Head and Neck Squamous Cell Carcinoma
Conditions
Keywords
Head and Neck Squamous Cell Carcinoma, cancer-specific immunity, cancer immunology, cancer-testis antigens, human papilloma virus, immune modulatory cells
Brief summary
The IRECT trial is a non-interventional, prospective clinical trial using modern immune monitoring techniques over the course of the standard of care for HNSCC. The dynamics of host/tumor immune interactions during the conventional standard treatment will be analyzed to find the most promising target antigen and to develop a strategy how and when specific immunotherapy should be added to the current treatment schedule. The results from this trial will help to understand how state of the art treatment can be complemented using cancer-testis antigen specific vaccines and immune-modulating drugs to improve the outcome of head and neck cancer patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* newly diagnosed patients with stage III-IVa/b head and neck squamous cell carcinoma * fit for treatment with curative intent * conventional primary treatment * primary surgical treatment * primary radiotherapeutic treatment * informed consent * \>18 years of age * sufficient contraception
Exclusion criteria
* distant metastasis at baseline * severe concomitant disease compromising curative treatment * previously diagnosed other malignant diseases * active immunosuppressive therapy * known immune defect * pregnancy * anemia requiring treatment at study entry (\<9g/dl)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| prevalence of spontaneous tumor-specific immunity at baseline | baseline |
| dynamics of tumor-specific immunity and immune modulatory cells during conventional treatment | 7-12 weeks (treatment phase) |
| dynamics of tumor-specific immunity and immune modulatory cells during follow up | 12 months after end of treatment |
Secondary
| Measure | Time frame |
|---|---|
| overall survival at 3 years | baseline - 3 years |
| progression free survival at 3 years | baseline - 3 years |