Development and Application of Molecular Evaluation Instrument for Lung Cancer Diagnosis and Treatment
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 500
- 主要终点
- ORR
研究概览
简要总结
The precise diagnosis and treatment of lung cancer is not only a major national strategic need but also an urgent demand from the general public. The "three stages" of precise diagnosis and treatment of lung cancer include early diagnosis, effective treatment, and precise evaluation. Currently, invasive methods are mainly used in these three stages of clinical practice. The non-invasive molecular diagnosis of early-stage lung cancer and the molecular evaluation of treatment efficacy are critical core issues in lung cancer clinical diagnosis and treatment. In response to this problem, this project aims to use exhaled breath as a sample to develop a scientific instrument with independent intellectual property rights, which integrates early-stage diagnosis of lung cancer and evaluation of treatment efficacy. We will also conduct related application research to meet the needs of the public and contribute to the health of the entire population.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Voluntarily participate in the clinical study; fully understand and be informed about this study, and sign the informed consent form (ICF); willing to comply with and have the ability to complete all trial procedures.
- •Male or female participants aged 18-75 (inclusive) at the time of signing the ICF.
- •The case group included patients diagnosed with lung cancer, including early-stage and advanced-stage patients; the control group consisted of healthy individuals without a history of lung cancer or related respiratory diseases.
- •At least one measurable target lesion evaluated according to RECIST 1.1 criteria by the Institutional Review and Research Committee (IRRC).
- •Patients provide eligible tumor tissue for histopathological testing as required.
- •Relevant laboratory tests indicate tolerance to chemotherapy and immunotherapy.
排除标准
- •Patients with unclear diagnosis of lung cancer.
- •Patients with contraindications to chemotherapy or immunotherapy.
- •Patients with contraindications to lung tissue examination.
- •Patients with other respiratory diseases within the year or concurrent respiratory system diseases (such as chronic obstructive pulmonary disease, bronchial asthma, etc.).
- •Patients with other active malignant tumors within the year or concurrently.
- •Patients with severe heart disease and patients with other severe diseases (such as liver dysfunction, renal dysfunction, etc.).
- •Patients known to have a history of psychiatric drug abuse or drug addiction; patients with a history of alcohol abuse.
- •Based on the investigator's judgment, patients have other factors that may lead to premature termination of this study.
结局指标
主要结局
ORR
时间窗: The proportion of patients who achieved a 30%(usual) reduction in tumor volume while maintaining the minimum required duration was calculated at month 24 of the study
Refers to the proportion of subjects whose tumors shrink by a certain amount and remain for a certain period of time, including those with CR+PR
DOR
时间窗: The time from first diagnosis of CR or PR to diagnosis of PD was calculated at 24 months of study
Is the time from the first documented response (CR or PR) to the first documented disease progression or death, whichever occurs first
OS
时间窗: From date of diagnosis until the date of death from any cause, whichever came first, assessed up to 24 months
Time from randomization to death (from any cause)
PFS
时间窗: From date of diagnosis until the date of first documented progression from any cause, whichever came first, assessed up to 24 months
The time between the initiation of randomization and the occurrence (any aspect) of tumor progression or death (from any cause)
次要结局
未报告次要终点
研究者
Yayi He
Principal Investigator
Shanghai Pulmonary Hospital, Shanghai, China