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Development and Clinical Validation of Early-stage Lung Cancer Prognostic Kit

Development and Clinical Validation of Early-stage Lung Cancer Prognostic Kit and Immunotherapy Companion Diagnostic Laboratory Developed Tests

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05557474
Enrollment
236
Registered
2022-09-28
Start date
2021-10-01
Completion date
2028-12-31
Last updated
2026-02-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lung Cancer, Recurrence, Surgery

Keywords

Lung Cancer, Immunohistochemistry, Enzyme-linked Immunosorbent Assay, Laboratory developed tests, Recurrence

Brief summary

Lung cancer is the leading cause of cancer mortality worldwide in spite of the advanced progresses in medication and low-dose CT screening. The early-stage lung cancer accounts for less than 50% of newly diagnosed lung cancer in Taiwan, even in stage IB patients proximately 30% still suffer from recurrence and metastasis. The International Cancer Moonshot Project recently established the first comprehensive proteogenomics profiling of early-stage lung cancer patients in East Asia, revealing a proteomics-informed classification to identify a new "late like" subtype, which can identify a subgroup of early-stage patients with worse clinicopathological features (Cell, Cover story, 2020). This study has been featured in prestigious journals (Nat Rev Clin Oncol; Cancer Discov, 2020) and led to two provisional US patents. In this proposal, taking the discovery from the Cancer Moonshot multiomics database, the investigators aim to translate these findings into clinical utilities. Two subprojects are proposed. (1) Validation of "late-like" protein markers for identifying high-risk early-stage lung cancer: Two IVD kits will be developed, including high-risk early-stage lung cancer IHC prediction kit for tumor staining and high-risk early lung cancer ELISA prediction kit for noninvasive diagnosis. (2) Conducting a prospective clinical trial to evaluate the accuracy of high-risk early-stage lung cancer IHC prediction kit and high-risk early-stage lung cancer ELISA prediction kit.

Interventions

OTHEREarly-stage lung cancer prognostic kit -- ELISA

blood sample with ELISA

OTHEREarly-stage lung cancer prognostic kit -- IHC

surgical tumor part with IHC

Sponsors

Chung Shan Medical University
Lead SponsorOTHER
National Science and Technology Council
CollaboratorFED

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Willing to sign and provide subject consent. * Male or female of age 20 or older. * Patients diagnosed with lung adenocarcinoma by tumor pathology. * Lung cancer with the pathological stage of IA/IB/II/IIIA according to the American Joint Committee on Cancer Staging Manual (8th Edition). * Complete tumor resection (R0 resection). * The East Coast Cancer Clinical Research Collaborative (ECOG) performance status was 0 or 1 at the time of grouping. * Those willing to provide tumor tissue or cytology specimens (including surgical specimens, tissue biopsy specimens, or cytology specimens), blood and body fluid specimens (for follow-up or disease recurrence, such as urine, malignant pleural effusion, ascites, pericardial fluid, etc.).

Exclusion criteria

* Not primary lung cancer patients. * Lung cancer patients whose pathological stage is not IA/IB/II/IIIA according to the American Joint Committee on Cancer Staging Manual (8th Edition) after surgery. * Patients with uncontrolled malignant tumors other than lung cancer. * Uncontrolled systemic disease (such as diabetes, hypertension, active infection, etc.) (determined by the principal investigator ) * Pregnant women. * Any condition may put the patient at serious risk, may affect the interpretation of the trial results, or may seriously interfere with the patient's participation in the trial.

Design outcomes

Primary

MeasureTime frameDescription
disease free survival5 yearsDisease free survival

Secondary

MeasureTime frame
Overall survival10 years

Countries

Taiwan

Contacts

CONTACTGeeChen Chang, MD. PhD
geechen@gmail.com+886-4-24739595

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026