About this trial
The goal of this study is to develop new techniques for minimal residual disease(MRD) monitoring and to confirm the efficacy and safety of MRD-guided postoperative management for early stage non-small cell lung cancer. The main questions this study aims to answer are:
* How to develop multi-omics-based high-sensitivity detection methods to accurately capture MRD and monitor postoperative recurrence in lung cancer? * Is adaptive treatment guided by ctDNA-MRD for lung cancer patients superior to traditional clinical management and effectively improves survival? * Do heterogeneous patient populations (grouped by stages, histopathological subtypes, driver mutations, and treatment histories) show differences in effects under ctDNA-MRD guided postoperative management strategies?
Eligibility criteria
Qualifiers
Non-small cell lung cancer with stage IA-IIIA (8th edition TNM classification) planning to undergo curative surgery or to undergo neoadjuvant therapy
Solid nodules >1 cm or ground-glass nodules >1.5 cm on imaging
No history of malignancies other than non-small cell lung cancer in the past 5 years
Specimens are well preserved and imaging documents are accessible.
Disqualifiers
Age<18 years old
Non-small cell lung cancer with pathologic stage IIIB-IV (8th edition TNM classification)
Pathology results confirmed not to be non-small cell lung cancer
History of malignancies other than non-small cell lung cancer in the past 5 years
Trial design
Treatments tested in this trial
- Adaptive postoperative management based on minimal residual disease
Treatment groups
Sponsors and collaborators
Peking University People's Hospital
Lead sponsor
Peking University
Collaborator
Guangdong Provincial People's Hospital
Collaborator
Jiangsu Cancer Institute & Hospital
Collaborator
Shanghai Chest Hospital
Collaborator
Shandong Cancer Hospital and Institute
Collaborator
Shenzhen Third People's Hospital
Collaborator
Second Xiangya Hospital of Central South University
Collaborator
Shanghai Zhongshan Hospital
Collaborator
Peking University First Hospital
Collaborator
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Collaborator
National Institute for Occupational Safety and Health (NIOSH/CDC)
Collaborator