Hematological Malignancy
Conditions
Brief summary
Hematological malignancy is a disease of the blood. In some cases, this pathology requires therapeutic management, which is not necessarily the case for you. Nevertheless, to improve the management of patients who need it, we are conducting research to assess the state of your immune system. Indeed, the role of the immune system is not limited to controlling infections, but is also important in controlling the proliferation of cancer cells, in hematology as in other types of cancer. Your immune system can play a spontaneous anti-tumor control role, but some so-called immunotherapy treatments aim to destroy cancer cells by stimulating the immune system, restoring its capabilities, and directing the immune response against tumor cells. For this immunotherapy treatment to be effective, since it uses your own immune cells (in most cases), these cells must be in a state to respond and be able to destroy the tumor. It is this ability to activate immune cells that is tested in this research protocol, using a simple test that could in future be used in routine clinical practice. But to understand why these immune cells don't work, we will also have to carry out genetic tests to analyze the various molecules that could interfere with the immune response, and try to inhibit the molecules that prevent the immune response.
Interventions
Additional blood sampling as part of routine care
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or Female over 18 years of age * Patient with a hematological malignancy likely to benefit from immunotherapy (in any form; at the discretion of the referring physician) * Before the start of 1st-line treatment, successive lines or before autograft (chemotherapy-free for at least 4 weeks in these cases). * Patient has received information about the study and has not expressed opposition. * Patient who is a beneficiary or entitled beneficiary of a social security scheme
Exclusion criteria
* Person in a period of exclusion from another research protocol at the time the non-opposition is signed. * Subjects covered by articles L1121-5 to 1121-8 of the French Public Health Code, i.e. : * Persons deprived of their liberty by judicial or administrative decision * Persons subject to psychiatric monitoring under articles L3112-1 and L3113-1 who are not covered by the provisions of article L1121-8 * Minors * Adults under legal protection or unable to express their consent. * A person who cannot read and understand the French language well enough to be able to consent to take part in research.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentages of immune effectors | At the enrollement in the study | Percentages of immune effectors responding to stimulation, assessed in patients with hematological malignancies |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Activation percentages (cytometry) vs. polymorphism expression percentage (molecular biology) | At the enrollement | Analysis and comparison of activation percentages (cytometry) vs. polymorphism expression percentage (molecular biology) |
Countries
France