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NCT Number: NCT07066813

Staging Strategies and Their Association With Prognosis and Therapy in Lung Cancer With Cystic Airspaces

The goal of this observational study is to determine the most accurate tumor size measurement method for T-staging and prognostic assessment in lung cancer with cystic airspaces (LCCA). The main questions it aims to answer are:

* What is the optimal T-staging approach for accurately classifying lung cancer with cystic airspaces (LCCA) and predicting patient outcomes? * How do imaging features of cystic lesions correlate with their pathological characteristics? * What is the relationship between imaging features of cystic airspace-associated lesions and patient prognosis? * Can optimizing the T-staging method improve clinical decision-making in patients with LCCA?

Recruiting

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Key information

Sex eligibility

All sexes

Study type

Observational

Primary location

The Second Xiangya Hospital of Central South University

Changsha, Hunan, 410011, China

Location status: Recruiting

Location contact

Ping Jiang

CONTACT

[email protected]

0731-85292476

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Histologically confirmed non-small cell lung cancer (NSCLC), as verified by biopsy or postoperative pathological examination;
  • Patients who have undergone surgical lung resection;
  • Patients with complete preoperative chest CT imaging data;
  • Preoperative chest CT showing a well-defined gas-containing (air-filled) cystic component within the tumor.

Exclusion criteria

  • History of pulmonary diseases that could produce cystic lung lesions (e.g., tuberculosis, pulmonary fungal infections, bullae, emphysema, Lymphangioleiomyomatosis [LAM], or Birt-Hogg-Dubé [BHD] syndrome);
  • Systemic anti-tumor therapies, including chemotherapy, radiotherapy, or targeted therapies (such as monoclonal antibodies, small-molecule tyrosine kinase inhibitors, among others), were administered prior to enrollment;
  • Patients with concurrent other malignancies;
  • Patients with missing or poor-quality preoperative chest CT imaging data.

Treatment and study plan

Primary outcomes

  1. DFS

    Time frame: From enrollment to the end of surgery for 5 years

    Disease-Free Survival

  2. OS

    Time frame: From enrollment to the end of surgery for 5 years

    Overall Survival

Secondary outcomes

  1. Rate of T-stage reclassification

    Time frame: From enrollment to the end of surgery for 5 years

    T-stage reclassification

  2. AI-based extraction of radiologic characteristics of cystic airspace-associated lesions

    Time frame: From enrollment to the end of surgery for 5 years

    Machine learning was employed to extract and analyze the radiologic characteristics of cystic airspace-associated lesions.

  3. AI to extract and analyze pathological features

    Time frame: From enrollment to the end of surgery for 5 years

    Machine learning was employed to extract and analyze pathological features

  4. Oncogenic driver genetic alterations

    Time frame: From enrollment to the end of surgery for 5 years

    Results of driver gene mutation testing

  5. Receipt of postoperative adjuvant therapy

    Time frame: From enrollment to the end of surgery for 5 years

    Postoperative adjuvant therapy was ascertained from medical records

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Central South University

Other

Registry information

Official study title

T-Staging Strategies and Their Prognostic and Therapeutic Significance in Lung Cancer With Cystic Airspaces: A Retrospective Cohort Study

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jul 15, 2025
Registry last updated
Jul 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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