SkinTher: New Tumor Models in Three Dimensions and in a Human Skin Environment for Personalized Melanoma Therapy
Study Details
Study Description
Brief Summary
The choice of treatment of patients with metastatic melanoma depends on the status of B-RAF of the tumor: in the absence of mutation, treatment with immunotherapy (currently anti-PD1) is proposed in the first line; When B-RAF is mutated, treatment with targeted therapies is retained: B-RAF and MEK inhibitors are prescribed in combination (vemurafenib + cobimetinib or dabrafenib + trametinib).
Patient response rates for targeted therapies range from 50 to 60%, and the occurrence of sometimes severe side effects is not predictable. There are currently no predictive biomarkers of patients' response to targeted therapy molecules. The in vitro evaluation of the intrinsic sensitivity of the cells of patients to different combinations of targeted therapy molecules would make it possible to propose the best therapeutic combinations. The cutaneous metastases are chosen in the model because of easy access to collect tumor tissue.
The most relevant in vitro models for mimicking cutaneous melanoma metastases are explant cultures and human skin equivalents.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Other: Patient with stage IV melanoma
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Other: Development of the most specific physiologically relevant experimental patient models
Development of the most specific physiologically relevant experimental patient models: organotypic culture of biopsies, reconstituted skin (equivalents of dermis with melanoma, dermis equivalents and epidermis with melanoma), and in vitro evaluation The response of tumor cells to different combinations of targeted therapy molecules
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Outcome Measures
Primary Outcome Measures
- Evaluating in vitro the response of tumor cells to different combinations of targeted therapy molecules [30 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Major Patients,
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patients with melanoma (stage IV) with cutaneous metastases,
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seronegative HIV, HBV, HCV, HTLV1.
Exclusion Criteria:
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Absence of cutaneous metastasis or in transit
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HIV or HBV or HCV or HTLV1 seropositivity
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Patient minor, patient under guardianship or curatorship
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CHU Amiens Picardie | Amiens | Picardie | France | 80054 |
Sponsors and Collaborators
- Centre Hospitalier Universitaire, Amiens
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PI2016_843_0021