Cryoablation vs Thoracoscopic Surgery for GGN

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorShanghai Chest Hospital

About this trial

The aim of this study is to investigate the efficacy and safety of Cryoablation and Thoracoscopic Surgery in the treatment of pulmonary ground-glass nodules.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients ≥ 18 years old.

The size of the GGN is 8-20mm (with less than 25% solid component), and the number of nodules requiring treatment in the short term is less than 3.

Pathological confirmation of the GGN as non-small cell lung cancer; or progression of the GGN during at least 3 months of follow-up, including enlargement of the largest diameter, increase in solid component, or the appearance of a significant solid component in a previously pure GGN, with multidisciplinary discussion (including radiology, thoracic surgery, and pulmonology) suggesting malignancy.

No lymph node, pulmonary, or distant metastasis to other organs.

Disqualifiers

Patients in poor general condition, with ECOG physical fitness score >2, unable to tolerate surgery or ablation therapy, or with relevant contraindications.

Patients who have previously received other treatments for pulmonary GGNs.

Patients with poor compliance.

Severe heart, lung, kidney, brain, or other vital organ diseases.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Cryoablation

    Procedure/Surgery

    The eligible patient will be voluntarily assigned to the cryoablation group and receive cryoablation.

  • Thoracoscopic Surgery

    Procedure/Surgery

    The eligible patient will be voluntarily assigned to thoracoscopic surgery group and receive surgery.

Treatment groups

160 Participants
are divided into 2 treatment groups
Group A: Cryoablation groupExperimental treatment 1 intervention
Group B: Thoracoscopic Surgery groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

2-year disease-free survival

Defined as the time from enrollment to the occurrence of disease recurrence, the discovery of new lesions, or death due to any cause.

Time frame
Up to 2 years

Secondary outcomes

1

1-month mortality rate

The proportion of patients who die within one month after treatment.

Time frame
1 month after the treatment
2

Overall survival

Defined as the time from enrollment to death from any cause, or to the last contact with surviving patients.

Time frame
Up to 2 years, 5years
3

5-year disease-free survival

Defined as the time from enrollment to the occurrence of disease recurrence, the discovery of new lesions, or death due to any cause.

Time frame
Up to 5 years
4

Local recurrence rate

The proportion of patients who experience disease recurrence at the original treatment site.

Time frame
Up to 5 years

Other outcomes

Sponsors and contacts

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