Optimizing decisions on cancer treatment for patients with advanced lung cancer
Official title: Impact of a Process Optimizing the Decision to Continue or Stop Cancer Treatments in Patients With Advanced Non-small Cell Lung Cancer.
Run by Institut Curie · NCT04823377 · Data updated 2026-05-14
This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.
This study is testing a new tool to help doctors and patients with advanced lung cancer make better decisions about whether to continue or stop treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 364 (estimated) |
| Sponsor | Institut Curie Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 25 sites (Abbeville and 24 other locations) |
| Trial ID | NCT04823377 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 and older with advanced NSCLC who have a Performance Status of 2 or higher and have undergone at least one line of chemotherapy.
✕Probably not a fit
Patients with Small Cell Lung Cancer or those who have already decided to discontinue all systemic cancer treatment 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 study evaluates the impact of an optimization device designed to assist oncologists and patients in making informed decisions about continuing or stopping cancer treatments for advanced Non-Small-Cell Lung Carcinoma (NSCLC). It involves a sequential comparative approach, where one group receives usual care while another group uses the optimization device to guide discussions about treatment options. The device incorporates clinical parameters, doctor and patient expectations, and the possibility of supportive care, aiming to enhance shared decision-making. The study will measure the rate of systemic oncological treatment during the last month of life across both groups.
Why it matters
Potential benefit: If successful, this approach could lead to more personalized and appropriate end-of-life care for patients with advanced lung cancer.
How similar studies have gone: While this approach is innovative, similar studies focusing on decision-making optimization in cancer care have shown promising results.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Histologically or cytologically proven non-small-cell lung carcinoma (NSCLC) including NSCLC with oncogene addiction. 2. Stage IV or IIB/IIIC non irradiable (8th classification TNM, UICC 2015) 3. Patient having completed at least one line of chemotherapy in the context of metastatic disease (or in the context of locoregional disease if the last chemotherapy was less than 6 months ago). 4. ECOG Performance Status ≥ 2. 5. Age ≥ 18. 6. Written informed consent. 7. Patient capable, according to the investigator, to comply with the requirements of the study. Exclusion Criteria: 1. Small Cell Lung Cancer (including mixed forms). 2. Patient with NSCLC for whom a decision has already been made to permanently discontinue all systemic cancer treatment. 3. Impossible follow up for geographical, social or psychological reason. 4. Inability to answer a questionnaire (language or neurological barrier). 5. Patient under guardianship. 6. Patient being treated in a therapeutic trial. 7. Patient not covered by social security. -
Where it's running
-
CH Abbeville
Abbeville, France Recruiting -
CH du Pays d'Aix
Aix-en-Provence, France Recruiting -
CHU Amiens - Hôpital Sud
Amiens, France Recruiting -
CHU Angers
Angers, France Recruiting -
CHR Metz-Thionville - Hôpital de Mercy
Ars-Laquenexy, France Recruiting -
CH Henri Duffaut Avignon
Avignon, France Recruiting
Show 19 more locations
-
Institut Sainte-Catherine
Avignon, France Recruiting -
AP-HP Ambroise Paré
Boulogne-Billancourt, France Recruiting -
CHI de Compiègne-Noyon
Compiègne, France Recruiting -
CHU Sud Francilien
Corbeil-Essonnes, France Recruiting -
Clinique des Cèdres
Cornebarrieu, France Recruiting -
CH Intercommunal de Créteil
Créteil, France Recruiting -
CHU Grenoble Alpes
Grenoble, France Recruiting -
CHD Vendée
La Roche-sur-Yon, France Recruiting -
CHRU Lille
Lille, France Recruiting -
Centre Léon Bérard
Lyon, France Recruiting -
Institut Curie
Paris, France Recruiting -
AP-HP Cochin
Paris, France Recruiting -
AP-HP Bichat
Paris, France Recruiting -
AP-HP Tenon
Paris, France Recruiting -
Institut Curie
Saint-Cloud, France Recruiting -
CH Saint-Malo
Saint-Malo, France Recruiting -
Hôpital Foch
Suresnes, France Recruiting -
Clinique Tessier
Valenciennes, France Recruiting -
Cgfl
Dijon, France Not yet recruiting
Study contacts
- Principal investigator: Marie-Ange MASSIANI, MD — Institut Curie
- Study coordinator: Marie-Ange MASSIANI, MD
- Email: marieange.massiani@curie.fr
- Phone: +33 1 47 11 15 15
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Concise coaching to guide decisions for advanced cancer patients considering palliative procedures
A coaching program delivered by lay providers will test whether it helps adults with advanced cancer make better, patient-aligned decisions about palliative surgeries or similar interventions.
-
Primary Palliative Care: A Feasibility Project for Family Health Units
This feasibility trial tests a GP training program plus a structured 12-week palliative-care visit plan to see if it can be carried out in primary care for adults with advanced illness.
-
Virtual Group Resilient Living for Advanced Cancer
A group-based online program tests whether seven weekly sessions can reduce anxiety and fatigue and improve quality of life for adults with advanced cancer.
-
IV contrast-enhanced CBCT with HyperSight for image guidance in advanced cancer radiotherapy
This study tests whether giving IV contrast during cone-beam CT helps doctors see the tumor better during radiotherapy in people with advanced cancer.
-
Single-session celiac plexus SBRT using a simulation-free adaptive workflow for cancer-related pain
A pilot test to see if a one-day, simulation-free adaptive radiotherapy process can safely deliver celiac plexus SBRT to adults with advanced pancreatic or other cancers.
-
UI-102 in advanced cancers (phase 1/2) first-in-human
A first-in-human study tests UI-102, given to adults with advanced solid tumors to see if it is safe and shows signs of benefit.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.