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SEgmentectomy Versus Lobectomy in T1C Non-Small Cell Lung Cancer (SELTIC)

NCT06646770 · tracked via the Priya Life Science Turkey tracker
Phase
Not applicable
Started
2025-01-02
Last updated
2024-10-17

Condition(s) studied

Non-Small Cell Lung Cancer

Investigational drug(s) / intervention(s)

SegmentectomyLobectomy

Segmentectomy: Pulmonary anatomic segmentectomy with mediastinal nodal dissection via VATS, RATS or open approach.

Lobectomy: Pulmonary lobectomy with mediastinal nodal dissection via VATS, RATS or open approach.

Study summary

The goal of this clinical trial is to investigate the role of segmentectomy in clinical T1c (2-3 cm) non-small cell lung cancer (NSCLC). The main questions we aim to answer are:

1. Is segmentectomy non-inferior to lobectomy in cT1c NSCLC in terms of overall and recurrence free survival?
2. What are the mortality and morbidity rates of segmentectomy compared to lobectomy?

Researchers will compare segmentectomy and lobectomy in terms of overall and recurrence free survival.

Participants will:

* Undergo either pulmonary lobectomy or segmentectomy with mediastinal nodal dissection
* Be followed up with a chest CT in every 3 months in first year, every 6 months in second year and every year for following 3 years

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Clinical T1c NSCLC * Parenchymal nodule \>2 cm in diameter * Parenchymal nodule ≤3 cm in diameter * Consolidation / Tumor Rate (CTR) ≥ 0.50 * Definitive pathological diagnosis of NSCLC preoperative or intraoperatively * No evidence of distant metastasis * No evidence of N2 disease * Adequate pulmonary functions for lobectomy or segmentectomy Exclusion Criteria: * Pure GGO lesions * Pathologic diagnosis other than NSCLC * Technically not suitable for simple or complex segmentectomy, or lobectomy * Evidence of distant metastasis * Pathologically confirmed N2 or N3 disease * Major comorbidity that precludes surgery * Intraoperative mediastinal nodal dissection of less than 3 lymph node stations * Prior malignancy in five years

Primary outcome measure(s)

  • Survival Survival — 5 years
    Overall and recurrence free survival

Trial sites (1)

FacilityCityRegionStatus
Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty Istanbul Turkey (Türkiye)
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06646770 on ClinicalTrials.gov ↗ ← All trials in Turkey