Clinical trial Recruiting at 7 sites Observational Ages 18 and up

Predicting Immunotherapy Response from Live Tumor Biopsies

Official title: Predicting Response to Immunotherapy From Analysis of Live Tumor Biopsies

Run by Elephas · NCT07327489 · Data updated 2026-11-12

This project will try to see if analyzing live tumor biopsy samples kept in their 3D environment can predict whether people with advanced solid tumors will respond to immunotherapy.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment2000 (estimated)
SponsorElephas
Industry-sponsored
Drugs / interventionsimmunotherapy
Locations8 sites (Fort Smith, Arkansas and 7 other locations)
StatusRecruiting
StartedApril 14, 2025
Main results expectedApril 2035
Study endsApril 2038
Registry record updatedJune 29, 2026
Trial IDNCT07327489 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with suspected or confirmed cancer who are undergoing a clinical biopsy—treatment-naïve if newly diagnosed or having the biopsy before their next line of therapy—and able to give informed consent.

Probably not a fit

Patients with known autoimmune disease or other conditions that preclude immunotherapy, severely immunocompromised individuals, and pregnant people are excluded and unlikely to benefit from the assay.

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

What this trial studies

This observational effort collects tumor specimens and linked clinical and genomic data from adults who are having a biopsy as part of their normal care. The sponsor uses methods to cut, sort, and image tumor tissue while keeping the 3D tumor microenvironment, including immune cells, intact. Samples are exposed ex vivo to potential immunotherapy agents and the tissue's responses are characterized qualitatively and semi-quantitatively. Those ex vivo response data will be compared to real-world clinical outcomes to inform development of predictive tools.

Why it matters

Potential benefit: If successful, this could help doctors predict who is likely to benefit from immunotherapy and avoid ineffective treatments.

How similar studies have gone: Some ex vivo tumor assays and organoid models have shown promise, but preserving an intact 3D tumor immune microenvironment for predicting immunotherapy response is relatively novel and not yet widely validated clinically.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Able and willing to provide informed consent for participation
2. Age ≥18 years at time of consent.
3. Have a suspected or confirmed cancer diagnosis that is to be evaluated by means of a biopsy.
4. Subjects who are newly diagnosed or have suspected cancer must be treatment-naïve at the time of biopsy. All other subjects should have the biopsy performed before starting their next line of treatment.

Exclusion Criteria:

1. Have a known auto-immune disease or prior condition (prior organ transplant, chronic kidney or liver disease) that renders them ineligible for immunotherapy (IO) treatment.
2. Severely immunocompromised person(s). Examples include patients on immunosuppressants, HIV positive patients on antiretrovirals, post transplantation patients.
3. Pregnant person(s).

Where it's running

  • Mercy Hospital - FTS
    Fort Smith, Arkansas, United States
    Recruiting
  • Frederick Health Hospital
    Frederick, Maryland, United States
    Recruiting
  • Mercy Hospital - SPG
    Springfield, Missouri, United States
    Recruiting
  • Mercy Hospital - South
    St Louis, Missouri, United States
    Recruiting
  • Mercy Hospital -STL
    St Louis, Missouri, United States
    Recruiting
  • Mercy Hospital - OKC
    Oklahoma City, Oklahoma, United States
    Recruiting
Show 2 more locations
  • JPS Health Network
    Forth Worth, Texas, United States
    Recruiting
  • Baylor Scott and White Biorepository
    Temple, Texas, United States
    Not yet recruiting

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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.