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Surveillance With PET/CT and Liquid Biopsies of Stage I-III Lung Cancer Patients After Completion of Definitive Therapy: A Randomized Controlled Trial (SUPER)

DOI:10.1016/j.cllc.2019.11.002 期刊:Clinical Lung Cancer 出版年份:2019 更新时间:2025-09-12 10:27:22
摘要: Despite increased focus on prevention as well as improved treatment possibilities, lung cancer remains among the most frequent and deadliest cancer diagnoses worldwide. Even lung cancer patients treated with curative intent have a high risk of relapse, leading to a dismal prognosis. More knowledge on the ef?cacy of surveillance with both current and new technologies as well as on the impact on patient treatment, quality of life, and survival are urgently needed. We therefore designed a randomized phase 3 trial. In one arm, every other computed tomography (CT) scan is replaced by positron emission tomography/CT, the other arm is the standard follow-up scheme with CT. The standard arm is identical to the current national Danish follow-up program. The primary endpoint is to compare the number of relapses treatable with curative intent in the 2 arms. We aim to include 750 patients over a 3-year period. Additionally, we will test the feasibility of noninvasive lung cancer diagnostics and surveillance in the form of circulating tumor DNA analysis. For this purpose, blood samples are collected before treatment and at each following control. The blood samples are stored in a biobank for later analysis and will not be used for guiding patient treatment decisions.
作者: Kristin Skougaard,Olga ?strup,Kasper Guldbrandsen,Boe S?rensen,Peter Meldgaard,Zaigham Saghir,Peter G?rtz,Markus Nowak Lonsdale,Malene St?chkel Frank,Oke Gerke,Beata Agnieszka Rychwicka-Kielek,Gitte Persson,Lotte Holm Land,Tine Schytte,Uffe Bodtger,Halla Skuladottir,Jes S?gaard,S?ren Steen Nielsen,Torben Riis Rasmussen,Barbara Malene Fischer
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To improve early detection of treatable relapse of lung cancer, thereby improving patient survival and quality of life (QoL).

This trial combining collection of data regarding imaging, QoL, liquid biopsy, and cost in a multicenter randomized clinical setting will provide the scientific basis for improving surveillance and treatment of patients with lung cancer as well as provide knowledge transferable to other groups of cancer patients.

The study does not address the potential for PET/ceCT to detect relapses earlier than ceCT in all patient subgroups, nor does it fully explore the implications of detecting relapses earlier on overall survival and quality of life.

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