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Clinical Trials/NCT06102161
NCT06102161Not yet recruitingPhase 3

Wedge Resection for Ground-glass Opacity-featured Lung Cancer With Size Less Than 2cm and Consolidation-to-tumor Ratio Between 0.25 to 0.5: a Single-arm, Multi-center, Prospective, Confirmatory Phase III Trial

Fudan University1 site in 1 country286 target enrollmentStarted: November 2023Last updated:
Conditions

Trial Snapshot

Phase
Phase 3
Status
Not yet recruiting
Enrollment
286
Locations
1
Primary Endpoint
5-year overall survival

Study Overview

Brief Summary

This is a clinical trial from the Eastern Cooperative Thoracic Oncology Project (ECTOP), numbered as ECTOP-1020. The goal of this clinical trial is to confirm the therapeutic effect of Wedge resection for ground-glass opacity-featured lung cancer with a size less than 2cm and a consolidation-to-tumor ratio between 0.25 to 0.5.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 80 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Patients who sign the informed consent form and are willing to complete the study according to the plan;
  • Aged from 18 to 80 years old;
  • ECOG equals 0 or 1;
  • Not receiving lung cancer surgery before;
  • Intraoperative or postoperative pathologic diagnosis of lung adenocarcinoma;
  • Single lung nodules with ground-glass dominant or pure ground-glass on CT, or multiple lung nodules with the major lesion being the aforementioned nodules;
  • The nodule has a consolidation-to-tumor ratio (CTR) between 0.25 and 0.5 (including 0.25 and 0.5), and the nodule size is less than or equal to 2 cm;
  • peripheral type of nodes, namely, nodes in the outer 1/3 of the lung field.
  • cT1N0M0 tumors;
  • Complete tumor resection by wedge resection as assessed by the surgeon;
  • Not receiving chemotherapy or radiotherapy before.

Exclusion Criteria

  • Postoperative pathologic diagnosis of adenocarcinoma in situ or minimally invasive adenocarcinoma.
  • CTR is not between 0.25-0.5 or nodule size greater than 2 cm;
  • Cannot be completely resected by wedge resection;
  • Invasive lung adenocarcinoma or lung malignancy other than lung adenocarcinoma diagnosed cytologically or pathologically;
  • Receiving lung cancer surgery before;
  • Receiving radiotherapy or chemotherapy.

Outcomes

Primary Outcomes

5-year overall survival

Time Frame: 5 years

The event is defined as the death due to any causes.

Secondary Outcomes

  • Postoperative lung function (FEV1)(5 years)
  • Sites of tumor recurrence and metastasis(5 years)
  • Radical wedge resection (R0 resection) completion rate(5 years)
  • 5-year recurrence-free survival(5 years)
  • Surgery-related complications(5 years)
  • Postoperative lung function(5 years)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Haiquan Chen

Director in the Department of Thoracic Surgery, FUSCC

Fudan University

Study Sites (1)

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