Robotic surgery under the microscope: can it handle tough lung cancer cases after chemoimmunotherapy?
NCT ID NCT07541521
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is observing 100 people with stage IIB-III non-small cell lung cancer who have already received chemotherapy and immunotherapy. After that treatment, they will have robotic-assisted sleeve lobectomy (a type of lung surgery). The goal is to see how often the surgery is unsuccessful—meaning it has to be switched to open surgery, doesn't remove all cancer, or causes major complications. Surgeons will also rate how difficult the surgery feels. This is an observational study, not testing a new treatment.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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May 2027
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
The study population will include adult patients aged ≥18 years with pathologically or clinically diagnosed stage IIB-III non-small cell lung cancer (NSCLC), no distant metastasis (M0), and no contraindications to neoadjuvant chemoimmunotherapy or surgery. Participants will be selected from patients planned to undergo neoadjuvant chemoimmunotherapy followed by curative-intent robot-assisted thoracoscopic surgery (RATS) sleeve lobectomy. Relevant perioperative, pathological, and postoperative follow-up data will be collected prospectively.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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: * Age ≥18 years * ECOG performance status 0-2 * Histologically confirmed NSCLC * AJCC 9th clinical stage IIB-III, M0, deemed resectable or potentially resectable by the multidisciplinary tumour discussion (MDT) * Planned neoadjuvant chemo-immunotherapy (PD-1/PD-L1 inhibitor + platinum doublet;additional neoadjuvant thoracic radiotherapy is allowed) * Planned curative-intent RATS sleeve lobectomy with systematic nodal dissection * Baseline and restaging imaging per protocol (CT ± PET-CT) * Complete 30-day postoperative follow-up * Ability to provide informed consent Exclusion Criteria: * Metastatic disease (M1) at baseline or on restaging. * No immunotherapy component in neoadjuvant regimen (pure chemotherapy) . * Prior systemic therapy or thoracic radiotherapy for the current cancer before starting chemo-IO. * Palliative intent or planned non-anatomic resection only (e.g., wedge) when sleeve/lobectomy is indicated oncologically. * Clear unresectability at restaging (e.g., multistation bulky N2/N3 not responding; unreconstructable T4 invasion) or MDT consensus against surgery. * Contraindication to general anesthesia or prohibitive cardiopulmonary risk precluding sleeve/lobectomy. * Active autoimmune disease requiring systemic immunosuppression within 2 years, prior organ transplant, or history of grade ≥2 pneumonitis/ILD * Uncontrolled infection, pregnancy or breastfeeding, or any intercurrent illness that would compromise participation.
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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
10 sites in 3 countries. 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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Azienda Ospedaliera di Cosenza
RECRUITINGCosenza, 87100, Italy
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Fujian Medical University Union Hospital
RECRUITINGFuzhou, Fujian, 350001, China
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Guangdong Provincial People's Hospital
RECRUITINGGuangzhou, Guangdong, 510080, China
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Hôpital Saint Joseph Marseille
RECRUITINGMarseille, 13001, France
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Jiangsu Cancer Institute & Hospital
RECRUITINGNanjing, Jiangsu, 210009, China
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Shanghai Chest Hospital, Shanghai Jiao Tong University Medicine of School
RECRUITINGShanghai, 200030, China
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Shenzhen People's Hospital
RECRUITINGShenzhen, Guangdong, 518020, China
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The Affiliated Hospital of Qingdao University
RECRUITINGQingdao, Shandong, 266000, China
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Tianjin Medical University Cancer Institute & Hospital
RECRUITINGTianjing, Tianjing, 300060, China
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University Hospital, Rouen
RECRUITINGRouen, 76000, France
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