Tissue Procurement and Natural History Study of People With Non-Small Cell Lung Cancer, Small Cell Lung Cancer, Extrapulmonary Small Cell Cancer, Pulmonary Neuroendocrine Tumors, and Thymic Epithelial Tumors



Status:Recruiting
Conditions:Lung Cancer, Lung Cancer, Cancer, Cancer, Brain Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - 100
Updated:3/24/2019
Start Date:May 28, 2014
End Date:April 30, 2025
Contact:Shannon G Swift, R.N.
Email:shannon.swift@nih.gov
Phone:(240) 858-3157

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Tissue Procurement and Natural History Study of Patients With Non-Small Cell Lung Cancer, Small Cell Lung Cancer, Extrapulmonary Small Cell Cancer, Pulmonary Neuroendocrine Tumors, and Thymic Epithelial Tumors

Background:

- Lung cancer is the leading cause of cancer-related death worldwide. It causes more than one
million deaths every year. Researchers want to gather tissue samples from people with lung
and thymic cancers to understand the disease better. This may lead to new ways to diagnose
and treat it.

Objective:

- To collect tissue samples for use in the study of lung cancers.

Eligibility:

- Adults over age 18 with non-small cell lung cancer, small cell lung cancer, extra pulmonary
small cell cancer, pulmonary neuroendocrine tumors, and thymic epithelial tumors.

Design:

- Participants will be screened with a medical history, physical exam, and blood tests.
They will be asked about how they perform their daily tasks.

- Participants may be asked to give urine and blood samples. They may give a saliva sample
if they cannot give blood. They will also give a sample of their tumor from a biopsy
they had. They may also be given the option to undergo a biopsy.

- Participants may have MRI, CT, and/or PET scans of the body. They will lie in a machine
that takes pictures of the body.

- After visits to the Clinical Center end, researchers will contact participants by phone
every year to check on their health.

PRECIS

Background:

- Lung cancer is the leading cause of cancer-related death worldwide, accounting for more
than one million deaths every year.

- Several genetic and epigenetic alterations are involved in initiation and progression of
NSCLC. Some of these alterations are seen in normal and preneoplastic cells as well,
suggesting a sequential development from normal epithelial cells to cancer, through a
multistep process, usually coincident with cigarette smoking.

- This natural history protocol is an extension of our Molecular Profiling protocol to
enable tissue collection for more in-depth proteomic and genomic analyses to understand
tumor biology and treatment response.

- A cohort of patients enrolled in this natural history study is likely to enroll in the
IRB approved protocol for end-of-life in-patient hospice and rapid autopsy following
death (13-C0131). Longitudinally collected tumor tissue from these patients, including
from several metastatic sites at autopsy will be a unique resource to understand tumor
evolution.

- There will be opportunity to embark upon a wide array of studies in the future with the
longitudinally collected tissue samples tagged with clinical information from patients.

Objectives:

- To allow sample acquisition for use in the study of non-small cell lung cancer (NSCLC),
Small cell lung cancer (SCLC), extrapulmonary small cell cancer (ESCC), pulmonary
neuroendocrine tumors (PNET), and thymic epithelial tumors (TETs).

Eligibility:

- Patients with histologically or cytologically confirmed NSCLC, SCLC, ESCC, PNET, and
TET.

- Patients consulted in the Clinical Center without a definitive diagnosis, but clinically
considered likely to have a thoracic malignancy of the above histologies, pending
further tissue acquisition and/or pathology review.

- Age greater than or equal to 18 years.

Design:

- This is a bio-specimen collection and natural history protocol in which samples will be
collected from patients with NSCLC, SCLC, ESCC, PNET, and TET.

- Eligible patients undergoing screening for or participating in NIH protocols or eligible
patients treated elsewhere and referred from other oncologists will be referred for
participation in this study.

- Upon providing informed consent, patients will undergo sample acquisition procedure,
which may include a tumor biopsy, blood, urine, abnormal body fluid and a cheek swab
collection.

- An accrual ceiling of 2000 subjects is planned over an accrual period of 10 years.

- INCLUSION CRITERIA:

- Patients with histologically or cytologically confirmed NSCLC, SCLC, ESCC, PNET, and
TET.

- Patients consulted in the Clinical Center without a definitive diagnosis, but
clinically considered likely to have a thoracic malignancy of the above histologies,
pending further tissue acquisition and/or pathology review.

- Age greater than or equal to18 years. Children are excluded from the study, as the
above thoracic malignancies are rare in this population.

- Ability of subject to understand and the willingness to sign a written informed
consent document.

EXCLUSION CRITERIA:

- Active symptomatic major organ disorder that would increase the risk of biopsy,
including but not limited to ischemic heart disease, recent myocardial infarction,
active congestive heart failure, pulmonary dysfunction.

- Active concomitant medical or psychological illnesses that may increase the risk to
the subject, at the discretion of the principal investigator.

- HIV-positive patients on combination antiretroviral therapy are ineligible.
We found this trial at
1
site
9000 Rockville Pike
Bethesda, Maryland 20892
Phone: 888-624-1937
?
mi
from
Bethesda, MD
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