Research study aims to understand inherited lung cancer gene | Reuters

Posted: October 31, 2013 at 7:42 pm

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Wed Oct 30, 2013 5:14pm EDT

INHERIT EGFR study expands to second site

SAN CARLOS, Calif., Oct. 30, 2013 /PRNewswire-USNewswire/ -- A new research study, funded by the Bonnie J. Addario Lung Cancer Foundation (ALCF), is aiming to understand how an inherited gene in some lung cancer patients could serve as an early detection screening for family members.

"We're hoping this study provides new insight for methods to screen for lung cancer in people who might not have otherwise qualified for screening: the family members of lung cancer patients," said Bonnie J. Addario, lung cancer survivor and founder of the ALCF. "And we also hope to show that lung cancer doesn't just affect people who smoke."

The INHERIT (Investigating Hereditary Risk from T790M) research study, facilitated by the Addario Lung Cancer Medical Institute (ALCMI), is the first to apply inherited familial genetics widely used to assess risk for breast and colon cancer to provide insight into lung cancer. Dr. Geoffrey Oxnard and a team of physicians at Dana-Farber/Brigham and Women's Cancer Center in Boston, MA are leading the INHERIT study to understand whether the presence of the T790M gene mutation in lung cancers is associated with an inherited gene alteration. Oxnard's team will also examine whether having the inherited form of T790M raises the risk of lung cancer in patients and families. The ALCMI study was launched at Dana-Farber and has now expanded to include Vanderbilt-Ingram Cancer Center in Nashville, Tenn. No travel is required to participate.

"This is the first time we are using cancer genetics to offer insight into inherited familial genetics. For breast cancer or colon cancer, it is patients with a family history that get evaluated for inherited mutations in cancer risk genes," said Geoffrey Oxnard, MD, the lead researcher on the study. "For lung cancer, we propose that it is patients with specific genetic subtypes of lung cancer, those carrying the EGFR T790M mutation, that need to be evaluated for an inherited mutation in their family."

Ultimately, the study aims to identify individuals and families who may have an increased risk of developing lung cancer so they can work with their physicians to reduce and manage that risk. Understanding lung cancer's underlying biology in high-risk families could also provide unique insight into why the disease develops and determine whether "germline" (inherited) factors may partly explain lung cancer in individuals without apparent carcinogenic association.

"We are funding this study because of our patient first commitment," Addario said, "and with the hope to raise awareness that the risk for lung cancer exists regardless of smoking history. In 2013 alone, 34,000 people who never smoked will be diagnosed with lung cancer. That population of cancer patients, isolated, would represent the seventh leading cancer in the U.S."

The INHERIT study is offered through Dana-Farber/Harvard Cancer Center, Vanderbilt-Ingram Cancer Center, and soon at other ALCMI member institutions in the United States and Europe. It is led by Geoffrey Oxnard, MD at Dana-Farber/Brigham and Women's Cancer Center. Dana-Farber and Vanderbilt are National Cancer Institute-designated Comprehensive Cancer Centers.

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Research study aims to understand inherited lung cancer gene | Reuters

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