NCT05885698

Brief Summary

This longitudinal study looks to quantify the testing timeline, operational barriers, and outcomes of biomarker-guided therapy in a large, community-based, and largely unselected patient population with early stage and advanced stage, treatment-naive non-small cell lung cancer, whether squamous or non-squamous.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
7,500

participants targeted

Target at P75+ for all trials

Timeline
55mo left

Started Jan 2023

Longer than P75 for all trials

Geographic Reach
1 country

17 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress42%
Jan 2023Dec 2030

Study Start

First participant enrolled

January 30, 2023

Completed
23 days until next milestone

First Submitted

Initial submission to the registry

February 22, 2023

Completed
3 months until next milestone

First Posted

Study publicly available on registry

June 2, 2023

Completed
7.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2030

Last Updated

July 18, 2024

Status Verified

July 1, 2024

Enrollment Period

7.8 years

First QC Date

February 22, 2023

Last Update Submit

July 17, 2024

Conditions

Keywords

Carcinoma, Non-Small-Cell LungNon-Small Cell Lung CancerNon-Small Cell Lung CarcinomaNon-Small-Cell Lung CarcinomaNonsmall Cell Lung CancerLung CancerSquamous Non-small Cell Lung CancerNon-squamous Non-small Cell Lung CancerBiomarker TestingTumor Tissue Testing

Outcome Measures

Primary Outcomes (3)

  • Proportion of Patients Who Receive Biomarker Test Results Prior to Systemic Therapy or Death

    5 years from date of enrollment into study

  • Proportion of Patients Who Receive Single-gene Testing Compared to Those that Receive Comprehensive Biomarker Testing

    Comprehensive biomarker testing is defined as both PD-L1 testing to guide the use of immunotherapies and testing for all genomic alterations for which there are FDA-approved therapies including (but not limited to) EGFR, ALK, ROS1, BRAF, NTRK, RET, KRAS and MET.

    5 years from date of enrollment into study

  • For Patients without Biomarker Test Results, List Reasons for Not Conducting Testing

    1. Clinical deterioration, clinical crisis 2. Tissue: obtaining sample, tissue retrieval 3. Assay failure for 1 or more biomarkers: Quantity Not Sufficient (QNS), Quality Assurance (QA) fail, test failure 4. Patient/provider attitudes \& perceptions 5. Provider knowledge about testing options 6. Patient knowledge about biomarker testing 7. Payor Coverage: prior authorization denial, payor refusal 8. Financial barriers: uncovered costs, reimbursement

    5 years from date of enrollment into study

Secondary Outcomes (9)

  • Proportion of patients placed on biomarker-directed first treatment regimen vs those who were not

    5 years from date of enrollment into study

  • Time span between first systemic therapy as compared to date of initial presentation, date of diagnostic biopsy, date of first visit to a medical oncologist, and date of biomarker test order(s) and result(s).

    5 years from date of enrollment into study

  • For Patients who Receive Comprehensive Biomarker Testing, list Types of Test Ordered

    5 years from date of enrollment into study

  • For Patients without Biomarker-Directed First Treatment Regimen, Catalog Reasons for Not Prescribing Biomarker-Targeted Therapy

    5 years from date of enrollment into study

  • For Patients who Receive Comprehensive Biomarker Testing, list Types of Resulting Treatment Regimen Assigned

    5 years from date of enrollment into study

  • +4 more secondary outcomes

Study Arms (1)

Non-small Cell Lung Cancer

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

This longitudinal study looks to quantify the testing timeline, operational barriers, and outcomes of biomarker-guided therapy in a large, community-based, and largely unselected patient population with early stage and advanced stage, treatment naive non-small cell lung cancer.

You may qualify if:

  • Adult subjects (18 years and older) with newly diagnosed early stage, locally advanced or metastatic non-small cell lung cancer
  • Must be eligible for systemic therapy based on the treating provider's assessment. If systemic therapy was recommended and documented by the treating provider but the patient declined, they can still be eligible for the study. Patients can be enrolled prior to start of treatment.
  • Subjects who developed locally advanced or metastatic disease after receiving adjuvant or neoadjuvant therapy are eligible if the adjuvant/neoadjuvant therapy was completed at least 12 months prior to the development of locally advanced or metastatic disease
  • Subjects must be enrolled within 30 days of initiation of systemic therapy
  • Signed informed consent

You may not qualify if:

  • Stage IA at the time of enrollment
  • Subjects with small cell lung cancer
  • Subjects with Unknown primary tumor origin

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (17)

Southern Cancer Center, PC

Daphne, Alabama, 36526, United States

RECRUITING

Arizona Oncology Associates, PC - NAHOA

Prescott Valley, Arizona, 86314, United States

NOT YET RECRUITING

Rocky Mountain Cancer Center

Denver, Colorado, 80218, United States

ACTIVE NOT RECRUITING

Cancer Care Centers of Brevard, Inc.

Palm Bay, Florida, 32901, United States

RECRUITING

Woodlands Medical Specialists, PA

Pensacola, Florida, 32503, United States

ACTIVE NOT RECRUITING

Affiliated Oncologists, LLC

Chicago Ridge, Illinois, 60415, United States

RECRUITING

Illinois Cancer Specialists

Niles, Illinois, 60714, United States

ACTIVE NOT RECRUITING

Maryland Oncology Hematology, P.A.

Silver Spring, Maryland, 20904, United States

ACTIVE NOT RECRUITING

Minnesota Oncology Hematology, P.A.

Minneapolis, Minnesota, 55404, United States

ACTIVE NOT RECRUITING

New York Oncology Hematology, P.C.

Albany, New York, 12208, United States

RECRUITING

Oncology Hematology Care Clinical Trials, LLC

Cincinnati, Ohio, 45242, United States

RECRUITING

Willamette Valley Cancer Institute and Research Center

Eugene, Oregon, 97401, United States

RECRUITING

Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

Blacksburg, Virginia, 24060, United States

RECRUITING

Virginia Cancer Specialists, PC

Fairfax, Virginia, 22031, United States

ACTIVE NOT RECRUITING

Virginia Oncology Associates

Newport News, Virginia, 23606, United States

RECRUITING

Shenandoah Oncology, P.C.

Winchester, Virginia, 22601, United States

ACTIVE NOT RECRUITING

Northwest Cancer Specialists, P.C.

Vancouver, Washington, 98684, United States

RECRUITING

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungLung Neoplasms

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Makenzi C. Evangelist, MD

    New York Oncology Hematology

    PRINCIPAL INVESTIGATOR
  • Patrick J. Ward, MD

    Oncology Hematology Care Clinical Trials, LLC

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
5 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 22, 2023

First Posted

June 2, 2023

Study Start

January 30, 2023

Primary Completion (Estimated)

December 1, 2030

Study Completion (Estimated)

December 1, 2030

Last Updated

July 18, 2024

Record last verified: 2024-07

Locations