Circulating Tumor DNA Guided Treatment Monitoring in Advanced Lung Cancer

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorZealand University Hospital

About this trial

The study is a prospective randomized interventional study including patients with advanced non-small cell lung cancer, receiving immunotherapy, with the aim of optimizing treatment monitoring. The study aims to investigate the clinical utility of liquid biopsy monitoring in order to reduce the numbers of inefficient treatments and needless toxicity - and to explore the cost-effectiveness and cost-utility of introducing liquid biopsy monitoring in daily clinical practice.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Newly diagnosed, histologically verified, Non-Small Cell Lung Cancer (NSCLC)

Advanced or locally advanced disease without curative intended treatment options

Age > 18 years

Eastern Cooperative Oncology Group (ECOG) score of Performance Status (PS) 0-1

Disqualifiers

Targetable alterations in EGFR, ALK or ROS-1

Other active cancers

Trial design

Design model

Parallel

Treatments tested in this trial

  • Circulating tumor DNA treatment monitoring

    Other intervention

    A comparison of treatment monitoring by circulating tumor DNA and CT scans (standard) in patients with newly diagnosed advanced Non-Small Cell Lung Cancer (NSCLC)

Treatment groups

350 Participants
are divided into 2 treatment groups
Group A: ctDNA monitoringExperimental treatment 1 intervention
Group B: CT scan monitoringNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Overall Survival

Overall Survival

Time frame
through study completion, an average of 3 years

Secondary outcomes

1

Physicians Global Assessment to measure quality of life

Physicians Global Assessment to measure quality of life

Time frame
through study completion, an average of 3 years
2

Common Terminology Criteria for Adverse Events

Common Terminology Criteria for Adverse Events

Time frame
through study completion, an average of 3 years
3

Number of Treatments

Number of treatments given and not given

Time frame
From randomization to first detection of progressive disease, an average of 3 years
4

Health Cost/Utility

A health cost and utility analysis of patients in both arms

Time frame
From randomization to first detection of progressive disease, an average of 3 years

Other outcomes

Sponsors and contacts

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