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There is a growing body of evidence that implicates inflammation as a mechanism of disease progression and reduced survival in patients with advanced cancer. Elevated c-reactive protein levels have been shown to be associated with reduced performance status, specific cancer related symptoms and reduced overall survival. C-reactive protein levels are a surrogate for IL-6 expression. IL-6 is part of an inflammatory signature predicting cancer recurrence. VeriStrat® is a multivariate test which measures protein expression related to a host/tumor interaction mediated by inflammation. The investigators hope to examine the relationship between quality of life outcomes per FACT-L survey and correlate them with changes in c-reactive protein levels and the VeriStrat® status. The hypothesis of this study is that the remarkable survival benefit in the Temel study is mediated by reduced inflammation with improvement of symptom control.
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| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival | Overall survival from diagnosis until death from any cause | Patients will be followed for 5 years after enrolling last patient |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of patients who convert from c-reactive protein 'high' (> 10 mg/L) to 'low' (<10 mg/L) |
| 10 months |
| Quality of Life (QOL) indicators per FACT-L score and the following at baseline, 4 months and 10 months groups |
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Inclusion Criteria:
Exclusion Criteria:
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Patients diagnosed with metastatic (stage IV) non-small cell lung cancer
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| Name | Affiliation | Role |
|---|---|---|
| Geoffrey Stroud, PharmD, BCOP, CPP | Brody School of Medicine at ECU | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Leo Jenkins Cancer Center | Greenville | North Carolina | 27834 | United States |
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| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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Retain serum samples draw at baseline, 4 months, 10 months for storage and analysis by Biodesix Laboratories.
|
| 10 months |
| Change in VeriStrat status | Percentage of patients who convert from "poor" to "good" | 10 months |
| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |