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Pilot Study With the Aim to Quantify a Stress Protein in the Blood and in the Urine for the Monitoring and Early Diagnosis of Malignant Solid Tumors

Pilot Study With the Aim to Quantify a Stress Protein in the Blood and in the Urine for Early Diagnosis of Malgnant Solid Tumors

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02662621
Acronym
EXODIAG
Enrollment
71
Registered
2016-01-25
Start date
2015-12-15
Completion date
2019-04-08
Last updated
2025-06-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cancer

Keywords

personalized care, early diagnosis, ovarian cancer, breast cancer, lung cancer, Early Detection, Cancer [E01.390.500]

Brief summary

Recent studies shows that extracellular vesicles (named exosomes) released by cancer cells exhibit at their membrane the stress protein HSP70, contrary to exosomes released by normal cells. These exosomes (HSP70-exosomes) have a very important role in intercellular communication and have specific biological functions that can promote tumor progression. They are found in the different biological fluids such as blood and urine. We have developed a protocol able to isolate exosomes in blood and urine. We also demonstrated that only exosomes derived from cancer cell have HSP70 at their membrane. Those results strongly suggest that we can only identify exosomes with HSP70 at the membrane in patients with cancer. Detection of HSP70-exosomes in the diagnosis of patients is a promising pathway of research. Because a cancer cell can releases a large amount of exosomes (several billion) and since its appearance, our approach will allow to earlier detect cancer with respect to the use of imaging and circulating tumor cells (CTCs), which remains a rare event (about one CTC of 1 billion cells). The aim of this study is to demonstrate that HSP70-exosomes could be used for early diagnosis of patients with malignant solid tumor. In order to demonstrate this, the objective of the study is to study blood and urine samples from 60 subjects with a malignant tumor and 20 healthy subjects (witness).

Interventions

OTHERblood samples

Sponsors

INSERM U866 Faculté de Médecine et Pharmacie
CollaboratorUNKNOWN
Centre Georges Francois Leclerc
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

for patients * Women newly diagnosed with either: * Infiltrating non-metastatic breast cancer (positive or negative HER2 status or hormone therapy) * Breast cancer with a first metastasis evolution (positive or negative HER2 status or hormone therapy). * Ovarian cancer stage III and IV, * Men and women who are newly diagnosed non-small cell lung cancer metastatic, * Age ≥18 years * Affiliation to a social security system, * Signed Informed consent.

Exclusion criteria

for patients: * Patient with another synchronous tumor, * Men with breast cancer, * Positive HIV and / or HBV and / or HCV serology * Patients unable to undergo a medical monitoring for geographical, social or psychological condition, * Pregnant or nursing women, * People enjoying a major protection system (including trusteeship and guardianship). Inclusion criteria for healthy volonter * Men or women aged 50-70 years (mean age of onset of various cancers in the study) * Affiliation to a social security system, * Signed Informed consent.

Design outcomes

Primary

MeasureTime frame
concentration of HSP70 exosomes in the blood and urine1 year

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026