cSMART Liquid Biopsy and Dynamic Monitor of NSCLC Patients in Inner-Mongolia China

NCT ID: NCT02980536

Last Updated: 2018-07-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

129 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-11-30

Study Completion Date

2018-12-31

Brief Summary

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The purpose of this study is to evaluate the mutation pattern of epidermal growth factor receptor (EGFR) and other TKI targeted gene during TKI treatment of advanced NSCLC patient with liquid biopsy.

Detailed Description

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In the study, 200 advanced NSCLC patients will be recruited. All the patients will receive biopsy genotype assay and Circulating Single-Molecule Amplification and Resequencing Technology (cSMART) liquid biopsy. those patients who carry EGFR activating mutation and other TKI targeted activating mutation will receive TKI treatment. During the TKI treatment, every patients will take liquid biopsy assay to monitor the mutation status. the study will be ended when all the patients had a progressive disease (PD) in their targeted lesion

Conditions

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Nonsmall Cell Lung Cancer Adenocarcinoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* NSCLC adenocarcinoma patients confirmed by pathologist
* Initial, non-operative patients with stage III \& IV adenocarcinoma
* Older than 18 years old
* Subjects have no major organ dysfunction. In detail, Liver Function: TBiL≤1.5 ULN ( Upper Limit of Normal); Serum GPT (Glutamate-Pyruvate Transaminase ):≤2 ULN, Renal Function: ScR≤1.2 ULN; BUN≤1.2 ULN, BM (Bone Marrow) Reserve: WBC (White Blood cell Count) ≥4.0×e9/L; ANC≥2.0×e9/L,PLT≥100×e9/L,HGB≥100g/L.

PS (Performance Status) Score: less than 2, Expected Survival Time: More than 3 months;

* Have a clear measurable tumor lesion in lung,under RIEST.
* Without severe drug allergy
* Patients participate in this trail must sign the informed consent

Exclusion Criteria

* Patients with brain metases related syndrome
* Patients with bone metases related complication
* Patients with cognitive disorder
* Patients with major organ dysfunction and severe cardiopathy include congestive heart-failure, uncontrolled arrhythmia, angina with long term treatment, VHD (Valvular Heart Disease), myocardial infraction, RHTN (Resistant Hypertension).
* Patients with other severe complication and excluded by the researcher.
* Patients who are allergy with the TKI in this trail.
* Patients who participated in other trails or with anti-tumor treatments
* Patients who receive radiotherapy at the site of curative effect observation
* Patients who receive allogenic blood transfusion within 14 days
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Chest Hospital

OTHER

Sponsor Role collaborator

Baotou Cancer Hospital

OTHER

Sponsor Role collaborator

Berry Genomics Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shun Lu, MD/PhD

Role: STUDY_CHAIR

Shanghai Chest Hospital

Locations

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Baogang Hospital

Baotou, Inner Mongolia, China

Site Status

Baotou Cancer Hospital

Baotou, Inner Mongolia, China

Site Status

Northern Hospital Baotou

Baotou, Inner Mongolia, China

Site Status

Baotou Centry Hospital

Baotou, Inner Mongolia, China

Site Status

Bayan Nur Hospital

Bayan Nur, Inner Mongolia, China

Site Status

The Inner Mongolia Autonomous Region Cancer Hospital

Hohhot, Inner Mongolia, China

Site Status

The Inner Mongolia Autonomous Region People's Hospital

Hohhot, Inner Mongolia, China

Site Status

The First Affiliated Hospital of Inner Monglia Medical University

Hohhot, Inner Mongolia, China

Site Status

Dalad Banner People's Hospital

Ordos, Inner Mongolia, China

Site Status

Countries

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China

References

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Wang Z, Cheng G, Han X, Mu X, Zhang Y, Cui D, Liu C, Zhang L, Fan Z, Ma L, Yang L, Di J, Cram DS, Shi Y, Liu D. Application of Single-Molecule Amplification and Resequencing Technology for Broad Surveillance of Plasma Mutations in Patients with Advanced Lung Adenocarcinoma. J Mol Diagn. 2017 Jan;19(1):169-181. doi: 10.1016/j.jmoldx.2016.09.008. Epub 2016 Nov 19.

Reference Type BACKGROUND
PMID: 27870944 (View on PubMed)

Chai X, Ren P, Wei B, Ma J, Mai L, Cram DS, Song Y, Guo Y. A comparative study of EGFR oncogenic mutations in matching tissue and plasma samples from patients with advanced non-small cell lung carcinoma. Clin Chim Acta. 2016 Jun 1;457:106-11. doi: 10.1016/j.cca.2016.04.003. Epub 2016 Apr 9.

Reference Type BACKGROUND
PMID: 27071701 (View on PubMed)

Song Y, Zhou X, Huang S, Li X, Qi Q, Jiang Y, Liu Y, Ma C, Li Z, Xu M, Cram DS, Liu J. Quantitation of fetal DNA fraction in maternal plasma using circulating single molecule amplification and re-sequencing technology (cSMART). Clin Chim Acta. 2016 May 1;456:151-156. doi: 10.1016/j.cca.2016.03.005. Epub 2016 Mar 15.

Reference Type BACKGROUND
PMID: 26993877 (View on PubMed)

Lv W, Wei X, Guo R, Liu Q, Zheng Y, Chang J, Bai T, Li H, Zhang J, Song Z, Cram DS, Liang D, Wu L. Noninvasive prenatal testing for Wilson disease by use of circulating single-molecule amplification and resequencing technology (cSMART). Clin Chem. 2015 Jan;61(1):172-81. doi: 10.1373/clinchem.2014.229328. Epub 2014 Nov 6.

Reference Type BACKGROUND
PMID: 25376582 (View on PubMed)

Other Identifiers

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BerryGenomics NMB

Identifier Type: -

Identifier Source: org_study_id

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