Immune Profiling After HDR in Local Relapsed Prostate Cancer
NCT04247217 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 10
Last updated 2022-05-26
Summary
Immunotherapy is currently revolutionizing the field in oncology. However, prostate cancer until now fails to respond to classical IO, like PD-1 and CTLA-4 inhibitors. Radiotherapy (RT) delivered to the primary tumor impacts both tumor cells and surrounding stromal cells. Radiation damage to cancer cells exposes tumor-specific antigens leading to increased visibility to the immune system by improved priming and activation of cytotoxic T cells. RT-induced modulation of the tumor microenvironment may also facilitate the recruitment and infiltration of immune cells by increasing the expression or T-cell attracting chemokines and by increasing T-cell docking molecules on the endothelial cells like VCAM-1. The main-hypothesis is that HDR-brachytherapy will turn an immunologically "cold" (no T-cell infiltrations) prostate cancer into an immunologically "hot" (CD4 and CD8-cell infiltrations) tumor, creating leverage points for different forms of IO.
Conditions
- Prostate Cancer
- PD-L1
Interventions
- RADIATION
-
HDR salvage brachytherapy
In patients receiving HDR salvage brachytherapy for locally relapsed prostate cancer serial biopsies will be performed at 4 different time points.
Sponsors & Collaborators
-
Maastricht Radiation Oncology
lead OTHER
Principal Investigators
-
Ben Vanneste, MD, PhD · Maastro
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-02-19
- Primary Completion
- 2021-12-23
- Completion
- 2021-12-23
Countries
- Netherlands
Study Locations
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