NCT06443684

Brief Summary

The goal of this prospective, observational study is to explore the value of dynamic monitoring of minimal residual lesions in driver mutated stage III NSCLC for disease recurrence and prognosis assessment. The main question it aims to answer is: 1\) Whether MRD(Minimal residual disease) status can predict recurrence events in stage III driven-mutant NSCLC in advance

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
305

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2023

Typical duration for all trials

Geographic Reach
1 country

11 active sites

Status
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

May 8, 2023

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

May 30, 2024

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 5, 2024

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2026

Completed
Last Updated

January 7, 2025

Status Verified

January 1, 2025

Enrollment Period

1.9 years

First QC Date

May 30, 2024

Last Update Submit

January 5, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Correlation of MRD status in driver gene-positive NSCLC patients with 12-month relapse events

    Patients are defined as MRD positive if lung cancer driver genes are detected in peripheral blood post-surgery using NGS methods, and radiological recurrence is based on RECIST 1.1 criteria.

    2022.12--2025.03

Secondary Outcomes (3)

  • Correlation of MRD status in driver gene-positive NSCLC patients with RFS

    2022.12--2025.03

  • Correlation of MRD status in driver gene-positive NSCLC patients with OS

    2022.12--2025.03

  • Correlation of MRD status in driver gene-positive NSCLC patients with 24-month relapse events

    2022.12--2025.03

Study Arms (3)

Direct surgery

Stage III NSCLC eligible for direct surgery Interventions: Diagnostic Test: MRD(LC-10)include 10 lung cancer-related driver gene mutation site

Diagnostic Test: MRD

Neoadjuvant and surgery

Stage III NSCLC eligible for neoadjuvant therapy followed by surgery Interventions: Diagnostic Test: MRD(LC-10)include 10 lung cancer-related driver gene mutation site

Diagnostic Test: MRD

Chemoradiotherapy

Unresectable Stage III NSCLC eligible for Chemoradiotherapy. Interventions: Diagnostic Test: MRD(LC-10)include 10 lung cancer-related driver gene mutation site

Diagnostic Test: MRD

Interventions

MRDDIAGNOSTIC_TEST

MRD(LC-10)include 10 lung cancer-related driver gene mutation site

ChemoradiotherapyDirect surgeryNeoadjuvant and surgery

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

305 The main research purpose of this project is to associate the MRD status of driver gene positive patients with 12 months of recurrent events. The follow-up is 2 years, so according to the number of patients with stage IIIA NSCLC in each center, and the patient enrollment is planned within 1 year. A total of 305 stage III NSCLC patients were collected

You may qualify if:

  • Patients with stage III non-small cell lung cancer were confirmed by imaging and histological biopsy
  • Age≥ 18
  • ECOG PS:0-1
  • Tumor molecular testing by EBUS or biopsy confirmed positive for one or more of the following driver genes:EGFR\\ALK\\ROS1\\RET\\KRAS\\PIK3CA\\BRAF\\HER2\\MET
  • Patients who met and agreed to surgery or radical chemoradiotherapy, and the remaining samples after cutting tissue sections did not affect the possible further clinical treatment of the subject
  • Provide 20 mL peripheral blood samples periodically
  • The subjects volunteered to join the study, and signed the informed consent form, with good compliance, and actively cooperated with the hospital for routine clinical diagnosis and treatment follow-up

You may not qualify if:

  • Patients with other malignancies within 5 years
  • According to the investigator, the patient also had other diseases that may affect the follow-up and short-term survival
  • The subject had other factors that may lead to the termination of the study, such as other serious diseases (including mental illness), serious laboratory abnormalities, and family or social factors that affected the safety of the subject, or the collection of data and samples

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

RECRUITING

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

RECRUITING

Affiliated Cancer Hospital of Harbin Medical University

Harbin, Heilongjiang, China

RECRUITING

Hunan Cancer Hospital

Changsha, Hunan, China

RECRUITING

Shandong Provincial Hospital

Jinan, Shandong, China

RECRUITING

Shanghai Chest hospital

Shanghai, Shanghai Municipality, China

RECRUITING

Zhongshan Hospital Affiliated to Fudan University

Shanghai, Shanghai Municipality, China

RECRUITING

Shanxi Cancer Hospital

Taiyuan, Shanxi, China

RECRUITING

The First Affiliated Hospital of Xi 'an Jiaotong University

Xi’an, Shanxi, China

RECRUITING

The First Affiliated Hospital of Zhejiang University

Hangzhou, Zhejiang, China

RECRUITING

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

RECRUITING

Biospecimen

Retention: SAMPLES WITH DNA

Full blood samples processed into plasma, buffy coat,and serum Formalin-fixed paraffin-embedded tumor tissue

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Shun Lu, M.D.

    Shanghai Chest Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor Chief of Shanghai Lung Cancer Center

Study Record Dates

First Submitted

May 30, 2024

First Posted

June 5, 2024

Study Start

May 8, 2023

Primary Completion

March 31, 2025

Study Completion

March 31, 2026

Last Updated

January 7, 2025

Record last verified: 2025-01

Data Sharing

IPD Sharing
Will not share

Locations