CClinicalTrials.gg
TerminatedNCT01567722Updated Mar 16, 2023Results posted

Collecting and Studying Tissue Samples From Patients With HIV-Associated Malignancies

An observational study in Lung Cancer and Lymphoma, sponsored by AIDS Malignancy Consortium. Terminated at 14 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-16.

Sponsored by AIDS Malignancy Consortium · Observational

Why this study was terminated
Sponsor directive
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
114
Ages
18 Years and older
Sex
All
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Study summary

RATIONALE: Collecting and studying tissue samples from patients with cancer in the laboratory may help doctors learn more about changes that occur in DNA and identify biomarkers related to cancer.

PURPOSE: This research trial studies collecting tissue samples from patients with HIV-related malignancies.

Read the detailed description

OBJECTIVES:

  • To obtain high-quality, clinically annotated tissue from patients with human immunodeficiency virus (HIV)-1 malignancy.
  • To study clinical, genetic, and immunologic parameters that have prognostic significance and/or are involved in the initiation and progression of HIV-1 malignancies, including complete genomic sequence determination of HIV-associated diffuse large B-cell lymphomas, lung cancer, anal cancer, and cervical cancer.

OUTLINE: This is a multicenter study.

Patients undergo tumor, lymph node, bone marrow, or skin biopsy, and peripheral blood mononuclear cells collection. Samples are submitted to the AIDS Malignancy Consortium (AMC) Biorepository and transferred to the AIDS and Cancer Specimen Resource (ACSR). Samples are then analyzed by the Genome Science Center of British Columbia (GSC-BC) and the HIV+ Tumor Molecular Characterization Project (HTMCP) for full genomic sequencing analysis that may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies by flow cytometry, cytogenetics, and molecular studies. Patients' clinical data, demographics, and treatment given are also collected prospectively in order to record treatment outcome and toxicity.

Patients are followed up at 6 months, 1 year, and 2 years for data-reporting purposes.

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Conditions studied

  • Lung Cancer
  • Lymphoma

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Keywords

  • HIV infection
  • adult diffuse large cell lymphoma
  • non-small cell lung cancer
  • AIDS-related diffuse large cell lymphoma
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In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 114 is below the median of 136 across 625 observational studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

AIDS Malignancy Consortium is the lead sponsor of 61 studies on the registry; 10 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 8 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

HIV-infected males and females age 18 and older with one of the three malignancy types studied with available diagnostic biopsy material

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Participants must have a diagnosis of a malignancy or clinical findings suggestive of a possible HIV-associated malignancy of one of three types:

    • Diffuse large B-cell lymphoma
    • Non-small cell lung malignancy
  • The presence of any of the following conditions will exclude a participant from study enrollment:

    • Absence of sufficient diagnostic tumor-biopsy tissue material to meet the protocol requirements for baseline specimen submission (minimum specimen size of 10 x 10 x 2 mm); repeat tumor biopsy will not be performed solely to meet the protocol specimen-collection requirements
    • Participants whose biopsies, for the purpose of this protocol, show a diagnosis of anal intraepithelial neoplasia or cervical intraepithelial neoplasia
    • Prior treatment for the study malignancy (including neo-adjuvants), since treatment can affect the mutational spectra of tumors
  • HIV infection based on serologic documentation of HIV infection at any time prior to study entry, as evidenced by positive enzyme-linked immunosorbent assay (ELISA), positive western blot, or any other Food and Drug Administration (FDA)-approved (licensed) HIV test; alternatively, this documentation may include a record that another physician has documented that the patient has HIV based on prior ELISA and western blot, or other approved diagnostic tests

PATIENT CHARACTERISTICS:

  • Participants must be willing and able to sign an IRB-approved informed consent document

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
114 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • HIV-positive diffuse large B-cell lymphoma cases

    Tissue collection for genomic sequencing from persons with a diagnosis of HIV and diffuse large B-cell lymphoma.

    Genetic: DNA analysis · Genetic: RNA analysis · Genetic: gene expression analysis · Genetic: polymorphism analysis · Other: biologic sample preservation procedure · Other: flow cytometry · Other: medical chart review

  • HIV-positive lung cancer cases

    Tissue collection for genomic sequencing from persons with a diagnosis of HIV and lung cancer.

    Genetic: DNA analysis · Genetic: RNA analysis · Genetic: gene expression analysis · Genetic: polymorphism analysis · Other: biologic sample preservation procedure · Other: flow cytometry · Other: medical chart review

  • HIV-positive cervical cancer cases

    Tissue specimen collection from HIV positive patients with a diagnosis of cervical cancer

Interventions

  • GeneticDNA analysis

    This sample will be used for germline DNA analysis.

  • GeneticRNA analysis

    RNA will be sheared, reverse transcribed, and sequenced to assess transcribed sequences.

  • Geneticgene expression analysis

    Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

  • Geneticpolymorphism analysis

    Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

  • Otherbiologic sample preservation procedure

    Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

  • Otherflow cytometry

    Information will include HIV RNA load at time of malignancy diagnosis) and imaging tests, results of the diagnostic tumor biopsy and bone marrow biopsy, and results of flow cytometry, cytogenetics, and molecular studies.

  • Othermedical chart review

    Participants will be followed prospectively to record the types of treatment given, and treatment outcome and toxicity.

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What researchers measure

Primary outcomes

  1. Collection of Tissue Specimen From Study Participants

    Summary of the specimens available by study arm

    Time frame: Study entry (prior to chemotherapy initiation)

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Results

Posted Mar 16, 2023

Participant flow

Participant flow — Overall Study
MilestoneHIV-positive Diffuse Large B-cell Lymphoma CasesHIV-positive Lung Cancer CasesCervical Cancer
Started93192
Completed87192
Not completed600
Withdrew: Not being able to get tissue for central pathology review prior to the protocol closure date100
Withdrew: Insufficient tissue available to satisfy the protocol requirements200
Withdrew: Protocol closure by the ocg200
Withdrew: Not enough tissue left for the tissue scrolls100

Outcome measures

PrimaryCollection of Tissue Specimen From Study Participants

Summary of the specimens available by study arm

Time frame:
Study entry (prior to chemotherapy initiation)
Reported as:
Count of participants · Participants
Collection of Tissue Specimen From Study Participants
ParticipantsHIV-positive Diffuse Large B-cell Lymphoma CasesHIV-positive Lung Cancer CasesHIV Positive Cervical Cancer Cases
Central pathology review85182
Formalin-fixed, paraffin-embedded tissue block for cental pathology review3970
Unstained slide from tissue65122
Specimen for Genomic sequence analysis71162
Snap frozen biopsy410
Hematoxylin and eosin stained slide831
Peripheral Blood Mononuclear Cells68141
Tissue core330
Tissue scroll931
Formalin-fixed, paraffin-embedded for genomic sequence analysis1350

Adverse events

Collected over Adverse events data was not collected for this study... Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
HIV-positive Diffuse Large B-cell Lymphoma Cases———
HIV-positive Lung Cancer Cases———
HIV Positive Cervical Cancer Cases———

Baseline characteristics

HIV-positive persons age 18 and older with a diagnosis of a malignancy limited to the following diagnoses: any variant of diffuse large B cell lymphoma (DLBCL) except Burkitt's lymphoma, non-small cell lung malignancy or cervical cancer.

Age, Continuous
Age, Continuous(years)HIV-positive Diffuse Large B-cell Lymphoma CasesHIV-positive Lung Cancer CasesHIV Positive Cervical Cancer CasesTotal
Mean50.10 ± 10.8661.42 ± 6.2249.50 ± 7.7851.97 ± 10.99
Sex: Female, Male
Sex: Female, Male(Participants)HIV-positive Diffuse Large B-cell Lymphoma CasesHIV-positive Lung Cancer CasesHIV Positive Cervical Cancer CasesTotal
Female118221
Male8211093
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)HIV-positive Diffuse Large B-cell Lymphoma CasesHIV-positive Lung Cancer CasesHIV Positive Cervical Cancer CasesTotal
Hispanic or Latino273030
Not Hispanic or Latino6016278
Unknown or Not Reported6006
Race (NIH/OMB)
Race (NIH/OMB)(Participants)HIV-positive Diffuse Large B-cell Lymphoma CasesHIV-positive Lung Cancer CasesHIV Positive Cervical Cancer CasesTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American3210244
White516057
More than one race0000
Unknown or Not Reported103013
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Study locations

14 sites
  • Moores UCSD Cancer Center
    La Jolla, California 92093-0658, United States
  • UCLA Clinical AIDS Research and Education (CARE) Center
    Los Angeles, California 90095-1793, United States
  • George Washington University
    Washington, District of Columbia 20052, United States
  • University of Miami
    Miami, Florida 33136, United States
  • John H. Stroger Hospital of Cook County
    Chicago, Illinois 60612, United States
  • Louisiana State University Public Hospital
    New Orleans, Louisiana 70112, United States
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
  • Albert Einstein Cancer Center at Albert Einstein College of Medicine
    Bronx, New York 10461, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10021, United States
  • UNC Lineberger Comprehensive Cancer Center
    Chapel Hill, North Carolina 27599, United States
  • University of Pennsylvania - Abramson Cancer Center at Pennsylvania Hospital
    Philadelphia, Pennsylvania 19106, United States
  • Fox Chase Cancer Center
    Philadelphia, Pennsylvania 19111, United States
  • Harborview Madison Clinic
    Seattle, Washington 98104, United States
  • Virginia Mason Medical Center
    Seattle, Washington 98111, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · Nov 25, 2020
  • Informed consent form · Nov 18, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Results will be submitted to dBGaP

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01567722
Lead sponsor
AIDS Malignancy Consortium
Collaborators
National Cancer Institute (NCI), The Emmes Company, LLC, AIDS and Cancer Specimen Resource, University of Arkansas
Responsible party
Sponsor
First posted
Mar 30, 2012
Start date
Jan 2, 2013
Primary completion
Jan 14, 2022
Completion
Jan 14, 2022
Results posted
Mar 16, 2023
Last update
Mar 16, 2023

Study contacts

Lee Ratner, MD, PhD
principal investigator · Washington University Siteman Cancer Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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