Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Exploring the relationship between the immune system and gastrointestinal cancers

Official title: Interaction Between Host, Microenvironment and Immunity on Gastrointestinal Neoplasms: A Retro-prospective Cohort Study

Run by Assistance Publique - Hôpitaux de Paris · NCT04363983 · Data updated 2026-11-12

This study is trying to see how the immune system and the environment around tumors affect how long people with gastrointestinal cancers, like colorectal and pancreaticobiliary cancers, can survive.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment6300 (estimated)
SponsorAssistance Publique - Hôpitaux de Paris
Academic / other
Drugs / interventionschemotherapy, immunotherapy
Locations1 site (Boulogne-Billancourt)
StatusRecruiting
StartedJanuary 13, 2021
Main results expectedJanuary 2031
Study endsJanuary 2031
Registry record updatedFebruary 23, 2022
Trial IDNCT04363983 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with diagnosed gastrointestinal cancers such as colorectal, pancreatic, biliary tract, or gastro-oesophageal tumors.

Probably not a fit

Patients who are under guardianship, foreign patients without proper medical coverage in France, or those who are pregnant or breastfeeding may not benefit from this study.

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

What this trial studies

This study investigates how the characteristics of the tumor microenvironment and the immune system affect the survival of patients with gastrointestinal cancers, particularly colorectal and pancreaticobiliary cancers. It includes a retrospective cohort of 150 patients diagnosed between 1998 and 2020 and a prospective cohort of 3000 patients diagnosed between 2020 and 2030, with a follow-up period of 10 years. The study will analyze molecular subgroups through DNA and RNA analysis, as well as assess the impact of host factors such as microbiota and metabolism on treatment response and tolerance. All treatment decisions will be made by the investigator physician based on established guidelines.

Why it matters

Potential benefit: If successful, this study could provide insights that improve survival rates and treatment responses for patients with gastrointestinal cancers.

How similar studies have gone: While the specific approach of this study may be novel, similar studies exploring the relationship between the immune system and cancer outcomes have shown promising results.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Carcinoma of colorectal, pancreatic, biliary tract or gastro-oesophageal, or neuroendocrine digestive tumors with cytologically or histologically proven, regardless of the stage;
* Diagnosis between 1998 and 2030;
* Be \>/= 18 years;
* Have obtained signed informed consent (exemption for dead patients);
* Affiliated to the French social security - welfare system in France (CMU included).

Exclusion Criteria:

* Patient under tutoraship or curatorship;
* Foreign patient under AME schema, a medical help from the state in France;
* Pregnant or breastfeeding women (for prospective study);
* Any clinical, psychological or social reason which should influence patient compliance with protocol, according to investigator;
* Patient refusal.

Where it's running

  • Digestive Surgery Department, Ambroise Paré Hospital, APHP
    Boulogne-Billancourt, France
    Recruiting

Study contacts

  • Principal investigator: Frédérique PESCHAUD, MD, PhD — Digestive Surgery Department, Ambroise Paré Hospital, APHP
  • Study coordinator: Frédérique PESCHAUD, MD, PhD
  • Email: frederique.peschaud@aphp.fr
  • Phone: +33 1 49 09 53 35

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.