ClinicalTrials.gg
RecruitingNCT03351842Updated Dec 19, 2017

Surgery With or Without Chemotherapy for Stage I NSCLC With Micropapillary Component ≥ 20%

A Phase 2 interventional study of cis Platinum/Carboplatin, Pemetrexed Disodium and Undergo surgery in Chemotherapy, Adjuvant, Lung Adenocarcinoma, Stage I and Treatment, sponsored by Shanghai Pulmonary Hospital, Shanghai, China. Recruiting at 1 site in China. Open to participants aged 19 Years to 70 Years. Per ClinicalTrials.gov, last updated 2017-12-19.

Sponsored by Shanghai Pulmonary Hospital, Shanghai, China · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2019, 7 years 2 months ago, but the record still lists the study as recruiting.
  • Started Sep 2017; still recruiting 9 years 2 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
460
Allocation
Randomized
Ages
19 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies testing cisplatin in Adenocarcinoma of Lung — 2 open to participants now, 3 under way, 1 of them phase 3. Cisplatin · Adenocarcinoma of Lung.

Planned enrollment
Largest of 13
460 · median 116
Started
2017
the only one that year
Phase 2
12 of 15
1 open now
Registered
15th of 15
by date
Lead sponsor
1 of 15
Shanghai Pulmonary Hospital, Shanghai, China

Among the 15 studies testing cisplatin in Adenocarcinoma of Lung, this one has the largest planned enrollment of the 13 interventional ones, is the only one that started in 2017, is one of 12 in phase 2, and was the 15th registered.

By phase

15 studies; the count open now beside each. This study's row is marked.

Phase 2this study12 · 1 open
Phase 1/21 · 0 open
Phase 2/31 · 1 open
Phase 31 · 0 open

By the year they started

First in 1995; this study’s year is marked. 1 started in 2017.

Size and results

Median enrollment 116 across the 13 interventional studies. Of the 10 that completed or were terminated, 2 (20%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 15 studies testing cisplatin in Adenocarcinoma of Lung, or all of them as a file.
02

Study summary

Randomized phase II trial aims to compare surgery with or without adjuvant chemotherapy in treating patients who are pathologically diagnosed as stage I lung adenocarcinoma with micropapillary component no less than 20%.

Read the detailed description

The presence of micropapillary component in adenocarcinoma is a predictor of poor prognosis, and has been reported to be to be chemosensitive to platinum-based chemotherapy. Seeking a more appropriate treatment for these patients, we perform this randomized phase II clinical trial. About 460 stage I lung adenocarcinoma patients with micropapillary component ≥ 20% will be included and divided into two group. Patients in the control group will only undergo complete R0 resection of the lesion, no further therapy will be used. While patients in the experimental group are going to receive platinum-based chemotherapy (comprising cisplatin and pemetrexed disodium)about 1 month after therapeutic surgery. Treatment continues every 3 weeks for 4 courses. Clinic and telephone follow up will be conducted for survival data monitoring.

DFS(disease free survival rate) and OS(overall survival rate) curves will be calculated using the Kaplan-Meier, life-table method. Comparison of the survival curve for the two groups will be performed using the log-rank test.

03

Conditions studied

  • Chemotherapy, Adjuvant
  • Lung Adenocarcinoma, Stage I
  • Treatment
  • Histological Type of Neoplasm

Keywords

  • Adjuvant chemotherapy
  • Micropapillary Component
  • Early stage lung cancer
04

Who can participate

Ages eligible
19 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Completely resected Stage I NSCLC as defined by the International Staging System
  • diagnosed Stage I micropapillary predominant lung adenocarcinoma
  • Patients must be randomized within 4 weeks from the date of surgery
  • No prior chemotherapy or radiation for non-small cell lung cancer
  • Performance status of 0 or 1
  • Women must be non-pregnant and non-lactating; patients of must agree to use an effective form of while on study
  • Patients must have no history of previous or concomitant , other than curatively treated carcinoma in situ of the cervix, or basal cell or squamous cell carcinoma of the skin, or surgically treated in situ carcinoma of the breast, or other cancer for which the patient has been disease free for five years
  • Granulocytes >= 1,800/ul
  • >= 100,000/ul
  • \< 1.5 mg/dl
  • (serum glutamic-oxaloacetic transaminase) (AST) \< 2.0 x (upper limit of normal value)

Exclusion criteria

Exclusion Criteria:

  • Do not meet the inclusion criteria
  • There is evidence of distant
  • Suffered from other in five years
  • Within the past January subjects received other drug trials
  • Having serious allergies or idiosyncratic persons, such as you can not use folic acid, dexamethasone, vitamin B12 patients
  • Severe lung or heart disease, a history
  • Refuses or is unable to sign to participate in trials
  • The abuse of drugs or alcohol addicts.
  • Patients with difficult to control bacterial, viral, fungal infections
  • Having a personality or mental disorders, without civil capacity or restricted civil capacity.
  • Being pregnant or lactating women.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
460 participants (estimated)

Study arms

  • Active comparator
    Arm I

    Undergo surgery, followed by observation. Patients receive no further therapy

    Procedure: Undergo surgery

  • Experimental
    Arm II

    Undergo surgery, followed by chemotherapy (cis Platinum/Carboplatin, Pemetrexed Disodium). Patients receive chemotherapy comprising cisplatin 75mg/m2 or Carboplatin AUC=5mg/ml/min, and pemetrexed 500mg/m2 in day 1. Treatment continues every 3 weeks for 4 courses.

    Drug: cis Platinum/Carboplatin, Pemetrexed Disodium · Procedure: Undergo surgery

Interventions

  • Drugcis Platinum/Carboplatin, Pemetrexed Disodium

    Drug pages: Cisplatin · Carboplatin · Pemetrexed

    Intravenous inject Pemetrexed Disodium for Injection over 10 minutes, waiting for at least 30 minutes, then followed by cis Platinum/ Carboplatin over 2 hours

    Also known as: Pemetrexed Disodium for Injection, ALIMTA, Cisplatin, Paraplatin

  • ProcedureUndergo surgery

    Therapeutic conventional surgery, R0 resection

06

What researchers measure

Primary outcomes

  1. Disease-Free-Survival-Rate

    the percentage of people in the trial who are alive and cancer free after a specified number of years

    Time frame: up to 60 months

Secondary outcomes

  1. Overall-Survival-Rate

    the percentage of people in the trial who alive, with or without signs of cancer

    Time frame: up to 60 months

  2. Disease-Free-Survival-Time

    From date of diagnosis until the date of first documented progression or date of cancer related death , whichever came first

    Time frame: up to 60 months

  3. Overall-Survival-Time

    Time from randomization until death from any cause

    Time frame: up to 60 months

07

Study locations

1 of 1 sites recruiting
  • Thoracic Surgery Department of Shanghai Pulmonary Hospital
    Shanghai, 200000, China
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2017 (actual). Primary completion is estimated for Sep 2019, 24 months after the start.

Of 45 non-industry phase 2 interventional studies under Adenocarcinoma of Lung, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 73. This study's planned 24 months is below that.

Counting every sponsor, half of 53 studies reached it within 53 months; a quarter within 33 and three quarters within 71.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2017
First posted
Nov 24, 2017
StartActual
Sep 1, 2017
Primary completionEst.
Sep 1, 2019
CompletionEst.
Sep 1, 2024
Last update
Dec 19, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 19, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03351842
Responsible party
Gening Jiang (Head of thoracic surgery, Shanghai Pulmonary Hospital, Shanghai, China) — Principal investigator
First posted
Nov 24, 2017
Start date
Sep 1, 2017
Primary completion
Sep 1, 2019 (estimated)
Completion
Sep 1, 2024 (estimated)
Last update
Dec 19, 2017

Study contacts

Yingran Shen, PhD
Contact
elaineshen91@gmail.com
86-18117166317

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Cisplatin · Carboplatin · Pemetrexed

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