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| Name | Class |
|---|---|
| Yichang Central People's Hospital | OTHER |
| Suizhou Hospital, Hubei University of Medicine | UNKNOWN |
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The objective of this observational study is to explore the therapeutic trajectory of targeted therapy in lung adenocarcinoma patients with epidermal growth factor receptor (EGFR) mutations. The main objective is to identify potential biomarkers that can predict the efficacy of targeted therapy through plasma exosomes and to explore strategies to reverse drug resistance to targeted therapy. Biological specimens and medical imaging data will be collected from patients already receiving targeted therapy as a first-line treatment, and followed-up will be conducted to analyze prognosis based on different patterns.
The medical imaging data will be collected retrospectively and prospectively, and the blood samples and tumor tissues will be collected prospectively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Untreated EGFR mutated lung adenocarcinoma patients | Patients diagnosed with lung adenocarcinoma with EGFR mutations for the first time. |
| |
| Patients with EGFR-mutated lung adenocarcinoma who are responding to targeted therapy | Patients with EGFR-mutated lung adenocarcinoma treated with targeted therapy combined with or without chemotherapy as first-line therapy, and the therapeutic effect was in the response stage. |
| |
| Patients with EGFR-mutated lung adenocarcinoma who are resistant to targeted therapy | Patients with EGFR-mutated lung adenocarcinoma treated with targeted therapy combined with or without chemotherapy as first-line therapy, and the therapeutic effect was in drug resistance stage, or disease progression. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| observational study | Other | Efficacy of targeted therapy combined with or without chemotherapy as first-line therapy in patients with EGFR-mutated lung adenocarcinoma. |
|
| Measure | Description | Time Frame |
|---|---|---|
| progression-free survival | The time of disease progression is evaluated according to the Response Evaluation Criteria in Solid Tumors, version 1.1. | A two-year period after starting treatment (Regular follow-up every three months after receiving targeted therapy combined with or without chemotherapy as first-line treatment) |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | The survival time after receiving targeted therapy combined with or without chemotherapy as first-line treatment | A three-year period after starting treatment (Regular follow-up every six months after receiving targeted therapy combined with or without chemotherapy as first-line treatment) |
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Inclusion Criteria:
Exclusion Criteria:
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From January 2021 to December 2026, about 500 patients with EGFR-mutated lung adenocarcinoma who receive targeted therapy with or without chemotherapy as first-line treatment will be included in this cohort study
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Union hospital, Tongji Medical college, Huazhong University of Science and Technology | Wuhan | Hubei | 430022 | China |
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Blood samples and tumor tissues will be retained
| ID | Term |
|---|---|
| D000077192 | Adenocarcinoma of Lung |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| D019370 | Observation |
| ID | Term |
|---|---|
| D008722 | Methods |
| D008919 | Investigative Techniques |
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