Studieoverzicht

Study name: THORACIC: deTect patHological cOmplete Response following neoAdjuvant ChemoImmunotherapy in nsclC

Histology NSCLC, all subtypes
Tumor stage Stage I - III
Host / recruiting site 1 Antoni van Leeuwenhoek Enrollment Recruiting
Host / recruiting site 2 Amsterdam UMC Enrollment Planned
Host / recruiting site 3 Catharina Ziekenhuis Enrollment Recruiting
Therapy line First line (1L)
PD-L1 expression Negative: <1% ,  Low: 1 - 49% ,  High: ≥50%
Design

Prospective, observational, multicenter trial

Intervention

Blood sampling for (tumor-informed) ctDNA analysis. Optional: Metabolic MRI scan of the chest

Key outcome parameters

Discriminatory accuracy of the metabolic response on FDG-PET, clearance of ctDNA and PD-L1 expression the distinguish between pathological compete response (pCR) and non-pCR following neoadjuvant chemoimmunotherrapy

Key inclusion criteria
  • Pathologically proven NSCLC stage IIA – IIIB according to the 9th edition of the American Joint Commission on Cancer (AJCC) staging deemed resectable by the MDT.
  • (baseline) histological tumor specimen OR ≥150 ng dsDNA tumor genomic DNA available
  • Patient deemed operable by the multidisciplinary team meeting.
  • Indication for neoadjuvant chemoimmunotherapy.
Key exclusion criteria
  • No baseline (within 8 weeks of inclusion) [18F]FDG-PET scan with EARL reconstruction.
  • Only cytological baseline tumor material available
  • Any condition that, in the opinion of the investigator, would interfere with evaluation of metabolic response evaluation or ctDNA analysis (i.e. second active malignancy)
Contact information