About this trial
To evaluate the consistency of drug efficacy between the clinical systemic treatment and drug sensitive test based on patient-derived organoid in R/M SGC patients, using a prospective and multicenter observational study to increase the generalizability and reliability of research conclusion.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pathologically confirmed R/M SGC patients
Tumor tissues available for organoid culture
ECOG score: 0-2 points
Life expectancy > 3 months
Disqualifiers
Metastatic tumors in the head and neck region, or non-salivary gland cancer tumors such as sarcoma, squamous cell carcinoma, nasopharyngeal carcinoma, etc.
Known allergy to the study drugs or their active ingredients or any excipients; or had a severe allergic reaction to other monoclonal antibodies
Pregnant or breastfeeding female patients; or women of childbearing age with positive pregnancy test results (serum or urine) within 7 days before enrollment, or negative results but refusing to use effective contraception during the study period and 2 months after the last administration of study medication; or male patients with partners of childbearing age, refusing to use effective contraception during the study period and 2 months after the last administration of study medication
Severe liver diseases (such as cirrhosis), kidney diseases, respiratory system diseases, hematopoietic system diseases, or endocrine system diseases, uncontrolled diseases
Trial population
This study is an observational study, according to previous literature reports combined with the actual clinical situation of institution/collaborating institutions, a total of 40 participants are planned to be included.
Trial design
Cohort
Prospective
Treatments tested in this trial
No Intervention: Observational Cohort
Other interventionThe patients with R/M SGC would receive drug treatment according to the clinical guideline or doctor's experience, at the same time, tumor biopsy samples would be collected to establish PDO for drug sensitive test. But no intervention would be used based on the PDO drug sensitive test.
Treatment groups
Trial outcomes
Primary outcomes
Objective Response Rate
The proportion of patients whose tumor size is reduced to a pre-specified value and maintained for a minimum required duration, which is the sum of the proportions of Complete Response (CR) and Partial Response (PR).
Disease Control Rate
The proportion of patients whose tumor size is reduced or stable and maintained for a minimum required duration, which is the sum of the proportions of Complete Response (CR), Partial Response (PR), and Stable Disease (SD).
Secondary outcomes
Success rate of establishment and drug sensite test on PDO
Number of successful organoid construction and completion of drug sensitive test/Total number of participants ×100%.
Tumor Growth Inhibition of PDO
(1-T/C) × 100%, where T is the survival rate of PDO drug treatment group, and C is the survival rate of PDO control group.
Overall Survival
The time from enrollment of participants to death (for any reason).
Progression-Free Survival
The time from enrollment of participants to occurrence of tumor progression (in any aspect) or death (for any reason).
Sponsors and contacts
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Huashan Hospital
Lead sponsor
Shanghai Cancer Hospital, China
Collaborator
Eye & ENT Hospital of Fudan University
Collaborator
Dongfang Hospital Affiliated to Tongji University
Collaborator
Shandong Cancer Hospital and Institute
Collaborator
Qilu Hospital of Shandong University
Collaborator
Shandong Provincial Hospital
Collaborator
Hospital of Stomatology, Wuhan University
Collaborator
Second Affiliated Hospital, School of Medicine, Zhejiang University
Collaborator
Zhejiang University
Collaborator
Sir Run Run Shaw Hospital
Collaborator
Zhejiang Cancer Hospital
Collaborator
Shanghai Huangpu District Central Hospital
Collaborator
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Collaborator
Wuhan TongJi Hospital
Collaborator
Zhongnan Hospital
Collaborator