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Prospective, open labelled, multicenter trial to evaluate the feasibility of ex vivo culture 3D (chemogram obtaining) on biopsies in order to estimate the predictive value of this technique for treatment response in patients treated by two different chemotherapies (FOLFOX or FOLFIRI) for colorectal cancer.
The CULTURE 3D study is a prospective, open labelled, multicenter trial. The aim is to evaluate the feasibility of ex vivo culture 3D (chemogram) on biopsies in order to estimate the predictive value of this technique for treatment response in patients treated by two different chemotherapies (FOLFOX or FOLFIRI) for colorectal cancer.
Patients will have biopsies in a metastasis or in the primitive tumor before treatment. The sample will be used for a 3D ex vivo cells culture. A chemogram will be made based on cells proliferation data (Ki67) and apoptosis (M30).
Results from this chemogram will not interfere with the treatment combination choice.
The treatment response will be evaluated by the RECIST assessment and will be then compared to the chemogram.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| biopsy to obtain a chemogram | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| biopsy to obtain a chemogram | Procedure | All patients enrolled will have biopsies (on primary tumor or on a metastasis) before treatment in order to obtain a chemogram by ex vivo 3D culture cells |
| Measure | Description | Time Frame |
|---|---|---|
| Number of interpretable chemogram | In ex vivo 3D culture from tumor biopsies, number of interpretable chemogram. | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between chemogram results obtained by 3D culture and RECIST 1.1 response assessement. | Number of chemogram showing the same response to treatment than patient RECIST 1.1 measured response. | through study completion, an average of 1 year |
| Chemosensitivity evaluated on 3D culture. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pascale Mariani, MD | Institut Curie | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institut Curie | Paris | 75005 | France | |||
| Hôpital Lariboisière |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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on untreated and treated fragments : proliferating index (ki67) and apoptosis (M30) will be assessed. |
| through study completion, an average of 1 year |
| time to obtain chemogram | through study completion, an average of 1 year |
| Paris |
| 75475 |
| France |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |