Evidence map›Paper›PMID 39444315›Full record

ArticleJapanese journal of clinical oncology2025

Protocol summary of a randomized phase III study: comparing systemic therapy with and without debulking surgery (primary tumour resection) for clinical stage IVA (cT1-2bN0-1M1a) non-small cell lung cancer with radiologically undetermined pleural dissemination JCOG2103 (DEBULK-LUNG).

Yuta Sekino, Tomoyuki Hishida, Hiroshige Yoshioka, Masashi Wakabayashi, Noriko Mitome, Satoshi Shiono, Hirotsugu Kenmotsu, Kaname Nosaki, Keiju Aokage, Hidehito Horinouchi and 4 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Japanese journal of clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Yuta SekinoJapan Clinical Oncology Group Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0001-8885-4972
Tomoyuki HishidaDivision of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0003-3417-8563
Hiroshige YoshiokaDepartment of Thoracic Oncology, Kansai Medical University Hospital, Hirakata, Japan.
Masashi WakabayashiJapan Clinical Oncology Group Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.
Noriko MitomeJapan Clinical Oncology Group Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.
Satoshi ShionoDepartment of Surgery II, Faculty of Medicine, Yamagata University, Yamagata, Japan.
Hirotsugu KenmotsuDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Kaname NosakiDepartment of Thoracic Oncology, National Cancer Center Hospital East, Chiba, Japan.
Keiju AokageDepartment of Thoracic Surgery, National Cancer Center Hospital East, Chiba, Japan.
Hidehito HorinouchiDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0001-9090-801X
Haruhiko FukudaJapan Clinical Oncology Group Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.
Yuichiro OheDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0002-6137-073X
Shun-Ichi WatanabeDepartment of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan.
Lung Cancer Surgical Study Group (LCSSG) and the Lung Cancer Study Group (LCSG) of the Japan Clinical Oncology Group (JCOG)

Funding

AMED 24ck0106942National Cancer Center Research and Development Fund 2023-J-03
6 · The paper itself

Abstract

In patients with non-small cell lung cancer (NSCLC) who present with radiologically undetermined malignant pleural dissemination or incidental surgical diagnosis of the same, surgery is generally not the preferred option; systemic therapy is favoured. However, there is no consensus on incorporating primary site resection into the treatment plan. Retrospective analyses hint at potential benefits of combining systemic therapy with primary site resection, but prospective studies have yet to confirm these findings. Consequently, we have planned a multicentre, open-label, randomized controlled phase III trial to assess the efficacy of adding primary site resection to standard systemic therapy for stage IVA (cT1-2bN0-1M1a) NSCLC patients with radiologically undetermined pleural dissemination. The primary endpoint is overall survival. We aim to enroll 170 patients from 71 institutions over 5 years. This trial is registered at the Japan Registry of Clinical Trials (jRCT) under study number jRCTs031220666.

Indexed as

Carcinoma, Non-Small-Cell LungCytoreduction Surgical ProceduresLung NeoplasmsPleural NeoplasmsClinical Trials, Phase III as TopicFemaleHumansMaleMulticenter Studies as TopicNeoplasm StagingRandomized Controlled Trials as Topicdebulking surgerynon-small cell lung cancerpleural dissemination

Identifiers

PMID39444315
PMCPMC12066824

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.