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| Name | Class |
|---|---|
| University Hospital, Lille | OTHER |
| University Hospital, Tours | OTHER |
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As early complications of transplantation (acute rejection and infections) were better controlled and that the survival of kidney transplants has increased, chronic complications of immunosuppression became increasing challenges. The incidence of cancer is greatly increased in transplant and cancer is now the first cause of death. The iatrogenic immunosuppression plays a major role in the increased incidence of cancer. If it is accepted that the incidence of cancer is generally increased after transplantation, the increased risk is very different from a specific cancer to another. Furthermore the specific treatment of the tumor (surgery, radiotherapy, chemotherapy, biotherapy), the specificity of the context of transplantation is related to the possibility of modulation of immunosuppression. However, there is no immunological marker for predicting the effectiveness of a modification of the immunosuppression.
Several studies point to the important role of CD4 T cells into Th1 anti-tumor immunosurveillance group cancers. Identified "helper" degenerate peptides, called Universal Cancer Peptide (UCP) derivative of telomerase, a type of tumor antigen universal. These UCP peptides bind most HLA-DR alleles most frequent of the population and have the particularity of specifically stimulate CD4 T cells of type Th1. Using a test based on the UCP, it possible to detect the presence of spontaneous CD4 Th1 anti-UCP answers in several types of human cancers.
The main objective of this study is to determine whether, in renal transplant patients, the occurrence of cancer is associated with a deficiency of CD4 Th1 response anti-hTERT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Renal transplant with 1rst cancer | Other | Renal transplant patients with first cancer (all cancer excepting skin cancer including in group 2). Intervention : blood sample |
|
| Renal transplant patients without cancer | Other | Renal transplant patients without cancer matched for age, transplantation duration and CMV/EBV status. Intervention : blood sample |
|
| Patient with cancer | No Intervention | Patient with cancer from oncology departement matched for cancer type and stade and CMV/EBV status. | |
| Renal transplant with first skin cancer | Other | Renal transplant patients with first epidermoid skin cancer. Intervention : blood sample |
|
| RT with several skin cancer | Other | Renal transplant patients with several epidermoid skin cancer. Intervention : blood sample |
|
| Rt patients without cancer apparied to RT skin cancer |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood sample | Other | Blood sample (28 ml) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Th1 anti-hTERT cell serum levels 1A and 1B group | Th1 anti-hTERT cell levels measured in blood by IFN-γ ELISpot in renal transplant patients developing cancer versus first with renal transplant patients without cancer. | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Th1 anti-hTERT cell serum levels 1C, 2A and 2B group | Th1anti-hTERT cell levels measured in blood by IFN-γ ELISpot in patients developing a first or recurrent squamous cell carcinoma compared with renal transplant patients without cancer. | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emilie Gaiffe, Dr. | Contact | 0381218824 | +33 | egaiffe@chu-besancon.fr |
| Ingrid Tissot | Contact | 0381218427 | +33 | itissot@chu-besancon.fr |
| Name | Affiliation | Role |
|---|---|---|
| Didier Ducloux, Pr. | Besancon University Hospital, Nephrology department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Besançon University Hospital | Recruiting | Besançon | 25030 | France |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Other |
Renal transplant patients without cancer matched for age, transplantation duration and CMV/EBV status with renal transplant patients with skin cancer. Intervention : blood sample |
|
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |