S0424 - Carcinogens in Lung Tissue From Smokers (Closed to Entry as of 7/15/07) and Non-Smokers With Newly Diagnosed Stage I, Stage II, or Stage III Non-Small Cell Lung Cancer

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Southwest Oncology Group
ClinicalTrials.gov Identifier:
NCT00450281
First received: March 20, 2007
Last updated: December 2, 2013
Last verified: December 2013
  Purpose

RATIONALE: Studying samples of blood and tissue from smokers (closed to entry as of 7/15/07) and non-smokers with cancer in the laboratory may help doctors learn more about changes that occur in DNA and identify biomarkers related to cancer. It may also help doctors learn more about risk factors for lung cancer and may help the study of cancer in the future.

PURPOSE: This clinical trial is studying carcinogens in lung tissue from smokers (closed to entry as of 7/15/07) and non-smokers with newly diagnosed stage I, stage II, or stage III non-small cell lung cancer.


Condition Intervention
Lung Cancer
Genetic: chromogenic in situ hybridization
Genetic: gene expression analysis
Genetic: mutation analysis
Genetic: polymerase chain reaction
Genetic: polymorphism analysis
Other: fluorescent antibody technique
Other: immunohistochemistry staining method
Other: laboratory biomarker analysis
Other: matrix-assisted laser desorption/ionization time of flight mass spectrometry
Other: study of socioeconomic and demographic variables
Procedure: study of high risk factors

Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Molecular Epidemiology Case-Series Study of Non-Small Cell Lung Cancer in Smoking and Non-Smoking Women and Men

Resource links provided by NLM:


Further study details as provided by Southwest Oncology Group:

Primary Outcome Measures:
  • DNA adduct levels [ Time Frame: End of study ] [ Designated as safety issue: No ]
  • Tumor tissue alterations [ Time Frame: End of study ] [ Designated as safety issue: No ]

Enrollment: 981
Study Start Date: October 2005
Study Completion Date: July 2012
Primary Completion Date: July 2012 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Male, Never-smokers
Male subjects who smoked less than 100 cigarettes during their lifetime.
Genetic: chromogenic in situ hybridization Genetic: gene expression analysis Genetic: mutation analysis Genetic: polymerase chain reaction Genetic: polymorphism analysis Other: fluorescent antibody technique Other: immunohistochemistry staining method Other: laboratory biomarker analysis Other: matrix-assisted laser desorption/ionization time of flight mass spectrometry Other: study of socioeconomic and demographic variables Procedure: study of high risk factors
Male, Ever-smokers
Male subjects who have smoked at least 100 cigarettes during their lifetime.
Genetic: chromogenic in situ hybridization Genetic: gene expression analysis Genetic: mutation analysis Genetic: polymerase chain reaction Genetic: polymorphism analysis Other: fluorescent antibody technique Other: immunohistochemistry staining method Other: laboratory biomarker analysis Other: matrix-assisted laser desorption/ionization time of flight mass spectrometry Other: study of socioeconomic and demographic variables Procedure: study of high risk factors
Female, Ever-smokers
Female subjects who have smoked less than 100 cigarettes during their lifetime.
Genetic: chromogenic in situ hybridization Genetic: gene expression analysis Genetic: mutation analysis Genetic: polymerase chain reaction Genetic: polymorphism analysis Other: fluorescent antibody technique Other: immunohistochemistry staining method Other: laboratory biomarker analysis Other: matrix-assisted laser desorption/ionization time of flight mass spectrometry Other: study of socioeconomic and demographic variables Procedure: study of high risk factors
Female, Never-smokers
Female subjects who have smoked at least 100 cigarettes during their lifetime.
Genetic: chromogenic in situ hybridization Genetic: gene expression analysis Genetic: mutation analysis Genetic: polymerase chain reaction Genetic: polymorphism analysis Other: fluorescent antibody technique Other: immunohistochemistry staining method Other: laboratory biomarker analysis Other: matrix-assisted laser desorption/ionization time of flight mass spectrometry Other: study of socioeconomic and demographic variables Procedure: study of high risk factors

Detailed Description:

OBJECTIVES:

  • Assess lung tissue from patients with stage I, stage II, stage IIIA, or stage IIIB non-small cell lung cancer for specific tobacco smoke carcinogens (including polycyclic aromatic hydrocarbons [PAH] and DNA adducts, alterations in specific genes, including p53 and K-ras, and expression of HER2 and estrogen receptors α and β).
  • Determine whether tobacco smoke carcinogens differ by gender and smoking status, adjusting for potential exposures and influential factors, including family smoking status, medication use, and hormonal and reproductive factors.
  • Measure the levels of PAH-DNA adducts in lymphocytes and lung tissue and examine correlations between the two tissue sources.
  • Determine whether DNA damage levels in tissue as well as in lymphocytes are higher in females than in males for the same level of smoking.
  • Determine polymorphisms in several genes involved in the metabolism of the specific carcinogens investigated and in steroidogenesis and metabolism.
  • Summarize patient self-report questionnaire data on active and passive smoking, other carcinogenic exposures, smoking preference, economic and educational status, family smoking status, reproductive factors, weight loss, and medication use by categories of male versus female and never-smoker versus ever-smoker.

OUTLINE: This is a case-series, multicenter study. Patients are stratified according to gender and smoking status (never smoker [< 100 cigarettes smoked during lifetime] vs ever smoker [≥ 100 cigarettes smoked during lifetime] [closed to accrual as of 7/15/07]).

Patients complete the Lung Cancer Epidemiology Questionnaire for detailed assessment of the following:

  • Exposure to active and passive smoke
  • Occupational exposures
  • Reproductive and hormonal risk factors
  • Weight loss
  • Economic and educational status
  • Family smoking status
  • Medication use
  • Other variables relevant for the analysis (e.g., HER2, estrogen receptor status) Peripheral blood samples are collected for research studies. Previously collected tissue samples are also studied in the laboratory. Samples are examined for DNA adduct levels. Estrogen receptor α and β are assessed by immunohistochemistry (IHC). HER2 expression and amplification are measured by chromogenic in situ hybridization. IHC and DNA-polymerase chain reaction (PCR)-single-stranded conformational polymorphism assay are used to analyze p53 mutations. RAS mutations are analyzed with restriction fragment length polymorphism-PCR assay. Polycyclic aromatic hydrocarbons and 4-aminobiphenyl-DNA damage are assessed by IHC and immunofluorescence. Matrix-assisted laser desorption/ionization time of flight mass spectrometry is used to genotype polymorphisms, including CYP1A1, CYP1B1, GSTM1, GSTP1, MPO, NAT-1, NAT-2, CYP19, CYP17, SULT1A1.

Patients are followed annually for up to 5 years.

PROJECTED ACCRUAL: A total of 900 patients will be accrued for this study (female and male smoker strata closed to accrual as of 7/15/07).

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Cancer center

Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed non-small cell lung cancer

    • Stage I, II, IIIA, or IIIB (T4 or N3) disease
    • No malignant pleural effusion; if pleural fluid is present, 1 of the following criteria must be met:

      • Benign pleural fluid
      • Pleural fluid is due to prior thoracotomy
      • Pleural fluid is deemed too small to safely tap
    • No diagnosis by cytology alone
  • Newly diagnosed disease
  • Must have tumor blocks/slides available and must be willing to provide tissue samples
  • Prior smoking history meeting 1 of the following criteria:

    • Never smoker, defined as < 100 cigarettes in lifetime
    • Former smoker, defined as no smoking for ≥ 1 year
    • Current smoker, defined as all others (closed to accrual as of 7/15/07)
  • No pericardial effusions

PATIENT CHARACTERISTICS:

  • No other prior malignancy except for 1 of the following:

    • Adequately treated basal cell or squamous cell skin cancer
    • In situ cervical cancer
    • Other cancer for which the patient has been disease free for five years

PRIOR CONCURRENT THERAPY:

  • No prior chemotherapy or radiotherapy
  • Concurrent participation in therapeutic trials allowed
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00450281

  Show 405 Study Locations
Sponsors and Collaborators
Southwest Oncology Group
Investigators
Study Chair: Christine B. Ambrosone, PhD Roswell Park Cancer Institute
Study Chair: Regina M. Santella, PhD Herbert Irving Comprehensive Cancer Center
Study Chair: Kathy S. Albain, MD Loyola University
Study Chair: Paul H. Gumerlock, PhD University of California, Davis
  More Information

Additional Information:
No publications provided

Responsible Party: Southwest Oncology Group
ClinicalTrials.gov Identifier: NCT00450281     History of Changes
Other Study ID Numbers: CDR0000446084, S0424, U10CA032102
Study First Received: March 20, 2007
Last Updated: December 2, 2013
Health Authority: United States: Federal Government

Keywords provided by Southwest Oncology Group:
stage IIIB non-small cell lung cancer
stage IIIA non-small cell lung cancer
stage IA non-small cell lung cancer
stage IB non-small cell lung cancer
stage IIA non-small cell lung cancer
stage IIB non-small cell lung cancer

Additional relevant MeSH terms:
Carcinoma, Non-Small-Cell Lung
Lung Neoplasms
Bronchial Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Neoplasms
Lung Diseases
Carcinoma, Bronchogenic
Respiratory Tract Diseases
Antibodies
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on July 22, 2014