Liver Cancer, Adult
Conditions
Keywords
immunophenotype, HCC patients, immunotherapy
Brief summary
The study is aimed to test the performance of a simple, easy, reproducible cytofluorimetric assay to complement imaging studies for: * predicting response to immune-therapeutic regimens in HCC in the early phase of treatment, * to rule out pseudo-progression, * to early predict the escape from effectiveness of treatment.
Detailed description
* To assess the accuracy of biomarkers from an immunophenotypic test (CD8+, PD1+, PD-L1+, CTLA4+, LAG3+, CD8+PD1+, CD8+PDL1+ peripheral lymphocyte populations and circulating granulocytes) in predicting the response to immuno-therapy in patients affected by hepatocellular carcinoma (HCC). * To compare the transcriptomic signatures of peripheral blood mononuclear cells (PBMC) of responders and non-responders (assessed at the first imaging study). RNAseq data will be validated by RT-PCR in independent prospective cohorts.
Interventions
Immunochemotherapy combined with antiangiogenic
Sponsors
Study design
Eligibility
Inclusion criteria
* age ≥ 18 years * diagnosis of HCC * execution of laboratory tests and subsequent treatments and follow-up at our center. * obtained written informed consent to the study participation
Exclusion criteria
* immune-related concomitant diseases * HIV infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To find predictive biomarkers of response to immunotherapy in HCC | at 3 month | Sensitivity and specificity of CD8+, PD1+, PD-L1+, CTLA4+, LAG3+, TIGIT+, CD8+PD1+, CD8+PDL1+ peripheral lymphocytes and granulocytes for tumor response prediction according to RECIST 1.1 criteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To compare the transcriptomic signatures of PBMC of responders and non-responders | At 3 months | Tumor response according to RECIST 1.1 criteria |
Countries
Italy