Can targeted drugs boost surgery success in Hard-to-Treat lung cancer?
NCT ID NCT07829744
First seen Sep 21, 2026 · Last updated Sep 21, 2026
Summary
Researchers are testing whether giving targeted therapy before and after surgery helps people with stage III non-small cell lung cancer that has specific rare gene changes. The study includes 190 adults whose tumors have alterations in genes like EGFR, ALK, ROS1, MET, RET, or KRAS. Treatment is chosen based on the tumor's genetic profile, and the main goal is to see how much cancer remains in the tumor after the pre-surgery treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- targeted therapy drugs matched to specific tumor gene changes
- What this could lead to
- If it works, this approach could give people with stage III lung cancer and rare gene changes a better chance of successful surgery and longer remission.
- What could go wrong
- This is a phase 2 trial, so it is too early to know if the strategy helps in the long run. Targeted therapies can cause side effects, and not all tumors respond.
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.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 190 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 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. * Histologically or cytologically confirmed stage III NSCLC (AJCC 8th edition), considered resectable or potentially resectable. * Documented EGFR exon 20 insertion, ALK fusion, ROS1 fusion, MET exon 14 skipping alteration, RET fusion, or KRAS G12C mutation. * At least one measurable lesion per RECIST 1.1 and ECOG performance status 0-1. * Adequate cardiopulmonary and major organ function for surgery. * Written informed consent and willingness to comply with study procedures, sample collection, and follow-up. Exclusion Criteria: * Stage III NSCLC considered unresectable by surgical assessment. * Lung cancer treatment within the previous 2 years, or prior lung cancer with a remission duration of less than 2 years. * Another malignancy within the previous 5 years. * Major surgery within 28 days before the first study dose. * Any contraindication to the assigned targeted therapy. * Inability or unwillingness to provide informed consent or comply with study requirements.
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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 official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
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