Adjuvant Chemotherapy in Patients With Intermediate or High Risk Stage I or Stage IIA Non-squamous Non-Small Cell Lung Cancer: AIM-HIGH (Adjuvant Intervention in Molecular High Risk Patients)

NAActive, not recruitingINTERVENTIONAL
Enrollment

420

Participants

Timeline

Start Date

September 11, 2020

Primary Completion Date

May 15, 2027

Study Completion Date

May 15, 2027

Conditions
Non-Small Cell Lung Cancer
Interventions
DRUG

Adjuvant Chemotherapy

Patients who have undergone complete resection of NSCLC that has been documented histologically to be non-squamous and that is pathological Stage I or IIA, will undergo testing with the 14-Gene Prognostic Assay. Patients determined to be intermediate or high risk and who meet all eligibility criteria will be randomized either to observation or to four cycles of adjuvant therapy with a standard NSCLC platinum-based doublet.

OTHER

Radiographic surveillance

Serial radiographic surveillance is a current standard of care for Stage I or Stage IIA lung cancer. All intermediate or high risk patients randomized to observation or chemotherapy will have routine CT Scans at 6 month intervals until 5 years after enrollment and at yearly intervals thereafter until the end of the study period.

OTHER

14-Gene Prognostic Assay

This CLIA-approved assay is a standard tool that is now available to all clinicians to improve the prognostic evaluation of patients after resection of Stage I or Stage IIA non-squamous NSCLC. It will be performed on tumor specimens for patients who are potentially eligible for this study. Patients identified through the assay as intermediate or high-risk will be randomized to either adjuvant chemotherapy or observation.

Trial Locations (49)

13291

Hôpital Europeen, Marseille

13915

Hôpital Nord, Marseille

15212

Allegheny Health Network Research Institute, Pittsburgh

22927

Lung Clinic Grosshansdorf-Department of Thoracic Oncology, Großhansdorf

25000

CHRU Besançon- Hôpital J. MINJOZ, Besançon

28803

Sarah Cannon- Messino Cancer Center, Asheville

29607

St. Francis Cancer Center, Greenville

30029

Centre Hospitalier Universitaire de Nîmes, Nîmes

31059

Hôpital Larrey, Toulouse

32308

Sarah Cannon- FCS Panhandle, Tallahassee

33077

Centre Hospitalier de la Côte Basque, Bayonne

33401

Sarah Cannon- FCS East, West Palm Beach

33604

Hôpital Haut-Lévèque (Bordeaux - CHU), Pessac

33705

Sarah Cannon- FCS North, Petersburg

33916

Sarah Cannon- FCS South, Fort Meyers

37044

CHRU de Tours, Tours

37203

Sarah Cannon Tennessee Oncology, Nashville

40207

Baptist Health Louisville, Louisville

40503

Baptist Health Lexington, Lexington

49033

CHU d'Angers Service Pneumologie, Angers

51109

Köln-Merheim, Cologne

63141

Mercy Oncology Research St. Louis, St Louis

65804

Mercy Hospital Joplin Missouri, Joplin

69008

Hôpital Privé Jean Mermoz, Lyon

73120

Mercy Oncology Research Oklahoma City, Oklahoma City

75014

Hôpital Cochin, Paris

75020

Hôpital Tenon, Paris

75674

Hôpital Paris Saint Joseph, Paris

75877

Hôpital Bichat, Paris

76031

Hôpital Charles Nicolle, Rouen

80336

University Hospital of Munich, München

82131

München-Gauting, Gauting

85925

Centre Hospitalier Départemental Vendée, La Roche-sur-Yon

86021

Chu de Poitiers, Poitiers

92104

Hôpital APHP Ambroise Paré, Boulogne

92141

Hia Percy, Clamart

92961

Leonard Cancer Institute, Mission Viejo

94000

Centre Hospitalier Intercommunal de Créteil, Créteil

94805

Gustave Roussy, Villejuif

95403

Providence Medical Foundation Santa Rosa, Santa Rosa

95817

UC Davis Comprehensive Cancer Center, Sacramento

98104

Swedish Cancer Institute, Seattle

680100

Groupe Hospitalier Région de Mulhouse Sud -Alsace, Mulhouse

07753

Hackensack Meridian Health, Neptune City

Unknown

Polyclinique Bordeaux Nord, Bordeaux

Niels-Stensen-Kliniken, Georgsmarienhütte

Medizinische Hochschule Hannover, Hanover

University Medical Center Schleswig-Holstein, Lübeck

Pius-Hospital Oldenburg Medizinischer Campus Universität Oldenburg, Oldenburg

Sponsors

Lead Sponsor

Collaborators (1)

All Listed Sponsors
collaborator

Encore Clinical

OTHER

lead

Razor Genomics

INDUSTRY