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OncoMatch/Clinical Trials/NCT06878274

Post-operative Radiotherapy After Neodjuvant Chemo-immunotherapy and Surgery in Stage III NSCLC

Is NCT06878274 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies non-drug interventions for non small cell lung cancer.

Phase 2RecruitingCentre hospitalier de l'Université de Montréal (CHUM)NCT06878274Data as of May 2026

This study investigates whether postoperative radiotherapy (PORT) improves outcomes for patients with stage III non-small cell lung cancer (NSCLC) who have residual disease after neoadjuvant chemo-immunotherapy and surgery. The primary objective is to compare event-free survival (EFS) between patients receiving PORT targeting involved lymph node regions and those without PORT. Secondary and tertiary endpoints include overall survival, locoregional and distant control, toxicity, and quality of life. The phase II randomized trial will enroll 118 patients, stratifying by adjuvant immunotherapy use, with follow-up extending up to 5 years. Statistical analysis aims to detect a 15% improvement in 2-year EFS, with a total study duration of 7 years.

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Extracted eligibility criteria

Cancer type

Small Cell Lung Cancer

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: ALK wild-type

Required: EGFR wild-type

Required: ROS1 wild-type

Disease stage

Required: Stage III, T1-4N2-3

Baseline clinical or post-operative pathological stage III including specifically stage T1-4N2-3

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: neoadjuvant chemotherapy — neoadjuvant

Completion of 2-4 cycles of neoadjuvant chemo-IO

Must have received: immunotherapy — neoadjuvant

Completion of 2-4 cycles of neoadjuvant chemo-IO

Must have received: surgical resection — post-complete (R0) surgical resection with mediastinal lymph node dissection

Status post-complete (R0) surgical resection with mediastinal lymph node dissection

Cannot have received: chest radiotherapy

Previous chest radiotherapy

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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