RecruitingNot ApplicableNCT06082492

The Beneficial Value of PET/CT in the Follow-up of Stage III Non-small Cell Lung Cancer Patients

The Beneficial Value of 18F FDG PET/CT in the Follow-up of Stage III Non-small Cell Lung Cancer Patients: the NVALT31-PET Study


Sponsor

Radboud University Medical Center

Enrollment

690 participants

Start Date

Mar 19, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The primary objective of this study is to compare the 3-year overall survival of stage III NSCLC patients during follow-up surveillance with 18F-Fluorodeoxyglucose Positron Emission Tomography/ Computerized Tomography (18F FDG PET/CT) versus follow-up with conventional CT surveillance. Participants will receive usual care until 3 years of follow-up (control group) with additional whole-body 18F FDG PET/CT scans during follow-up visits at 6 months, 12 months, 18 months, 24 months, and 36 months of follow-up in the intervention group. Other tasks include: * filling in quality of life (QOL) questionnaires at every time point; * participating in an interview evaluating the addition of the 18F FDG PET/CT scans (optional); * collecting blood at the follow-up time points for our secondary endpoint (optional). Researchers will compare the usual care control group with the intervention group to see if the additional 18F FDG PET/CT scans are (cost-)effective.


Eligibility

Min Age: 18 Years

Inclusion Criteria8

  • Eligible for this study are patients with stage III NSCLC (8th edition TNM Classification) who (are about to) start(ed) follow-up care (which may include adjuvant treatment) at a participating hospital. Patients may already be included during their curative intent treatment. Patients enter a screening period that runs until their randomization.
  • To be eligible to participate in this study, a subject must meet all of the following criteria at the timing of randomization:
  • Cytological or histologically proven stage III non-small cell lung cancer before start of curative intent treatment
  • Treated with curative intent and started follow-up care
  • All adjuvant treatments are permitted as co-intervention during follow-up care
  • Age 18 years or older
  • ECOG Performance Status classification 0-2 at moment of inclusion
  • Written and signed informed consent by the patient or patient's representative (with the understanding that consent may be withdrawn by the patient or patient's representative at any time without consequences to future medical care)

Exclusion Criteria4

  • A potential subject who meets any of the following criteria will be excluded from participation in this study:
  • Life expectancy shorter than 6 months at the end of curative intent treatment
  • Evidence of recurrence after end of curative intent treatment and before randomization (4 months follow-up)
  • Any condition that, in the opinion of the investigator, would interfere with evaluation of the intervention or interpretation of HRQOL or other study results.

Interventions

DIAGNOSTIC_TEST18F FDG PET/CT

Additional 18F FDG PET/CT scans during follow-up visits at 6, 12, 18, 24 and 36 months of follow-up.

DIAGNOSTIC_TESTCT scan

CT of the thoracic region during follow-up visits at 6, 12, 18, 24 and 36 months of follow-up.


Locations(27)

Tergooi MC

Hilversum, Utrecht, Netherlands

Amsterdam UMC

Amsterdam, Netherlands

Antoni van Leeuwenhoek/Nederlands Kanker Instituut

Amsterdam, Netherlands

OLVG

Amsterdam, Netherlands

Gelre Ziekenhuizen

Apeldoorn & Zutphen, Netherlands

Amphia Ziekenhuis

Breda, Netherlands

Deventer Ziekenhuis

Deventer, Netherlands

Ziekenhuis Gelderse Vallei

Ede, Netherlands

Máxima Medisch Centrum

Eindhoven & Veldhoven, Netherlands

Treant

Emmen, Netherlands

Medisch Spectrum Twente

Enschede, Netherlands

Groene Hart Ziekenhuis

Gouda, Netherlands

Martini Ziekenhuis

Groningen, Netherlands

Tjongerschans ziekenhuis

Heerenveen, Netherlands

Dijklander Ziekenhuis

Hoorn, Netherlands

Canisius Wilhelmina Ziekenhuis

Nijmegen, Netherlands

Radboudumc

Nijmegen, Netherlands

Bravis Ziekenhuis

Roosendaal, Netherlands

Maasstad ZIekenhuis

Rotterdam, Netherlands

Franciscus Gasthuis & Vlietland

Schiedam, Netherlands

Haaglanden Medisch Centrum

The Hague, Netherlands

HagaZiekenhuis

The Hague, Netherlands

Elisabeth-TweeSteden Ziekenhuis

Tilburg, Netherlands

Diakonessenhuis

Utrecht, Netherlands

UMC Utrecht

Utrecht, Netherlands

St. Antonius Ziekenhuis

Utrecht & Nieuwegein, Netherlands

Streekziekenhuis Koningin Beatrix

Winterswijk, Netherlands

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NCT06082492


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