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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04178889
Other study ID # P02514
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date January 1, 2020
Est. completion date December 2024

Study information

Verified date March 2021
Source Papworth Hospital NHS Foundation Trust
Contact Robert Rintoul, PhD FRCP
Phone 01223 639638
Email robert.rintoul@nhs.net
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Patients who have had curative treatment for lung cancer are at an increased risk of developing second primary lung cancers (and other cancers) over the next 10 years. Doctors need to develop better ways of monitoring patients during follow up so we can intervene as quickly as possible with further treatments. Measuring DNA in the blood which has come from the tumour, so called circulating tumour DNA (ctDNA), may be one way to do this.


Description:

This is a multi-centre, observational basic science study to follow patient who have undergone radical treatment, surgery or radiotherapy for Non-small Cell Lung Cancer (NSCLC) between two and five years previously. Following consent, participants will be asked to provide blood samples every six months for up to the next five years. Information from their routine clinical care, including information from any imaging, diagnostic tissue samples and blood tests will be collected. We will also request access to any original surplus diagnostic material, as well as future, excess tissue from diagnostic samples. Blood samples will be analysed using various new scientific techniques looking to correlate emergence of new primary cancer (or recurrence of original NSCLC) with blood based markers.


Recruitment information / eligibility

Status Recruiting
Enrollment 850
Est. completion date December 2024
Est. primary completion date December 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria: - previous treatment with curative intent (surgery or radical (chemo)radiotherapy) for stage I-IIIA primary NSCLC - at least two years post first treatment date of first primary NSCLC - able to provide informed consent Exclusion Criteria: - Primary lung tumour was a carcinoid tumour - in the opinion of the managing clinician, thought unlikely to survive 12 months from time of potential recruitment.

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
United Kingdom Royal Papworth Hospital Cambridge

Sponsors (3)

Lead Sponsor Collaborator
Papworth Hospital NHS Foundation Trust Cancer Research UK, University of Cambridge

Country where clinical trial is conducted

United Kingdom, 

References & Publications (2)

Barclay ME, Lyratzopoulos G, Walter FM, Jefferies S, Peake MD, Rintoul RC. Incidence of second and higher order smoking-related primary cancers following lung cancer: a population-based cohort study. Thorax. 2019 May;74(5):466-472. doi: 10.1136/thoraxjnl-2018-212456. Epub 2019 Feb 18. — View Citation

Wan JCM, Massie C, Garcia-Corbacho J, Mouliere F, Brenton JD, Caldas C, Pacey S, Baird R, Rosenfeld N. Liquid biopsies come of age: towards implementation of circulating tumour DNA. Nat Rev Cancer. 2017 Apr;17(4):223-238. doi: 10.1038/nrc.2017.7. Epub 2017 Feb 24. Review. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Recruitment of 850 patients who have undergone treatment with curative intent for stage 1 - 3A non-small cell lung cancer. In order to:
collect baseline demographics, clinical and past medical history to obtain blood samples every 6 months after recruitment
to collect relevant imaging and clinical data as part of their on-going routine clinical care
5 years
Secondary To collect blood samples from the cohort of patients. Have the blood samples been collected at follow up visits. From recruitment through to end of study (or 5 year follow up point, whichever comes first)
Secondary To collect surplus diagnostic tissue from the cohort of patients. To collect surplus diagnostic tissue from original non-small cell lung cancer. Identify original diagnostic sample at recruitment.
Secondary To collect surplus diagnostic tissue from new cancer occurrences or relapse from the cohort of patients Collection of surplus diagnostic tissue if any second primary cancer or recurrence occurs. From recruitment to end of study (or 5 year follow up point, whichever comes first)
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