ClinicalTrials.gg
Active, not recruitingNCT05049044OBSTINATEUpdated Aug 4, 2025

Observational Prospective Study of Quality of Life in Unresectable TNM Stage III NSCLC (OBSTINATE)

An observational study in Non-Small Cell Lung Cancer, sponsored by Groupe Francais De Pneumo-Cancerologie. Active, not recruiting at 34 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-04.

Sponsored by Groupe Francais De Pneumo-Cancerologie · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
413
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 872 studies in Carcinoma, Non-Small-Cell Lung with a site in France — 170 open to participants now, 328 under way, 106 of them phase 3. Carcinoma, Non-Small-Cell Lung · France.

Enrollment
21st of 104
413 · median 151
Started
2020
with 50 others
Observational
104 of 872
26 open now
Primary completion
2027-06
later than 150 of 325 live
Registered
549th of 872
by date

Among the 872 studies in Carcinoma, Non-Small-Cell Lung with a site in France, this one is the 21st largest by enrollment of the 104 observational ones, is one of 51 that started in 2020, is one of 104 observational ones, reaches primary completion later than 150 of the 325 other live ones, and was the 549th registered.

By phase

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

Phase 2241 · 25 open
Phase 3236 · 42 open
Phase 1125 · 26 open
Observationalthis study104 · 26 open
Phase 1/280 · 27 open
No phase58 · 14 open
Phase 2/316 · 5 open
Phase 49 · 3 open
Other kind3 · 2 open

By the year they started

First in 1994; this study’s year is marked. 51 started in 2020.

Size and results

Median enrollment 190 across the 759 interventional studies, 151 across the 104 observational. Of the 512 that completed or were terminated, 257 (50%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 872 studies in Carcinoma, Non-Small-Cell Lung with a site in France, or all of them as a file.
02

Study summary

OBSTINATE is an observational, national, prospective, multicentric study on Quality of life in patients with unresecable stade III non-small cell lung cancers.

Locally advanced non-small cell lung cancers (NSCLCs with a Tumor, Node and Metastasis [TNM] stage III) patients represent approximately a third of newly discovered NSCLCs every year, and a very heterogeneous group of clinical situations. Therapies are multidisciplinary and very heterogeneous across oncology centers. Patients with locally advanced NSCLC have a high symptom burden that is known to affect their quality of life. Health-related quality of life (HR-QoL) is a specific and multidimensional type of patient-reported outcome (PRO) related to the physical, psychological and social impact of the disease and its treatment as perceived by patients. HR-QoL allows, together with data of efficacy and safety, a more complete assessment of risks and benefits of each treatment. Therefore, QoL maintenance is a valuable consideration for treatment decisions, especially in the rapidly evolving therapeutic landscape of unresectable NSCLC.

The study is designed to collect PROs HR-QoL data from every new patient diagnosed with an unresectable stage III NSCLC over a period of 18 months. We also aim to describe clinical characteristics of these patients, the therapeutic strategies conducted, and outcomes in a "real-word" oncological practice.

Read the detailed description

OBSTINATE is an observational, prospective, national, multicentric study conducted in patients newly diagnosed with an unresectable stage III NSCLC (with exclusion of early stages NSCLC classified to pathological stage III).

OBSTINATE is a study planned to include 450 patients between 50 to 70 GFPC-affiliates or GFPC-associated centers approximately. All centers are located in France. The participating Site Investigators will be treating physicians within one of the participating centers.

After screening for eligibility checks, patients will receive the Patient Information Note from the Site Investigators. This Patient information Note will describe the study purpose and modalities. Patients who meet the eligibility criteria and do not oppose to data collection will be enrolled. The schedule of the medical visits in the study center will depend on the patient and his/her routine clinical care Protocol-relevant data will be collected by the treating physician within each center, for up to 5 years following the last patient's enrollment in the study.

Patients included in the study will complete the self-assess questionnaires at enrollment and during routine care follow-up, according to pre-specified data collection schedule.

Usual practices or modalities of follow-up of patients will remain unchanged compared to the current clinical practice as the study is designed to provide descriptive summary information.

03

Conditions studied

  • Non-Small Cell Lung Cancer

Keywords

  • Non-Small-cell lung cancer
  • Unresectable
  • Advanced stage
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Every new patients diagnosed with treatment-naïve unresectable stage III non-small cell lung cancer (according to the 8th TNM IASLC edition).

Unresectability could be due to either functional limitation or anatomical extension of the tumor.

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

  • Pathological confirmation of NSCLC obtained from a tumor cytology or
  • Treatment-naïve unresectable TNM stage III NSCLC (according to the 8th TNM IASLC edition). Of note, unresectability could be due to either functional limitation or anatomical extension of the tumor.
  • Patient willing and able to complete collection of data via self-assessment questionnaires
  • Patient without any local or systemic anti-neoplastic treatment are eligible (palliative symptomatic radiotherapy is considered best supportive care)
  • Patients participating in other interventional or non-interventional studies can be included.

Exclusion criteria

Exclusion Criteria:

  • Early stage NSCLC initially treated locally (surgery or other) and classified as pathological TNM stage III (according to the 8th TNM IASLC edition)
  • At the treating physician's discretion, patient not eligible physically or psychologically to be included in a clinical trial
  • Inability to read and/or fill out self-assessment questionnaires
  • Patient unable to express opposition to data collection
Terms in these criteria, in plain language(1)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
413 participants (actual)
Patient registry
No

Groups and cohorts

  • Cohort 1: cRT-CT+IO

    Concomitant radio-chemotherapy and consolidation immunotherapy (cRT-CT+IO)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

  • Cohort 2: sRT-CT+IO

    Sequential radio-chemotherapy and consolidation immunotherapy (sRT-CT+IO)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

  • Cohort 3: cRT-CT

    Concomitant radio-chemotherapy (cRT-CT)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

  • Cohort 4: sRT-CT

    Sequential radio-chemotherapy (sRT-CT)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

  • Cohort 5: CT

    Chemotherapy only (CT)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

  • Cohort 6: CT+IO

    Chemotherapy plus immunotherapy (CT+IO)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

  • Cohort 7: RT

    Radiation therapy only (RT)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

  • Cohort 8: IO

    Immunotherapy only (IO)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

  • Cohort 9: TT

    Targeted therapy only (TT)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

  • Cohort 10: BSC

    Best supportive care only (BSC)

    Other: Quality of Life Questionnaire-Core 30 (QLQ-C30)

Interventions

  • OtherQuality of Life Questionnaire-Core 30 (QLQ-C30)

    The HR-QoL evaluation is based on three self-assessment questionnaires distributed to the patients according to the pre-specified data collection schedule. Patients will also complete an additional questionnaire on socio-economic and occupational outcomes

    Also known as: Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13), 5-level EuroQoL EQ5D (EQ5D-5L)

06

What researchers measure

Primary outcomes

  1. QLQ-C30 (defined as the outcomes of a clinical intervention obtained by the patient)

    Change in patient's QLQ-C30 during treatment and follow-up until confirmed progression, loss of follow-up or end of the study compared to Baseline in patients diagnosed with unresectable stage III NSCLC in a "real-world" oncological practice. This evaluation is based on self-assess questionnaire distributed to the patients according to pre-specified data collection schedule. The primary objective will be addressed in the cohort as a whole, and independently for every cohort of interest.

    Time frame: Up to 6,5 years (18 months of recruitment + 5 years). For Cohort 1 & 2, a follow-up post progression is planned

  2. QLQ-LC13 (defined as the outcomes of a clinical intervention obtained by the patient)

    Change in patient's QLQ-LC13 during treatment and follow-up until confirmed progression, loss of follow-up or end of the study compared to Baseline in patients diagnosed with unresectable stage III NSCLC in a "real-world" oncological practice. This evaluation is based on self-assess questionnaire distributed to the patients according to pre-specified data collection schedule. The primary objective will be addressed in the cohort as a whole, and independently for every cohort of interest.

    Time frame: Up to 6,5 years (18 months of recruitment + 5 years). For Cohort 1 & 2, a follow-up post progression is planned

  3. EQ5D-5L (defined as the outcomes of a clinical intervention obtained by the patient)

    Change in patient's EQ5D-5L during treatment and follow-up until confirmed progression, loss of follow-up or end of the study compared to Baseline in patients diagnosed with unresectable stage III NSCLC in a "real-world" oncological practice. This evaluation is based on self-assess questionnaire distributed to the patients according to pre-specified data collection schedule. The primary objective will be addressed in the cohort as a whole, and independently for every cohort of interest.

    Time frame: Up to 6,5 years (18 months of recruitment + 5 years). For Cohort 1 & 2, a follow-up post progression is planned

Secondary outcomes

  1. Baseline demographics

    Stage III unresectable NSCLC patients characteristics: baseline patient demographics at stage III NSCLC diagnosis, clinical, pathological and molecular characteristics (e.g. age, race, comorbidities)

    Time frame: At Baseline

  2. Tumor characteristics as defined by TNM stage

    Characterize the stage III unresectable NSCLC patients by TNM stage according to the 8th TNM IASLC edition

    Time frame: At Baseline

  3. Tumor characteristics as defined by PD-L1 expression status

    Characterize the stage III unresectable NSCLC patients by PD-L1 expression status (tumor propensity score)

    Time frame: At Baseline

  4. Tumor characteristics as defined by mutational status of driver genes

    Characterize the stage III unresectable NSCLC patients by mutational status of driver genes (e.g. epidermal growth factor receptor \[EGFR\]) anaplastic lymphoma kinase \[ALK\], reactive oxygen species 1 \[ROS1\], human epidermal growth factor receptor 2 \[HER2\], PI3KCA, BRAF, MET, rearranged during transfection \[RET\], neurotrophic receptor tyrosine kinase \[NRTK\])

    Time frame: At Baseline

  5. Time from diagnosis to treatment

    Time frame: From date of diagnosis until the date of first documented treatment or start date of best supportive care through study completion, up to 5 year

  6. Modality of follow-up

    Description of modality of follow-up (e.g. type of imagery used, frequency of medical visit)

    Time frame: From date of diagnosis until the date of first documented progression or or date of death from any cause, whichever came first, assessed up to 5 years maximum

  7. Median PFS

    Time from date of first treatment administration until the date of first documented progression or date to death from any cause, whichever came first as evaluated by investigators.

    Time frame: From date of first treatment administration up to first documented disease progression and/or death from any cause, whichever came first, assessed up to 60 months

  8. Median time to progression

    Time from date of first treatment administration until the date of first documented progression or date to death from any cause, whichever came first as evaluated by investigators.

    Time frame: From date of first treatment administration up to first documented disease progression and/or death from any cause, whichever came first, assessed up to 60 months

  9. Median OS (e.g. median PFS, median OS)

    Time from date of first treatment administration until the date of first documented progression or date to death from any cause, whichever came first as evaluated by investigators.

    Time frame: From date of first treatment administration up to first documented disease progression and/or death from any cause, whichever came first, assessed up to 60 months

  10. Treatment characteristics

    Describe the chemotherapy, radiation therapy and immunotherapy protocols used (e.g. dose, reduction, interruptions, duration)

    Time frame: From date of first treatment administration up to end of study, assessed up to 5 years maximum

  11. Best response of treatment

    Time frame: From date of first treatment administration up to end of study, assessed up to 5 years maximum

  12. Duration of response of treatment

    Time frame: From date of first treatment administration up to end of study, assessed up to 5 years maximum

  13. Toxicity of treatment

    limited to Cohorts 1, 2, 3 and 4 (restricted to significant AEs, which include but are not limited to: serious AEs \[SAEs\], AEs that led to treatment discontinuation, or any AEs ≥ grade 3 judged clinically significant by the Site Investigator)

    Time frame: From date of first treatment administration up to end of study, assessed up to 5 years maximum

  14. Effective treatment compared to initial Multidisciplinary Tumor Board (MDTB) decision

    Concordance between effective treatment compared to initial MDTB decision

    Time frame: From date of first treatment administration up to end of study, assessed up to 5 years maximum

  15. Type of progression (local, loco-regional, metastatic)

    Time frame: At date of first documented progression, assessed up to 5 years maximum

  16. Description of second line of treatment after disease progression

    Treatment characteristics after disease progression including type of treatment (chemotherapy, radiotherapy, immunotherapy or Tyrosine-Kinase inhibitors), treatment duration, stop date of treatment and reason for end of treatment

    Time frame: From date of first documented progression up to end of study, assessed up to 5 years maximum

  17. Change in patients' socio-economic and occupational outcomes using unique self questionnaire

    Change in patients' socio-economic and occupational outcomes during treatment and follow-up until confirmed progression (of note, for Cohorts 1 and 2, a follow-up post-progression is planned), loss of follow-up or end of the study using a dedicated self questionnaire on socio-economic and occupational outcomes

    Time frame: From Baseline, during treatment and follow-up until confirmed progression (of note, for Cohorts 1 and 2, a follow-up post-progression is planned), loss of follow-up or end of the study, assessed up to 5 years maximum

  18. Evaluate the cost-utility of the therapeutic strategy using Quality-Adjusted Life Years (QALYs)

    Time frame: From Baseline, during treatment and follow-up until confirmed progression (of note, for Cohorts 1 and 2, a follow-up post-progression is planned), loss of follow-up or end of the study, assessed up to 5 years maximum

07

Study locations

34 sites
08

References and documents

Individual participant data

Plan to share: No — All collected data that underlie results in a publication

No publications or documents are linked to this record.

09

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 Dec 2020 (actual). Primary completion is estimated for Jun 2027, 78 months after the start.

Of 355 non-industry observational studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 36 and three quarters within 126. This study's planned 78 months is above that.

Counting every sponsor, half of 497 studies reached it within 55 months; a quarter within 35 and three quarters within 83.

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

Registered
Nov 13, 2020
First posted
Sep 17, 2021
StartActual
Dec 18, 2020
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027
Last update
Aug 4, 2025
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 Aug 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05049044
Lead sponsor
Groupe Francais De Pneumo-Cancerologie
Collaborators
AstraZeneca
Responsible party
Sponsor
First posted
Sep 17, 2021
Start date
Dec 18, 2020
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Aug 4, 2025

Study contacts

Charles RICORDEL
principal investigator · GFPC (Groupe Français de Pneumo-Cancérologie)
Christos CHOUAID
study director · GFPC (Groupe Français de Pneumo-Cancérologie)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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