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Understanding immunE-related toXicities by multifACeT Profiling

EXACT - Understanding immunE-related toXicities by multifACeT Profiling

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05331066
Acronym
EXACT
Enrollment
200
Registered
2022-04-15
Start date
2022-04-06
Completion date
2028-04-06
Last updated
2025-10-01

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

Conditions

Oncology

Brief summary

A prospective observational cohort study of patients undergoing CPI therapy in which translational research is the fundamental aspect of the study.

Detailed description

The study aims to enroll and obtain samples of investigational interest from 200 patients over a 36-month recruitment period. Blood and/ or stool samples will be taken at baseline, in context of irAE development / during CPI treatment and during follow-up. Skin samples may also be taken upon development of organspeciifc irAEs. Further assessments at baseline or during the course of or following treatment will be conducted in accordance with standard institutional practice and will be clinically driven. Clinical data, samples and results from archival, current or prospective diagnostic or therapeutic procedures will be used for research purposes within EXACT. IrAE clinical monitoring will be conducted in accordance with standard institutional practice and will be clinically driven.

Interventions

None listed

Sponsors

Royal Marsden NHS Foundation Trust
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Written informed consent * Age 18 years or older * Confirmed diagnosis of any form of solid malignancy with a clinical indication and appropriate treatment plan to commence immune checkpoint inhibitor therapy

Exclusion criteria

* Medical or psychological condition that would preclude informed consent * Planned participation in a drug trial receiving investigational agents * Subjects who have previously commenced immune checkpoint inhibitor therapy prior to study entry. * Subjects unable to comply with the study or sample schedule.

Design outcomes

Primary

MeasureTime frameDescription
Patients who experience irAEs36 monthsTo determine the proportion of patients who experience irAEs during treatment with CPI.

Secondary

MeasureTime frameDescription
Biological and clinical characteristics60 monthsTo profile biological and clinical characteristics at baseline and during treatment with CPI to detect indicators predictive of the development of immunotherapy-related adverse events (irAEs).
Time to development of irAEs36 monthsTo determine time to clinical development of irAEs during treatment with CPI.
Proportion of patients experiencing irAEs60 months• To determine the proportion of patients experiencing any irAE during long-term follow up, post treatment.

Other

MeasureTime frameDescription
Impact on patients quality of life using patient questionnaires60 months• Explore the quality-of-life impact on patients enrolled in longitudinal multi-facet disease profiling and in patients who develop irAEs.

Countries

United Kingdom

Contacts

Primary ContactLaura Boddy
exact@rmh.nhs.uk020 7352 8171
Backup ContactArjun Modi
exact@rmh.nhs.uk

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026