Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Biomarkers and immune responses in early-stage solid cancers treated with immunotherapy

Official title: Monitoring of Immunological Mechanisms and Biomarkers Underlying Efficacy of Immunotherapy in Patients With Early Stage Cancer

Run by Institut Claudius Regaud · NCT07427186 · Data updated 2026-11-12

This study tests immune biomarkers in patients with early-stage solid cancers who are receiving immune checkpoint blockade before surgery.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment600 (estimated)
SponsorInstitut Claudius Regaud
Academic / other
Drugs / interventionschemotherapy, immunotherapy
Locations3 sites (Toulouse and 2 other locations)
StatusRecruiting
StartedAugust 6, 2026
Main results expectedAugust 6, 2041
Study endsAugust 6, 2041
Registry record updatedAugust 19, 2026
Trial IDNCT07427186 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+ years) with histologically confirmed early-stage solid tumors (e.g., NSCLC, head and neck cancer, melanoma, bladder cancer) planned for neo-adjuvant IO therapy, with archived tumor tissue available.

Probably not a fit

Patients with tumor types unlikely to respond to IO or those not receiving neo-adjuvant IO may derive no direct benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter prospective cohort follows patients with early-stage solid cancers treated with immune checkpoint inhibitors, with or without chemotherapy, in the neo-adjuvant setting. Blood samples are collected at multiple time points and tumor tissue is available for research, though no additional biopsy is required specifically for the trial. The goal is to identify immunological biomarkers and understand how the immune system responds to neo-adjuvant immunotherapy, potentially extending to adjuvant settings. Eligible cancers include NSCLC, head and neck cancer, melanoma, bladder cancer, and other solid tumors where IO is expected to work in the neo-adjuvant setting. The study analyzes immune dynamics related to treatment and tumor antigens to see how these factors relate to therapeutic efficacy.

Why it matters

Potential benefit: Identifying biomarkers could help predict which patients will benefit from immunotherapy in the early-stage setting and guide personalized treatment.

How similar studies have gone: Previous studies in IO biomarker discovery have shown promise, but translational biomarker work in the neo-adjuvant, multi-tumor setting remains exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
* Inclusion Criteria:

  1. Age ≥18 years at the time of study entry.
  2. Patient with histologically documented early stage solid malignant tumor (NSCLC, head and neck cancer, melanoma (except uveal melanoma), bladder cancer or any other early stage solid tumor when I-O agent is expected to be efficient in a neo-adjuvant setting (whether in standard of care or within a clinical trial).
  3. Patient for whom a neo-adjuvant treatment with immune checkpoint blockade including, but not limited to, anti-PD-1, anti-PD-L1 and anti-CTLA-4 mAb alone or in combination with chemotherapy or other therapies has been decided.
  4. Availability of an archived tumor specimen (block FFPE) sampled prior to the start of the treatment.
  5. Treatment with ICB not yet started.
  6. ECOG Performance status 0-2.
  7. Patient able to participate and willing to give informed consent prior to performance of any study-related procedures.
  8. Patient affiliated to a Social Health Insurance in France.
* Exclusion Criteria:

  1. Patient pregnant, or breast-feeding.
  2. Uveal melanoma
  3. Any condition contraindicated with tumor /blood sampling procedures required by the protocol.
  4. Known history of positive test for hepatitis B virus or hepatitis C virus or human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS).
  5. Any current severe or uncontrolled disease, including, but not limited to ongoing or active infection and auto immune disorders.
  6. Any psychological, familial, geographic or social situation, according to the judgment of investigator, potentially preventing the provision of informed consent or compliance to study procedure.
  7. Patient who has forfeited his/her freedom by administrative or legal award or who is under guardianship.

Where it's running

  • Institut Universitaire Du Cancer de Toulouse - Oncopole
    Toulouse, France
    Recruiting
  • Chu Rangueil
    Toulouse, France
    Not yet recruiting
  • Hopital Larrey
    Toulouse, France
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.