Adenocarcinoma of Lung, Response to Tyrosine Kinase Inhibitor in, Somatic, Adenocarcinoma of Lung Stage IV
Conditions
Brief summary
The recent discovery of oncogenic drivers has revolutionized the management of advanced lung cancer by development of tyrosine kinase inhibitors targeted therapies. Prevalence of daily tobacco use is evaluated at 31,3 % in Grand-Est region, the only French region with a statistically significative difference for smoking habits. This region shows a higher incidence (+ 13 %) and mortality for lung cancer in comparison to the average for other French regions. The objectives of our studie were to estimate the distribution of oncogenic drivers and analyse their prognostic impacts in the Nancy University Hospital Center metastatic lung adenocarcinoma's population.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Lung adenocarcinoma * Patients diagnosed at a metastatic stage * Patient who benefited an oncogenic driver research on their histologic samples * Medical follow-up entirely done in Nancy Central Hospital
Exclusion criteria
* Patients with double histology * Synchronous cancer * Patients with surgical care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | over a period of 5 years (Day 0 = anatomopathological diagnosis) | Time (in months) from anatomopathological diagnosis to death |
| Progression Free survival | over a period of 5 years (Day 0 = anatomopathological diagnosis) | Time (in months) from anatomopathological diagnosis to progression of the disease assessed by RECIST criteria |
| Distribution in percentage of main oncogenic drivers in histological samples from metastatic lung adenocarcinoma | At base line (Day 0 = anatomopathological diagnosis) | Distribution in percentage of main oncogenic drivers (KRAS, EGFR, ALK, ROS-1, BRAS and HER2), assessed by Sanger sequencing or FISH method in histological samples from metastatic lung adenocarcinomas |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Distribution in percentage of metastasis sites according oncogenic drivers | At baseline (Day 0 = anatomopathological diagnosis) | Distribution in percentage of metastatic sites assessed by CT-scan for metastatic lung adenocarcinomas according oncogenic drivers (KRAS, EGFR, ALK, ROS-1, BRAS and HER2) |
Countries
France