Official Title
A Prospective Study to Evaluate the Results of Different NGS- Panels in Mutation Detection and Tumor Mutation Burden(TMB) Calculation by Using Malignant Hydrothorax From NSCLC
Brief Title
A Prospective Study to Evaluate the Consistency of Next-Generation Sequencing(NGS)-Panels by Using Malignant Hydrothorax Form NSCLC
Protocol ID
NCT03546452
Lead Sponsor
Shanghai Chest Hospital
Brief Summary
A prospective study to evaluate consistency of different NGS-panel. Cell free DNA is
purified from each malignant hydrothorax from NSCLC .Different NGS-panels are applied to
perform in vitro diagnosis to detect Single Nucleotide Variants(SNV) and to calculate TMB
value in these DNA samples.Consistency of enrolled NGS-panels are then evaluated by
statistical analysis.
Detailed Description
1. Chest Hospital in accordance with the clinical requirements of the treatment
required to extract ML hydrothorax sent to hospital pathology department for
exfoliated Cell diagnosis and production of cell wax block, while the additional
responsibility for the extraction of hydrothorax 500ml, and collect 10ml venous
blood sample, Venous blood samples are stored in either the A cell-free DNA Blood
collection Tube (STRECK tube) or the ethylenediaminetetraacetic acid(EDTA)
anticoagulant tube.
2. Amoy Diagnostics Co., Ltd. (AmoyDx) is responsible for plasma separation after
sampling 2 hours, plasma is frozen by the chest Hospital, AmoyDx completes the
purification of peripheral blood cells genomic DNA , and which is divided into 6
parts ,5 of which are send to in vitro diagnostic products (IVD) enterprises to
perform NGS-Panel detection.
3. 100ml hydrothorax is send to each IVD enterprise.
4. Each IVD enterprise carries on the hydrothorax cell free DNA and peripheral blood
cell genomic DNA NGS-Panel detection according to their own protocol.
5. Each IVD enterprise will complete the test within 7-10 working days and fill out the
results in accordance with the report template provided by this research project
(provided by Guangzhou Burning Rock Medical Examination Institute Co., Ltd.) and
submit to sponsor by email.
6. Sponsor would use whole exon panel (WES) to obtain an TMB value if needed.
7. Employ four-grid analysis to evaluate positive compliance rate, negative compliance
rate, total compliance rate of all submitted data.
8. Employ kappa test to evaluate the consistency of each two detections.
Study Period
-
Enrollment Count
50 participants
Eligibility Criteria
Inclusion Criteria:
- Advanced malignant lung cancer, with treatment of pleural effusion, hydrothorax
volume not less than 800ml
Exclusion Criteria:
- The sample size is not sufficient to detect.
- There are not enough tumor cells in the tissue section to be evaluated through the
pathology department of the chest Hospital.
Filters
Malignant Hydrothorax
NSCLC
UNKNOWN
ADULT
OLDER_ADULT