NCT06502249

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

63
Monitor

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for all trials

Timeline
27mo left

Started Jun 2026

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
not yet 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

First Submitted

Initial submission to the registry

June 12, 2024

Completed
1 month until next milestone

First Posted

Study publicly available on registry

July 16, 2024

Completed
1.9 years until next milestone

Study Start

First participant enrolled

June 1, 2026

Expected
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2028

3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2028

Last Updated

July 16, 2024

Status Verified

July 1, 2024

Enrollment Period

2 years

First QC Date

June 12, 2024

Last Update Submit

July 8, 2024

Conditions

Keywords

Immune checkpoint proteinspioglitazoneprodigiosinTIME

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

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

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

Location

Related Publications (20)

  • Abdelhamed S, Ogura K, Yokoyama S, Saiki I, Hayakawa Y. AKT-STAT3 Pathway as a Downstream Target of EGFR Signaling to Regulate PD-L1 Expression on NSCLC cells. J Cancer. 2016 Jul 18;7(12):1579-1586. doi: 10.7150/jca.14713. eCollection 2016.

    PMID: 27698894BACKGROUND
  • Anwar 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.

    PMID: 32895397BACKGROUND
  • Casey SC, Baylot V, Felsher DW. MYC: Master Regulator of Immune Privilege. Trends Immunol. 2017 Apr;38(4):298-305. doi: 10.1016/j.it.2017.01.002. Epub 2017 Feb 21.

    PMID: 28233639BACKGROUND
  • Fu 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: 37342680BACKGROUND
  • Gao 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: 36721232BACKGROUND
  • Gou 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: 37096255BACKGROUND
  • Harada 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: 24675568BACKGROUND
  • Jia 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: 37105516BACKGROUND
  • Lv 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: 35874717BACKGROUND
  • Mbofung 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: 28878208BACKGROUND
  • Proia 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: 25948551BACKGROUND
  • Qin 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: 31690319BACKGROUND
  • Rahmy 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: 36341371BACKGROUND
  • Rebe 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: 31480382BACKGROUND
  • Siegel 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: 36633525BACKGROUND
  • Tokhanbigli 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: 37645031BACKGROUND
  • Tsubaki 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: 29030979BACKGROUND
  • Xu 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: 37393598BACKGROUND
  • Zavareh 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: 33113406BACKGROUND
  • Zhang 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

Retention: SAMPLES WITH DNA

Blood samples will be collected and stored at -20°c. RNA will then be extracted followed by cDNA synthesis

MeSH Terms

Conditions

Lung Neoplasms

Condition Hierarchy (Ancestors)

Respiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Nadia Hamdy, PhD

    Faculty of pharmacy Ain Shams university

    PRINCIPAL INVESTIGATOR

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

Locations