditions

Keywords

programmed death 1 (PD-1)programmed death ligand 1 (PD-1)NivolumabPembrolizumabimmune-related adverse events (irAEs)whole-genome sequencing (WGS)Circulating tumor cells (CTCs)Platinum-refractory

Outcome Measures

Primary Outcomes (1)

  • Prediction rate of Nivolumab Response

    Prediction rate of Nivolumab Response

    2-4 months

Secondary Outcomes (1)

  • Adverse effects (types and grading) of Nivolumab

    2-4 months

Study Arms (1)

HNSCC patients have used Nivolumab

Retrospectively analyze WGS information from cancer tissues from HNSCC patients have used Nivolumab

Genetic: HNSCC patients have used Nivolumab

Interventions

Using Whole-Genome Analysis on Cancer Tissue of Patients with Platinum-refractory Head and Neck Squamous cell carcinoma Who Underwent Nivolumab to Precisely Predict Responders: An Observational Biomarker Study

HNSCC patients have used Nivolumab

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Retrospectively analyze WGS information from cancer tissues from HNSCC patients have used Nivolumab

You may qualify if:

  • Age above 20 years old

You may not qualify if:

  • Age below 20 years old

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Chang Gung Memorial Hospital

Taoyuan District, 333, Taiwan

RECRUITING

Chang Gung Memorial Hospital

Taoyuan District, 333, Taiwan

RECRUITING

Biospecimen

Retention: SAMPLES WITH DNA

1. The study will retrieve cancer tissues from HNSCC patients received threshold Nivolumab. WGS by Illumina HighSeq X Ten Platform will be used for exploring biomarkers of Nivolumab. 2. All Samples will be collected from pathologic departments from participating hospitals, including 10μm x 5-10 slices non-coating, 3μm x 3 slices for PD-L1 staining. 3. Also, Pathologist will involve PD-L1 IHC staining (Ventana SP 263) and grading. 4. Cancer Tissues will be sent for WGS analysis (Application for sampling tests will be sent and obtained.) 5. Data will be sent to biostatistics analysis company or experts for analysis with charges.

MeSH Terms

Conditions

Squamous Cell Carcinoma of Head and NeckParkinson Disease 4, Autosomal Dominant Lewy BodyNeoplastic Cells, Circulating

Condition Hierarchy (Ancestors)

Carcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsHead and Neck NeoplasmsNeoplasms by SiteNeoplasm MetastasisNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Tsang-Tang Hsieh, M.D.

    Chang Gung Memorial Hospital

    STUDY CHAIR

Central Study Contacts

Jason Chia-Hsun Hsieh, M.D. Ph.D.

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 15, 2019

First Posted

April 17, 2019

Study Start

April 1, 2018

Primary Completion

March 31, 2021

Study Completion

March 31, 2022

Last Updated

April 25, 2019

Record last verified: 2018-07

Locations