Status:

RECRUITING

PROPHET Study: ctDNA-Guided Personalized Induction Immunochemotherapy for NSCLC

Lead Sponsor:

Sun Yat-sen University

Conditions:

Non-small Cell Lung Cancer (NSCLC)

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

The goal of this clinical trial is to evaluate the clinical value of ctDNA testing in guiding the optimization of immunochemotherapy cycles during induction treatment for resectable patients with NSCL...

Detailed Description

Advances in precision medicine have highlighted the potential of circulating tumor DNA (ctDNA) detection in NSCLC diagnosis, treatment efficacy monitoring, and prognosis evaluation. Induction immunoth...

Eligibility Criteria

Inclusion

  • Histologically/cytologically confirmed, untreated stage IIA-IIIB NSCLC (IASLC 8th edition).
  • Deemed resectable by MDT.
  • EGFR/ALK wild-type (non-squamous patients; squamous patients exempt).
  • ECOG PS 0-1.
  • Adequate organ function (neutrophils ≥1.5×10⁹/L, platelets ≥100×10⁹/L, Hb \>9 g/dL, Cr ≤1.5×ULN, AST/ALT ≤3×ULN).
  • Measurable lesions (RECIST 1.1).

Exclusion

  • Active autoimmune diseases (exceptions: vitiligo, type I diabetes, stable hypothyroidism).
  • Systemic corticosteroids (\>10 mg prednisone equivalent/day) within 14 days.
  • Grade 3-4 interstitial lung disease.
  • Concurrent malignancies requiring treatment.
  • Prior anti-PD-1/PD-L1/CTLA-4 therapy.
  • Active HBV/HCV, HIV/AIDS, or pregnancy.

Key Trial Info

Start Date :

May 10 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 10 2030

Estimated Enrollment :

83 Patients enrolled

Trial Details

Trial ID

NCT06977074

Start Date

May 10 2025

End Date

May 10 2030

Last Update

May 23 2025

Active Locations (1)

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Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China, 510060