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NCT Number: NCT04477876

Study of CD160, an Activating NK Cell Receptor, in Melanoma: a Potential Therapeutic Target?

Although immunotherapy revolutionized melanoma outcomes over the last 10 years, only 40-50% of patients respond to treatments and 25% develop acquired resistances. Natural Killer (NK) cells naturally recognize and kill tumor cells. However, the immunosuppressive micro-environment generated by the tumor decreases NK cells' killing activity. CD160 is a NK cell receptor identified and characterized in our laboratory. Engagement of the GPI isoform (CD160-GPI) initiates NK cell cytotoxic response. Upon NK cell activation, a transmembrane isoform (CD160-TM) is neo-synthesized which promotes the amplification of activated NK cell cytotoxicity.

The aim of this study is to assess the phenotypic profile of advanced stages melanoma patients' NK cells (mainly CD160-TM expression or its induction) and therefore the therapeutic potential of the use of an anti-CD160-TM agonist antibody to boost the NK-dependent mechanism leading to tumor depletion.

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Key information

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients aged18-years old or over
  • ECOG score between 0-2
  • Inoperable stage III or stage IV melanoma
  • Naïve of treatment or in progression after one or several treatment lines
  • Give their written consent for the present study and be included in MelBase cohort.
  • health insurance coverage.

Supplementary inclusion criteria for part II :

  • skin or subcutaneous melanoma lesions
  • agree and inform consent for a cutaneous biopsy or a tumor sample if presenting lymph nodes involvement if part of the usual clinical practice.

Exclusion criteria

  • Pregnant and breastfeeding women
  • Patients with psychiatric disorders
  • Patients already included in another clinical trial
  • Having received chemotherapy or radiotherapy during the last 4 weeks,
  • Patient presenting another solid or blood cancer, chronic viral infection (e.g. HIV, HBV or HCV)
  • Been treated with more than 10mg of steroids until the 4 weeks before inclusion.
  • Refusal to participate to the study
  • Patients under guardianship or curatorship
  • Patients on state medical aid

Treatment and study plan

Primary outcomes

  1. Percentage of effector cells activation and degranulation (CD69 and CD107a staining )

    Time frame: at inclusion

    Difference between cells incubated with the anti CD160-TM antibody and with isotipic control ab ( flow cytometry)

Secondary outcomes

  1. Overall survival

    Time frame: at 1 year post inclusion

  2. Overall survival

    Time frame: at 2 years post inclusion

  3. Overall survival

    Time frame: at 3 years post inclusion

  4. Overall survival

    Time frame: at 4 years post inclusion

  5. Overall survival

    Time frame: at 5 years post inclusion

  6. Progression free survival

    Time frame: at 1 year

  7. Progression free survival

    Time frame: at 2 years

  8. Progression free survival

    Time frame: at 3 years

  9. Progression free survival

    Time frame: at 4 years

  10. Progression free survival

    Time frame: at 5 years

  11. Objective response rate

    Time frame: at one year

  12. Objective response rate

    Time frame: at 2 years

  13. Objective response rate

    Time frame: at 3 years

  14. Objective response rate

    Time frame: at 4 years

  15. Objective response rate

    Time frame: at 5 years

  16. Phenotypic characteristics of NK cells

    Time frame: at inclusion

    Assessment by flow cytometry of the expression levels of activating or inhibitory receptors (e.g. CD160-GPI, NKp46), phenotypic markers (e.g CD16, CD3), as well as activation (CD69) and degranulation (CD107a) markers by the NK cell population (defined as CD3- CD56+ cell). Results will be expressed as the % of positive cells for each marker among the NK cell population

  17. cytokine profile

    Time frame: at inclusion

    Assessment by flow cytometry using a cytokine beads array (BD Biosciences) of the Th1/Th2/Th17 cytokine content. The presence of the following cytokine will be assessed: IL17-A, IFN-g, TNF, IL10, IL-6, IL-4 and IL-2. The mean fluorescence intensities will be recorded and quantifications will be done, using an individual standard curve, for each cytokine. Results will be expressed in pg/ml.

  18. Détection and quantification of sCD160 in patients' serum

    Time frame: at inclusion

Study contacts

Contact information is provided by the study sponsor or research team.

Celeste Lebbe, Pr

CONTACT

[email protected]

01 42 49 99 61

Matthieu Resche-Rigon, Pr

CONTACT

[email protected]

+3342499742

Sponsors and collaborators

Lead sponsor

Assistance Publique - Hôpitaux de Paris

Other

Registry information

Acronym: NKCD160MEL

Important dates

Study start
2020
Primary completion
2027
Study completion
2027
First posted
Jul 20, 2020
Registry last updated
Jul 20, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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