A Multi-Centered Trial Evaluating the Role of Vitamin D Metabolism in Non-Small Cell Lung Cancer (EBUS)
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Purpose
Vitamin D exerts antiproliferative and differentiating effects in cancers, including non-small cell lung cancer (NSCLC). The active form of Vitamin D is 1,25, dihydroxycholecalciferol (calcitriol) which rapidly induces expression of cytochrome P450 24R-hydroxylase (CYP24A1). CYP24A1 initiates inactivation of calcitriol as a result of successive hydroxylation/oxidation reactions. This study seeks to prospectively determine the relationship between Vitamin D gene expression and median survival as a primary outcome, and between the Vitamin D receptor (VDR)/CYP24A1 gene expression and cancer stage, smoking status, serum 1,25 (OH)2D3 levels as well as CYP24A1 genotype.
| Condition |
|---|
|
Non-Small Cell Lung Cancer |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | A Multi-Centered Trial Evaluating the Role of Vitamin D Metabolism in Non-Small Cell Lung Cancer |
- Time to lung cancer related death [ Time Frame: 18 months ] [ Designated as safety issue: No ]Time to lung cancer related death
Biospecimen Retention: Samples With DNA
Bronchial brush samples Bronchoscopy samples for RNA extraction and RT-PCR expression Blood samples
- 7 mL for measurement of Serum total Vit-D levels and 1,25 (OH)2 D3 levels;
- 5 ml collected in EDTA tube for CYP24A1 genotype analysis (common metabolizing agent for calcitriol) and CYP24 polymorphisms analysis
| Estimated Enrollment: | 80 |
| Study Start Date: | May 2011 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Observational Group
NSCLC subject undergoing bronchoscopy
|
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients with early-stage non-small cell lung cancer undergoing a broncoscopy at the University of Michigan Health Center or at the Ann Arbor Veteran's Administration Hospital
Inclusion Criteria:
- Scheduled for diagnostic bronchoscopy for suspected advanced stage lung cancer by CT/PET scanning.
- Tumor or lymph node accessible by transbronchial needle aspiration.
- Age 18-80.
- All patients must be informed of the investigational nature of this study and must give written informed consent in accordance with institutional and federal guidelines.
Exclusion Criteria:
- Unstable cardiovascular disease or other systemic disease
- Mental incompetence/active psychiatric illness
- Medical contraindication for bronchoscopy
Contacts and Locations| Contact: Cancer AnswerLine | 800-865-1125 | canceranswerline@umich.edu |
| United States, Michigan | |
| University of Michigan Cancer Center | Recruiting |
| Ann Arbor, Michigan, United States, 48109 | |
| Contact: Nahid Hemati-Schraut 734-615-3137 nhemati@umich.edu | |
| Contact: Julie Trzeciak 734-232-0798 juliefor@med.umich.edu | |
| Principal Investigator: Nithya Ramnath, MD | |
| Sub-Investigator: Paul Christensen, MD | |
| Sub-Investigator: Kristy Bauman, MD | |
| Sub-Investigator: Douglas Arenberg, MD | |
| Sub-Investigator: Gregory Kalemkerian, MD | |
| Sub-Investigator: Jeffrey Horowitz, MD | |
| Sub-Investigator: Anthony Courey, MD | |
| Sub-Investigator: Khaled Hassan, MD | |
| Sub-Investigator: David Beer, MD | |
| Sub-Investigator: Lili Zhao, Ph.D. | |
| United States Department of Veteran's Affairs Medical Center | Recruiting |
| Ann Arbor, Michigan, United States, 48105 | |
| Contact: Julie Balk 734-615-3137 jhossler@med.umich.edu | |
| Contact: Julie Trzeciak 734-232-0798 juliefor@med.umich.edu | |
| Principal Investigator: Nithya Ramnath, MD | |
| Sub-Investigator: Paul Christensen, MD | |
| Sub-Investigator: Kristy Bauman, MD | |
| Sub-Investigator: Julie Balk, BS, CCRP | |
| Principal Investigator: | Nithya Ramnath, MD | University of Michigan Medical Center and Veteran's Administration Health Center |
More Information
No publications provided
| Responsible Party: | University of Michigan Cancer Center |
| ClinicalTrials.gov Identifier: | NCT01409681 History of Changes |
| Other Study ID Numbers: | UMCC 2010.105, HUM 44333 |
| Study First Received: | July 22, 2011 |
| Last Updated: | February 14, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Carcinoma, Non-Small-Cell Lung Lung Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases |
Respiratory Tract Diseases Vitamin D Vitamins Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 23, 2013