Mixed Molecular Clinical Index (MMCI) in Diffuse Large B-cell Lymphoma (DLBCL)

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Other
Study Type: Observational
SUMMARY

This is a prospective and retrospective observational study. The primary objective is to identify new prognostic biomarkers for DLBCL patients in terms of progression-free survival (PFS) and able to add predictive capacity to recognized important clinical factors. The secondary objectives are: * to identify new biomarkers associated with overall survival (OS) and objective response rate (ORR) * to characterize tissue and circulating immune microenvironment of DLBCL patients by bulk and single cell transcriptomics; * to assess the correlation between the expression of immune checkpoint genes and mRNA signature; * to describe the mutational status of a panel of genes relevant to DLBCL pathogenesis;. * to assess the correlation between protein expression, mutational status and the messenger RNA (mRNA) signature. * to investigate the association between radiomic features obtained from PET images and patient and tumour characteristics and clinical outcomes (PFS, OS, ORR). For each enrolled patient, immunohistochemical determinations will be performed: Cell of origin (COO) (Germinal Cell -GC- or activated B-cell - ABC- type according with Hans algorithm ), evaluation of cluster of differentiation antigen 20 (CD20), cluster of differentiation antigen 5 (CD5), cluster of differentiation antigen 10 (CD10), Bcl6, Bcl2 (cut off\>50%), Multiple Myeloma 1 / Interferon Regulatory Factor 4 protein (MUM1/IRF4), c-myc (cut off\>40%) and Ki67, fluorescence in situ hybridization (FISH) for c-myc and if rearranged, for Bcl2 e Bcl6 ). Moreover, paraffin embedded (FFPE) tumor specimens will be collected for RNA extraction and mRNA expression mutational and proteomics analysis, centralized at IRST-IRCCS.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• New diagnosis of High grade Diffuse large B cell Lymphoma undergoing first line standard treatment;

• Signed written informed consent;

• Availability of FFPE sample.

• Diagnosis of High grade Diffuse large B cell Lymphoma from 2011 to 2017;

• Availability of FFPE sample and clinical data.

Locations
Other Locations
Italy
L'Azienda Ospedaliero-Universitaria Di Bologna Policlinico S. Orsola-Malpighi
RECRUITING
Bologna
Irst Irccs
RECRUITING
Meldola
Ospedale S. Maria delle Croci RAVENNA
RECRUITING
Ravenna
Ospedale Infermi
RECRUITING
Rimini
Contact Information
Primary
Oriana Nanni, Dr
oriana.nanni@irst.emr.it
+39 0543739100
Backup
Bernadette Vertogen, Dr
cc.ubsc@irst.emr.it
+39 0544285813
Time Frame
Start Date: 2020-05-14
Estimated Completion Date: 2028-05
Participants
Target number of participants: 300
Treatments
Prospective cohort
Prospective cohort: All patients with diagnosis of DLBCL afferring referred to IRST-IRCCS, Oncology-Hematology Units of AVR, S. Orsola Hospital (Bologna).
Retrospective cohort
Retrospective cohort: Patients with diagnosis of DLBCL referred to IRST-IRCCS, from 2011 to 2017 for whom clinical data and FFPE samples are available.
Sponsors
Leads: Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS

This content was sourced from clinicaltrials.gov

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