Can a targeted pill after surgery keep early lung cancer from returning?
NCT ID NCT07806604
First seen Sep 08, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
This study looks at whether taking the targeted drug icotinib after surgery helps people with early-stage non-small cell lung cancer that has EGFR mutations live longer. Researchers will compare patients who received icotinib after complete tumor removal with those who only had routine follow-up. The study uses medical records from multiple hospitals to see if the drug reduces the chance of the cancer coming back and improves overall survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- icotinib, an oral EGFR inhibitor taken as a tablet after surgery
- What this could lead to
- If effective, icotinib after surgery could become a standard option to reduce the chance of cancer returning and improve long-term survival in people with early-stage EGFR-mutant lung cancer.
- What could go wrong
- This is an observational study, not a randomized trial, so results may be influenced by differences between groups. Icotinib can cause side effects like rash and diarrhea, and its benefit in this early-stage setting is not yet proven.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 2,572 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with completely resected (R0) stage IA2 high-risk to IB non-small cell lung cancer (NSCLC) harboring EGFR-sensitizing mutations
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\. Histologically confirmed primary non small cell lung cancer (NSCLC), predominantly non squamous histology (including adenocarcinoma or mixed carcinoma with a major adenocarcinoma component) * 2\. Pathologically confirmed stage IA2 high risk to IB NSCLC following complete surgical resection (R0) of primary lung cancer. Disease staging follows the 8th edition of the AJCC/UICC lung cancer staging system. * 3\. Post surgical tumour tissue specimens test positive for EGFR sensitizing mutations using an approved assay * 4\. Patients in the control group received postoperative observation without any anti tumour therapy prior to disease recurrence or metastasis. Exclusion Criteria: * 1\. A history of other malignancies within 5 years prior to lung cancer surgery, with the exception of curatively treated malignancies. * 2.Prior receipt of systemic anti-tumor therapy for NSCLC within 6 months before lung cancer surgery or before disease recurrence and metastasis.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Beijing Cancer Hospital
RECRUITINGBeijing, Beijing Municipality, 100142, China
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Shanghai Pulmonary Hospital
RECRUITINGShanghai, Shanghai Municipality, 200433, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Triple-Drug combo before surgery eliminate EGFR-Mutant lung cancer?
- Can a new immune drug outsmart Hard-to-Treat tumors?
- Can a pill plus immunotherapy and targeted radiation shrink lung tumors before surgery?
- Can a targeted drug combo boost chemoradiation in EGFR-Positive lung cancer?
- Cancer drug pralsetinib may change how the body processes other medications
- Blood test may let cancer patients take safe breaks from immunotherapy