TIMM-RAD

  • Research type

    Research Study

  • Full title

    Investigating the tumour immune response of radiotherapy

  • IRAS ID

    275284

  • Contact name

    Tim Illidge

  • Contact email

    tim.illidge@manchester.ac.uk

  • Sponsor organisation

    The University of Manchester

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    Radiotherapy is delivered to around 50% of all cancer patients and is a highly effective treatment in bringing about local control by directly killing cancer cells. In addition to the direct effect on cancer cells, radiotherapy can affect the surrounding immune cells in the tumour environment and this can either stimulate or suppress the patient’s immune system. We are interested in further investigating the local immune system effects of radiotherapy in the tumour environment, and also whether radiotherapy can have distant effects in the body, away from the local radiotherapy site, measured in a blood sample. The data generated will potentially open the door to future new cancer treatment regimes.

    We aim to identify tumours with a “hot” inflammatory surrounding environment and those with a “cold” immunosuppressive environment. Ultimately we aim to identify biomarkers (a biomarker is an indicator of disease progression or the effect of treatment) to help us understand which patients are likely to respond well to radiotherapy and which patients may benefit from the addition of immunotherapy to radiotherapy. Immunotherapy is a kind of cancer treatment that helps the immune system fight cancer.

    The cancer types we are interested in studying are cervical, rectal, cutaneous lymphoma, nodal Non-Hodgkin lymphoma, and Head & Neck cancer. Patients may be invited to take part in the study if they are having a course of radiotherapy as standard treatment. Patients will provide an additional biopsy sample taken during or post-radiotherapy, and extra blood samples taken before and during/post-radiotherapy. These research samples will enable us to determine the immune cell profile, and whether the immune cell numbers are increased or decreased following radiotherapy.

    The study is being funded through Christie Charitable Funds awarded to the Chief Investigator. The recruitment of patients will be at Christie NHS Foundation Trust as the single site.

  • REC name

    North West - Greater Manchester Central Research Ethics Committee

  • REC reference

    20/NW/0362

  • Date of REC Opinion

    18 Sep 2020

  • REC opinion

    Favourable Opinion