Identifying ways to reduce skin-related side effects from cancer immunotherapy

Identification of Pathways to Mitigate Immune-Related Adverse Events With Cancer Immunotherapy

Observational National Jewish Health · NCT04283539

This study is testing how to reduce skin problems caused by cancer immunotherapy in patients with solid tumors by looking at their immune responses and treatment options.

Quick facts

Study typeObservational
Enrollment238 (estimated)
Ages18 Years and up
SexAll
SponsorNational Jewish Health Academic / other
Drugs / interventionschemotherapy, prednisone, immunotherapy
Locations3 sites (Denver, Colorado and 2 other locations)
Trial IDNCT04283539 on ClinicalTrials.gov

What this trial studies

This observational study aims to investigate the immunologic responses of cancer patients experiencing immune-related cutaneous adverse events (ircAEs) while receiving checkpoint inhibitors for cancer treatment. By analyzing these patients, the study seeks to identify unique immunologic endotypes that may be associated with these adverse events. Participants will be monitored for their responses to systemic corticosteroids or biologic therapies as part of their treatment plan. The study will include patients with various solid tumors who have developed significant skin-related side effects from their immunotherapy.

Who should consider this trial

Good fit: Ideal candidates include adults over 18 with solid tumors who are receiving or about to start checkpoint inhibitor therapy and have experienced grade 2 or higher skin-related adverse events.

Not a fit: Patients who are currently using systemic steroids or are enrolled in other investigational drug trials may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved management strategies for skin-related side effects in cancer patients undergoing immunotherapy.

How similar studies have performed: Other studies have explored immunologic responses in cancer therapy, but this specific approach to understanding skin-related adverse events is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Provision of signed and dated informed consent form
2. Stated willingness to comply with all study procedures and availability for the duration of the study
3. Male or female, \>18 yo
4. Diagnosis of solid tumor including, but not limited to, genitourinary/gynecologic, lung, gastrointestinal and melanoma
5. Receiving, or prior to starting on, a checkpoint inhibitor
6. Grade ≥ 2 ircAE (CTCAE v 5.0) (for cohort 1 only)
7. An indication for system corticosteroids or biologic therapies as determined by the treating physician (for cohort 1 only)
8. Life expectancy ≥ 12 weeks

Exclusion Criteria:

1. Daily use of systemic steroid treatment in the past 4 weeks (prednisone \>10mg a day or equivalent) except for indications other than the cutaneous adverse event, and/or as an anti-emetic pre- or post-chemotherapy infusions.
2. Enrollment in any investigational drug trial with a drug that has not been approved
3. Taking other checkpoint inhibitors beyond anti-PD-(L)-1 or anti-CTLA-4 not yet indicated/approved for use
4. Pregnancy
5. Known blood borne infectious disease
6. Current or pervious diagnosis of a leukemia or lymphoma
7. Unable to give consent for study participation
8. Life expectancy \< 12 weeks
9. Any other condition or diagnosis in the opinion of the investigator that would interfere with the study results

Where this trial is running

Denver, Colorado and 2 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Cancercheckpoint inhibitorimmuno-oncologycutaneous adverse events
Last reviewed 2026-06-13 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.