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Trial Title: Exploring Cancer Evolution, Prognostic and Predictive Biomarkers in EGFR-mutant NSCLC

NCT ID: NCT05997719

Condition: Non-small Cell Lung Cancer

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

Conditions: Keywords:
EGFR mutation

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Summary: To investigate genomic architecture, cancer evolution and their relationship with clinical outcomes in EGFR-mutant NSCLC.

Detailed description: EGFR mutations are detected in about 50% of East Asian NSCLC and 10% of Western NSCLC. EGFR-mutant NSCLC harbors distinct genomic architecture including high ITH, early diversification, genome instability, low background mutation rates. But despite its high ITH, EGFR-mutant NSCLC usually have better prognosis than NSCLC with other driver mutations even without the application of targeted therapies, indicating that EGFR mutations may have distinct impacts on cancer evolution. This study intends to investigate the genomic architecture, cancer evolution trajectories and their relationship with clinical outcomes in EGFR-mutant NSCLC, and to identify prognostic and predictive biomarkers for this population that could potentially guide therapeutic decisions and improved clinical outcomes.

Criteria for eligibility:

Study pop:
Histologically or cytologically confirmed EGFR-mutant NSCLC

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: 1. Aged 18 years or older 2. Histologically or cytologically confirmed non-small-cell lung cancer 3. ECOG PS=0-2 4. EGFR mutations confirmed by tissue or peripheral blood 5. Can provide tumor tissue samples (fresh or archived) 6. The subject should have good compliance, who would participate in the research voluntarily, and sign the informed consent Exclusion Criteria: 1. History of other malignancies within 5 years (excluding basal cell carcinoma of the skin or other carcinoma in situ that has been resected). 2. Unable to provide sufficient tumor tissue for analysis. 3. Subjects with active, unstable systemic diseases, such as active infection, uncontrolled hypertension, heart failure (NYHA class >= II), unstable angina pectoris, acute coronary syndrome, severe arrythmia, severe liver, kidney or metabolic diseases, HIV infection. 4. Subjects who are deemed unable to comply with the study requirements or complete the study.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Sun Yat-sen University Cancer Center

Address:
City: Guanzhou
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Li Zhang, MD.

Phone: 86 20 87343366
Email: zhangli@sysucc.org.cn

Start date: August 10, 2023

Completion date: December 31, 2030

Lead sponsor:
Agency: Sun Yat-sen University
Agency class: Other

Source: Sun Yat-sen University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05997719

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