Non-small Cell Lung Cancer Metastatic
Conditions
Keywords
NSCLC, Immunotherapy, Chemotherapy, Predictive models, Radiomics, Multimodal, Genomics, Machine learning
Brief summary
Predicting response to therapy and disease progression in stage IV NSCLC patients treated with pembrolizumab monotherapy, chemotherapy-pembrolizumab combination therapy or chemotherapy alone in the first-line setting.
Interventions
Machine learning predictive models
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult ≥18 years old * Patient diagnosed with Stage IV NSCLC (de novo or earlier stage progression to stage IV) * Absence of oncogene activating mutations eligible patients to targeted therapy (EGFR, ALK) * Cohort A: Received first line treatment with pembrolizumab monotherapy * Cohort B: Received first line treatment with chemotherapy and pembrolizumab combination therapy * Cohort C: Received first line treatment with chemotherapy doublet
Exclusion criteria
* Prior anti-cancer therapy for actual stage IV NSCLC * Critical data missing (e.g., PD-L1 status, baseline millimetric imaging, first evaluation millimetric imaging) * Patients participating in other clinical trials that modify the standard of care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment response at first evaluation | 6-12 weeks after treatment start | Predict treatment response at first evaluation using baseline data |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-Free Survival | Through study completion, expected 6-14 months contingent on cohort | Predict Progression-Free Survival (PFS) using data at baseline and first evaluation |
| Overall Survival | Through study completion, expected 8-20 months contingent on cohort | Predict Overall Survival (OS) using data at baseline and first evaluation |
| Duration of Response | Through study completion, expected 6-14 months contingent on cohort | Predict Duration of Response (DoR) using data at baseline and first evaluation |
| Time-To-Progression | Through study completion, expected 6-14 months contingent on cohort | Predict Time-To-Progression (TTP) using data at baseline and first evaluation |
Countries
Brazil, Canada, France, Germany, Israel, Italy, Spain, United States