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OncoMatch/Clinical Trials/NCT06977074

PROPHET Study: ctDNA-Guided Personalized Induction Immunochemotherapy for NSCLC

Is NCT06977074 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including PD-1 inhibitor and Platinum Doublet for non-small cell lung cancer (nsclc).

Phase 2RecruitingSun Yat-sen UniversityNCT06977074Data as of May 2026

Treatment: PD-1 inhibitor · Platinum DoubletThe goal of this clinical trial is to evaluate the clinical value of ctDNA testing in guiding the optimization of immunochemotherapy cycles during induction treatment for resectable patients with NSCLC. The main questions it aims to answer are: * Does ctDNA clearance indicate pathological complete response? * Are additional cycles of immunochemotherapy necessary for patients who have ctDNA clearance after initial cycles of treatment? Researchers will use ctDNA dynamics to guide the cycles of induction treatment to see if some patients can avoid excessive cycles of treatment.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: ALK wild-type

Required: EGFR wild-type

Disease stage

Required: Stage IIA, IIB, IIIA, IIIB

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-PD-1 therapy

Prior anti-PD-1/PD-L1/CTLA-4 therapy

Cannot have received: anti-PD-L1 therapy

Prior anti-PD-1/PD-L1/CTLA-4 therapy

Cannot have received: anti-CTLA-4 therapy

Prior anti-PD-1/PD-L1/CTLA-4 therapy

Lab requirements

Blood counts

neutrophils ≥1.5×10⁹/l, platelets ≥100×10⁹/l, hb >9 g/dl

Kidney function

cr ≤1.5×uln

Liver function

ast/alt ≤3×uln

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

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