Liquid Biopsy-Based Novel Modality for Postoperative Management of Lung Cancer

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPeking University People's Hospital

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

1,000 Participants
are divided into 2 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