Biopsies may reveal why some cancers respond to immunotherapy
NCT ID NCT03412058
First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time
Summary
This study is looking at whether tumor biopsies can help predict which patients with melanoma, non-small cell lung cancer, or head and neck cancer will respond to immunotherapy drugs called PD-1 or PD-L1 inhibitors. Researchers will collect tissue samples from about 152 adults before, during, and after treatment to look for patterns that match with tumor shrinkage. The goal is to develop a 'response signature' that could guide treatment decisions in the future.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tumor biopsies (tissue samples) taken before, during, and after treatment with PD-1 or PD-L1 inhibitors (immunotherapy drugs)
- What this could lead to
- If successful, this could help doctors identify which patients are most likely to benefit from immunotherapy, avoiding unnecessary treatments and side effects.
- What could go wrong
- The study is observational and does not test a new treatment. The predictive signature may not prove accurate, and results may not apply to all patients or cancer types.
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.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
152 people
The number who actually took part.
- Started
-
Jun 2018
- Finished
-
Dec 2025
- Lead sponsor
-
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.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: 1. Age ≥18 years old. 2. Histological confirmed diagnosis of one of the following: * Non-resectable (stage III) or metastatic (stage IV) melanoma, * Metastatic, EGFR- and ALK-negative, non-small cell lung cancer with a high level of PD-L1 expression (defined as a "tumour proportion score" of greater than or equal to 50%) which has not been previously treated with chemotherapy in the metastatic setting, * Head and Neck squamous cell carcinoma that is that is recurrent or progressing following reference chemotherapy and that is not amenable to surgery or radiation therapy. 3. Indicated for treatment with a PD-1 or PD-L1 antagonist according to the European Marketing Authorisation or the conditions of a Temporary Authorisation of Use. 4. Estimated life expectancy ≥16 weeks. 5. Eastern Cooperative Oncology Group (ECOG) performance status score ≤2. 6. Presence of at least one tumour lesion (except bone lesions) accessible to biopsy, if a biopsy is required (see below). 7. Willing and able to provide a pre-treatment biopsy sample, if a biopsy is required. Note: where an archived tumour sample is available, this archived sample can be used in place of a fresh biopsy sample, if the patient has not received any antineoplastic therapy since the collection date. 8. Measurable disease according to RECIST v1.1 (Eisenhauer, 2009). 9. Beneficiary of social insurance coverage. 10. Comprehension of French. 11. Provision of written informed consent (signed and dated) prior to the initiation of any protocol specific procedure. Exclusion Criteria: 1. Any contraindication to treatment with a PD-1 or PD-L1 antagonist. 2. Any contraindication to a biopsy including: platelets \<80 x 10⁹/L, International Normalised Ratio (INR) \>1.5 or prothrombin time (PT) \>1.5 x upper limit of normal range (ULN), prolonged partial thromboplastin time (PTT) in the absence of factor XII deficiency or antiphospholipid antibodies, ongoing treatment with anticoagulants. 3. Bone metastasis as the only disease site available for biopsy. 4. Previous treatment with a PD-1 or PD-L1 antagonist. 5. Individuals deprived of liberty or placed under the authority of a tutor. 6. Any condition which in the Investigator's opinion makes it undesirable for the subject to participate in the trial or which would jeopardize compliance with the protocol.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Head and neck squamous cell carcinoma are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
Contacts and locations
Locations
-
CHU Saint-Etienne, Hôpital Nord
Saint-Etienne, France
-
CHU de Tours
Tours, France
-
Centre Antoine Lacassagne
Nice, France
-
Centre Eugène Marquis
Rennes, France
-
Centre Georges François Leclerc
Dijon, France
-
Centre Hospitalier Inter. de Creteil
Créteil, France
-
Centre Hospitalier de Caen
Caen, France
-
Centre Jean Perrin
Clermont-Ferrand, 63011, France
-
Centre Léon Bérard
Lyon, France
-
Centre Oscar lambret
Lille, France
-
Gustave Roussy
Villejuif, France
-
Institut Bergonie
Bordeaux, France
-
Institut Cancérologie de Lorraine
Vandœuvre-lès-Nancy, France
-
Institut Claudius Regaud - IUCT- 0
Toulouse, France
-
Institut Curie
Paris, France
-
Institut Curie - Hôpital René Huguenin
Saint-Cloud, France
-
Institut Jean Godinot
Reims, France
-
Institut Régional du Cancer de Montpellier
Montpellier, France
-
Institut de cancérologie de l'ouest
Nantes, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two-Drug combo targets stubborn KRAS lung cancer
- New PET tracer aims to light up hidden cancer targets
- Smaller chest drain may speed recovery after lung cancer surgery
- Gut bacteria may hold clues to why some cancer treatments work better
- Breath-Tracking sensor aims to sharpen lung cancer scans
- Can immunotherapy before surgery stop early oral cancer from returning?