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Taking people in ItalyNo phase

Measuring Immune-Suppressing Cells in Blood of People With Cancer

Measures immune-suppressing cells in blood of adults with several cancer types.

Key facts

Who runs it
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
Where
Milan, ItalySee the site
Trial code
Registry title
Quantifying Systemic Immunosuppression to Personalize Cancer Therapy
Status
Recruiting
People taking part
1,000 people, planned
Started
10 Mar 2022
Expected to end
31 Dec 2026
Type of study
Observational, 6 groups
Treatments tested
  • MDSC quantification
Record updated
2 May 2025

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with advanced or metastatic cancer of certain types, such as melanoma, breast, kidney, bladder, head and neck, or lung cancer. A blood test will measure immune-suppressing cells.

Age
18 to 90 years
Sex
All sexes can join.
Disease stage
Metastatic or locally advanced melanoma, hormone-refractory breast cancer, RCC, UC, SCCHN, SCC or NSCLC. Stage III resectable NSCLC can also join.
Biomarker or test result
An archival tumor sample (FFPE) must be available for biomarker tests.

Main reasons for not taking part

  • Known history of HIV infection
  • Serious neurological or psychiatric disorders
  • Pregnancy or breastfeeding
  • Cannot or will not give written informed consent
  • Cannot or will not be followed up regularly at the same center

The registry criteria, word for word

Show all 12 criteriaShow less

Who can take part

  • Histologically documented diagnosis of metastatic/locally advanced melanoma, hormone-refractory breast cancer, RCC and UC, SCCHN, SCC or NSCLC, stage III resectable NSCLC will also be included
  • Will and ability to comply with the protocol
  • Willingness and ability to provide an adequate archival Formalin-Fixed Paraffin-Embedded (FFPE) tumor sample available for exploratory biomarker analysis
  • Age from 18 to 90 years at the time of recruitment
  • ECOG Performance Status <= 2
  • Understanding and signature of the informed consent
  • Consenting to participate to the socio-economical-psychological survey

Who cannot take part

  • Known history of HIV infection
  • Serious neurological or psychiatric disorders
  • Pregnancy or lactation
  • Inability or unwillingness of participant to give written informed consent
  • Inability or unwillingness to be regularly followed up at the same center

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 90 years old?

Where in Italy

  • Fondazione IRCCS - Istituto Nazionale dei TumoriMilan, ItalyContact: Licia Rivoltini, MDTaking people

About the trial

What the trial wants to find out

The Serpentine (Stratify cancER PatiENTs by ImmuNosupprEssion) project, represents the most consistent effort so far attempted to translate MDSC into clinical practise by producing an off-the-shelf compliant assay for quantifying these cells in peripheral blood.

The 6 groups in the trial

  • Metastatic melanoma patients

    MDSC quantification in Metastatic melanoma patients undergoing first/second-line treatment with BRAF and MEK inhibitors (BRAFi+MEKi) or immune checkpoint inhibitors (antagonists of PD-1 or CTL4, or both) (n=100);

    Treatment: MDSC quantification

  • hormone receptor positive/Human Epidermal growth factor Receptor-2 negative cancer patients

    MDSC quantification in Metastatic HR+(hormone receptor positive)/ HER2-(Human Epidermal growth factor Receptor-2 negative) breast cancer patients already treated with a combination of an hormonal agent and a CDK(Cyclin-dependent kinase)4/6 inhibitor and receiving chemotherapy (n=100);

    Treatment: MDSC quantification

  • Advanced RCC(renal cell carcinoma) patients

    MDSC quantification Advanced RCC patients receiving immune checkpoint inhibitors (antagonists of PD-1, PD-L1 or CTL4, or combinations) or anti-angiogenics alone or combined with immune checkpoint inhibitors; locally advanced/metastatic UC(Urothelial Carcinoma) patients receiving first-line chemotherapy, immune checkpoint inhibitors or combinations (n=100);

    Treatment: MDSC quantification

  • SCCHN or SCC(Small Cell Carcinoma) patients

    MDSC quantification in SCCHN or SCC(Small Cell Carcinoma) patients treated with first-line chemotherapy, cetuximab,immune checkpoint inhibitors or combinations (n=100).

    Treatment: MDSC quantification

  • NSCLC patients

    MDSC quantification in NSCLC patients undergoing radical surgery for stage III cancer (n=100);patients with unresectable/metastatic NSCLC receiving first line treatment with chemotherapy, immune checkpoint inhibitors (antagonists of PD-1, PD-L1 or CTL4) or combinations (n=100).

    Treatment: MDSC quantification

  • Age and gender-matched healthy donors

    Age and gender-matched healthy donors (n=400) will be enrolled in the study, to allow us investigating the same immunological parameters under physiological conditions and define normal values for the myeloid-related biomarkers here assessed.

    Treatment: MDSC quantification

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Quantifying Systemic Immunosuppression to Personalize Cancer Therapy
Plain-language title
Measuring Immune-Suppressing Cells in Blood of People With CancerGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Fit questions
Built from NCT05621837, who can take part
Record updated
2 May 2025