NCT06410677

Brief Summary

The burden of esophageal squamous cell carcinoma (ESCC) in China is substantial, with 85% of the cancers being in the progressive stage. The treatment for advanced ESCC are extremely limited, and immunotherapy, represented by PD-1 inhibitors, has demonstrated a promising application potential. However, the effectiveness of PD-1 inhibitors varies significantly among patients with different types of ESCC, and currently, there is no effective method to predict the response to PD-1 inhibitors. In this study, investigators aim to construct a multimodal deep learning-based model to predict the level of immune infiltration and the efficacy of immunotherapy for ESCC, integrating both pathological image features and clinical information of patients with ESCC, thereby enhancing the level of individualized and precise treatment for ESCC.

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
110

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jun 2018

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

June 13, 2018

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 21, 2022

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

May 2, 2024

Completed
11 days until next milestone

First Posted

Study publicly available on registry

May 13, 2024

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2024

Completed
Last Updated

May 13, 2024

Status Verified

May 1, 2024

Enrollment Period

4.4 years

First QC Date

May 2, 2024

Last Update Submit

May 10, 2024

Conditions

Keywords

deep learningEsophageal Squamous Cell Carcinomaimmune infiltration

Outcome Measures

Primary Outcomes (1)

  • Immunogene signatures with predictive value for immunotherapy of ESCC

    After undergoes surgery.

Secondary Outcomes (1)

  • Prognosis and immunotherapy tolerance in ESCC patients

    Follow-up for at least 1 year after undergoing surgery

Study Arms (1)

esophageal squamous cell carcinoma

Diagnostic Test: DNA Sequencing, RNA Sequencing

Interventions

High-coverage Whole-Exome Sequencing sequencing of DNA samples from ESCC was performed. RNA expression was analyzed using the NanoString PanCancer Immuno-Oncology 360TM Panel that includes a set of more than 700 genes involved in the main biological pathways of human immunity. These experiments were performed by the Genomics platform of Institut Curie. Total RNAs were used as templates.

esophageal squamous cell carcinoma

Eligibility Criteria

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

110 patients with ESCC in the Changhai hospital

You may qualify if:

  • Availability of Hematoxylin and Eosin (H\&E) stained images, molecular data obtained through RNA sequencing (RNA-Seq, DNA-seq), and comprehensive clinical information including patient age, gender, history of alcohol consumption, history of smoking, AJCC Tumor, Node, Metastasis Stage, specific location of oesophageal cancer occurrence, and history of reflux.
  • The sample collection is restricted to cancerous tissue, encompassing both primary tumor samples and those from metastatic sites.

You may not qualify if:

  • Patients diagnosed with adenosquamous carcinoma or presenting with a combination of other types of oesophageal cancers;
  • Cases involving combined adenocarcinoma affecting the gastroesophageal junction;
  • Individuals with high-grade tumors that have not penetrated the basement membrane, as confirmed by postoperative pathological examination;
  • Subjects in whom postoperative pathology confirms an absence of residual malignant tissue.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Changhai hospital

Shanghai, China

Location

Biospecimen

Retention: SAMPLES WITH DNA

110 cases of esophageal squamous cell carcinoma patients. The data types include: ① H\&E stained images: These atlases display the morphology and tissue structure of cells through the staining of tissue sections, providing important morphological information for disease research. ② Molecular data: Molecular information obtained using NanoString technology reveals changes in gene expression, providing a data foundation for the study of the molecular mechanisms of the disease.

MeSH Terms

Conditions

Esophageal Squamous Cell Carcinoma

Interventions

Base Sequence

Condition Hierarchy (Ancestors)

Carcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNeoplasms, Squamous CellEsophageal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteHead and Neck NeoplasmsDigestive System DiseasesEsophageal DiseasesGastrointestinal Diseases

Intervention Hierarchy (Ancestors)

Molecular StructureBiochemical PhenomenaChemical PhenomenaGenetic StructuresGenetic Phenomena

Study Officials

  • Luowei Wang

    Changhai Hospital

    STUDY CHAIR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
M.D., PhD., Doctoral supervisor, Professor, Chief physician

Study Record Dates

First Submitted

May 2, 2024

First Posted

May 13, 2024

Study Start

June 13, 2018

Primary Completion

October 21, 2022

Study Completion

October 1, 2024

Last Updated

May 13, 2024

Record last verified: 2024-05

Locations