Can a blood test tell which lung cancer patients can skip chemo?
NCT ID NCT05457049
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers are studying whether a blood test that looks for tiny traces of cancer DNA can identify early-stage lung cancer patients who are unlikely to need extra treatment after surgery. The trial enrolls adults with stage IB to IIIA non-small cell lung cancer who have had complete tumor removal and whose blood tests show no detectable cancer DNA. Participants receive regular blood tests every three months for two years to track whether the cancer returns.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a blood test that detects tiny amounts of leftover cancer DNA, called molecular residual disease testing
- What this could lead to
- If the approach works, doctors could use a blood test to spare some early-stage lung cancer patients the side effects of chemotherapy they may not need.
- What could go wrong
- The study is observational and single-arm, so it cannot prove that skipping treatment is safe. Undetectable MRD may miss hidden cancer, and the results may not apply to all patients.
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 180 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2022
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Stage IB-IIIA NSCLC patients who after complete resection and undetectable landmark MRD.
- 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: * Stage IB-IIIA non-small cell cancer patients who after complete resection. * ≥18 years. * Two-round MRD tests confirm landmark undetectable MRD. * Expected survival ≥12 weeks. * Expected survival ≥12 weeks. * ECOG PS 1-2. * Willing to accept MRD monitoring every 3 months for a total of 2 years after operation. Exclusion Criteria: * Patients who had previously undergone radiotherapy or chemotherapy or any other anti-tumor therapy. * Patients with a history of other malignancies in the past 5 years. * Any unstable systemic disease (eg, active infection, high-risk hypertension, unstable angina, congestive heart failure, etc.).
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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
5 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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Guangdong Lung Cancer Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences
RECRUITINGGuangzhou, Guangdong, 510080, China
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Shantou Centeral Hospital
RECRUITINGShantou, Guangdong, 515031, China
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The First People's Hospital of Foshan
RECRUITINGFoshan, Guangdong, 528000, China
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Zhongshan City People's Hospital
RECRUITINGZhongshan, Guangdong, 528445, China
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the First Affiliated Hospital of Shantou University Medical College
RECRUITINGShantou, Guangdong, 515041, China
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