Non-Small Cell Lung Cancer Clinical Trial
Official title:
Mutations in the Epidermal Growth Factor Receptor(EGFR) Gene in Non-Small Cell Lung Carcinoma (NSCLC) and the Relation to Response of Treatment With Erlotinib
Recently it has been suggested that specific mutations in the EGFR gene in lung cancer
patients is associated with response to a novel drug targeting the EGF system. Recent
research also indicates that there is a possible association to the degree of aggressiveness
of the disease.
The importance of these mutations is controversial, because the data are based on small
studies with highly selected patients.
In this project the investigators want to study the types and frequencies of EGFR mutations
in both untreated and treated patients in a systematic manner and relate this to survival.
The thorough registration of patient data in DK enables us to create a strong The
investigators expect this knowledge to be of greatest importance for future rational use of
drugs targeting the EGF receptors.
Aim:
1. To establish a method for identifying the mutations in the EGFR gene in small clinical
samples from lung cancer patients.
2. In a retrospective study(n=500) relate survival to the frequency and types of mutations
in the EGFR gene in a Danish population of patients with advanced, inoperable non small
cell lung cancer (NSCLC) diagnosed prior to the introduction of treatment directed
towards EGFR.
3. In a prospective study (n=300), to identify the mutations in the EGFR gene in patients
treated with erlotinib, a tyrosine kinase inhibitor targeting the EGFR. Presence of
mutations will be related to the expression of other parts of the EGF system, to
mutations in the gene coding for K-RAS and to treatment response.
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Observational Model: Case-Only, Time Perspective: Prospective
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