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CTRI Number  CTRI/2021/11/037936 [Registered on: 11/11/2021] Trial Registered Prospectively
Last Modified On: 15/05/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Retrospective study 
Study Design  Other 
Public Title of Study   Study to Determine the Treatment Patterns and Outcomes in Patients With Resectable Early-stage (IA to IIIB) Non-small Cell Lung Cancer 
Scientific Title of Study   A Multicountry, Multicentre, Non-interventional, Retrospective Study to Determine the Real-world Treatment Patterns and Associated Outcomes in Patients With Resectable Early-stage (IA to IIIB) Non-small Cell Lung Cancer 
Trial Acronym  THASSOS-International 
Secondary IDs if Any  
Secondary ID  Identifier 
D133FR00169 Version 2.0 Dated 13 Aug 2021  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Somashekhar S 
Designation  Consultant Surgical Oncologist 
Affiliation  Manipal Comprehensive Cancer Centre Manipal Hospital Bangalore 
Address  Manipal Comprehensive Cancer Centre Manipal Hospitals #98 Rustom Bagh Airport Road Bengaluru-560017 Karnataka
Manipal Comprehensive Cancer Centre Manipal Hospitals #98 Rustom Bagh Airport Road Bengaluru-560017 Karnataka
Bangalore
KARNATAKA
560017
India 
Phone    
Fax    
Email  somusp@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ankush Gaikwad 
Designation  Medical Affairs Manager 
Affiliation  AstraZeneca Pharma India Ltd 
Address  AstraZeneca Pharma India Ltd Block N1 12th Floor ManyataEmbassy Business Park Rachenahalli Outer Ring Road Bangalore 560045

Bangalore
KARNATAKA
560045
India 
Phone    
Fax    
Email  ankush.vikasgaikwad@astrazeneca.com  
 
Details of Contact Person
Public Query
 
Name  Mr Amit Kumar 
Designation  Project Delivery Lead 
Affiliation  AstraZeneca Pharma India Ltd 
Address  AstraZeneca Pharma India Ltd Block N1 12th Floor ManyataEmbassy Business Park Rachenahalli Outer Ring Road Bangalore 560045

Bangalore
KARNATAKA
560045
India 
Phone    
Fax    
Email  Amit.KumarAK@astrazeneca.com  
 
Source of Monetary or Material Support  
AstraZeneca Pharma India Ltd 
 
Primary Sponsor  
Name  AstraZeneca Pharma India Ltd 
Address  AstraZeneca Pharma India Ltd Block N1 12th Floor Manyata Embassy Business Park Rachenahalli Outer Ring Road Bangalore-560045 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Australia
Brazil
Egypt
Hong Kong
India
Kuwait
Qatar
Saudi Arabia
Turkey
United Arab Emirates  
Sites of Study
Modification(s)  
No of Sites = 8  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ramakant Deshpande  Asian Cancer Institute - Cumbala Hill Hospital  ACI-Cumbala Hill Hospital, 93/95, August Kranti Marg, Kemps corner, Mumbai - 400036
Mumbai
MAHARASHTRA 
9820422222

ramandeshpande@gmail.com 
Dr Praveen Bansal  Asian Institute of Medical Sciences  Asian Institute of Medical Sciences, Badkal Flyover, Sector - 21A, Faridabad, Haryana - 121001
Faridabad
HARYANA 
9971635572

drpraveenkb@yahoo.com 
Dr Sajjan Rajputohit  Dr. B.L. Kapur Memorial Hospital  Dr. B.L. Kapur Memorial Hospital Pusa Rd, Radha Soami Satsang, Rajendra Place, New Delhi, Delhi 110005
New Delhi
DELHI 
9999660200

sajjanrajpurohit@yahoo.com 
Dr Amit Rauthan  Manipal Comprehensive Cancer Centre  Manipal Comprehensive Cancer Centre, Manipal Hospitals,#98, Rustom Bagh, Airport Road Bangalore-560017,Karnataka
Bangalore
KARNATAKA 
9880463958

amitrauthan@yahoo.com 
Dr Devavrat Arya  Max Super Speciality Hospital   Max Super Speciality Hospital (A Unit Of Devki Devi Foundation), East Block, 2, Press Enclave Road, Saket, New Delhi-110017
New Delhi
DELHI 
9711400908

devavrat200@gmail.com 
Dr Vivek Agarwala  Narayana Superspeciality Hospital  Narayana Superspeciality Hospital 120/1, Andul Road, Near Nabanna, Shibpur, Howrah- 711103, Kolkata, WEST BENGAL
Kolkata
WEST BENGAL 
8879222875

drvivekagarwala@gmail.com 
Dr Bivas Biswas  TATA Medical Center  TATA Medical Center, 14 Mar (EW), Newtown, Rajarhat, Kolkatta - 700160
Kolkata
WEST BENGAL 
9830922005

bivas.biswas@tmckolkatta.com 
Dr Vijay Patil  Tata Memorial Hospital  Tata Memorial Hospital,Dr. E Borges Road,Parel-400012,Mumbai Maharashtra
Mumbai
MAHARASHTRA 
9136129135

vijaypgi@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 8  
Name of Committee  Approval Status 
"Asian Institute of Oncology Pvt.Ltd, Institutional Ethics Committee "  Approved 
Dr. B. L. Kapur Memorial Hospital Ethics Committee  Approved 
Ethics committee of Manipal Hospitals  Approved 
Institution Review Board, Tata Medical Center  Approved 
Institutional Ethics Committee Devki Devi Foundation  Approved 
Institutional Ethics Committee, Tata Memorial Hospital  Approved 
Institutional Ethics Committee-Asian Institute of Medical Sciences  Approved 
NSH Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C349||Malignant neoplasm of unspecifiedpart of bronchus or lung,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Adult female and male patients aged ≥18 years or adults according to age of majority as defined by the local regulations on index date
2. Patient or next of kin/legal representative (for deceased patients at study entry unless a waiver is granted) willing and able to provide written or electronic informed consent according to the local regulations, where applicable
3. Patients diagnosed with primary stage IA to IIIB NSCLC as per seventh edition AJCC whose tumour was deemed resectable between 01 January 2013 and 31 December 2017 and followed up until at least 31 December 2020 as per the medical records with availability of at least 12 months of follow-up data from the index date (date of diagnosis of early-stage [IA to stage IIIB] resectable NSCLC) unless patient died within 12 months of diagnosis. 
 
ExclusionCriteria 
Details  1.Patients with a concomitant cancer at the time of diagnosis of NSCLC, except for nonmetastatic nonmelanoma skin cancers, or in situ or benign neoplasms; a cancer will be considered concomitant if it occurs within 5 years of NSCLC diagnosis
2. Patients diagnosed with stage IV NSCLC
3. Histology of the tumour is small cell lung cancer, neuroendocrine in origin, or a mixed histologic type with small cell and non-small cell lung cancers. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Proportion of patients overall and as per clinical and pathologic staging (seventh edition of the tumour nodes metastases [TNM] classification for lung cancer [AJCC]) who underwent either of the following treatment modalities:
o Surgery only
o Neo-adjuvant therapy (chemo+/-radiotherapy) only
o Adjuvant therapy (chemo+/-radiotherapy) only
o Neo-adjuvant and adjuvant therapies
2. Duration of treatment for each treatment regimen in neo-adjuvant and adjuvant treatment settings, dose of each agent, and reason(s) for stopping treatment in each setting
3. 3-year survival rate (overall, and as per clinical and pathologic staging) defined as percentage of patients confirmed to be alive at 3 years from the index date. 
one-time 
 
Secondary Outcome  
Outcome  TimePoints 
Demographic and clinical-pathological characteristics (overall and as per treatment modalities)
Survival outcomes
Prevalence of EGFR mutations and PD-L1 expression
Real-world OS within the following subgroups:
o Age (60 years, ≥60 to 80 years, and ≥80 years)
o Clinico-pathologic stage of NSCLC as per seventh edition AJCC (IA, IB, IIA, IIB, IIIA, IIIB) with lymph node metastasis status (N0, N1, and N2)
o EGFR mutation status (positive/negative)
o PD-L1 status (1%, ≥1% to 25%, ≥25% to 50%, and ≥50%)
Proportion of patients biomarker testing strategies
Proportion of patients receiving neo-adjuvant and/or adjuvant treatments
Proportion of patients undergoing each type of surgery and associated outcomes
Compliance to neo-adjuvant and/adjuvant treatment 
one-time 
 
Target Sample Size   Total Sample Size="400"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="200" 
Phase of Trial   N/A 
Date of First Enrollment (India)
Modification(s)  
15/12/2021 
Date of Study Completion (India) 31/01/2024 
Date of First Enrollment (Global)  03/11/2021 
Date of Study Completion (Global) 31/01/2024 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   To describe the treatment patterns and determine their associated 3-year survival outcome according to clinical and pathologic staging in patients with resectable early-stage (IA to IIIB) (as per American Joint Committee on Cancer [AJCC] seventh edition) NSCLC 
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