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Lung Neoplasms clinical trials

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NCT ID: NCT04212481 Recruiting - Clinical trials for Single-port Video-assisted Thoracoscopic Surgery

RCT of Uniport VATS for Lung Cancer

Start date: December 25, 2019
Phase: N/A
Study type: Interventional

Video-assisted thoracoscopic surgery (VATS) has been widely used for non-small cell lung cancer (NSCLC) for nearly two decades. Usually, it was applied through three ports with at least one drainage after surgery, which often lead to acute chest pain. Therefore, fewer, smaller ports, and wider intercostal space for surgery has been required. Uniport VATS became a feasible option with the development of surgical techniques and instruments, with potentially less postoperative pain and shorter hospital stays. However, there may be some complications, or with a longer time of operation, even more difficult in lymph nodes resection during learning curve. In our study, a Randomized Controlled Trial was designed to study the operation time, perioperative blood loss, conversion rate, duration of postoperative drainage, length of hospital stay, visual analogue score of postoperative pain, complications, and survival.

NCT ID: NCT04210492 Recruiting - Clinical trials for Non-small Cell Lung Cancer

Dose-Deescalated 3-Fraction Stereotactic Body Radiotherapy For Centrally Located Lung Cancer

Start date: March 2, 2020
Phase: Phase 1/Phase 2
Study type: Interventional

The purpose of this trial is to test a deescalated 3-fraction stereotactic body radiotherapy (SBRT) regimen to 45 Gray (Gy) in 3 fractions for centrally located thoracic tumors.

NCT ID: NCT04209218 Recruiting - Lung Cancer Clinical Trials

Intraoperative Blood Pressure Management and Dexamethasone in Lung Cancer Surgery

Start date: April 7, 2020
Phase: N/A
Study type: Interventional

Surgery is the front-line therapy for non-small cell lung cancer (NSCLC) but postoperative complications remains high and patients' long-term outcome is still challenging. In addition to surgery, anesthetic management particularly intraoperative blood pressure management and use of dexamethasone may affect patients' early and long-term outcomes after surgery for NSCLC. This study aims to investigate the impact of intraoperative blood pressure management and dexamethasone administration on early and long-term outcomes in patients undergoing surgery for lung cancer.

NCT ID: NCT04204499 Recruiting - Lung Cancer Clinical Trials

Analysis of Screen-detected Lung Cancers' Genomic Traits

ASCENT
Start date: August 10, 2020
Phase:
Study type: Observational

Prospective, observational cohort study of patients undergoing surgical resection for low dose CT (LDCT) screen-detected lung cancer (detected through the SUMMIT study- ClinicalTrials.gov Identifier: NCT03934866/ lung screening programmes), in which translational research is a fundamental aspect.

NCT ID: NCT04203095 Recruiting - Lung Cancer Clinical Trials

Chromosomal Instability as a Surrogate Biomarker of Drug Resistance in Immunotherapy for Lung Cancer Patients

CINSBDRILCP
Start date: November 10, 2019
Phase:
Study type: Observational

PD1, as an immune checkpoint inhibitor, has provided a new therapeutic approach for patients with cancer, including patients. Although immunotherapy has proven effective, most patients do not benefit from it because of a large proportion which developing primary and acquired resistance. However, there is still a lack of accurate and effective molecular biomarkers to accurately evaluate the drug resistance of patients treated with immune checkpoint inhibitors (ICI), so as to maximize the therapeutic effect in patients. Chromosomal instability (CIN) is one of the most prominent and common characteristics of solid tumors, accelerating the development of anti-cancer drug resistance, often leading to treatment failure and disease recurrence, which limits the effectiveness of most current treatments. Hence the aim of this study is to evaluate dynamic CIN continuously monitored in the blood of patients with lung cancer treated with ICIs with Ultrasensitive Chromosomal Aneuploidy Detection (UCAD) to establish a new molecular immune resistance evaluation index. Further, the correlation between the evolution of tumor cloning and ICI resistance in patients during treatment was analyzed based on the results of dynamic CIN detection. This not only evaluate the efficacy of the ICI treatment in real-time, but also enables better understanding and overcoming the resistance mechanism of immunotherapy in the future.

NCT ID: NCT04200534 Recruiting - Lung Cancer Clinical Trials

Centralized Lung Cancer EARly Detection Among Smokers (CLEAR Study)

Start date: July 31, 2020
Phase: Early Phase 1
Study type: Interventional

This trial studies how well a centralized care strategy works in improving the quality of smoking cessation and shared decision making among patients who smoke and are considering lung cancer screening. The centralized care strategy is a model where smokers eligible for lung cancer screening are referred to a dedicated tobacco treatment program where they receive both the shared decision-making and initiate smoking cessation counseling prior to their visit with a primary care provider. Utilizing the centralized care model may work better in helping people quit smoking and make informed decisions about lung cancer screening compared to usual care.

NCT ID: NCT04199741 Recruiting - Clinical trials for Small Cell Lung Cancer

PET/CT Imaging of Small Cell Lung Cancer Using 89Zr-DFO-SC16.56

Start date: December 11, 2019
Phase:
Study type: Observational

The purpose of this study is to look at how safe 89Zr-DFO-SC16.56 is, and how it is processed by the body in people with small cell lung cancer.

NCT ID: NCT04198766 Recruiting - Clinical trials for Non-Small Cell Lung Cancer

Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)

Start date: December 10, 2019
Phase: Phase 1
Study type: Interventional

This is a Phase 1/2, open-label, non-randomized, 4-part Phase 1 trial to determine the safety profile and identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of INBRX 106 administered as a single agent or in combination with the anti-PD-1 checkpoint inhibitor (CPI) pembrolizumab (Keytruda).

NCT ID: NCT04197076 Recruiting - Clinical trials for Non Small Cell Lung Cancer

Neoadjuvant Therapy in Resectable Non-Small Cell Lung Cancer Stages IIB-IIIB

Start date: February 25, 2019
Phase:
Study type: Observational

This study aims to investigate the efficacy and safety of targeted therapy and chemotherapy±immunotherapy as neoadjuvant therapy in stage IIB-IIIB NSCLC patients.(observational study)

NCT ID: NCT04193098 Recruiting - Clinical trials for Non-small Cell Lung Cancer

Study of Autologous Cytotoxic T Lymphocyte Immunotherapy Combination With PD-1 Inhibitor in the Advanced NSCLC

Start date: June 1, 2019
Phase: Phase 1
Study type: Interventional

This prospective, unicentric, open-labe phase I study is to evaluate the safety and effect of autologous cytotoxic T lymphocyte immunotherapy combination with PD-1 inhibitor in the second-line treatment of stage IIIB/IIIC/IV non-small cell lung cancer.