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Neoadjuvant Chemoimmunotherapy in Stage IIIA- N2IIIB Non-small Cell Lung Cancer

Not yet recruiting
Conditions
Non-small Cell Lung Cancer Stage ⅢA
Non-small Cell Lung Cancer Stage IIIB
Interventions
Other: cycles of neoadjuvant therapy and duration of waiting for surgery
Registration Number
NCT06394427
Lead Sponsor
West China Hospital
Brief Summary

to explore the impact of preoperative neoadjuvant immunotherapy on perioperative outcomes and long-term prognosis of locally advanced NSCLC in the real world

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
250
Inclusion Criteria
  • Confirmed as primary lung cancer through cytology or histological examination;

    • ECOG score of 0 or 1; ③ 18 years old or above;

      • Received imaging examination, with a preliminary clinical staging of stage III;

        • Received genetic testing and tested negative for EGFR mutations, ALK or ROS-1 fusion; ⑥ Accepting preoperative neoadjuvant immunotherapy combined with chemotherapy; ⑦ Receive surgical treatment after completion of neoadjuvant therapy; ⑧ The postoperative specimens were sent to the pathology department of our hospital for pathological testing, and a complete pathological report is available.
Exclusion Criteria
  • Patients with combined small cell lung cancer; ② Patients with severe liver/kidney dysfunction, cardiovascular disease, or systemic immune disorders;

    • Accept other neoadjuvant treatments; ④ Patients participating in any clinical trial.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
chemoimmunotherapy group 2cycles of neoadjuvant therapy and duration of waiting for surgerythe duration of before patients received surgery after neoadjuvant chemoimmunotherapy
chemoimmunotherapy group 1cycles of neoadjuvant therapy and duration of waiting for surgerypatients received different cycles of neoadjuvant chemoimmunotherapy
Primary Outcome Measures
NameTimeMethod
major pathological remissionone month

proportion of patients with no more than 10% residual viable tumor cells; patients who showed no viable tumor in the lung primary setting but lymph nodes show viable metastatic carcinoma were also classified as MPR

survival time5 years

time since diagnosed with NSCLC

pathological complete remissionone month

proportion of patients without residual viable tumor cell on evaluation of resected lung cancer specimens including all sampled regional lymph nodes

Secondary Outcome Measures
NameTimeMethod
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