Liquid Biopsy in Advanced Oligometastatic NSCLC Receiving Surgery

NCT ID: NCT05648370

Last Updated: 2022-12-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-07-01

Study Completion Date

2025-06-30

Brief Summary

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A prospective, observational study that assesses the clinical feasibility of ctDNA-based liquid biopsy in patients with oligometastatic NSCLC receiving surgery.

Detailed Description

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60 eligible patients will be enrolled. Dynamic blood samples before and after surgery and tissue samples will be obtained for exploratory analysis.

Conditions

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Non-small Cell Lung Cancer Oligometastatic Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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oligometastatic disease

Dynamic blood samples before and after surgery and tissue samples from oligometastatic NSCLC undergone surgery will be obtained for exploratory analysis.

ctDNA testing and whole exome sequencing

Intervention Type GENETIC

Blood samples will be obtained for ctDNA testing and tumor tissue for whole exome sequencing.

Interventions

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ctDNA testing and whole exome sequencing

Blood samples will be obtained for ctDNA testing and tumor tissue for whole exome sequencing.

Intervention Type GENETIC

Eligibility Criteria

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Inclusion Criteria

* Written informed consent must be obtained from patients and ability for patients to comply with the requirements of the study;
* Patients must be a man or woman of more than 18 years;
* ECOG PS ≦1;
* The function of the organs was evaluated by the surgeon to tolerate local surgical treatment;
* The classification was evaluated as simultaneous oligometastases at initial treatment or oligoresidual/oligoprogression/oligorecurrence after induction therapy; \[Define: Initial treatment of simultaneous oligometastases: without systemic treatment, at the time of diagnosis, up to 5 metastases and up to 3 organs were involved, excluding pleural metastases or myeloid metastases.

Oligoresidual after induction therapy: after systemic therapy, distant metastases were stable or reduced, primary lesions were stable or reduced, PET/CT metabolism was reduced, and no more than 5 residual lesions and no more than 3 organs were involved.

Oligoprogression after induction therapy: After systemic therapy, some lesions were stable or reduced, while some original lesions were larger than before.

Oligorelapses after induction therapy: after systemic therapy, systemic lesions were stable or reduced, and new local lesions appeared.\]

* Lesion evaluation can be surgically removed. \[Definition of operable resection: the lesion is limited and can be completely removed through surgery as assessed by the surgeon, with no significant impact on postoperative quality of life. Pulmonary surgical procedures include lobectomy, segmental resection and wedge resection. Pneumonectomy is not included.\]

Exclusion Criteria

* Patients with a confirmed or suspected autoimmune disease;
* Patients with a history of human immunodeficiency virus (HIV) positive or acquired immunodeficiency syndrome (AIDS);
* Patients with a history of any arterial thrombosis within 6 months and history of deep vein thrombosis, pulmonary embolism, or any other severe thromboembolism within 3 months;
* Patients with any unstable systemic disease (eg, active infection, high-risk hypertension, unstable angina, congestive heart failure, etc.);
* Patients with a history of other malignancies in the past 5 years;
* Patients identified by the investigators patients with contraindications to local treatment;
* Patients with serious mental illness;
* Patients who cannot sign informed consent;
* Patients who cannot be followed up as scheduled;
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guangdong Provincial People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wen-Zhao Zhong, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Guangdong Provincial People's Hospital

Locations

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Guangdong Lung Cancer Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wen-Zhao Zhong, Ph.D

Role: CONTACT

Phone: +86 02083827812

Email: [email protected]

Rui Fu, M.D.

Role: CONTACT

Phone: +86 02083827812

Email: [email protected]

Facility Contacts

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Wen-Zhao Zhong, Ph.D

Role: primary

Rui Fu, M.D.

Role: backup

Other Identifiers

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LB4S

Identifier Type: -

Identifier Source: org_study_id