Oncology Research Information Exchange Network (ORIEN) Lung Cancer Study

The aim of the study is to assess the real-world patient experience by evaluating the
patients' quality of life, treatment toxicities, and clinical measures over a 6-month period.
The ultimate goal of this research is to improve patient-physician treatment decisions, so
that the patient's personal treatment goals and quality of life have the highest chances of
being fulfilled.

Aim 1. To track the toxicities/side-effects of FDA approved molecular targeted agents,
immunotherapies, and combinations of treatments for NSCLC in a clinical setting for six
months.

Aim 2. To assess the impact of these treatment regimens on patient toxicities, symptoms,
function, and quality of life, after adjustment for clinical factors and patient
characteristics during the 6 month follow-up period.

Inclusion Criteria:

- >= 18 years of age

- Diagnosed with metastatic (stage 3b/4) non-small cell lung cancer (NSCLC)

- The total combined sample size must include at least 100 people who received one or
more treatments of PD-1/PDL-1 inhibitor treatment (immunotherapy), and 50 patients who
received an Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI).
Patients receiving any other treatments will be tracked for treatment outcomes, as
well as to serve as comparison participants during data analyses of outcomes
associated with PD-1/PDL-1 or EGFR-TKI).

- Consented separately to the Total Cancer Care (TCC) protocol

- Have access to the internet

- Willing to enroll in the free online health tracking and patient community
"PatientsLikeMe"

Exclusion Criteria:

- Patients enrolled in Phase I clinical trial protocols

- Patients enrolled in Phase II, III or IV clinical trials involving blinded therapies
(patients in open label trials will be eligible)