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MRD-guided Prognosis Prediction and Adjuvant Treatment Based on CTC and ctDNA in NSCLC

Minimal Residual Disease (MRD) Guided Prognosis Prediction and Adjuvant Treatment Based on Expression and Mutational Signatures of Circulating Tumor Cell (CTC) and Circulating Tumor DNA (ctDNA) in Non-small Cell Lung Cancer

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06198868
Enrollment
60
Registered
2024-01-10
Start date
2024-02-01
Completion date
2027-02-01
Last updated
2024-01-12

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

Conditions

Non-small Cell Lung Cancer

Keywords

NSCLC, Minimal Residual Disease, Prognosis monitoring, Adjuvant treatment

Brief summary

This is a prospective cohort study, which aims to evaluate the effectiveness and superiority of a novel minimal residual disease-guided prognosis monitoring and adjuvant treatment in stage IIA-IIIC non-small cell lung cancer.

Detailed description

This observational study is a single-center, prospective cohort study, which aims to detect minimal residual disease (MRD) using circulating tumor cells (CTC) and circulating tumor DNA (ctDNA). To evaluate the effectiveness and superiority of MRD detection, we enroll operable or inoperable IIA-IIIC stage NSCLC patients, and single-cell RNA sequencing and genomic sequencing would be performed for CTC and ctDNA, respectively.

Interventions

PROCEDUREOperable

Enrolled patients capable of surgical treatment

Sponsors

Jiangsu Cancer Institute & Hospital
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

1. Written informed consent must be signed before implementing any enrollment-related procedures; 2. Age ≥18 years old; 3. Patients with histologically or cytologically confirmed stage IIA-IIIC NSCLC (International Association for the Study of Lung Cancer and American Joint Committee on Classification of Cancer, 8th Edition TNM staging); 4. There is no special restriction on the source of genetic test report. 5. According to the Response Evaluation Criteria in Solid Tumors (RECIST, version 1.1), there is at least one radiographically measurable lesion. 6. Have not received any previous systemic antitumor therapy for advanced diseases. 7. No serious abnormalities of hematopoietic function, heart, lung, liver, kidney function and immune system. 8. ECOG score: 0-1; 9. Expected survival time \> 3 months.

Exclusion criteria

1. Received surgical treatment for lung tumors. 2. Received neoadjuvant chemotherapy or radiotherapy. 3. Received cellular therapy within the last 1 year. 4. Treated but uncontrolled diabetes, mellitus, asthma, autoimmune diseases and other chronic diseases. 5. Participated in other clinical trials (including research vaccines, drugs, medical devices, etc.) within one month.

Design outcomes

Primary

MeasureTime frameDescription
To evaluate the Progression-free Survival (PFS)From the first study dose date to the date of first documentation of disease progression or death (whichever occurred first), up to approximately 3 yearsProgression-free survival (PFS) is defined as the time from the start of treatment to the occurrence of tumor progression or death due to any cause based on RECIST 1.1 assessed by investigator review.

Secondary

MeasureTime frameDescription
To evaluate the Overall Survival (OS)From the date of first dose of study drug until date of death from any cause (up to approximately 5 years )Overall Survival (OS) was measured from the date of first dose of study drug until date of death from any cause. Participants who were lost to follow-up and the participants who were alive at the date of data cutoff was censored at the date the participant was last known alive, whichever came earlier.

Countries

China

Contacts

Primary ContactRong Yin, M.D., Ph.D.
rong_yin@njmu.edu.cn18305185629

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026