Clinical trial Recruiting at 1 site Interventional

Comparing two surgical approaches for early-stage lung cancer with ground-glass nodules

Official title: Mediastinal Lymph Node Dissection Versus Spared Mediastinal Lymph Node Dissection in Stage IA Non-small Cell Lung Cancer Presented as Ground-glass Nodules: Study Protocol of a Phase III, Randomized, Multi-center Trial (MELDSIG) in China

Run by Tianjin Medical University Cancer Institute and Hospital · NCT04631770 · Data updated 2026-11-12

This study is testing which of two surgical methods is better for people with early-stage lung cancer that has ground-glass nodules, to see which one helps them live longer and stay cancer-free.

More Lung Neoplasms trials

Quick facts

Study typeInterventional
SexAll
Enrollment1362 (estimated)
SponsorTianjin Medical University Cancer Institute and Hospital
Academic / other
Locations1 site (Tianjin, Tianjin Municipality)
StatusRecruiting
StartedMay 1, 2022
Main results expectedMay 1, 2024
Study endsMay 1, 2029
Registry record updatedSeptember 28, 2023
Trial IDNCT04631770 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are patients diagnosed with clinical stage IA non-small cell lung cancer who have a single ground-glass nodule and no lymph node metastasis.

Probably not a fit

Patients with a history of other malignancies, active infections, or severe pulmonary conditions may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the effectiveness of mediastinal lymph node dissection versus spared mediastinal lymph node dissection in patients with stage I non-small cell lung cancer (NSCLC) characterized by ground-glass nodules. It is a prospective, multicenter, randomized trial involving 1,362 patients, with an enrollment period of three years followed by a five-year observation period. The study aims to compare overall survival and disease-free survival rates between the two surgical approaches, focusing on the unique characteristics of ground-glass nodules that may influence treatment outcomes.

Why it matters

Potential benefit: If successful, this study could lead to more tailored surgical approaches for patients with early-stage lung cancer, potentially improving survival rates and reducing unnecessary procedures.

How similar studies have gone: While there have been studies on surgical approaches for lung cancer, this specific comparison of mediastinal lymph node dissection techniques in the context of ground-glass nodules is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Thin-slice HRCT shows single GGN with C/T ≤ 0.5 and no lymph node metastasis;
* Clinical stage IA NSCLC (TNM 8th classification) diagnosed prior or in surgery;
* No history of malignancies within past 5 years or lung surgery;
* No anti-cancer treatment prior to surgery.

Exclusion Criteria:

* Simultaneous or metachronous (within the past 5 years) double cancers;
* Active bacterial or fungous infection;
* Interstitial pneumonitis, pulmonary fibrosis, or severe pulmonary emphysema;
* Systemic steroidal medication;
* Uncontrollable diabetes mellitus; (vi) Uncontrollable hypertension or history of severe heart disease, heart failure.

Where it's running

  • Ethics review board of Tianjin Medical University Cancer Institute and Hospital
    Tianjin, Tianjin Municipality, China
    Recruiting

Study contacts

  • Principal investigator: Zhenfa Zhenfa, MD — Tianjin Medical University Cancer Institute and Hospital
  • Study coordinator: Zhenfa Zhang, MD
  • Email: zhangzhenfa1973@163.com
  • Phone: +862223340123

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.