Non-small cell lung cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Cohort 0 1 Histologically confirmed NSCLC 2 KRAS G12C mutation confirmed 3 Anatomical lung resection performed on or after June 1, 2025 4 Pathological complete resection 5 Clinical stage II, IIIA, N2 IIIB disease treated with neoadjuvant therapy including immune checkpoint inhibitors, followed by anatomical lung resection 6 Pathological complete response achieved 7 18 years or older 8 Written informed consent from patients Cohort 1 1 Histologically confirmed NSCLC 2 KRAS G12C mutation confirmed 3 Anatomical lung resection performed on or after June 1, 2025 4 Pathological complete resection 5 Either of the following criteria a, Patients who underwent surgery without neoadjuvant therapy and were diagnosed with pathological stage II, III disease, and who received (or are scheduled to receive) adjuvant therapy b, Patients with clinical stage II, IIIA, N2 IIIB disease who received neoadjuvant therapy including immune checkpoint inhibitors followed by anatomical lung resection, regardless of postoperative immunotherapy, and who did not achieve pCR 6 18 years or older 7 Written informed consent from patients Cohort 2 1 Histologically confirmed NSCLC 2 KRAS G12C mutation confirmed 3 Patients with clinical stage III disease who received definitive chemoradiotherapy on or after June 1, 2025, followed by initiation of durvalumab consolidation therapy or planned to receive 4 18 years or older 5 Written informed consent from patients
Exclusion criteria
Exclusion criteria: 1 Patients with synchronous malignancies requiring treatment at the time of enrollment 2 Patients who declined participation in the study 3 Patients enrolled in a clinical trial using off-label agents for completely resected stage II or III NSCLC or unresectable stage III NSCLC
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cohort 1:Disease free survival (DFS) cohort 2:Progression free survival (PFS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival (OS) Patterns of recurrence or progression Post-recurrence treatment Frequency of KRAS gene mutations and their association with clinicopathological characteristics | — |
Countries
Japan
Contacts
Kyushu University Hospital Department of Thoracic Surgery