NCT04760197

Brief Summary

New anticancer therapies based on lifting the inhibition of the immunological synapse are used in the therapeutic arsenal of a growing number of neoplasias (melanoma, lung cancer, hepatocellular carcinoma, etc.). These "immune check points" inhibitors "(ICPI) target molecules that usually allow immunity to destroy malignant cells. At the systemic level, this results in a loss of immune homeostasis and facilitation of the inflammatory response which may be responsible for dysimmune manifestations distant from the neoplastic site. Thus, since their introduction, ICPIs have been of interest to immunologists, rheumatologists and internists who often find themselves in the first line to deal with this type of side effect (immunotherapy-related adverse events, IRAEs). The frequency of these ARIs between 70% and 90%, depending on the immunotherapy used and the severity of these ARIIs (grade 1-2 vs. 3-5). The overall increase in the number of cancers, the multiplication of available molecules and the expansion of their indications should exponentially increase the number of IRAEs to be supported. Little is known about the epidemiology, risk factors and efficacy of treatments. In these IRAEs, inflammatory ophthalmological manifestations have been described with an estimated prevalence of between 0.4 and 1% of the patients treated. These attacks are rare and protean (uveitis, scleritis, retinitis, inflammatory orbitopathies, Vogt-Koyanagi-Harada -like…) and reported most often in the form of clinical cases. The Main objective is to describe the inflammatory ophthalmic disorders linked to anti-cancer immunotherapy.

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
30

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Apr 2019

Typical duration 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, 2019

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2020

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

February 16, 2021

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 18, 2021

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2021

Completed
Last Updated

February 18, 2021

Status Verified

February 1, 2021

Enrollment Period

1.7 years

First QC Date

February 16, 2021

Last Update Submit

February 16, 2021

Conditions

Keywords

immune check points" inhibitorscancerinflammatory ophthalmological manifestations

Outcome Measures

Primary Outcomes (1)

  • Clinical evolution of inflammatory ophtalmological manifestation evaluated by gradation of uveitis

    Persistence of disease is characterized by persistence of intraocular inflammation evaluated by gradation of Uveitis according to Common Terminology Criteria for Adverse Events (CTCAE), Version 5.0, November 2017, National Institutes of Health, National Cancer Institute.

    6 months after diagnosis

Study Arms (1)

patient under cancer immunotherapy with inflammatory ophthalmological manifestations

patient(\>18 years old) under cancer immunotherapy with inflammatory ophthalmological manifestations

Other: no intervention

Interventions

no intervention

patient under cancer immunotherapy with inflammatory ophthalmological manifestations

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

patients treated for cancer by immunotherapy

You may qualify if:

  • age\> 18
  • under cancer immunotherapy: anti-PD1 (nivolumab, pembrolizumab), anti-CTLA4 (ipilimumab), anti-PDL1 (atezolizumab, durvalumab, avelumab)
  • diagnosis of uveitis / inflammatory ophthalmologic disease confirmed by at least an ophthalmologist
  • indicating his/her non-opposition to participating in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

CHU Angers - Service de Médecine Interne - Immunologie Clinique

Angers, 49933, France

RECRUITING

Hôpital de la Croix-Rousse - Service de médecine interne - 103 Grande Rue de la Croix-Rousse

Lyon, 69004, France

RECRUITING

MeSH Terms

Conditions

Neoplasms

Study Officials

  • Florence Chaudot, MD

    : Hospices Civils de Lyon - Groupement Hospitalier Nord

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

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

Study Record Dates

First Submitted

February 16, 2021

First Posted

February 18, 2021

Study Start

April 1, 2019

Primary Completion

December 1, 2020

Study Completion

December 1, 2021

Last Updated

February 18, 2021

Record last verified: 2021-02

Locations