Decoupling Immunotherapy Toxicity and Cancer Response

Purpose

This study is a novel evaluation of cardiotoxicity after ICI therapy based on traditional CV risk factors with the addition of metabolomic profiles, epigenetic aging, and CHIP. It is not an extension of previous work in ICI therapy.

Conditions

  • Tumor
  • Cardiovascular

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Age ≥ 18 years 2. Plan to start immune checkpoint inhibitor for cancer therapy

Exclusion Criteria

  1. No baseline blood collection prior to initiation 2. At time of evaluation not determined to be a good candidate for evaluation of outcome events by the principal investigator

Study Design

Phase
Study Type
Observational
Observational Model
Cohort
Time Perspective
Prospective

Arm Groups

ArmDescriptionAssigned Intervention
Prospective Observational Cohort Utilizing baseline biospecimens for analysis of predictors of cardiotoxicity events and cancer outcomes after ICI initiation.

Recruiting Locations

The University of Texas M. D. Anderson Cancer Center
Houston 4699066, Texas 4736286 77030
Contact:
Nicolas Palaskas, MD
832-750-1109
nlpalaskas@mdanderson.org

More Details

NCT ID
NCT07382752
Status
Recruiting
Sponsor
M.D. Anderson Cancer Center

Study Contact

Nicolas Palaskas, MD
832-750-1109
nlpalaskas@mdanderson.org

Detailed Description

Primary Objectives: To identify predictors of a composite outcome comprising immune checkpoint inhibitor associated cardiovascular disease (ICI-CVD) and/or cancer progression or death. To decouple the predictors of ICI-CVD and cancer treatment efficacy. Secondary Objectives: To identify human monocyte derived macrophages (HMDM)-derived metabolite signatures predictive of cardiovascular toxicity and cancer outcomes in ICI-treated patients. To identify genetic (CHIP) and epigenetic age determinants of ICI-CVD and cancer outcomes in ICI-treated patients.