Trial of ctDNA of Guidance to Determine PostOperative Radiation Therapy

Trial statusNot yet recruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-90
SponsorRutgers, The State University of New Jersey

About this trial

Primary Objective:

Evaluate the role of ctDNA positivity in decision making for postoperative therapy for non-small cell lung cancer. The plan for postoperative therapy will be declared after pathology report review and before the ctDNA result. We will assess if ctDNA result changed the planned therapy.

Secondary Objectives:

Evaluate personalized postoperative Chemo/ICPI/Targeted Therapies/Radiation Therapy in clearing ctDNA Evaluate the disease-free survival (DFS) and overall survival (OS) of stage II/III lung cancer patients with postoperative ctDNA positive status

Exploratory Objective:

Evaluate radiomics features based on serial CT thoracic CT scans to determine if radiomic features can be associated with ctDNA positivity/negativity.

Eligibility criteria

Qualifiers

Have provided signed informed consent for the trial

Aged ≥18 years at the time of informed consent

Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

Diagnosed with histologically confirmed Stage II-III NSCLC and undergone surgical resection of lung tumor

Disqualifiers

Discontinued treatment due to a Grade 3 or higher AEs with chemotherapy or immunotherapy or targeted therapy agent

With a history of another primary malignancy within the past 2 years that is considered an active malignancy by the enrolling physician.

Have known active CNS metastases and/or carcinomatous meningitis.

Have a history of (non-infectious) pneumonitis that required steroids or have current pneumonitis.

Trial design

Treatments tested in this trial

  • Haystack™ ctDNA Assay

Treatment groups

25 Participants
are divided into 1 treatment group