Actively Recruiting
Application of the RecistTM Criteria in Evaluating the Efficacy of Targeted Therapy for Advanced Non-small Cell Lung Cancer With Positive Driving Genes
Led by Xueqin Yang · Updated on 2023-11-21
44
Participants Needed
1
Research Sites
104 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying how well the RecistTM criteria evaluate the effectiveness of targeted therapy in patients with advanced non-small cell lung cancer (NSCLC) who have positive driving genes like EGFR, ALK, and others. This study aims to improve and broaden the use of the RecistTM criteria to make tumor marker evaluations more objective and reliable compared to existing RECIST criteria. The research focuses on confirming the consistency and reliability of these criteria for better clinical efficacy assessment in this patient group. The study observes the application of RecistTM criteria alongside RECIST criteria to evaluate targeted therapies for NSCLC patients with positive driving genes. Researchers use statistical analysis to compare the efficacy evaluations between the two criteria, assess correlations with progression-free survival (PFS), and examine links with ctDNA levels. This is an observational study without intervention groups, focusing on the diagnostic use of the RecistTM criteria. Participants will have their treatment efficacy evaluated at the first, third, and sixth months after treatment begins, then every three months for up to one year. The study also tracks progression-free survival for up to 60 months. Evaluations include tumor marker levels, measurable lesions, and laboratory tests for blood, liver, and kidney function. Researchers monitor patients’ health status and tumor responses to better understand the criteria's applicability. The study began in November 2023 and will continue through December 2028.
CONDITIONS
Brief Title
RecistTM Criteria in Evaluating the Efficacy of Targeted Therapy for NSCLC
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Diagnosed with stage IIIB-IV non-small cell lung cancer (NSCLC)
- Positive for driver genes such as EGFR, ALK, C-MET, ROS, RET, or HER2
- Receiving first-line targeted therapy
- Performance status of 0 to 2 according to ECOG criteria
- At least one tumor marker elevated more than three times the normal level (e.g., CEA >15 ng/ml, CA-199 >105 U/ml, CA-125 >105 U/ml, NSE >60 ng/ml, SCCAg >7.5 ng/ml, CYFRA21-1 >21 ng/ml)
- Presence of measurable lesions
- Age 18 years or older
- Adequate blood counts (neutrophils ≥ 1,500/uL, platelets ≥ 60,000/uL, hemoglobin ≥ 70 g/L)
- Adequate liver function (transaminase ≤ 2.5 times upper normal limit, bilirubin ≤ 1.5 times upper normal limit)
- Adequate kidney function (creatinine ≤ upper normal limit)
- Informed consent provided by patient or relative
You will not qualify if you...
- Difficulty swallowing (dysphagia)
- Unable to take medication on schedule
- History of psychotropic substance abuse without cessation or mental disorders
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 12 months
Participants receiving first-line targeted therapy for advanced non-small cell lung cancer with positive driving genes are monitored to evaluate treatment efficacy using RecistTM and RECIST criteria.
Visits at 1st, 3rd, 6th month after treatment and every 3 months thereafter up to 1 year
Duration - Up to 60 months
Participants are followed to assess progression-free survival after initial treatment evaluation.
Periodic assessments during follow-up
Trial Site Locations
Total: 1 location
1
Cancer Center, Dapping Hospital, Army Medical Center of PLA
Chongqing, Chongqing Municipality, China, 400042
Actively Recruiting
Research Team
X
Xueqin Yang, PhD
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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