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| Name | Class |
|---|---|
| Queen Mary Hospital, Hong Kong | OTHER |
| Queen Elizabeth Hospital, Hong Kong | OTHER |
| Pamela Youde Nethersole Eastern Hospital | OTHER |
| Prince of Wales Hospital, Shatin, Hong Kong |
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To study and comprehend the evolutionary and genomic landscape between primary and metastatic sites and the dynamics of intratumour and intertumour heterogeneity over time with reference to the treatment modalities for each Chinese patient with non-small cell lung cancer.
The importance of intratumour and intertumour heterogeneity in non-small cell lung cancer has been extensively interrogated recently. However there is a lack of similar data associated with treatment and survival outcomes in Chinese population. Unicorn-Quest, a prospective observational study of Chinese patients with either primary or metastatic non-small cell lung cancer, aims to identify the evolutionary changes from the primary tumour, regional nodes and distant metastases of the same patients and among different patients, through multiregion and longitudinal tumour and nodal collection with next-generation sequencing. By following non-small cell lung cancer from early stage to relapse or distant metastasis, identifying the changes of genomic landscape with correlation with treatment and survival outcomes, this study may help identify unique cancer trajectories and novel therapeutic targets for non-small cell lung cancer in Chinese population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early or metastatic non-small cell lung cancer | The formalin-fixed paraffin-embedded specimen will be retrieved for next generation sequencing. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Next generation sequencing | Genetic | Next generation sequencing |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intratumour heterogeneity | Number of participants who have single actionable and non-actionable genetic mutations and multiple actionable and non-actionable genetic mutations within the same groups of patients with early and metastatic non-small cell lung cancer | 5 years |
| Intertumour heterogeneity | Number of participants who have single actionable and non-actionable genetic mutations and multiple actionable and non-actionable genetic mutations of different groups of patients with early and metastatic non-small cell lung cancer | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
Any other* current malignancy or malignancy diagnosed or relapsed within the past 3 years**.
*Exceptions are: non-melanomatous skin cancer, stage 0 melanoma in situ, and in situ cervical cancer
**An exception will be made for malignancies diagnosed or relapsed more than 2, but less than 3, years ago only if a pre-operative biopsy of the lung lesion has confirmed a diagnosis of NSCLC.
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Stage I to IVB non-squamous non-small cell lung cancer
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| Name | Affiliation | Role |
|---|---|---|
| Victor Ho-Fun Lee, MD | The University of Hong Kong | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Clinical Oncology, Queen Mary Hospital | Hong Kong | Hong Kong |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| D059014 | High-Throughput Nucleotide Sequencing |
| ID | Term |
|---|---|
| D017421 | Sequence Analysis |
| D005821 | Genetic Techniques |
| D008919 | Investigative Techniques |
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| OTHER |
| Princess Margaret Hospital, Hong Kong | OTHER_GOV |
| Tuen Mun Hospital | OTHER_GOV |
| United Christian Hospital | OTHER |
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The formalin-fixed paraffin embedded tumour and lymph node samples of non-small cell lung cancer as well as blood, plasma and serum samples are retrieved and collected for next-generation sequencing
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |