Modulatory Effect of Prodigiosin or Pioglitazone on TIME and the Crosstalk to Immune-Checkpoint Protein(s)
1 other identifier
observational
60
1 country
1
Brief Summary
Lung cancer is one of the most common and serious types of cancer. Lung tumor cells exploit immune checkpoint proteins (ICPs) to maintain immune tolerance and thus promote tumor progression and invasion. Inhibition of ICPs using antibody therapies is one of the most common approaches for the treatment of lung cancer. Unfortunately, these antibody-based therapies can lead to severe adverse events. Moreover, a significant number of patients do not respond to immune checkpoint inhibition due to tumor heterogeneity and the immunosuppressive tumor immune microenvironment (TIME). The use of small molecule targeted approach instead of antagonizing antibodies may have the potential advantage of being able to target multiple ICPs in TIME with a single agent as well as improved tumor distribution.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jun 2026
Typical duration for all trials
1 active site
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
First Submitted
Initial submission to the registry
June 12, 2024
CompletedFirst Posted
Study publicly available on registry
July 16, 2024
CompletedStudy Start
First participant enrolled
June 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2028
Study Completion
Last participant's last visit for all outcomes
September 1, 2028
July 16, 2024
July 1, 2024
2 years
June 12, 2024
July 8, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Gene Expression (mRNA levels)
mRNA levels of HSP90, IL-6, STAT3,c-MYC and the novel immune checkpoint proteins by qRT-PCR from blood samples collected from NSCLC patients and cell pellets collected from lung cancer cell lines before and after pioglitazone or prodigiosin treatment
36 months
Gene Expression (Protein levels)
Protein levels of HSP90, IL-6, STAT3,c-MYC and the novel immune checkpoint proteins by immunoblotting from blood samples collected from NSCLC patients and cell pellets collected from lung cancer cell lines before and after pioglitazone or prodigiosin treatment
36 months
cytotoxic effect
Cytotoxic effect of prodigiosin or pioglitazone on lung cancer cell line using MTT assay
36 months
Anti-cancer efficiency of drug-loaded nanoparticles
Anticancer efficiency against lung cancer in vivo model using Urethan as lung cancer inducer or in vitro lung cancer cell line
36 months
Study Arms (2)
control
Healthy volunteers not suffering from any disease or not taking any Medications
Diseased
NSCLC patients
Eligibility Criteria
Lung cancer patients diagnosed with non-small cell lung cancer and healthy volunteers not suffering from any disease will be enrolled in the study
You may qualify if:
- Adults over 50 years old with NSCLC.
You may not qualify if:
- Lung cancer patients with any cancer other than NSCLC
- Lung cancer patients with incomplete data or incomplete histopathology diagnosis report.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Faculty of Pharmacy, Ain Shams University, Advanced Biochemistry Research Lab
Cairo, 11566, Egypt
Related Publications (20)
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PMID: 27698894BACKGROUNDAnwar MM, Shalaby M, Embaby AM, Saeed H, Agwa MM, Hussein A. Prodigiosin/PU-H71 as a novel potential combined therapy for triple negative breast cancer (TNBC): preclinical insights. Sci Rep. 2020 Sep 7;10(1):14706. doi: 10.1038/s41598-020-71157-w.
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PMID: 28233639BACKGROUNDFu S, Liu Y, Zhang Z, Mei M, Chen Q, Wang S, Yang X, Sun T, Ma M, Xie W. Identification of a Novel Myc-Regulated Gene Signature for Patients with Kidney Renal Clear Cell Carcinoma. J Oncol. 2022 Dec 26;2022:3487859. doi: 10.1155/2022/3487859. eCollection 2022.
PMID: 37342680BACKGROUNDGao FY, Li XT, Xu K, Wang RT, Guan XX. c-MYC mediates the crosstalk between breast cancer cells and tumor microenvironment. Cell Commun Signal. 2023 Jan 31;21(1):28. doi: 10.1186/s12964-023-01043-1.
PMID: 36721232BACKGROUNDGou Q, Che S, Chen M, Chen H, Shi J, Hou Y. PPARgamma inhibited tumor immune escape by inducing PD-L1 autophagic degradation. Cancer Sci. 2023 Jul;114(7):2871-2881. doi: 10.1111/cas.15818. Epub 2023 Apr 24.
PMID: 37096255BACKGROUNDHarada D, Takigawa N, Kiura K. The Role of STAT3 in Non-Small Cell Lung Cancer. Cancers (Basel). 2014 Mar 26;6(2):708-22. doi: 10.3390/cancers6020708.
PMID: 24675568BACKGROUNDJia X, Qian J, Chen H, Liu Q, Hussain S, Jin J, Shi J, Hou Y. PPARgamma agonist pioglitazone enhances colorectal cancer immunotherapy by inducing PD-L1 autophagic degradation. Eur J Pharmacol. 2023 Jul 5;950:175749. doi: 10.1016/j.ejphar.2023.175749. Epub 2023 Apr 25.
PMID: 37105516BACKGROUNDLv B, Wang Y, Ma D, Cheng W, Liu J, Yong T, Chen H, Wang C. Immunotherapy: Reshape the Tumor Immune Microenvironment. Front Immunol. 2022 Jul 6;13:844142. doi: 10.3389/fimmu.2022.844142. eCollection 2022.
PMID: 35874717BACKGROUNDMbofung RM, McKenzie JA, Malu S, Zhang M, Peng W, Liu C, Kuiatse I, Tieu T, Williams L, Devi S, Ashkin E, Xu C, Huang L, Zhang M, Talukder AH, Tripathi SC, Khong H, Satani N, Muller FL, Roszik J, Heffernan T, Allison JP, Lizee G, Hanash SM, Proia D, Amaria R, Davis RE, Hwu P. HSP90 inhibition enhances cancer immunotherapy by upregulating interferon response genes. Nat Commun. 2017 Sep 6;8(1):451. doi: 10.1038/s41467-017-00449-z.
PMID: 28878208BACKGROUNDProia DA, Kaufmann GF. Targeting Heat-Shock Protein 90 (HSP90) as a Complementary Strategy to Immune Checkpoint Blockade for Cancer Therapy. Cancer Immunol Res. 2015 Jun;3(6):583-9. doi: 10.1158/2326-6066.CIR-15-0057. Epub 2015 May 6.
PMID: 25948551BACKGROUNDQin S, Xu L, Yi M, Yu S, Wu K, Luo S. Novel immune checkpoint targets: moving beyond PD-1 and CTLA-4. Mol Cancer. 2019 Nov 6;18(1):155. doi: 10.1186/s12943-019-1091-2.
PMID: 31690319BACKGROUNDRahmy S, Mishra SJ, Murphy S, Blagg BSJ, Lu X. Hsp90beta inhibition upregulates interferon response and enhances immune checkpoint blockade therapy in murine tumors. Front Immunol. 2022 Oct 20;13:1005045. doi: 10.3389/fimmu.2022.1005045. eCollection 2022.
PMID: 36341371BACKGROUNDRebe C, Ghiringhelli F. STAT3, a Master Regulator of Anti-Tumor Immune Response. Cancers (Basel). 2019 Aug 30;11(9):1280. doi: 10.3390/cancers11091280.
PMID: 31480382BACKGROUNDSiegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023 Jan;73(1):17-48. doi: 10.3322/caac.21763.
PMID: 36633525BACKGROUNDTokhanbigli S, Alavifard H, Asadzadeh Aghdaei H, Zali MR, Baghaei K. Combination of pioglitazone and dendritic cell to optimize efficacy of immune cell therapy in CT26 tumor models. Bioimpacts. 2023;13(4):333-346. doi: 10.34172/bi.2022.24209. Epub 2022 Aug 9.
PMID: 37645031BACKGROUNDTsubaki M, Takeda T, Tomonari Y, Kawashima K, Itoh T, Imano M, Satou T, Nishida S. Pioglitazone inhibits cancer cell growth through STAT3 inhibition and enhanced AIF expression via a PPARgamma-independent pathway. J Cell Physiol. 2018 Apr;233(4):3638-3647. doi: 10.1002/jcp.26225. Epub 2017 Nov 10.
PMID: 29030979BACKGROUNDXu L, Che S, Chen H, Liu Q, Shi J, Jin J, Hou Y. PPARgamma agonist inhibits c-Myc-mediated colorectal cancer tumor immune escape. J Cell Biochem. 2023 Aug;124(8):1145-1154. doi: 10.1002/jcb.30437. Epub 2023 Jul 2.
PMID: 37393598BACKGROUNDZavareh RB, Spangenberg SH, Woods A, Martinez-Pena F, Lairson LL. HSP90 Inhibition Enhances Cancer Immunotherapy by Modulating the Surface Expression of Multiple Immune Checkpoint Proteins. Cell Chem Biol. 2021 Feb 18;28(2):158-168.e5. doi: 10.1016/j.chembiol.2020.10.005. Epub 2020 Oct 27.
PMID: 33113406BACKGROUNDZhang N, Zeng Y, Du W, Zhu J, Shen D, Liu Z, Huang JA. The EGFR pathway is involved in the regulation of PD-L1 expression via the IL-6/JAK/STAT3 signaling pathway in EGFR-mutated non-small cell lung cancer. Int J Oncol. 2016 Oct;49(4):1360-8. doi: 10.3892/ijo.2016.3632. Epub 2016 Jul 26.
PMID: 27499357BACKGROUND
Biospecimen
Blood samples will be collected and stored at -20°c. RNA will then be extracted followed by cDNA synthesis
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nadia Hamdy, PhD
Faculty of pharmacy Ain Shams university
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of biochemistry and molecular biology
Study Record Dates
First Submitted
June 12, 2024
First Posted
July 16, 2024
Study Start (Estimated)
June 1, 2026
Primary Completion (Estimated)
June 1, 2028
Study Completion (Estimated)
September 1, 2028
Last Updated
July 16, 2024
Record last verified: 2024-07