Adjuvant Chemotherapy in Patients With Intermediate or High Risk Stage I or Stage IIA Non-squamous Non-Small Cell Lung Cancer
Non-Small Cell Lung Cancer

About this trial
This is an interventional treatment trial for Non-Small Cell Lung Cancer focused on measuring Non-Squamous, Adjuvant Chemotherapy, IFCT
Eligibility Criteria
Inclusion Criteria:
Written informed consent
Age ≥ 18 years
Able to comply with the protocol, including acceptable candidacy for adjuvant chemotherapy according to local institutional standards and likely compliance with follow-up for anticipated length of study (i.e. 5 years from the initiation of enrollment).
Willing to be randomized to chemotherapy.
Histologically documented completely resected (R0) Stage I or IIA non-squamous NSCLC (per 8th edition, TNM staging system)
Adequate tissue sample for the 14-Gene Prognostic Assay
Life expectancy excluding NSCLC diagnosis ≥ 5 years
ECOG performance status 0-1
Completely healed incisions
Sites / Locations
- Highlands Oncology Group
 - Leonard Cancer Institute
 - UC Davis Comprehensive Cancer CenterRecruiting
 - Providence Medical Foundation Santa RosaRecruiting
 - Sarah Cannon- FCS SouthRecruiting
 - Sarah Cannon- FCS NorthRecruiting
 - Sarah Cannon- FCS PanhandleRecruiting
 - Sarah Cannon- FCS EastRecruiting
 - Baptist Health LexingtonRecruiting
 - Baptist Health LouisvilleRecruiting
 - Baptist Health Paducah
 - Mercy Hospital Joplin Missouri
 - Mercy Hospital South
 - Mercy Oncology Research St. LouisRecruiting
 - Hackensack Meridian HealthRecruiting
 - Sarah Cannon- Messino Cancer CenterRecruiting
 - Mercy Oncology Research Oklahoma City
 - Allegheny Health Network Research InstituteRecruiting
 - St. Francis Cancer CenterRecruiting
 - Sarah Cannon Tennessee OncologyRecruiting
 - Swedish Cancer InstituteRecruiting
 - Toulon HIA Sainte Anne-Recruiting
 - Polyclinique Bordeaux NordRecruiting
 - Hôpital Charles NicolleRecruiting
 - CHU d'Angers Service PneumologieRecruiting
 - Centre Hospitalier de la Côte BasqueRecruiting
 - CHRU Besançon- Hôpital J. MINJOZRecruiting
 - Hôpital APHP Ambroise ParéRecruiting
 - Hia Percy
 - Centre Hospitalier Intercommunal de CréteilRecruiting
 - Centre Hospitalier Départemental VendéeRecruiting
 - Hôpital Privé Jean MermozRecruiting
 - Hôpital EuropeenRecruiting
 - Hôpital NordRecruiting
 - Groupe Hospitalier Région de Mulhouse Sud -AlsaceRecruiting
 - Centre Hospitalier Universitaire de NîmesRecruiting
 - Hôpital CochinRecruiting
 - Hôpital TenonRecruiting
 - Hôpital Paris Saint JosephRecruiting
 - Hôpital BichatRecruiting
 - Hôpital Haut-Lévèque (Bordeaux - CHU)Recruiting
 - Chu de PoitiersRecruiting
 - Hôpital LarreyRecruiting
 - CHRU de ToursRecruiting
 - Gustave Roussy
 - Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH - Universitätsklinik -Recruiting
 - München-GautingRecruiting
 - Niels-Stensen-KlinikenRecruiting
 - Lung Clinic Grosshansdorf-Department of Thoracic OncologyRecruiting
 - Köln-MerheimRecruiting
 - Pius-Hospital Oldenburg Medizinischer Campus Universität OldenburgRecruiting
 
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Observation
Adjuvant Chemotherapy
Post-operative observation of Stage I or Stage IIA non squamous non-small cell lunger cancer with Radiographic Surveillance is a current standard of care. Patients identified as low risk will be observation. Those patients identified as intermediate or high-risk by the 14-Gene Prognostic Assay will be randomized either to this arm or the Adjuvant Chemotherapy Arm.
Adjuvant Chemotherapy is a current standard of care for intermediate or high-risk Stage I or Stage IIA non-squamous non-small cell lung cancer. Patients identified as intermediate or high-risk by the 14-Gene Prognostic Assay will be randomized either to this arm or the Observation Arm.