Trained Immunity in Thyroid Carcinoma and Colon Carcinoma

Last updated: November 16, 2023
Sponsor: Radboud University Medical Center
Overall Status: Active - Recruiting

Phase

N/A

Condition

Colon Cancer

Colon Cancer; Rectal Cancer

Colorectal Cancer

Treatment

no intervention will take place

Clinical Study ID

NCT05280379
NL79885.091.21
  • Ages > 18
  • All Genders

Study Summary

Tumor-related inflammation is one of the hallmarks of cancers in general. Innate immunity specifically is a common denominator which is involved in the pathogenesis of both thyroid carcinoma and colon carcinoma. To improve the patient's outcome and identify novel therapeutic targets, one needs a deeper understanding of the tumor-induced changes in the bone marrow myeloid progenitor cells. Furthermore, treatment of these cells by nanoparticles or other agents that induce a program of 'trained immunity' may be a novel way to re-educate myeloid cells and their bone marrow progenitors in thyroid carcinoma patients. Lastly, the investigators expect that this approach could be effective also in other cancers of which colon carcinoma is here proposed as an additional model.

The investigators hypothesize that by exposing myeloid cells or their progenitors to various agents that induce trained immunity (e.g. high-density-lipoprotein-methylene diphosphonate nanoparticles, recombinant and synthetic cytokines), these immune cells will undergo functional reprogramming to induce a tumor-suppressive phenotype. In the future, this could be explored as a novel immunotherapy for tumors that are refractory to conventional treatment.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • At least 18 years old and mentally competent
  • Newly diagnoses non-medullary thyroid carcinoma or colon carcinoma that is therapynaïve
  • Planned to receive conventional treatment for the malignancy by surgery

Exclusion

Exclusion Criteria:

  • Mentally incompetent
  • Pregnant or breastfeeding
  • Known inflammation or infectious disease or an immunosuppressive status
  • Using medication interfering with the immune system
  • Reduced platelets counts or other conditions associated with an increased risk ofbleeding
  • Severe comorbidities: other active malignancy (except for basal cell carcinoma andother in situ carcinomas)
  • Previous anti-cancer treatment, such as chemotherapy, radiotherapy or surgical removalor the primary tumor
  • Serious psychiatric pathology
  • A self-reported alcohol consumption of >21 units per week

Study Design

Total Participants: 60
Treatment Group(s): 1
Primary Treatment: no intervention will take place
Phase:
Study Start date:
September 19, 2022
Estimated Completion Date:
April 07, 2025

Connect with a study center

  • RadboudUMC

    Nijmegen, Gelderland 6525GA
    Netherlands

    Active - Recruiting

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