Hematological Malignancies B
Conditions
Brief summary
Cancer-specific splice variants gain significant interest as they generate neo-antigens, that could be targeted by immune cells. CD20, a membrane antigen broadly expressed in mature B cell lymphomas, is subject to an alternative splicing named Delta-CD20 leading to loss of membrane expression of the spliced isoform. The investigators group would now determine if it's possible, in patients with lymphoproliferative B, to detect the presence of a specific memory response to delta-CD20 peptides. If this memory response exists, it will confirm the interest of this antigen as a target for tumor immunotherapy.
Interventions
blood and tissue samples
Sponsors
Study design
Eligibility
Inclusion criteria
* For all patient : •Written informed consent * For Cohort A : * Patient with hematological malignancy of high grade phenotype B (non Hodgkin's lymphoma diffuse large cell) or low grade (mantle cell lymphoma, follicular lymphoma, marginal zone lymphoma or Waldenstrom disease), regardless the initial extension stage. * Histologically or cytologically and immunophenotypical confirmed * Patient candidate to a second-line or more therapy * First-line treatment with rituximab * For Cohort B : * Absence of prior treatment with an anti-CD20 antibody * Histologically or cytologically and immunophenotypical confirmed
Exclusion criteria
* For all patients : * Patient with any medical or psychiatric condition or disease, * Patient under guardianship, curatorship or under the protection of justice and pregnant women * For Cohort A : * Patient with chronic lymphocytic leukemia * Patient with indolent lymphoma relapsed more than 1 year after treatment with Rituximab * Patient allogeneic hematopoietic cells * Patient with linked lymphoproliferative syndrome with congenital immunosuppression (eg SCID, XLP ...) or acquired (post-transplant lymphoma)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| presence of Delta-CD20 T cell responses measured by ELISPOT assay | at inclusion |
Countries
France