Can a simple checklist help surgeons remove every last cancer cell?
NCT ID NCT07828938
First seen Sep 18, 2026 · Last updated Sep 18, 2026
Summary
Researchers are testing whether a shared checklist used during lung cancer surgery helps surgeons achieve cleaner, more complete tumor removal. The trial enrolls adults with early-stage non-small cell lung cancer who are scheduled for surgery. Half the participating hospitals use the QualitySurg List, a digital tool that guides surgical quality checks in real time, while the other half continue with standard care. The main goal is to see whether the checklist increases the proportion of operations where no cancer cells remain at the edge of the removed tissue.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a collaborative intraoperative quality checklist called the QualitySurg List, combined with training and digital performance feedback
- What this could lead to
- If the checklist helps surgeons remove lung tumors more completely, it could become a standard tool in operating rooms and lead to fewer recurrences for people with early-stage lung cancer.
- What could go wrong
- The checklist may not change how completely tumors are removed, and any improvement in survival could take years to confirm. The study also relies on surgeons consistently using the tool, which is not guaranteed.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 2,400 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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Mar 2030
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.
- 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: * Age ≥18 years * Have solid NSCLC clinical stage IA-IIIA (according to the 9th edition of the TNM) and be eligible for surgical resection. * Have a respiratory function and a state of performance (ECOG) allowing the surgical procedure. * Primary intervention for NSCLC, whether isolated or included in a multimodal regimen (neoadjuvant/adjuvant). * Intervention can be performed by minimally invasive surgery (VATS, RATS) or by thoracotomy. * Have given written informed consent. Exclusion Criteria: * History of cancer less than five years old excluding non-melanocytic skin cancer prior to enrollment * Pure ground glass opacities regardless of tumor size * iterative re-interventions of the same stay (keep only the first planned intervention for the main analysis) * History of HIV infection, allogeneic stem cell or solid organ transplant * History of any hematological disease that is not considered to be in complete remission * Patients under guardianship or conservatorship * Patients deprived of their liberty or under judicial protection * Pregnant women
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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
20 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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Avicennes
Bobigny, France
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Bichat Claude-Bernard
Paris, France
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CHU Angers
Angers, France
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CHU Bordeaux
Bordeaux, France
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CHU Dijon
Dijon, France
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CHU Lille
Lille, France
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CHU Nantes
Nantes, France
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CHU Poitiers
Poitiers, France
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CHU Rouen
Rouen, France
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CHU Strasbourg
Strasbourg, France
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CHU Toulouse
Toulouse, France
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CHU Tours
Tours, France
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CHU de Rennes
Rennes, France
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CLCC Jean Perrin
Clermont-Ferrand, France
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Chu Lyon
Lyon, France
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HEGP
Paris, France
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Hôpital Foch
Suresnes, France
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Hôpital Marie Lannelongue
Le Plessis-Robinson, 92350, France
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Hôpital Nord
Marseille, France
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Hôpital Tenon
Paris, France
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