AI reads skin scars to pick best cancer treatment
NCT ID NCT05856565
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study aims to develop an artificial intelligence (AI) algorithm that analyzes skin damage (dermatoheliosis) around a melanoma scar to predict whether a patient will respond to anti-PD-1 immunotherapy. Researchers will collect photos and medical data from 700 adults with advanced skin cancer. The goal is to create a simple, non-invasive tool to help doctors choose the most effective treatment for each patient.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 700 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2023
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
700 adult patients' cohorts (500 Retrospective and 200 Prospective cohorts), with an unresectable locally advanced or metastatic melanoma skin cancer, insured under a health insurance scheme and for which we will analyze the dermatoheliosis images and the profile data of response to 1st, 2nd and 3rd line of systemic treatment (best observed response, progression-free survival and overall survial).
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: ▪ Adult patients with inoperable stage III or IV melanoma, or inoperable skin carcinoma (squamous cell carcinoma or basal cell carcinoma). Retrospective cohort: patients who have received curative treatment with anti-PD1, +/- anti-CTLA-4 or anti-LAG-3 for their skin cancer for at least 90 days, with at least 6 months of follow-up, without immunosuppression and whose primary tumour site is not altered by concomitant dermatosis. Adjuvant immunotherapy is tolerated if it was stopped at least 6 months before the start of curative treatment. Interferon is also tolerated if it was stopped at least 6 months before the start of curative treatment. Radiotherapy is tolerated if it did not take place at the site of the primary melanoma scar. For squamous cell carcinomas, prior radiotherapy on the scar is acceptable (it must simply not have been administered during the period of anti-PD-1 treatment in order to be able to reliably assess the response). Inoperable primary tumours are eligible. Targeted therapy is accepted before the start of curative treatment with immunotherapy. Chemotherapy is not accepted prior to the initiation of curative treatment with immunotherapy. ▪ Prospective cohort: Patients who have not received immunotherapy for the management of their skin cancer at the start of curative treatment with anti-PD-1, +/- anti-CTLA-4 or anti-LAG-3. Adjuvant immunotherapy is tolerated if it has been discontinued for at least 6 months prior to the start of curative treatment. Interferon is also tolerated if it has been discontinued for at least 6 months prior to the start of curative treatment. Radiotherapy is tolerated if it has not been administered at the site of the primary cancer scar. Targeted therapy is accepted before starting curative treatment with anti-PD-1, +/- anti-CTLA-4 or anti-LAG-3. Chemotherapy is not accepted before the start of curative treatment with anti-PD-1, +/- anti-CTLA-4 or anti-LAG-3. ▪ Patients who have agreed to participate in the research and have signed an image rights authorisation form. Exclusion criteria: * Retrospective cohort: Patients who have received curative treatment with anti-PD-1, +/- anti-CTLA-4 or anti-LAG-3 for skin cancer for less than 90 days * Patients who received adjuvant immunotherapy within 6 months prior to curative treatment * Patients who received chemotherapy prior to curative treatment * Patients whose primary skin cancer site cannot be photographed (e.g. choroidal melanomas, mucosal melanomas, with the exception of vulvar or penile melanomas, etc.). * Patients treated with systemic corticosteroids (dose greater than 10 mg/day) at the start of the immunotherapy in question, * Patients who are immunocompromised (associated blood disorder, human immunodeficiency virus infection, transplant patients, etc.) at the start of immunotherapy, * Patients with iatrogenic peri-scar vitiligo, * Patients who have refused to participate in the research, * Adults protected by law.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
20 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ambroise Paré Hospital - APHP
NOT_YET_RECRUITINGParis, France
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Angers University Hospital
RECRUITINGAngers, Maine-et-Loire, 49000, France
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Avicenne Hospital - APHP
NOT_YET_RECRUITINGParis, France
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Besancon University Hospital
RECRUITINGBesançon, Bourgogne-Franche-Comté, 25000, France
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Bichat Hospital - APHP
NOT_YET_RECRUITINGParis, France
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Blois Hospital site
NOT_YET_RECRUITINGBlois, France
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Bordeaux University Hospital
NOT_YET_RECRUITINGBordeaux, France
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Brest University Hospital
RECRUITINGBrest, Finistère, 29000, France
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CH du Mans
NOT_YET_RECRUITINGLe Mans, France
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CHU de La Rochelle
NOT_YET_RECRUITINGLa Rochelle, France
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CHU de Rennes
NOT_YET_RECRUITINGRennes, France
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Dijon University Hospital
NOT_YET_RECRUITINGDijon, France
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Eugène Marquis site - Rennes
NOT_YET_RECRUITINGRennes, France
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Grenoble University Hospital
NOT_YET_RECRUITINGGrenoble, France
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ICO
NOT_YET_RECRUITINGSaint-Herblain, France
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Léon Site Bérard in Lyon
NOT_YET_RECRUITINGLyon, France
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Nantes University Hospital
RECRUITINGNantes, France
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Rouen University Hospital
NOT_YET_RECRUITINGRouen, France
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Saint-Louis Hospital - APHP
NOT_YET_RECRUITINGParis, France
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Valence Hospital Site
NOT_YET_RECRUITINGValence, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Real-World melanoma care under the microscope
- New antibody aims to preserve immune checkpoint while fighting cancer
- Can a DNA vaccine teach the immune system to hunt melanoma?
- Can an immune booster make chemo hit melanoma harder?
- A quest to find biomarkers that match melanoma patients with the right immunotherapy
- Can an immunotherapy combo shrink sinonasal tumors before surgery?