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Immune checkpoint inhibitors have ushered in a new era of cancer treatment, bringing significant survival benefits to patients. However, some patients have accelerated tumor growth in the early stage of immunotherapy, called hyperprogression. The quality of life of patients with hyperprogression is seriously reduced, and there is no effective treatment at present, and the prognosis is extremely poor. Therefore, early identification of high-risk groups of hyperprogression is the key to prevent hyperprogression. However, there are no effective biomarkers to predict hyperprogression. By sequencing, proteomics and metabolomics analysis of clinical tissue and blood samples, we found that the level of SAA1 was significantly increased in patients with hyperprogression, and SAA1 was an effective marker for predicting hyperprogression in pan-cancer. We planned to conduct a multicenter, prospective cohort study to verify the reliability of SAA1 as a marker for predicting hyperprogression of immunotherapy in pan-cancer patients.
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of hyperprogression | Incidence of hyperprogression will be calculated. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Event-free survival | Event-free survival was defined as the time from the date of inclusion until hyperprogression or death from any cause. | 3 years |
| Progression-free survival | Progression-free survival was defined as the time from the date of inclusion until disease progress or death from any cause. |
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Inclusion Criteria:
Exclusion Criteria:
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Cancer patients who need to accept immunotherapy
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanfang hospital, Southern medical university | Recruiting | Guangzhou | Guangdong | 510515 | China |
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Tissue and plasma
| 3 years |
| Overall survival | Overall survival was defined as the time from the date of inclusion until death from any cause. | 3 years |
| Fujian Provinical Hospital | Not yet recruiting | Fuzhou | China |
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| Huizhou Central People's Hospital | Not yet recruiting | Huizhou | China |
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| Jieyang people's hospital | Not yet recruiting | Jieyang | China |
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| Meizhou People's Hospital, Meizhou Academy of Medical Sciences Meizhou | Not yet recruiting | Meizhou | China |
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