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Tests a new care plan with lung surgery for older lung cancer patients

Studies lung cancer surgery and recovery care in adults aged 65 and older.

Key facts

Who runs it
Peking University People's Hospital
Where
Beijing, ChinaSee the site
Trial code
Registry title
Clinical Study of a New Treatment Model for Elderly Lung Cancer Patients
Status
Recruiting
People taking part
1,000 people, planned
Started
1 Aug 2024
Expected to end
31 Aug 2028
Type of study
Interventional, 3 groups
Treatments tested
  • Pulmonary Lobectomy plus Mediastinal Lymph Node Sampling
  • Pulmonary Segmentectomy plus Mediastinal Lymph Node Sampling
  • Pulmonary Wedge Resection plus Mediastinal Lymph Node Sampling
Record updated
15 July 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for people aged 65 or older with confirmed non-small cell lung cancer who can have surgery to remove the tumour.

Age
65 years or older
Sex
All sexes
Disease stage
Non-small cell lung cancer confirmed by tissue testing, at a clinical stage where surgery to remove the cancer is possible

Main reasons for not taking part

  • Another cancer within the last 5 years
  • Severe heart, liver, kidney or lung problems that make chest surgery unsafe
  • Cancer that has spread to distant parts of the body and prevents complete removal
  • Uncontrolled serious infection or clear blood clotting problems
  • Severe mental illness or memory and thinking problems that prevent taking part in treatment and follow-up

The registry criteria, word for word

Show all 11 criteriaShow less

Who can take part

  • Aged ≥65 years old
  • Pathologically confirmed non-small cell lung cancer with clinical stage eligible for curative surgical resection
  • Complete preoperative geriatric comprehensive assessment data available
  • Capable of finishing planned surgery and long-term follow-up
  • Voluntarily sign informed consent form

Who cannot take part

  • Preoperative confirmed distant metastasis preventing radical resection
  • History of other malignant tumors within recent 5 years
  • Severe organic dysfunction of heart, liver, renal or respiratory system that cannot tolerate thoracic surgery
  • Uncontrolled active severe infection or obvious coagulation disorders
  • Severe psychiatric disorder or cognitive dysfunction failing to cooperate with treatment and follow-up
  • Refuse random grouping and postoperative regular monitoring

Where in China

  • Peking University People's HospitalBeijing, ChinaContact: Fan Yang, MDTaking people

About the trial

What the trial wants to find out

This multicenter prospective clinical study focuses on elderly patients with lung cancer. The investigators will build a standardized clinical registry database, develop perioperative risk stratification and surgical early-warning models, optimize individualized surgical regimens, construct multidisciplinary perioperative comprehensive therapy, integrated Chinese-Western medicine full-cycle management and personalized postoperative rehabilitation systems, so as to form a whole-process optimized treatment model for elderly lung cancer.

The 3 groups in the trial

  • Lobectomy GroupTreatment being tested

    Patients receive standard lobectomy plus mediastinal lymph node sampling for early-stage non-small cell lung cancer, for elderly patients ≥65 years with T1N0M0 tumor. Postoperative standard perioperative management and regular follow-up are conducted.

    Treatment: Pulmonary Lobectomy plus Mediastinal Lymph Node Sampling

  • Segmentectomy GroupTreatment being tested

    Patients receive anatomic segmentectomy plus mediastinal lymph node sampling. All enrolled elderly patients are stratified by tumor size and preoperative geriatric risk score before randomization, followed by unified postoperative monitoring and adaptive perioperative treatment based on MRD and biomarker results.

    Treatment: Pulmonary Segmentectomy plus Mediastinal Lymph Node Sampling

  • Wedge Resection GroupTreatment being tested

    Patients receive pulmonary wedge resection plus mediastinal lymph node sampling. After surgery, low-risk patients get de-escalated adaptive perioperative treatment guided by postoperative MRD surveillance, while high-risk patients receive individualized intensive comprehensive therapy.

    Treatment: Pulmonary Wedge Resection plus Mediastinal Lymph Node Sampling

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
A Multicenter Clinical Study on a New Treatment Model Combining New Surgical Techniques, Perioperative Comprehensive Treatment, and Postoperative Rehabilitation for Elderly Patients With Lung Cancer
Plain-language title
Tests a new care plan with lung surgery for older lung cancer patientsGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 13 November 2026.
Record updated
15 July 2026