NCT06646770

Brief Summary

The goal of this clinical trial is to investigate the role of segmentectomy in clinical T1c (2-3 cm) non-small cell lung cancer (NSCLC). The main questions we aim to answer are:

  • Undergo either pulmonary lobectomy or segmentectomy with mediastinal nodal dissection
  • Be followed up with a chest CT in every 3 months in first year, every 6 months in second year and every year for following 3 years

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
400

participants targeted

Target at P75+ for not_applicable nonsmall-cell-lung-cancer

Timeline
45mo left

Started Jan 2025

Longer than P75 for not_applicable nonsmall-cell-lung-cancer

Geographic Reach
1 country

1 active site

Status
not yet 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 Progress27%
Jan 2025Jan 2030

First Submitted

Initial submission to the registry

October 16, 2024

Completed
1 day until next milestone

First Posted

Study publicly available on registry

October 17, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

January 2, 2025

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2030

Last Updated

October 17, 2024

Status Verified

October 1, 2024

Enrollment Period

5 years

First QC Date

October 16, 2024

Last Update Submit

October 16, 2024

Conditions

Keywords

Non-Small Cell Lung CancerT1cSegmentectomyLobectomy

Outcome Measures

Primary Outcomes (1)

  • Survival Survival

    Overall and recurrence free survival

    5 years

Secondary Outcomes (2)

  • Complication rate associated with surgery

    90 days

  • Mortality rate

    90 days

Study Arms (2)

Segmentectomy

EXPERIMENTAL

Pulmonary anatomic segmentectomy with mediastinal nodal dissection

Procedure: Segmentectomy

Lobectomy

ACTIVE COMPARATOR

Pulmonary lobectomy with mediastinal nodal dissection

Procedure: Lobectomy

Interventions

SegmentectomyPROCEDURE

Pulmonary anatomic segmentectomy with mediastinal nodal dissection via VATS, RATS or open approach.

Segmentectomy
LobectomyPROCEDURE

Pulmonary lobectomy with mediastinal nodal dissection via VATS, RATS or open approach.

Lobectomy

Eligibility Criteria

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

You may qualify if:

  • Clinical T1c NSCLC
  • Parenchymal nodule \>2 cm in diameter
  • Parenchymal nodule ≤3 cm in diameter
  • Consolidation / Tumor Rate (CTR) ≥ 0.50
  • Definitive pathological diagnosis of NSCLC preoperative or intraoperatively
  • No evidence of distant metastasis
  • No evidence of N2 disease
  • Adequate pulmonary functions for lobectomy or segmentectomy

You may not qualify if:

  • Pure GGO lesions
  • Pathologic diagnosis other than NSCLC
  • Technically not suitable for simple or complex segmentectomy, or lobectomy
  • Evidence of distant metastasis
  • Pathologically confirmed N2 or N3 disease
  • Major comorbidity that precludes surgery
  • Intraoperative mediastinal nodal dissection of less than 3 lymph node stations
  • Prior malignancy in five years

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty

Istanbul, 34198, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

Mastectomy, SegmentalAnterior Temporal Lobectomy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

MastectomySurgical Procedures, OperativeNeurosurgical Procedures

Study Officials

  • Akif Turna, MD, PhD

    Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Akif Turna, MD, PhD

CONTACT

Melek Ağkoç, MD

CONTACT

Study Design

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

Study Record Dates

First Submitted

October 16, 2024

First Posted

October 17, 2024

Study Start

January 2, 2025

Primary Completion (Estimated)

January 1, 2030

Study Completion (Estimated)

January 1, 2030

Last Updated

October 17, 2024

Record last verified: 2024-10

Locations