Wedge Resection for Ground-glass Opacity-featured Lung Cancer (ECTOP-1020)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Wedge resection.
- Who it may be relevant to
- Registry conditions: Lung Cancer, Wedge Resection, Ground-glass Opacity. Basic parameters: 18 years — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
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
Overview
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.
Interventions
- Procedure Wedge resection
Wedge resection is a surgical procedure that is done to remove a wedge-shaped section of lung tissue, usually for treating lung cancer. A wedge resection is less invasive than some of the other surgical options used to remove lung cancer.
Primary outcome measures
- 5-year overall survival [Time frame: 5 years]
Secondary outcome measures (6)
- 5-year recurrence-free survival [Time frame: 5 years]
- Postoperative lung function (FEV1) [Time frame: 5 years]
- Postoperative lung function [Time frame: 5 years]
- Sites of tumor recurrence and metastasis [Time frame: 5 years]
- Radical wedge resection (R0 resection) completion rate [Time frame: 5 years]
- Surgery-related complications [Time frame: 5 years]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
China · 1 center
- Fudan University Shanghai Cancer Center — Shanghai
Publications
- Li T, Fu F, Zhang Y, Chen H. Protocol for a single-arm, multicenter, prospective, confirmatory phase III trial of wedge resection for invasive ground glass opacity-featured lung cancer with a size </=2 cm and a consolidation tumor ratio between 0.25 and 0.5 (ECTOP-1020 study). J Thorac Dis. 2024 Jul 30;16(7):4711-4718. doi: 10.21037/jtd-24-440. Epub 2024 Jul 9. PMID 39144343
Identifiers
NCT: NCT06102161 · WGGO