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NCT05955196: MACROSWITCH

Test of CD47-SIRPα Inhibitors on the Immune Microenvironment Colon Cancer

Recruiting now Last updated 9 October 2024
What this trial tests

trial testing BLOOD AND TUMOR in Cancer of the Colon in 115 participants. Currently enrolling.

Timeline
9 January 2023
Primary endpoint
9 January 2025
9 January 2027

Quick facts

Lead sponsorInstitut Paoli-Calmettes
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment115
Start date9 January 2023
Primary completion9 January 2025
Estimated completion9 January 2027
Sites1 location across France

Drugs / interventions tested

Conditions studied

Sponsor

Institut Paoli-Calmettes — full company profile →

Who can join

18 and older, any sex, with Cancer of the Colon. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Our goal is to create novel CD47-SIRPα inhibitors using small molecules to reverse TAM-mediated immune suppression and restore anti-tumor immunity in CRCs. Our program uses structure-based drug design to create selective and potent small molecule inhibitors of SIRPα-CD47 to target the tumor microenvironment with greater efficacy and lower toxicity than CD47-targeting antibodies. . In order to study the activity of CD47-SIRPα inhibitors on the immune microenvironment of tumors, we propose to use organoids derived from biopsies of patients with colon cancer. Tumoroids preserve the patient's tumor stroma (including myeloid cells) and provide an accurate in vitro model of complex tumor immune interaction for the evaluation of immunotherapies.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Organoids: development and applications in disease models, drug discovery, precision medicine, and regenerative medicine.
    Yao Q, Cheng S, Pan Q, Yu J, et al · · 2024 · cited 40× · PMID 39309690 · DOI 10.1002/mco2.735
  2. Tumour organoids and assembloids: Patient-derived cancer avatars for immunotherapy.
    Mei J, Liu X, Tian HX, Chen Y, et al · · 2024 · cited 25× · PMID 38664597 · DOI 10.1002/ctm2.1656
  3. The role of macrophages in gastric cancer.
    Zhang J, Hu C, Zhang R, Xu J, et al · · 2023 · cited 16× · PMID 38143746 · DOI 10.3389/fimmu.2023.1282176
  4. The application of organoids in treatment decision-making for digestive system cancers: progress and challenges.
    Wang Y, Zhang L, Wang LZ, Cao Y, et al · · 2025 · cited 4× · PMID 40855314 · DOI 10.1186/s12943-025-02429-0
  5. Immune organoid for cancer immunotherapy.
    Wang XH, Wang WY, Sun ZJ. · · 2025 · cited 2× · PMID 40698131 · DOI 10.1016/j.apsb.2025.04.031
  6. Integrating Human Intestinal Organoids into FDA's New Approach Methodologies for Drug Discovery.
    Patra D, Sayed IM, Mukherjee S, Piplani H, et al · · 2026 · PMID 41766415 · DOI 10.1002/advs.202522276
  7. Advances in precision oncology using patient-derived organoids and functional biomaterials.
    Singh H, Mijakovic I, Singh P. · · 2025 · PMID 41098309 · DOI 10.3389/fcell.2025.1670328

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