NCT05818449

Brief Summary

The aim of the DigiNet project is to improve the treatment of patients with advanced non-small cell lung cancer (NSCLC) in Germany. The project promotes the transfer of the latest scientific knowledge into standard care. The DigiNet project is based on the established precision medicine program, the National Network Genomic Medicine Lung Cancer (nNGM) in Germany, whereby every patient receives molecular diagnostics and personalized therapy information after the initial diagnosis. Within the framework of the DigiNet project, specialized academic centers will be digitally connected with practitioners via a shared project database. Furthermore, a committee of experts will monitor the course of treatment and will advise the practitioners in case of critical conditions. Additionally, patient-reported outcomes will be incorporated into the treatment.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
850

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2022

Typical duration for not_applicable

Geographic Reach
1 country

41 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2022

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

December 12, 2022

Completed
4 months until next milestone

First Posted

Study publicly available on registry

April 18, 2023

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2025

Completed
Last Updated

June 4, 2024

Status Verified

June 1, 2024

Enrollment Period

2.8 years

First QC Date

December 12, 2022

Last Update Submit

June 3, 2024

Conditions

Keywords

Carcinoma, Non-Small-Cell LungCarcinoma, Non-Small-Cell Lung* / diagnosisCarcinoma, Non-Small-Cell Lung* / geneticsPrecision MedicinePathology, MolecularPatient Reported Outcome MeasuresDatabase Management Systems

Outcome Measures

Primary Outcomes (1)

  • Overall Survival (OS)

    Overall Survival (OS) will be assessed in months.

    up to 34 months

Secondary Outcomes (16)

  • Progression-Free Survival (PFS)

    up to 34 months

  • Time on First Treatment (ToT)

    up to 34 months

  • Hospitalization rate

    up to 34 months

  • Quality of Life (EORTC QLQ-C30)

    up to 34 months

  • Quality of Life (EORTC QLQ-LC29)

    up to 34 months

  • +11 more secondary outcomes

Study Arms (2)

DigiNet group

EXPERIMENTAL

The intervention group will receive the DigiNet intervention.

Other: DigiNet intervention

Comparison group

NO INTERVENTION

The comparison group will receive usual care.

Interventions

Patients with initial diagnosis of NSCLC stage IV in the model region receiving the following interventions: * broad NGS-based molecular diagnostics and, based thereupon, personalized treatment information within the national Network Genomic Medicine (nNGM) lung cancer * regular clinical follow-up visits and data documentation in the shared central digital database by participating physicians * monthly assessment of patient-reported outcomes (PRO) on quality of life, anxiety, and depression * incorporation of PROs into treatment by physicians * treatment monitoring and counseling in the case of critical conditions by expert committee

DigiNet group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients diagnosed with advanced NSCLC, stage IV
  • Age \> 18 years

You may not qualify if:

  • Missing informed consent
  • Illnesses and behaviors that impair compliance (e.g., dementia, addictive disorders)
  • Severely impaired general physical condition that no longer permits therapy for lung cancer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (41)

Universitätsklinikum Würzburg

Würzburg, Bavaria, 97080, Germany

Location

Hämatologisch-Onkologische Schwerpunktpraxis

Bad Liebenwerda, Brandenburg, 04924, Germany

Location

Universitätsklinikum Aachen

Aachen, North Rhine-Westphalia, 52074, Germany

Location

Johanniter-Krankenhaus Bonn

Bonn, North Rhine-Westphalia, 53113, Germany

Location

Onkozentrum Bonn

Bonn, North Rhine-Westphalia, 53123, Germany

Location

Universitätsklinikum Bonn (UKB)

Bonn, North Rhine-Westphalia, 53127, Germany

Location

Zentrum für ambulante Hämatologie und Onkologie Rhein-Sieg (ZAHO)

Brühl, North Rhine-Westphalia, 50321, Germany

Location

MV-Zentrum für Hämatologie und Onkologie

Cologne, North Rhine-Westphalia, 50677, Germany

Location

Universitätsklinikum Köln

Cologne, North Rhine-Westphalia, 50937, Germany

Location

MVZ West GmbH Standort Köln-Kalk

Cologne, North Rhine-Westphalia, 51103, Germany

Location

Praxis Internistischer Onkologie und Hämatologie (pioh)

Cologne, North Rhine-Westphalia, Germany

Location

Gemeinschaftspraxis für Hämatologie & Onkologie

Dortmund, North Rhine-Westphalia, 44263, Germany

Location

Universitätsklinikum Essen

Essen, North Rhine-Westphalia, 45147, Germany

Location

Praxis für Hämatologie und Internistische Onkologie

Hamm, North Rhine-Westphalia, 59065, Germany

Location

Klinikum Leverkusen

Leverkusen, North Rhine-Westphalia, 51375, Germany

Location

Kliniken Maria Hilf GmbH

Mönchengladbach, North Rhine-Westphalia, 41063, Germany

Location

MVZ für Hämatologie und Onkologie

Mülheim, North Rhine-Westphalia, 45468, Germany

Location

Praxis und Tagesklinik für Internistische Onkologie und Hämatologie

Recklinghausen, North Rhine-Westphalia, 45659, Germany

Location

Krankenhaus Bethanien Solingen

Solingen, North Rhine-Westphalia, 42699, Germany

Location

Onkologie Rheinsieg

Troisdorf/Bonn-Beuel/Bad Honnef, North Rhine-Westphalia, 53840, Germany

Location

MVZ Medizinisches Versorgungszentrum am Marien-Hospital Wesel

Wesel, North Rhine-Westphalia, 46483, Germany

Location

Medizinisches Versorgungzentrum am Evangelischen Krankenhaus Wesel GmbH

Wesel, North Rhine-Westphalia, 46485, Germany

Location

Onkologie Erzgebirge

Aue-Bad Schlema, Saxony, 08301, Germany

Location

Hämatologisch Onkologisches Centrum Ostsachsen ONCOS GmbH

Bautzen, Saxony, 02625, Germany

Location

Fachkrankenhaus Coswig

Coswig, Saxony, 01640, Germany

Location

Gemeinschaftspraxis Dr. med. Johannes Mohm Dr. med. Gabriele Prange-Krex

Dresden, Saxony, 01307, Germany

Location

Gemeinschaftspraxis Hämatologie - Onkologie

Dresden, Saxony, 01307, Germany

Location

Universitätsklinikum Carl Gustav Carus Dresden

Dresden, Saxony, 01307, Germany

Location

Onkozentrum Dresden/Freiberg/Meißen

Dresden/Freiberg/Meißen, Saxony, Germany

Location

Ambulante Onkologie Ostsachsen

Zittau, Saxony, 02763, Germany

Location

Helios Klinikum Erfurt

Erfurt, Thuringia, 99089, Germany

Location

Charité Universitätsmedizin Berlin

Berlin, 10117, Germany

Location

Onkologische Schwerpunktpraxis Tiergarten

Berlin, 10559, Germany

Location

Onkologische Schwerpunktpraxis Kurfürstendamm

Berlin, 10707, Germany

Location

Praxis am Volkspark

Berlin, 10715, Germany

Location

Vivantes Klinikum Neukölln

Berlin, 12351, Germany

Location

Evangelische Lungenklinik Berlin

Berlin, 13125, Germany

Location

DRK Kliniken Berlin Mitte

Berlin, 13359, Germany

Location

Gemeinschaftskrankenhaus Havelhöhe

Berlin, 14089, Germany

Location

Helios Klinikum Emil von Behring

Berlin, 14165, Germany

Location

Onkologischer Schwerpunkt am Oskar-Helene-Heim

Berlin, 14195, Germany

Location

Related Publications (1)

  • Kastner A, Kron A, Eilers L, Spier A, Mildenberger V, Simic D, Stock S, Kron F, Scheffler M, Schillinger G, van den Berg N, Wolf J, Hoffmann W. DigiNet: Optimizing personalized care for patients with stage IV non-small cell lung cancer (NSCLC) through a digitally connected provider network-analysis plan of a prospective multicenter cohort trial. J Cancer Res Clin Oncol. 2025 Sep 9;151(9):244. doi: 10.1007/s00432-025-06275-x.

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungCarcinomaDisease

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypePathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Jürgen Wolf, Prof. Dr.

    Uniklinik Köln

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Prof. Dr.

Study Record Dates

First Submitted

December 12, 2022

First Posted

April 18, 2023

Study Start

June 1, 2022

Primary Completion

March 31, 2025

Study Completion

March 31, 2025

Last Updated

June 4, 2024

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will not share

Locations