Association of Bone and Metabolic Parameters With Overall Survival in Patients With Bone Metastases From Adenocarcinoma Lung Cancer (POUMOS) (POUMOS)
Mortality due to non small cell lung cancers is the first cause of cancer death in men around the world. Lung adenocarcinoma regularly induces bone metastases responsible for high morbidity and impaired life quality. Overall survival of these patients is poor. Thus the investigators aimed to identify if some bone and metabolic parameters were associated with overall survival.
Patients and Methods POUMOS is a prospective cohort of patients suffering from adenocarcinoma lung cancers with a first bone metastasis (stage IV). All patients have a bone biopsy with molecular status characterization of the tumor for EGFR, KRAS, BRAF and ALK. Bone metastasis localizations are obtained by bone scintigraphy or FDG-PET/CT. Whole body composition is obtained by DEXA scan (Hologic®). The investigators assessed also fasting blood levels of bone and metabolic biomarkers.
Survival analyses will be performed using a proportional hazard regression model.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Cyrille Confavreux, MD, PhD
- Phone Number: +33 4 72 11 74 79
- Email: cyrille.confavreux@chu-lyon.fr
Study Contact Backup
- Name: Nadège Trehet-Mendel
- Phone Number: +33 4 72 11 74 46
- Email: centre.prevention@wanadoo.fr
Study Locations
-
-
-
Lyon, France, 69003
- Recruiting
- Hospices Civils de Lyon - Hôpital Edouard Herriot - Centre des Métastases Osseuses (CEMOS)
-
Contact:
- Cyrille Confavreux, MD, PhD
- Phone Number: +33 4 72 11 74 79
- Email: cyrille.confavreux@chu-lyon.fr
-
Contact:
- Nadège Trehet-Mendel
- Phone Number: +33 4 72 11 74 46
- Email: centre.prevention@wanadoo.fr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- adults over 18 years
- both gender
- covered by the French National Insurance
- first bone metastases of adenocarcinoma lung cancer (synchronous or metachrone)
Exclusion Criteria:
- adenocarcinoma previously treated by systemic oncologic treatment (chemotherapy, targeted therapy, immunotherapy)
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
First bone metastasis of adenocarcinoma lung cancer
Patients entering the group have a suspected first bone metastasis of adenocarcinoma lung cancer and should undergo bone biopsy to histologically prove the diagnosis.
|
The vast majority of bone biopsy are performed under CT-scan.
In some rare cases, the histology will be performed during surgery (either biopsy of the bone metastasis or surgical piece when treating a fracture).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
serum DKK1
Time Frame: day 0
|
Biomarkers are assessed at baseline.
|
day 0
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
serum HbA1C
Time Frame: day 0
|
Biomarkers are assessed at baseline
|
day 0
|
|
urinary CTX
Time Frame: day 0
|
Biomarkers are assessed at baseline
|
day 0
|
|
hip bone mass (g/cm²)
Time Frame: day 0
|
Whole body densitometry is performed at baseline
|
day 0
|
|
mutational profile of the bone metastases
Time Frame: day 0
|
Molecular characterization of the bone metastases by PCR (EGFR, KRAS, BRAF) and FISH (ALK)
|
day 0
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Respiratory Tract Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Hematologic Diseases
- Musculoskeletal Diseases
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Neoplastic Processes
- Bone Diseases
- Lung Neoplasms
- Neoplasm Metastasis
- Adenocarcinoma
- Bone Neoplasms
- Bone Marrow Diseases
- Adenocarcinoma of Lung
Other Study ID Numbers
Other Study ID Numbers
- D50772
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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