Lung cancer evolution under the microscope: a major tracking study
NCT ID NCT01888601
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study follows 814 people with early-stage non-small cell lung cancer to understand how the cancer evolves and spreads. Researchers collect tumor samples and medical data to see how genetic changes relate to treatment outcomes. The goal is to find ways to reduce the chance of cancer coming back and improve survival.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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814 people
The number who actually took part.
- Started
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Apr 2014
- Expected to finish
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Nov 2035
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 I-IIIA NSCLC eligible for primary surgery
- 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: * Written Informed consent * Patients ≥18 years of age, with early stage IIA-IIIB disease (according to TNM 8th edition) who are eligible for primary surgery. Patients with a radiological staging of IB (N0) who could be upstaged to IIA-IIIB following surgery (due to the presence of possible nodal involvement on the pre-operative scan) may also be included, but will be withdrawn if post-surgical staging remains IB. Histopathologically confirmed NSCLC, or a strong suspicion of cancer on lung imaging necessitating surgery (e.g. diagnosis determined from frozen section in theatre) * Primary surgery in keeping with NICE guidelines planned (see section 9.3) * Agreement to be followed up at a TRACERx site * Performance status 0 or 1 * Minimum tumour diameter at least 15mm to allow for sampling of at least two tumour regions (if 15mm, a high likelihood of nodal involvement on pre-operative imaging required to meet eligibility according to stage, i.e. T1N1-3) Exclusion Criteria: * Any other\* malignancy diagnosed or relapsed at any time, which is currently being treated (including by hormonal therapy). * Any other\* current malignancy or malignancy diagnosed or relapsed within the past 3 years\*\*. \*Exceptions are: non-melanomatous skin cancer, stage 0 melanoma in situ, and in situ cervical cancer \*\*An exception will be made for malignancies diagnosed or relapsed more than 2, but less than 3, years ago only if a pre-operative biopsy of the lung lesion has confirmed a diagnosis of NSCLC. * Psychological condition that would preclude informed consent * Treatment with neo-adjuvant therapy for current lung malignancy deemed necessary * Post-surgery staging is not IIA-IIIB * Known Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) or syphilis infection. * Sufficient tissue, i.e. a minimum of two tumour regions, is unlikely to be obtained for the study based on pre-operative imaging
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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.
Contacts and locations
Locations
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Ashford and St Peter's Hospitals NHS Foundation Trust
Chertsey, Surrey, KT16 0PZ, United Kingdom
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Barts Health NHS Trust
London, E1 1RD, United Kingdom
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Cardiff and Vale University Health Board
Cardiff, CF14 4XW, United Kingdom
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Grampian Health Board
Aberdeen, AB15 6RE, United Kingdom
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Heart of England NHS Foundation Trust
Birmingham, B9 5SS, United Kingdom
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Liverpool Heart and Chest Hospital
Liverpool, United Kingdom
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NHS Greater Glasgow & Clyde
Glasgow, United Kingdom
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North Middlesex University Hospital NHS Trust
London, N18 1QX, United Kingdom
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Royal Brompton & Harefield NHS Foundation Trust
London, SW3 6NP, United Kingdom
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Royal Free Hospital
London, NW3 2QG, United Kingdom
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Royal Free London NHS Foundation Trust - Barnet Hospital
London, NW3 2QG, United Kingdom
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Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield, S5 7AU, United Kingdom
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The Princess Alexandra Hospital NHS Trust
Harlow, Essex, CM20 1QX, United Kingdom
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The Whittington Hospital NHS Trust, trading as Whittington Health
London, N19 5NF, United Kingdom
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University College London Hospitals NHS Foundation Trust
London, Select Region, NW1 2PG, United Kingdom
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University Hospital Southampton NHS Foundation Trust
Southampton, Hampshire, SO16 6YD, United Kingdom
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University Hospital of South Manchester NHS Foundation Trust
Manchester, M23 9LT, United Kingdom
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University Hospitals of Leicester NHS Trust
Leicester, LE1 5WW, United Kingdom
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Other studies related to the condition(s) this trial covers.
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