NCT07608835

Brief Summary

Immunotherapy has helped improve the prognosis of metastatic lung cancer. However, only about 40% of patients respond to conventional immunotherapy with anti-PD(L)-1 agents. This research aims to identify biomarkers of response to immunotherapy at the tumor level and to characterize new therapeutic targets

Trial Health

77
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for not_applicable nonsmall-cell-lung-cancer

Timeline
84mo left

Started Feb 2026

Longer than P75 for not_applicable nonsmall-cell-lung-cancer

Geographic Reach
1 country

1 active site

Status
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 Progress5%
Feb 2026May 2033

First Submitted

Initial submission to the registry

February 11, 2026

Completed
1 day until next milestone

Study Start

First participant enrolled

February 12, 2026

Completed
3 months until next milestone

First Posted

Study publicly available on registry

May 27, 2026

Completed
7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 12, 2033

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 12, 2033

Last Updated

May 27, 2026

Status Verified

May 1, 2026

Enrollment Period

7.2 years

First QC Date

February 11, 2026

Last Update Submit

May 19, 2026

Conditions

Keywords

lung cancerimmunotherapieprogression free survival

Outcome Measures

Primary Outcomes (1)

  • "The primary objective is to assess the association between the immune signature in peripheral blood and the efficacy of immunotherapies in patients with advanced-stage NSCLC

    Overall survival of patients with advanced-stage NSCLC treated with immunotherapy according to their immune signature.

    until the patient's death"or until the end of the patient follow-up period, which is 60 months

Secondary Outcomes (6)

  • Compare immune biomarkers in the blood and in the tumor microenvironment of NSCLC patients

    through study completion, an average of 7 year

  • Compare the expression of immune biomarkers in the tumor microenvironment of localized versus advanced NSCLC

    through study completion, an average of 7 year

  • Identify new immune biomarkers predictive of immunotherapy efficacy in advanced NSCLC

    through study completion, an average of 7 year

  • Study the HVEM/BTLA axis in localized and advanced NSCLC

    through study completion, an average of 7 year

  • Analyze co-signaling molecules, activating receptors, inhibitory receptors, as well as the maturation, exhaustion, and proliferation of anti-tumor immune cells, and cytokines

    through study completion, an average of 7 year

  • +1 more secondary outcomes

Study Arms (2)

patients with localized NSCLC

OTHER

This project is based on the prospective collection of blood and tumor samples from NSCLC patients, along with the corresponding clinical data.One hundred patients with localized NSCLC will be enrolled at each participating center; these are patients with resectable NSCLC treated by surgery.

Procedure: prospective collection of blood and tumor samples

patients with advanced NSCLC

OTHER

One hundred patients with advanced NSCLC will be enrolled at the center whose Principal Investigator is the scientific coordinator. These are patients with unresectable NSCLC who are not eligible for surgery and whose initial treatment consists of medical therapy (chemotherapy and/or immunotherapy). The samples are obtained using non-invasive techniques (mostly CT-guided biopsy and, less frequently, bronchoscopic or esophageal endoscopic biopsy).

Procedure: prospective collection of blood and tumor samples

Interventions

The procedure under study is based on the collection of tissue and blood samples at two time points during the patient's management. The patient will undergo a first sampling at the time of inclusion in the study, followed by a second sampling performed at the time of disease progression. Two types of samples will be collected: blood samples and tumor samples. The protocol-mandated tumor sampling at progression will be performed in the following two situations: 1. If, as part of routine clinical care, a biopsy is planned, an additional tumor sample for the study will be collected. 2. If the patient has consented to undergoing a protocol-specific tumor biopsy at the time of progression

patients with advanced NSCLCpatients with localized NSCLC

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients aged 18 years or older, male or female.
  • Willing to participate in the study and having signed a written informed consent form.
  • Presenting a strong suspicion of localized resectable or advanced unresectable non-small cell lung cancer, or having a histologically confirmed non-small cell lung cancer.
  • Affiliated with a social security system or benefiting from such a system.

You may not qualify if:

  • Individuals in an emergency situation, adults under legal protection (guardianship, curatorship, or judicial protection), or individuals unable to provide informed consent.
  • Inability to comply with the medical follow-up required by the study for geographical, social, or psychological reasons.
  • History of solid organ transplantation or hematopoietic stem cell transplantation.
  • Pregnant or breastfeeding women.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rochigneux

Marseille, Institut Paoli Calmettes, 13009, France

RECRUITING

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungLung Neoplasms

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: the study is interventional because there are blood and tumoral samples taken outside the scope of routine care
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 11, 2026

First Posted

May 27, 2026

Study Start

February 12, 2026

Primary Completion (Estimated)

May 12, 2033

Study Completion (Estimated)

May 12, 2033

Last Updated

May 27, 2026

Record last verified: 2026-05

Locations