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Blood Test to Predict Benefit From Immunotherapy in Several Cancer Types

Studies a blood test of neutrophils in adults with cancer starting immunotherapy.

Plain-language title generated from the registry record
Registry title: Neutrophil Biomarker Test for Predicting Clinical Benefit From Immunotherapy Based on Flow Cytometry Analysis

Key facts

Where
Heidelberg, GermanySee the site

AI summary: who the study is looking for

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 newly diagnosed advanced or metastatic NSCLC, melanoma, HNSCC, RCC or TNBC who are about to start a PD-(L)1 inhibitor as first treatment. A blood sample is taken before treatment.

Age
18 years or older
Sex
All sexes can join.
Disease stage
Newly diagnosed advanced or metastatic NSCLC, melanoma, HNSCC, RCC or TNBC.
Earlier treatment
People must be due to get a PD-(L)1 inhibitor as first-line treatment, alone or combined with other drugs. People with another active cancer that needed systemic treatment within 2 years of the first dose cannot join.
Biomarker or test result
For NSCLC, people with activating EGFR, ALK, ROS1, RET or NTRK changes linked to an approved first-line targeted drug cannot join.

Main reasons for not taking part

  • Another active cancer that needed systemic treatment within 2 years of the first dose
  • NSCLC with activating EGFR, ALK, ROS1, RET or NTRK changes linked to an approved first-line targeted drug
  • Abnormal blood counts, kidney or liver function (limits are set in the record)

Read by machine on 9 November 2026.

Where in Germany

  • Heidelberg University HospitalHeidelberg, GermanyNo longer taking part

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?
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Trial details

Who runs it
OncoHost Ltd.
Trial code
NCT07246759
Record updated
24 November 2025
Original description
The NeutroFlow study is a multi-center clinical trial designed to develop a computational model that converts flow cytometry results into a prediction of clinical benefit. The study analyzes Ly6Ehi neutrophils in biological samples from patients treated with immune checkpoint inhibitors to evaluate their likelihood of benefiting from treatment. Blood samples are collected prior to treatment and used to support the ongoing development of the algorithm.Read full original descriptionShow less

NEUTROFLOW: Development and Validation of a Pan-cancer Neutrophil Biomarker Test for Predicting Clinical Benefit From Immunotherapy Based on Flow Cytometry Analysis of Blood Samples

The NeutroFlow study is a multi-center clinical trial designed to develop a computational model that converts flow cytometry results into a prediction of clinical benefit. The study analyzes Ly6Ehi neutrophils in biological samples from patients treated with immune checkpoint inhibitors to evaluate their likelihood of benefiting from treatment. Blood samples are collected prior to treatment and used to support the ongoing development of the algorithm.

Inclusion: Patients newly diagnosed with advanced-stage/metastatic NSCLC, melanoma, HNSCC, RCC, or TNBC, who are due to receive first-line treatment with a PD-(L)1 inhibitor, either as monotherapy or in combination with other agents, according to current standard-of-care regimens, including (but not limited to) the following approved options: NSCLC. Monotherapy: Pembrolizumab, Atezolizumab, Cemiplimab. Combination: Pembrolizumab + chemotherapy; Nivolumab + Ipilimumab; Cemiplimab + chemotherapy; Atezolizumab + chemotherapy + Bevacizumab; Melanoma. Monotherapy: Nivolumab, Pembrolizumab. Combination: Nivolumab + Ipilimumab; Nivolumab + Relatlimab; HNSCC. Monotherapy: Pembrolizumab, Cemiplimab. Combination: Pembrolizumab + chemotherapy; RCC. Combination only: Nivolumab + Ipilimumab; Nivolumab + Cabozantinib; Pembrolizumab + Lenvatinib or Axitinib; Avelumab + Axitinib; TNBC. Combination only: Pembrolizumab + chemotherapy; Male or female aged at least 18 years; ECOG PS: 0/1-2; Normal hematologic, renal and liver function:; Absolute neutrophil count > 1500/mm³ Platelets > 100,000/mm³ Hemoglobin > 9 g/dL Creatinine concentration ≤ 1.4 mg/dL, or creatinine clearance > 40 mL/min, Total bilirubin < 1.5 mg/dL ALT + AST levels ≤ 3 times above the upper normal limit.

Exclusion: Any concurrent and/or other active malignancy that has required systemic treatment within 2 years of the first dose of treatment; For NSCLC: presence of activating EGFR, ALK, ROS1, RET, NTRK alterations linked to an approved first-line targeted drug.

ClinicalTrials.gov NCT07246759