| Unique ID issued by UMIN | UMIN000062500 |
|---|---|
| Receipt number | R000071339 |
| Scientific Title | A Review of the Current Status of Personalized Medicine for Lung Cancer in the AYA Population and Challenges in Improving Prognosis |
| Date of disclosure of the study information | 2026/08/07 |
| Last modified on | 2026/08/07 09:48:48 |
A Review of the Current Status of Personalized Medicine for Lung Cancer in the AYA Population and Challenges in Improving Prognosis
NLCTG2501
A Review of the Current Status of Personalized Medicine for Lung Cancer in the AYA Population and Challenges in Improving Prognosis
NLCTG2501
| Japan |
Locally Advanced or Advanced Non-Small Cell Lung Cancer
| Pneumology |
Malignancy
NO
This study aims to clarify the current status of driver gene mutation frequencies and treatment outcomes among AYA (ages 15-39) lung cancer patients following the introduction of multiplex testing, with the goal of improving the prognosis of AYA lung cancer.
Others
The purpose is to clarify the actual state and outcomes of treatment, as well as the status of social support and whether fertility is taken into consideration.
Frequency of Driver Gene Mutations in Patients Aged 15-39 with Advanced Lung Cancer
Observational
| 15 | years-old | <= |
| 39 | years-old | >= |
Male and Female
Cases of locally advanced or advanced non-small cell lung cancer diagnosed by histology or cytology in patients aged 15-39 years for whom curative surgery is not an option (including cases of postoperative recurrence)
Cases in which curative surgery was performed for early-stage non-small cell lung cancer and in which there has been no recurrence
30
| 1st name | Satoshi |
| Middle name | |
| Last name | Watanabe |
Niigata University Graduate School of Medical and Dental Sciences
Department of Respiratory Medicine and Infectious Diseases
951-8510
1-757 Asahimachidori, Chuouku, Niigata
+81-25-368-9325
satoshi7@med.niigata-u.ac.jp
| 1st name | Shinji |
| Middle name | |
| Last name | Hirose |
Niigata University Graduate School of Medical and Dental Sciences
Department of Respiratory Medicine and Infectious Diseases
951-8510
1-757 Asahimachidori, Chuouku, Niigata
09054264593
res.hirose.08081@gmail.com
Niigata University Graduate School of Medical and Dental Sciences
None
Self funding
Ethics Committee for Human Research, Niigata University
1-757 Asahimachidori, Chuouku, Niigata
025-227-2625
ethics@adm.niigata-u.ac.jp
NO
| 2026 | Year | 08 | Month | 07 | Day |
Partially published
Preinitiation
| 2026 | Year | 02 | Month | 16 | Day |
| 2026 | Year | 03 | Month | 04 | Day |
| 2026 | Year | 03 | Month | 31 | Day |
| 2027 | Year | 03 | Month | 31 | Day |
[Background] Lung cancer in adolescents and young adults (AYAs; 15-39 years) is characterized by frequent driver gene mutations, but outcomes after the introduction of multiplex genomic testing remain unclear. We investigated current treatments and outcomes. [Subjects and Methods] We retrospectively reviewed patients aged 15-39 years with pathologically confirmed locally advanced or advanced non-small cell lung cancer treated at participating institutions of the Niigata Lung Cancer Treatment Study Group between June 2019 and June 2025. [Results] Twenty-two patients were included (median age, 37 years; range, 24-39; 9 males, 13 females). PS 0/1/2/3/4 was 12/7/1/1/1. Histology was adenocarcinoma in 20 and other in 2; stages IIIA/IIIB/IVA/IVB were 4/1/4/13. Two patients were diagnosed during pregnancy. Driver testing was performed in 21 patients, with mutations detected in 19 (EGFR, n=10; ALK, 3; RET, 3; ROS1, 2; KRAS, 1). Initial treatment was surgery (n=2), chemoradiotherapy (n=2), targeted therapy (n=11), or cytotoxic chemotherapy (n=7). Median OS and PFS were 85.6 months (95% CI, 37.4-85.6) and 28.3 months (95% CI, 4.1-42.2). In 16 stage IV patients receiving targeted therapy, median OS and PFS were 61.6 months (95% CI, 25.9-85.6) and 28.3 months (95% CI, 4.1-NE). Educational/employment support was provided to 2 patients and fertility preservation to 1. [Conclusion] Driver mutations were common, and favorable outcomes were achieved. However, few patients used social support services, suggesting the need to improve assessment of support needs and access to relevant information.
| 2026 | Year | 08 | Month | 07 | Day |
| 2026 | Year | 08 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071339