Immunohistochemical Algorithm for the Diagnosis and Classification of Hepatocellular Carcinomas With TERT, TP53 and CTNNB1 Mutation

NCT06718153 — Not applicable, Recruiting, 100 participants, IRCCS Azienda Ospedaliero-Universitaria di Bologna

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RegistryNCT06718153
StatusRecruiting
PhaseNot applicable
Study typeInterventional; na, single group, masking: none, diagnostic
Enrollment100 (Estimated)
SponsorIRCCS Azienda Ospedaliero-Universitaria di Bologna (Other)
ConditionsHepatic Cancer, Hepatic Resection
InterventionsImmunohistochemistry and in situ hybridisation analysis (Diagnostic test)
Datesstart 2024-10-23, primary completion 2025-05-13 (estimated), completion 2025-06-01 (estimated), first posted 2024-12-05, last updated 2024-12-05
Locations1 site in Italy

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-Summary

The presence of certain mutations in HCC, such as TERT and TP53, have a suspected or proven prognostic role in resected patients, but lack a morphological or immunophenotypic counterpart, which would allow us to define which tumours are rationally candidate for molecular biology analysis. The identification of a histological and immunohistochemical algorithm to determine which HCCs to take to NGS for prognostic purposes will save time and economic costs in the laboratory by rationalising available resources. In the future, the application of the immunohistochemical and molecular algorithm on biopsy could allow better prognosis and predictivity even before surgery/therapy.

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+Detailed description

The primary aim is the identification of possible associations between the biomarkers p53 and beta-Catenin and the presence of the genetic mutations TERT, TP53 and CTNNB1 identified by clinical practice, in patients undergoing hepatic resection of HCC.

The secondary objective is the identification of possible associations between the presence of biomarkers Glutamin Synthetase, Glypican-3 and HSP70 and genetic mutations identified by clinical practice, in patients undergoing hepatic resection of HCC.

STUDY DESIGN: exploratory study. It is planned to recruit approximately 100 patients, who underwent liver resection for HCC and already underwent NGS analysis (for which the mutational profile is already known). All clinical and histological data will be collected, immunohistochemistry investigations will be performed on formalin-fixed and paraffin-embedded material corresponding to that used for molecular analysis.

STUDY POPULATION: The study envisages the enrolment of 100 patients, already undergoing liver resection for HCC at the IRCCS AOU of Bologna, in the period 2020-2022, who will be retrospectively re-evaluated.

+Arms and interventions

ArmTypeInterventionsDescription
Resected HCC patientsExperimentalDiagnostic Test: Immunohistochemistry and in situ hybridisation analysispatients resected for HCC with NGS data, and paraffin material for immunohistochemistry analysis.
  • Immunohistochemistry and in situ hybridisation analysis (Diagnostic test): immunohistochemistry and in situ hybridisation analysis for several markers, including p53, beta-Catenin and albumin, but also markers considered diagnostic for HCC such as Glutamin Synthetase, Glypican-3 and HSP70, to identify a more rational diagnostic-prognostic algorithm for primary liver lesions.

+Outcome measures

Primary outcomes

  • associations between p53 and beta-Catenin and the presence of the genetic mutations [At baseline]: Identification of associations between the biomarkers p53 and beta-Catenin and the presence of the genetic mutations TERT, TP53 and CTNNB1 identified by clinical practice, in patients undergoing hepatic resection of HCC.

Secondary outcomes

  • Identification of associations between the presence of biomarkers Glutamin Synthetase, Glypican-3 and HSP70 and genetic mutations [At baseline]: Identification of associations between the presence of biomarkers Glutamin Synthetase, Glypican-3 and HSP70 and genetic mutations identified by clinical practice, in patients undergoing hepatic resection of HCC.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Age ≥18 years
* Patients resected for HCC
* Availability of NGS data
* Availability of paraffin material for immunohistochemistry investigations

Exclusion Criteria:

* None

+Locations (1)

FacilityCityCountryStatus
IRCCS Azienda Ospedaliero-Universitaria di BolognaBolognaItalyRecruiting

+Investigators