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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT00499330
Registration number
NCT00499330
Ethics application status
Date submitted
10/07/2007
Date registered
11/07/2007
Date last updated
25/03/2024
Titles & IDs
Public title
Comparison of Different Types of Surgery in Treating Patients With Stage IA Non-Small Cell Lung Cancer
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Scientific title
A Phase III Randomized Trial of Lobectomy Versus Sublobar Resection for Small (= 2 cm) Peripheral Non-Small Cell Lung Cancer
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Secondary ID [1]
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CALGB-140503
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Secondary ID [2]
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CALGB 140503
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lung Cancer
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Condition category
Condition code
Cancer
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Lung - Mesothelioma
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Cancer
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Lung - Non small cell
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Cancer
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Lung - Small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - lobectomy
Treatment: Surgery - segmentectomy or wedge resection
Other: Arm A - Patients undergo a standard operation for lung cancer called a lobectomy.
Experimental: Arm B - Patents undergo a limited resection (segentectomy or wedge resection), which a smaller portion of the lung is removed.
Treatment: Surgery: lobectomy
Treatment: Surgery: segmentectomy or wedge resection
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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disease-free survival
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Assessment method [1]
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Timepoint [1]
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Up to 7 years
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Secondary outcome [1]
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overall survival
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Assessment method [1]
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Timepoint [1]
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Up to 7 years
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Secondary outcome [2]
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rate of loco-regional and systemic recurrence
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Assessment method [2]
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Timepoint [2]
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Up to 7 years
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Secondary outcome [3]
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pulmonary function as measured by expiratory flow rate 6 months postoperatively
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Assessment method [3]
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Timepoint [3]
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at 6 months
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Eligibility
Key inclusion criteria
Pre-registration Eligibility Criteria:
1. Peripheral lung nodule = 2 cm on preoperative CT scan and presumed to be lung cancer.
The center of the tumor, as seen on CT, must be located in the outer third of the lung
in either the transverse, coronal or sagittal plane. Patients with pure ground glass
opacities or pathologically confirmed N1 or N2 disease are not eligible.
2. The tumor location must be suitable for either lobar or sublobar resection (wedge or
segment).
3. ECOG performance status of 0-2.
4. No prior malignancy within 3 years other than non-melanoma skin cancer, superficial
bladder cancer, or CIS of the cervix.
5. No prior chemotherapy or radiation therapy for this malignancy.
6. No evidence of locally advanced or metastatic disease.
7. Age = 18 years
Intra-operative Randomization Eligibility Criteria:
1. Histologic confirmation of NSCLC (if not already obtained)
2. Confirmation of N0 status by frozen section examination. Right sided tumors require
that node levels 4, 7, and 10 be sampled and diagnosed as negative on frozen section.
Left sided tumors require that node levels 5 or 6, 7 and 10 be sampled and diagnosed
as negative on frozen section. Levels 4 and 7 nodes may be sampled by mediastinoscopy,
endobronchial ultrasound (EBUS) and/or endoscopic ultrasound (EUS), or at the time of
thoracotomy or VATS exploration. Nodes previously sampled by mediastinoscopy (or EBUS
and/or EUS) either immediately prior to or within 6 weeks of the definitive surgical
procedure (thoracotomy or VATS) do not need to be resampled.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/10/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2024
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Actual
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Sample size
Target
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Accrual to date
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Final
701
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Saint Vincent's Hospital - Fitzroy
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Recruitment postcode(s) [1]
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3065 - Fitzroy
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Recruitment outside Australia
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United States of America
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Alabama
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Alaska
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Ontario
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Funding & Sponsors
Primary sponsor type
Other
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Name
Alliance for Clinical Trials in Oncology
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Address
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Other collaborator category [1]
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Government body
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Name [1]
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National Cancer Institute (NCI)
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Ethics approval
Ethics application status
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Summary
Brief summary
RATIONALE: Wedge resection or segmentectomy may be less invasive types of surgery than
lobectomy for non-small cell lung cancer and may have fewer side effects and improve
recovery. It is not yet known whether wedge resection or segmentectomy are more effective
than lobectomy in treating stage IA non-small cell lung cancer.
PURPOSE: This randomized phase III trial is studying different types of surgery to compare
how well they work in treating patients with stage IA non-small cell lung cancer.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT00499330
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Nasser Altorki, MD
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Address
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Weill Medical College of Cornell University
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT00499330
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