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CompletedNCT05472532INOVOLINEUpdated Nov 20, 2025

Evaluation of an Automated System to Culture Metastatic Patient Circulating Tumor Cells in Embryonated Chicken Eggs (in Ovo Culture)

An interventional study of Patient sampling. in Cancer Metastatic, Prostate Cancer and Breast Cancer, sponsored by Hospices Civils de Lyon. Completed at 2 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-20.

Sponsored by Hospices Civils de Lyon · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
101
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A variety of in vivo experimental models have been established for the studies of human cancer using both cancer cell lines and patient-derived xenografts (PDXs). In order to meet the aspiration of precision medicine, the in vivo murine models have been widely adopted. However, common constraints such as high cost, long duration of experiments, and low engraftment efficiency remained to be resolved. The chick embryo chorioallantoic membrane (CAM) is an alternative model to overcome some of these limitations. The chick CAM is shown to be a robust model for both the inoculation of cell lines and grafting of patient tumors for drug therapy evaluations and target genes/pathways analysis.

The start-up INOVOTION has developed a unique, highly sensitive and reproducible CAM assay to graft human cancer cells/tumors in the chicken egg environment. INOVOTION's technology was validated for over 55 human tumor cell lines, including carcinomas, gliomas and melanomas, as well as over 30 reference drugs currently on the market.

At INOVOTION, the graft of human cancer cells on the chicken CAM is currently conducted manually. To scale-up, the process was recently automated. The automation performance was assessed on cancer cells lines. The objective of this study is to demonstrate that the automation of the INOVOTION process enables tumors' proliferation using patient samples (from tumor samples or circulating tumor cells) as grafting material.

02

Conditions studied

  • Cancer Metastatic
  • Prostate Cancer
  • Breast Cancer
  • Lung Cancer
  • Ovarian Cancer
  • Gastric Cancer

Keywords

  • chick embryo chorioallantoic membrane
  • in ovo technology
  • cancer
  • Metastatic cancer
  • CTC
  • process automation
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In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 885 are open to participants now.

This study's enrollment of 101 is above the median of 54 across 2,767 interventional studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Hospices Civils de Lyon is the lead sponsor of 1,826 studies on the registry; 439 are open to participants now.

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

Eligibility criteria

  • Inclusion Criteria for all cohorts * :

    • Age > 18
    • Signed consent
    • Inclusion criteria for the "Prostate" cohort:
    • prostate adenocarcinoma histologically proven
    • metastatic situation
    • at least 2 metastatic sites
    • Evolutionary disease that requires a new treatment
    • Inclusion criteria for the "Breast" cohort:
    • HER2+ or RH+ breast adenocarcinoma histologically proven
    • metastatic situation
    • at least 2 metastatic sites
    • Evolutionary disease that requires a new treatment
    • Inclusion criteria for the "Lung" cohort:
    • Non Small Lung cancer histologically proven
    • metastatic situation
    • at least 2 metastatic sites
    • Evolutionary disease that requires a new treatment
    • Inclusion criteria for "Ovarian" cohort:
    • Ovarian cancer histologically proven
    • Presence of peritoneal carcinomatosis (stage IIIC or IV); with or without presence of peritoneal fluid
    • Inclusion criteria for "Colo-Rectal" cohort:
    • Colo-rectal cancer histologically proven
    • Presence of peritoneal carcinomatosis, with or without presence of peritoneal fluid
    • Evolutionary disease that requires a new treatment
    • Inclusion criteria for "Gastric" cohort:
    • Gastric cancer histologically proven
    • Presence of peritoneal carcinomatosis, with or without presence of peritoneal fluid
  • Exclusion Criteria for all cohorts * :

    • Weight \<50kg
    • Parallel participation in a doubled blinded study
    • Brain or ganglionary metastasis only
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
101 participants (actual)

Study arms

  • Experimental
    6 cohort

    Prostate Cohorte : Castrate resistant metastatic prostate cancer patient Breast cohort : HER2+ ou RH+ metastatic breast cancer patient Lung cohort : Non-small cell lung metastatic lung cancer patient Ovarian cohort : Ovarian cancer with peritoneal carcinomatosis Colorectal cohort : Colorectal cancer with peritoneal carcinomatosis Gastric cancer : Gastric cancer with peritoneal carcinomatosis

    Procedure: Patient sampling.

Interventions

  • ProcedurePatient sampling.

    One or several bio-specimens will be sampled depending on the cohort : * Blood (40 ml) * Pleural Fluid (40 ml) * Peritoneal liquid (40 ml) * Solid tumors

06

What researchers measure

Primary outcomes

  1. The main primary endpoint will be reached, if the xenograft rate using patients' samples is ≥ 50% with the INOVOTION automated process.

    A xenograft will be considered successful if proliferating human material is found in at least one of the egg engrafted with the patient sample (one patient sample being able to be used to engraft several eggs). Success = at least one successful xenograft on all engrafted eggs with a patient sample Failed: 0 successful xenograft on all engrafted eggs with a patient sample

    Time frame: The sample outcome will be measured 19 days after egg engraftment.

Secondary outcomes

  1. Measure of the xenograft rate per patient sub-population and per cohort (patient blood CTC, pleural fluid, peritoneal fluid, tumor pieces)

    A xenograft will be considered successful if proliferating human material is found in at least one of the egg engrafted with the patient sample (one patient sample being able to be used to engraft several eggs). Success = at least one successful xenograft on all engrafted eggs with a patient sample Failed: 0 successful xenograft on all engrafted eggs with a patient sample

    Time frame: The sample outcome will be measured 19 days after egg engraftment

  2. Biological characteristics of the obtained xenografts (per cohort)

    NGS xenograft analysis

    Time frame: One to two months after egg engrafting

  3. Study of xenograft biological responses under different cancer drug treatment (per cohort)

    biological responses analysis.

    Time frame: 19 days after egg engraftment.

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Study locations

2 sites
  • Centre Hospitalier Lyon Sud
    Pierre-Bénite, 69495, France
  • Centre Hospitalier Lyon Sud - Department of Medical Oncology
    Pierre-Bénite, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 20, 2025, 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
NCT05472532
Lead sponsor
Hospices Civils de Lyon
Responsible party
Sponsor
First posted
Jul 25, 2022
Start date
Feb 14, 2023
Primary completion
Feb 14, 2025
Completion
Feb 14, 2025
Last update
Nov 20, 2025

Oversight

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

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