The IMMUNO-TET trial aims to assess the feasibility of characterising the immune environment of TETs and the constitutional and somatic molecular profiles of patients with localised thymic epithelial tumour (TET).
In this prospective study, patients undergoing thymectomy and thymomectomy as part of routine care undergo the following care pathway: 1. During the pre-surgical visit (for n = 50 patients): as part of routine care, a blood sample is collected for analysis of CBC, leukocytes, lymphocytes, CRP, ferritinemia, TSH, T3L, T4L, anti-acetycholine receptor antibodies, …CMV, EBV, HSV, HIV serologies, …and HLA class I and class II typing. 2. During thymectomy and thymomectomy surgery, the following samples are taken (for n = 50 patients): * 6 blood samples on EDTA tubes are collected at the time of surgery for analyses. * 3 fresh samples of the surgical specimen are taken by the pathologist: tumour T, juxta-tumour J and distant D locations for analyses by flow cytometry and RNA sequencing. Anatomopathology blocks/slides are also cut in the same way (tumour T, juxta-tumour J and distant D locations) for additional exploratory analyses. * The feasibility of developing patient-derived xenografts (PDX) from TETs will be tested for n = 20 tumor samples. These models will allow to test potential therapeutic agents for this pathology. 3. During the 1st month (+/- 7 days) post-surgery check-up, a blood sample is taken again (for n = 50 patients) for routine care: CBC, leukocytes, lymphocytes, CRP, ferritinemia, anti-acetycholine receptor antibodies and for peripheral immune system analysis at a distance from surgery and for constitutional molecular analysis. Informed consent is given to participate in this prospective study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
50
* tumor samples will be taken for RNA sequencing of epithelial tumour cells during surgery. * blood samples will be taken for Exome Sequencing (WES) at baseline, during surgery and one month post surgery.
Institut Curie Paris
Paris, France
RECRUITINGInstitut Mutualiste Montsouris
Paris, France
RECRUITINGHôpital FOCH
Suresnes, France
RECRUITINGSomatic molecular characterisation of TETs
Description of genetic abnormalities in thymic tumours compared to non-tumourous thymic tissue (Whole Exome Sequencing RNA-sequencing technique, DNA Optical mapping);
Time frame: 38 months
Characterisation of the immune environment of TETs
Description of immune cells in the tumour environment, description of tumour infiltrating T cells
Time frame: 38 months
Establishment of a patient-derived xenograft mouse model.
Patient-derived xenograft mouse model established from thymic tumour.
Time frame: 38 months
Molecular characterisation of TETs
Molecular constitutional characterisation of TETs with the technique of the Exome Sequencing (WES) on blood samples of patients with TETs
Time frame: 38 months
Genomic characterisation of TETs
WES data analysis constitutional genetic alterations will be performed.
Time frame: 38 months
Characterisation of potential alterations in signalling pathways to identify potential therapeutic targets
Molecular analyses will be performed to identify potential alterations in signalling pathways that can be targeted by new therapies.
Time frame: 38 months
Identification of potential neoepitopes
Analysis of TETs single-cell RNA-seq data will be performed.
Time frame: 38 months
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Transcriptomic characterisation of TETs
Transcriptome sequencing analysis will be performed.
Time frame: 38 months
Epigenetic characterisation of TETs
Epigenetic characterisation of TETs will be performed by molecular analyses.
Time frame: 38 months