ONCOGRAM: study protocol for the evaluation of therapeutic response and survival of metastatic colorectal cancer patients treated according to the guidelines of a chemosensitivity assay, the Oncogramme®
Muriel Mathonnet
(1)
,
Mathieu Vanderstraete
(2)
,
Christophe Bounaix Morand Du Puch
(3)
,
Stéphanie Giraud
(4)
,
Christophe Lautrette
(3)
,
Mehdi Ouaissi
(5)
,
Nicolas Tabchouri
(6)
,
Abdelkader Taïbi
(7, 8)
,
Renaud Martin
,
Isabelle Herafa
,
Achille Tchalla
(9, 7)
,
Niki Christou
(10, 11)
,
B. Marin
(12)
,
S. Bouvier
,
S. Durand-Fontanier
(11, 8)
,
A. Fabre
(13)
,
D. Valleix
(11)
,
T. Rivaille
,
F. Fredon
,
S. Derbal
,
P. Carrier
,
R. Daloko Lonfo
,
R. Legros
(14)
,
S. Lavau-Denes
(15)
,
V. Lebrun-Ly
(16)
,
F. Thuillier
,
P. Engel
,
A. Chaunavel
,
M. Pradel
,
D. Pezet
(17, 18)
,
A. Dubois
(19)
,
C. Pétorin
(17)
,
O. Antomarchi
,
A. Aboukassem
,
A. Vimal-Baguet
,
B. Gillet
(20)
,
B. Mathieu
(21)
,
J. Joubert-Zakeyh
(22, 23)
,
S. Evrard
(24, 25)
,
Y. Becouarn
(26)
,
D. Béchade
,
M. Fonk
,
G. Desolneux
,
N. Dauriat
,
M. Agbo
,
M. Louty
,
F. Borie
(27)
,
S. Lyubimova
(28)
,
V. Phoutthasang
,
B. Brunaud-Gagniard
,
Y. Benadjaoud
,
N. Rolland
,
L. Letournoux
,
P. Roger
,
L. Chen
,
Z. Amadou
,
C. Christopoulous
,
G. Nakahl
,
Y. Souliman
,
M. Cirt
,
D. Ducoux
,
P. Boisseau
,
P. Pardies
,
L. Mesturoux
,
L. Vayre
,
A. Abdeh
,
F. Teboul
,
R. Landraud
,
Mehdi Ouaissi
(5)
,
E. Salamé
,
Nicolas Tabchouri
(6)
,
T. Lecomte
,
G. Proutheau
,
S. Guyetant
,
D. Tougeron
,
A. de Singly
,
A. Ferru
,
R. El Fadel
,
T. Courvoisier
,
A. Junca
,
E. Frouin
,
L. Rouleau
,
S. Rafaert
,
A. Rocher
,
J-M Regimbeau
,
C. Sabbagh
,
E. Dumange
,
E. Chive
,
D. Lignier
,
N. Siembida
,
B. Chauffert
,
V. Hautefeuille
,
D. Chatelain
,
E. Rivkine
1
FCVD -
Fédération de chirurgie viscérale et digestive
2 CIIL - Centre d’Infection et d’Immunité de Lille - INSERM U 1019 - UMR 9017 - UMR 8204
3 ONCOMEDICS SAS
4 LAPCOS - Laboratoire d'Anthropologie et de Psychologie Cliniques, Cognitives et Sociales
5 CHU Trousseau [Tours]
6 Hôpital Trousseau
7 CHU Limoges
8 XLIM - XLIM
9 HAVAE - Handicap, Activité, Vieillissement, Autonomie, Environnement
10 CAPTuR - Contrôle de l’Activation Cellulaire, Progression Tumorale et Résistance thérapeutique
11 Service de Chirurgie digestive, endocrinienne et générale [CHU Limoges]
12 GEGENAA - Groupe d'Étude sur les Géomatériaux et Environnements Naturels, Anthropiques et Archéologiques - EA 3795
13 CEA - Commissariat à l'énergie atomique et aux énergies alternatives
14 GES - Groupe d'étude des semiconducteurs
15 Service d'Oncologie médicale [CHU Limoges]
16 Hôpital Dupuytren [CHU Limoges]
17 CHU Clermont-Ferrand
18 UCA - Université Clermont Auvergne
19 LCPMR - Laboratoire de Chimie Physique - Matière et Rayonnement
20 ICSN - Institut de Chimie des Substances Naturelles
21 IPPTS - Institut de Parasitologie et de Pathologie Tropicale
22 Service d'Anatomie et de Cytologie Pathologiques
23 Neuro-Dol - Neuro-Dol
24 CEREMAST - Centre de Référence des Mastocytoses de Toulouse
25 UT3 - Université Toulouse III - Paul Sabatier
26 Institut Bergonié [Bordeaux]
27 CHU Nîmes - Hôpital Universitaire Carémeau [Nîmes]
28 CHU Montpellier = Montpellier University Hospital
2 CIIL - Centre d’Infection et d’Immunité de Lille - INSERM U 1019 - UMR 9017 - UMR 8204
3 ONCOMEDICS SAS
4 LAPCOS - Laboratoire d'Anthropologie et de Psychologie Cliniques, Cognitives et Sociales
5 CHU Trousseau [Tours]
6 Hôpital Trousseau
7 CHU Limoges
8 XLIM - XLIM
9 HAVAE - Handicap, Activité, Vieillissement, Autonomie, Environnement
10 CAPTuR - Contrôle de l’Activation Cellulaire, Progression Tumorale et Résistance thérapeutique
11 Service de Chirurgie digestive, endocrinienne et générale [CHU Limoges]
12 GEGENAA - Groupe d'Étude sur les Géomatériaux et Environnements Naturels, Anthropiques et Archéologiques - EA 3795
13 CEA - Commissariat à l'énergie atomique et aux énergies alternatives
14 GES - Groupe d'étude des semiconducteurs
15 Service d'Oncologie médicale [CHU Limoges]
16 Hôpital Dupuytren [CHU Limoges]
17 CHU Clermont-Ferrand
18 UCA - Université Clermont Auvergne
19 LCPMR - Laboratoire de Chimie Physique - Matière et Rayonnement
20 ICSN - Institut de Chimie des Substances Naturelles
21 IPPTS - Institut de Parasitologie et de Pathologie Tropicale
22 Service d'Anatomie et de Cytologie Pathologiques
23 Neuro-Dol - Neuro-Dol
24 CEREMAST - Centre de Référence des Mastocytoses de Toulouse
25 UT3 - Université Toulouse III - Paul Sabatier
26 Institut Bergonié [Bordeaux]
27 CHU Nîmes - Hôpital Universitaire Carémeau [Nîmes]
28 CHU Montpellier = Montpellier University Hospital
Muriel Mathonnet
- Function : Author
- PersonId : 779522
- ORCID : 0000-0002-9127-3068
- IdRef : 124951414
Renaud Martin
- Function : Author
Isabelle Herafa
- Function : Author
S. Bouvier
- Function : Author
T. Rivaille
- Function : Author
F. Fredon
- Function : Author
S. Derbal
- Function : Author
P. Carrier
- Function : Author
R. Daloko Lonfo
- Function : Author
F. Thuillier
- Function : Author
P. Engel
- Function : Author
A. Chaunavel
- Function : Author
M. Pradel
- Function : Author
O. Antomarchi
- Function : Author
A. Aboukassem
- Function : Author
A. Vimal-Baguet
- Function : Author
D. Béchade
- Function : Author
M. Fonk
- Function : Author
G. Desolneux
- Function : Author
N. Dauriat
- Function : Author
M. Agbo
- Function : Author
M. Louty
- Function : Author
V. Phoutthasang
- Function : Author
B. Brunaud-Gagniard
- Function : Author
Y. Benadjaoud
- Function : Author
- PersonId : 1419828
- IdRef : 230079768
N. Rolland
- Function : Author
L. Letournoux
- Function : Author
P. Roger
- Function : Author
L. Chen
- Function : Author
Z. Amadou
- Function : Author
C. Christopoulous
- Function : Author
G. Nakahl
- Function : Author
Y. Souliman
- Function : Author
M. Cirt
- Function : Author
D. Ducoux
- Function : Author
P. Boisseau
- Function : Author
P. Pardies
- Function : Author
L. Mesturoux
- Function : Author
L. Vayre
- Function : Author
A. Abdeh
- Function : Author
F. Teboul
- Function : Author
R. Landraud
- Function : Author
E. Salamé
- Function : Author
T. Lecomte
- Function : Author
G. Proutheau
- Function : Author
S. Guyetant
- Function : Author
D. Tougeron
- Function : Author
A. de Singly
- Function : Author
A. Ferru
- Function : Author
R. El Fadel
- Function : Author
T. Courvoisier
- Function : Author
A. Junca
- Function : Author
E. Frouin
- Function : Author
L. Rouleau
- Function : Author
S. Rafaert
- Function : Author
A. Rocher
- Function : Author
J-M Regimbeau
- Function : Author
C. Sabbagh
- Function : Author
- PersonId : 1151816
- ORCID : 0000-0001-7525-0627
- IdRef : 154808261
E. Dumange
- Function : Author
E. Chive
- Function : Author
D. Lignier
- Function : Author
N. Siembida
- Function : Author
B. Chauffert
- Function : Author
- PersonId : 919116
- ORCID : 0000-0001-7533-5401
- IdRef : 067133428
V. Hautefeuille
- Function : Author
D. Chatelain
- Function : Author
- PersonId : 1149906
- IdRef : 080482635
E. Rivkine
- Function : Author
Abstract
Abstract Background Colorectal cancer is a major public concern, being the second deadliest cancer in the world. Whereas survival is high for localized forms, metastatic colorectal cancer has showed poor prognosis, with a 5-year survival barely surpassing 11%. Conventional chemotherapies against this disease proved their efficiency and remain essential in first-line treatment. However, the large number of authorized protocols complexifies treatment decision. In common practice, such decision is made on an empirical basis, by assessing benefits and risks for the patient. In other words, there is currently no efficient means of predicting the efficacy of any chemotherapy protocol for metastatic colorectal cancer. Methods/design The use of a chemosensitivity assay, the Oncogramme®, should help clinicians administer the best chemotherapy regimen to their patients. We hypothesize it would ultimately improve their survival. In this multicentred, prospective trial (ONCOGRAM), eligible patients with metastatic colorectal cancer are randomized to determine whether they will receive an Oncogramme®. For clinicians whose patients benefited from the assay (arm A), results are used as a decision support tool. Patients not undergoing the Oncogramme® procedure are treated according to current practice, without the assistance of the assay (arm B). Primary outcome is 1-year progression-free survival. Secondary outcomes include response rates, as well as 6-month and 1-year survival rates. Discussion This study aims at investigating the clinical utility of the Oncogramme® as a decision support tool for the treatment of patients with metastatic colorectal cancer. If the Oncogramme® positively influenced patient overall survival and/or progression-free survival, it would be of great value for clinicians to implement this assay within the current landscape of personalized medicine tools, which include genomics and biomarker assays. Trial registration ClinicalTrials.gov identifier NCT03133273 . Registered on April 28, 2017.