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Trial Title: MYLUNG Consortium Part 3: Observational Study

NCT ID: NCT05885698

Condition: Carcinoma, Non-Small-Cell Lung

Conditions: Official terms:
Carcinoma
Carcinoma, Non-Small-Cell Lung

Conditions: Keywords:
Carcinoma, Non-Small-Cell Lung
Non-Small Cell Lung Cancer
Non-Small Cell Lung Carcinoma
Non-Small-Cell Lung Carcinoma
Nonsmall Cell Lung Cancer
Lung Cancer
Squamous Non-small Cell Lung Cancer
Non-squamous Non-small Cell Lung Cancer
Biomarker Testing
Tumor Tissue Testing

Study type: Observational [Patient Registry]

Overall status: Recruiting

Study design:

Time perspective: Prospective

Summary: This longitudinal study looks to quantify the testing timeline, operational barriers, and outcomes of biomarker-guided therapy in a large, community-based, and largely unselected patient population with early stage and advanced stage, treatment-naive non-small cell lung cancer, whether squamous or non-squamous.

Detailed description: Lung cancer remains the most lethal malignancy in men and women in the U.S. Providing high quality management of these patients in the community setting as compared to hospital or academic centers offers the opportunity to reduce cost without sacrificing clinical outcome and simultaneously improving patient convenience and value. Many patients diagnosed with late-stage cancers can benefit from advanced biomarker testing, yet not all eligible patients receive this type of diagnostic testing today. Within advanced non-small-cell lung cancer (aNSCLC), there are many specific somatic mutations observed in select patient populations that have targeted highly effective and less toxic therapies. National guidelines have advocated for broad tumor molecular profiling as a part of the standard diagnostic evaluation for aNSCLC, with the goal of identifying driver mutations for which effective therapies or clinical trials are available. Furthermore, there is emerging evidence that molecular testing can impact treatment choices in earlier stages of lung cancer. However, adherence to genomic testing guidelines presents unique challenges to community oncologists. While most oncology clinical research has been conducted at well-established academic medical centers, over 85% of cancer patients are diagnosed and treated at local, community-based clinical practices. Barriers exist in the ability to order these tests efficiently, in a timely manner, and reimbursed accordingly. Furthermore, patient care can vary drastically based on community-associated disparities. This longitudinal clinical trial will generate Real World Evidence (RWE) to validate efficacy of first treatment regimen in newly diagnosed patients with non-small cell lung cancer. The MYLUNG Program integrates three separate protocols: Protocol #1 interrogated historical data from a large number of practices seeing lung cancer patients to evaluate biomarker testing, decision making patterns, the patient journey, and the tissue journey; Protocol #2 prospectively evaluated the patient journey in a limited number of index practices focused on testing; integration of testing results; and treatments. Interventional strategies to optimize these objectives will be developed and integrated into various interventions all aimed at improving biomarker testing rates. Protocol #3 (22285) will serve as a resource to monitor the impact of these strategies on the patient journey as it relates to shared decision making, and will continue to prospectively evaluate the patient journey in a limited number of index practices focused on testing, integration of testing results and treatments.

Criteria for eligibility:

Study pop:
This longitudinal study looks to quantify the testing timeline, operational barriers, and outcomes of biomarker-guided therapy in a large, community-based, and largely unselected patient population with early stage and advanced stage, treatment naive non-small cell lung cancer.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Adult subjects (18 years and older) with newly diagnosed early stage, locally advanced or metastatic non-small cell lung cancer - Must be eligible for systemic therapy based on the treating provider's assessment. If systemic therapy was recommended and documented by the treating provider but the patient declined, they can still be eligible for the study. Patients can be enrolled prior to start of treatment. - Subjects who developed locally advanced or metastatic disease after receiving adjuvant or neoadjuvant therapy are eligible if the adjuvant/neoadjuvant therapy was completed at least 12 months prior to the development of locally advanced or metastatic disease - Subjects must be enrolled within 30 days of initiation of systemic therapy - Signed informed consent Exclusion Criteria: - Stage IA at the time of enrollment - Subjects with small cell lung cancer - Subjects with Unknown primary tumor origin

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Southern Cancer Center, PC

Address:
City: Daphne
Zip: 36526
Country: United States

Status: Recruiting

Contact:
Last name: Karla Childers

Phone: 251-433-9899
Email: karla.childers@usoncology.com

Investigator:
Last name: Michael Meshad, MD
Email: Principal Investigator

Facility:
Name: Arizona Oncology Associates, PC - NAHOA

Address:
City: Prescott Valley
Zip: 86314
Country: United States

Status: Not yet recruiting

Contact:
Last name: Erika Arguello Vargas

Phone: 928-775-9430
Email: erika.arguellovargas@usoncology.com

Investigator:
Last name: Allan V. Espinosa Morazan, MD
Email: Principal Investigator

Facility:
Name: Rocky Mountain Cancer Center

Address:
City: Denver
Zip: 80218
Country: United States

Status: Active, not recruiting

Facility:
Name: Cancer Care Centers of Brevard, Inc.

Address:
City: Palm Bay
Zip: 32901
Country: United States

Status: Recruiting

Contact:
Last name: Karla Childers

Phone: 251-433-9899
Email: karla.childers@usoncology.com

Investigator:
Last name: Venkat Pavan R. Kancharla, MD
Email: Principal Investigator

Facility:
Name: Woodlands Medical Specialists, PA

Address:
City: Pensacola
Zip: 32503
Country: United States

Status: Active, not recruiting

Facility:
Name: Affiliated Oncologists, LLC

Address:
City: Chicago Ridge
Zip: 60415
Country: United States

Status: Recruiting

Contact:
Last name: Angela Malone

Phone: 708-424-9710
Email: Angela.Malone@usoncology.com

Investigator:
Last name: Rami Y. Haddad, MD
Email: Principal Investigator

Facility:
Name: Illinois Cancer Specialists

Address:
City: Niles
Zip: 60714
Country: United States

Status: Active, not recruiting

Facility:
Name: Maryland Oncology Hematology, P.A.

Address:
City: Silver Spring
Zip: 20904
Country: United States

Status: Active, not recruiting

Facility:
Name: Minnesota Oncology Hematology, P.A.

Address:
City: Minneapolis
Zip: 55404
Country: United States

Status: Active, not recruiting

Facility:
Name: New York Oncology Hematology, P.C.

Address:
City: Albany
Zip: 12208
Country: United States

Status: Recruiting

Contact:
Last name: Ambri Cicchinelli

Phone: 518-262-6696
Email: ambri.cicchinelli@usoncology.com

Investigator:
Last name: Makenzi Evangelist, MD
Email: Principal Investigator

Facility:
Name: Oncology Hematology Care Clinical Trials, LLC

Address:
City: Cincinnati
Zip: 45242
Country: United States

Status: Recruiting

Contact:
Last name: Sara Gonce

Phone: 513-751-2273
Email: Sara.Gonce@usoncology.com

Investigator:
Last name: Patrick J. Ward, MD
Email: Principal Investigator

Facility:
Name: Willamette Valley Cancer Institute and Research Center

Address:
City: Eugene
Zip: 97401
Country: United States

Status: Recruiting

Contact:
Last name: Jeanne Schaffer

Phone: 541-683-5001
Email: jeanne.schaffer@usoncology.com

Investigator:
Last name: James E. Butrynski, MD
Email: Principal Investigator

Facility:
Name: Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

Address:
City: Blacksburg
Zip: 24060
Country: United States

Status: Recruiting

Contact:
Last name: Natasha R. Holt

Phone: 540-982-0237
Email: natasha.holt@usoncology.com

Investigator:
Last name: Jerome H. Goldschmidt, Jr., MD
Email: Principal Investigator

Facility:
Name: Virginia Cancer Specialists, PC

Address:
City: Fairfax
Zip: 22031
Country: United States

Status: Active, not recruiting

Facility:
Name: Virginia Oncology Associates

Address:
City: Newport News
Zip: 23606
Country: United States

Status: Recruiting

Contact:
Last name: Ebony Villarson

Phone: 757-873-9810
Email: ebony.villarson@usoncology.com

Investigator:
Last name: John C. Paschold, MD
Email: Principal Investigator

Facility:
Name: Shenandoah Oncology, P.C.

Address:
City: Winchester
Zip: 22601
Country: United States

Status: Active, not recruiting

Facility:
Name: Northwest Cancer Specialists, P.C.

Address:
City: Vancouver
Zip: 98684
Country: United States

Status: Recruiting

Contact:
Last name: Julian Kern

Phone: 360-597-1300
Email: julian.kern@usoncology.com

Investigator:
Last name: Anthony Van Ho, MD
Email: Principal Investigator

Start date: January 30, 2023

Completion date: December 2030

Lead sponsor:
Agency: US Oncology Research
Agency class: Industry

Source: US Oncology Research

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05885698

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