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出境医 / 临床实验 / PATAKESS Protocol : Clinical and Biological Analysis of Exocrine Pancreatic Tumors (PATAKESS)

PATAKESS Protocol : Clinical and Biological Analysis of Exocrine Pancreatic Tumors (PATAKESS)

Study Description
Brief Summary:

PATAKESS is a monocentric non interventional cohort study (prospective (alive patients) and retrospective (dead patients with biological material from surgery and/or biopsies already collected)).

PATAKESS consists of clinical and biological analyses of exocrine pancreatic tumors. Data are derived from tumor samples taken for routine health care purposes in patients managed at Centre Léon Bérard (Lyon-France) since January 2010. The main objective is to determine correlation between biological and clinical characterizations of patients suffering from exocrine pancreatic tumor.


Condition or disease
Exocrine Pancreatic Cancer

Detailed Description:

Pancreatic adenocarcinoma cancer is an aggressive cancer which represents 95% of pancreatic cancer. Pancreatic adenocarcinoma cancer is one of the deadliest cancers (5th cause of death per cancer) ; it has a very poor prognosis: 5-year survival (regardless of all stades at diagnosis). Pancreatic adenocarcinoma cancer is characterized by early metastasis. Therefore, development of efficient systemic therapeutics is one of the keys to improving prognosis. Newly developed immune check-point inhibitors seem to have limited efficacy in pancreatic adenocarcinoma except for MSI-H (Microsatellite instability-high) or dMMR (mismatch repair deficient)/MSI-H tumors.

However, recent data suggest that immune surveillance could control metastatic dissemination of pancreatic adenocarcinoma cancer. Several studies showed strong interactions between pancreatic tumor cells and tumor stroma in metastatic dissemination and in resistance to conventional therapeutics. Many data about pancreatic primitive tumors from murine animals models are available ; however few data on tumor stroma and its interactions with tumor cells of metastasis from adenocarcinoma pancreas are available. Few data on correlation between molecular alterations types (mutations, deletions, amplifications) in pancreatic adenocarcinoma cells and tumor stroma characteristics (primitive and metastatic stroma (cells composition, immune infiltration)) are also available.

In PATAKESS study, clinical and biological data are derived from tumor samples taken for routine health care purposes in patients managed at Centre Léon Bérard (Lyon-France) since January 2010.

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 100 participants
Observational Model: Cohort
Time Perspective: Other
Official Title: PATAKESS Protocol : Clinical and Biological Analysis of Exocrine Pancreatic Tumors
Estimated Study Start Date : April 2020
Estimated Primary Completion Date : April 2023
Estimated Study Completion Date : April 2023
Arms and Interventions
Outcome Measures
Primary Outcome Measures :
  1. Determination of the correlation between clinical characterizations and biological characterizations of patients suffering from exocrine pancreatic cancer [ Time Frame: Up to 36 months ]
    Clinical characteristics of patients are consistent with tumor response at each treatment line and disease stage at diagnosis ; Biological characteristics will describe molecular alterations of the tumor by sequencing techniques like Next Generation Sequencing (NGS)


Secondary Outcome Measures :
  1. Comparison of different tumor stroma : from surgery specimen of primitive tumor with preoperative chemotherapy, versus from surgery specimen of primitive tumor without preoperative chemotherapy, versus from biopsies done before chemotherapy [ Time Frame: Up to 36 months ]
    Comparative characterization of the different stroma by immunological detection

  2. Comparison of different tumor stroma : from surgery specimen of primitive tumor with preoperative chemotherapy, versus from surgery specimen of primitive tumor without preoperative chemotherapy, versus from biopsies done before chemotherapy [ Time Frame: Up to 36 months ]
    Comparative characterization of the different stroma by NGS

  3. Comparison of tumor stroma from primitive tumor versus from metastases [ Time Frame: Up to 36 months ]
    Comparative characterization of the different stroma by immunological detection

  4. Comparison of tumor stroma from primitive tumor versus from metastases [ Time Frame: Up to 36 months ]
    Comparative characterization of the different stroma by NGS


Biospecimen Retention:   Samples Without DNA
Exocrine pancreatic tumor samples from initial diagnosis biopsy and/or from surgery specimen of primitive tumor and/or from metastases.

Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients operated on for exocrin pancreatic adenocarcinoma since January 1st, 2010.
Criteria

Inclusion Criteria:

  • Male or female patient 18 age or older
  • Patient operated on for exocrine pancreatic adenocarcinoma at Centre Léon Bérard since 01/01/2010.
  • Histological diagnosis of exocrine pancreatic adenocarcinoma confirmed with surgery specimen.

Exclusion Criteria:

  • Not applicable
Contacts and Locations

Contacts
Layout table for location contacts
Contact: Philippe CASSIER 04 26 55 68 33 philippe.cassier@lyon.unicancer.fr

Sponsors and Collaborators
Centre Leon Berard
Investigators
Layout table for investigator information
Principal Investigator: Philippe CASSIER Centre Leon Berard
Tracking Information
First Submitted Date June 20, 2019
First Posted Date July 9, 2019
Last Update Posted Date February 5, 2020
Estimated Study Start Date April 2020
Estimated Primary Completion Date April 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 4, 2019)
Determination of the correlation between clinical characterizations and biological characterizations of patients suffering from exocrine pancreatic cancer [ Time Frame: Up to 36 months ]
Clinical characteristics of patients are consistent with tumor response at each treatment line and disease stage at diagnosis ; Biological characteristics will describe molecular alterations of the tumor by sequencing techniques like Next Generation Sequencing (NGS)
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: July 4, 2019)
  • Comparison of different tumor stroma : from surgery specimen of primitive tumor with preoperative chemotherapy, versus from surgery specimen of primitive tumor without preoperative chemotherapy, versus from biopsies done before chemotherapy [ Time Frame: Up to 36 months ]
    Comparative characterization of the different stroma by immunological detection
  • Comparison of different tumor stroma : from surgery specimen of primitive tumor with preoperative chemotherapy, versus from surgery specimen of primitive tumor without preoperative chemotherapy, versus from biopsies done before chemotherapy [ Time Frame: Up to 36 months ]
    Comparative characterization of the different stroma by NGS
  • Comparison of tumor stroma from primitive tumor versus from metastases [ Time Frame: Up to 36 months ]
    Comparative characterization of the different stroma by immunological detection
  • Comparison of tumor stroma from primitive tumor versus from metastases [ Time Frame: Up to 36 months ]
    Comparative characterization of the different stroma by NGS
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title PATAKESS Protocol : Clinical and Biological Analysis of Exocrine Pancreatic Tumors
Official Title PATAKESS Protocol : Clinical and Biological Analysis of Exocrine Pancreatic Tumors
Brief Summary

PATAKESS is a monocentric non interventional cohort study (prospective (alive patients) and retrospective (dead patients with biological material from surgery and/or biopsies already collected)).

PATAKESS consists of clinical and biological analyses of exocrine pancreatic tumors. Data are derived from tumor samples taken for routine health care purposes in patients managed at Centre Léon Bérard (Lyon-France) since January 2010. The main objective is to determine correlation between biological and clinical characterizations of patients suffering from exocrine pancreatic tumor.

Detailed Description

Pancreatic adenocarcinoma cancer is an aggressive cancer which represents 95% of pancreatic cancer. Pancreatic adenocarcinoma cancer is one of the deadliest cancers (5th cause of death per cancer) ; it has a very poor prognosis: 5-year survival (regardless of all stades at diagnosis). Pancreatic adenocarcinoma cancer is characterized by early metastasis. Therefore, development of efficient systemic therapeutics is one of the keys to improving prognosis. Newly developed immune check-point inhibitors seem to have limited efficacy in pancreatic adenocarcinoma except for MSI-H (Microsatellite instability-high) or dMMR (mismatch repair deficient)/MSI-H tumors.

However, recent data suggest that immune surveillance could control metastatic dissemination of pancreatic adenocarcinoma cancer. Several studies showed strong interactions between pancreatic tumor cells and tumor stroma in metastatic dissemination and in resistance to conventional therapeutics. Many data about pancreatic primitive tumors from murine animals models are available ; however few data on tumor stroma and its interactions with tumor cells of metastasis from adenocarcinoma pancreas are available. Few data on correlation between molecular alterations types (mutations, deletions, amplifications) in pancreatic adenocarcinoma cells and tumor stroma characteristics (primitive and metastatic stroma (cells composition, immune infiltration)) are also available.

In PATAKESS study, clinical and biological data are derived from tumor samples taken for routine health care purposes in patients managed at Centre Léon Bérard (Lyon-France) since January 2010.

Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Other
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples Without DNA
Description:
Exocrine pancreatic tumor samples from initial diagnosis biopsy and/or from surgery specimen of primitive tumor and/or from metastases.
Sampling Method Non-Probability Sample
Study Population Patients operated on for exocrin pancreatic adenocarcinoma since January 1st, 2010.
Condition Exocrine Pancreatic Cancer
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Not yet recruiting
Estimated Enrollment
 (submitted: July 4, 2019)
100
Original Estimated Enrollment Same as current
Estimated Study Completion Date April 2023
Estimated Primary Completion Date April 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Male or female patient 18 age or older
  • Patient operated on for exocrine pancreatic adenocarcinoma at Centre Léon Bérard since 01/01/2010.
  • Histological diagnosis of exocrine pancreatic adenocarcinoma confirmed with surgery specimen.

Exclusion Criteria:

  • Not applicable
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Philippe CASSIER 04 26 55 68 33 philippe.cassier@lyon.unicancer.fr
Listed Location Countries Not Provided
Removed Location Countries  
 
Administrative Information
NCT Number NCT04011982
Other Study ID Numbers ET19-033 (PATAKESS)
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Responsible Party Centre Leon Berard
Study Sponsor Centre Leon Berard
Collaborators Not Provided
Investigators
Principal Investigator: Philippe CASSIER Centre Leon Berard
PRS Account Centre Leon Berard
Verification Date June 2019

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