Gut and Tumor Microbiome in Patients With Advanced ER-positive and HER2-negative Breast Cancer or Advanced Melanoma Undergoing PD-1 Checkpoint Inhibitor Therapy.

Overview

About this study

The purpose of this study is to collect samples of blood and stool and analyse primary tumor from participants with breast cancer or melanoma to see how the bacteria in the body affect cancer and how well it responds to treatment. By comparing samples and data from multiple participants with breast cancer or melanoma, it may be possible to identify how a person's gut health and tumor microenvironment affects how they respond to certain cancer treatments.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

Arm-1: Advanced ER-positive and HER2-negative Breast Cancer

1. Signed, written, voluntary, and informed consent

2. Histological confirmation of advanced ER positive and HER2 negative breast cancer

3. Fresh frozen tumor DNA sequencing has been completed by selected NGS vendor(s) at the
time of or prior to treatment initiation

4. Female participants between 18 - 85 years of age

5. ECOG performance status that is equal to 0 or 1 at the time of screening.

6. Must be willing to provide blood for immune profile analysis on study enrollment and
at specified study time points

7. Must be willing and able to perform stool sample collection

8. Participants due to receive first-line therapy with palbociclib and letrozole or
palbociclib and fulvestrant

Arm-2: Advanced Melanoma

1. Signed, written, voluntary, and informed consent

2. Histological or cytological confirmation of unresectable Stage III or unresectable
Stage IV melanoma

3. Fresh frozen tumor DNA sequencing has been completed by selected NGS vendor(s) at the
time of or prior to treatment initiation

4. Adults aged between 18 and 85 years old

5. ECOG performance status that is equal to 0 or 1 at the time of screening

6. Participants due to receive first-line systemic treatment with PD-1 checkpoint
inhibitor therapy

7. Must be willing to provide blood for immune profile analysis

8. Must be willing and able to perform stool sample collection

Exclusion Criteria:

Arm-1: Advanced ER-positive and HER2-negative Breast Cancer

1. Adult males

2. Mental incapacity, as determined by an investigator

3. Participant is pregnant, breastfeeding, or plans to become pregnant during the course
of the study

4. Experiencing active brain metastasis/metastases

5. Active participation in an immuno-oncology or interventional clinical trial

6. Participation in any experimental trial in the 3 months prior to screening

7. Participant has relapsed on prior endocrine therapy for this instance of cancer, or
has discontinued any prior adjuvant endocrine therapy within 6 months of screening

8. History of inflammatory bowel disease, chronic diarrhea or malabsorption syndromes, or
significant prior bowel resection as judged by the study investigator

9. Use of immunosuppressants, including steroids, within 4 weeks of the first sample
collection

10. Oral or intravenous antibiotic usage within 3 months of the first sample collection

Arm-2: Advanced Melanoma

1. Diagnosis of uveal or mucosal melanoma

2. Mental incapacity, as determined by an investigator

3. Participant is pregnant, breastfeeding, or plans to become pregnant during the course
of the study

4. Experiencing active brain metastasis/metastases

5. Active participation in an immuno-oncology or interventional clinical trial

6. Participation in any experimental trial in the 3 months prior to screening

7. History of inflammatory bowel disease, chronic diarrhea or malabsorption syndromes, or
significant prior bowel resection as judged by the study investigator

8. Use of immunosuppressants, including steroids, within 4 weeks of the first sample
collection

9. Oral or intravenous antibiotic usage within 3 months of the first sample collection

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Eligibility last updated 1/30/24. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Jacksonville, Fla.

Mayo Clinic principal investigator

Saranya Chumsri, M.D.

Contact us for the latest status

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

More information

Publications

Publications are currently not available
.
CLS-20571437

Mayo Clinic Footer