Using blood tests to monitor skin cancer treatment
Official title: ctDNA Clearance and ctDNA Monitoring Study in Cutaneous Squamous Cell Carcinoma
Run by Massachusetts Eye and Ear Infirmary · NCT06875609 · Data updated 2026-11-12
This study is testing whether blood tests can help track how well treatment is working for people with skin cancer called cutaneous squamous cell carcinoma.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Massachusetts Eye and Ear Infirmary Academic / other |
| Drugs / interventions | immunotherapy |
| Locations | 1 site (Boston, Massachusetts) |
| Status | Recruiting |
| Started | March 24, 2025 |
| Main results expected | April 30, 2028 |
| Study ends | April 30, 2029 |
| Registry record updated | March 30, 2026 |
| Trial ID | NCT06875609 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include patients with surgically resectable primary CSCC with high-risk features or those receiving neoadjuvant immunotherapy.
✕Probably not a fit
Patients with CSCC that is not amenable to surgical resection or those undergoing systemic therapies 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 observational study investigates the use of circulating tumor DNA (ctDNA) as a non-invasive biomarker for detecting residual disease and monitoring treatment responses in patients with cutaneous squamous cell carcinoma (CSCC). Blood samples will be collected during regular treatment visits or through mobile phlebotomy, allowing researchers to analyze changes in ctDNA levels over time. The study aims to evaluate the potential of ctDNA to provide insights into tumor dynamics during and after surgery or immunotherapy. Participants will be monitored for a duration of two years to assess the effectiveness of this approach.
Why it matters
Potential benefit: If successful, this study could provide a new method for early detection of cancer recurrence and better monitoring of treatment responses in patients with CSCC.
How similar studies have gone: Other studies have shown promise in using ctDNA as a biomarker for various cancers, indicating potential success for this approach in CSCC.
Who can join: the full rules
Show full inclusion / exclusion criteria
Post-Operative Cohort Inclusion Criteria: * Patients with surgically resectable primary CSCC with PNI (\>0.1mm caliber nerve) or at least 2 high-risk features defined as size \> 2cm, recurrent CSCC, LVI, immunosuppressed, poorly differentiated, and/or invasion \>6mm/beyond subcutaneous fat; * Patients with surgically resectable regional metastases not receiving neoadjuvant therapy Exclusion Criteria: * Patients with Cutaneous Squamous Cell Carcinoma not amenable to surgical resection * Patients receiving or undergoing systemic therapies. Neoadjuvant Cohort Inclusion Criteria: * Patients with resectable AJCC (8th ed) Stage II, III or IV(M0) CSCC treated with neoadjuvant immunotherapy as part of standard care. Exclusion Criteria: * Patients ineligible for neoadjuvant treatment. Definitive Immunotherapy Cohort Inclusion Criteria: * Patients with unresectable locally advanced or metastatic CSCC, AJCC (8th ed) Stage II, III, or IV), receiving immunotherapy as part of standard of care. Exclusion Criteria: * Patients undergoing systemic therapies outside the standard of care or enrolled in conflicting clinical trials.
Where it's running
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Massachusetts Eye and Ear
Boston, Massachusetts, United States Recruiting
Study contacts
- Principal investigator: Sophia Z. Shalhout, PhD — Massachusetts Eye and Ear
- Study coordinator: Michael Cheung, MSc, CCRP
- Email: mcheung0@meei.harvard.edu
- Phone: 6175736060
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Cemiplimab with Quad Shot Radiation for Head and Neck Cutaneous Squamous Cell Carcinoma
This study tests whether giving cemiplimab together with a short course of Quad Shot radiation can be safely delivered in several rounds to elderly or frail patients with head and neck skin cancer.
-
IDP-001 in advanced or metastatic solid tumors (including head and neck and skin cancers)
A first- and second-phase study will test IDP-001 in people with advanced or metastatic solid tumors to see if it is safe and tolerable and to look for signs of activity.
-
Cosibelimab for tough CSCC in kidney transplant recipients or blood cancers
This trial tests cosibelimab in people with advanced cutaneous squamous cell carcinoma who have a kidney transplant or certain blood cancers to see if it is safe and helpful for them.
-
3D ultrasound of removed cutaneous squamous cell carcinoma specimens
For adults having surgery to remove cutaneous squamous cell carcinoma, this will try ex vivo 3D ultrasound of the removed specimen to see if it can accurately measure the deep margin compared with standard pathology.
-
Lifileucel (TIL) plus chemotherapy and IL-2 for advanced cutaneous squamous cell and Merkel cell carcinoma
This trial will try lifileucel (tumor-infiltrating lymphocytes) combined with lymphodepleting chemotherapy and interleukin-2 in adults with unresectable or metastatic cutaneous squamous cell carcinoma or Merkel cell carcinoma who have previously received immunotherapy.
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Using immunotherapy to treat cutaneous squamous cell carcinoma without surgery
This study is testing if a combination of immunotherapy drugs can help patients with skin cancer avoid surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.