Genetic Testing in Screening Patients With Stage IB-IIIA Non-small Cell Lung Cancer That Has Been or Will Be Removed by Surgery (The ALCHEMIST Screening Trial)
NCT02194738 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 8300
Last updated 2026-05-13
Summary
This ALCHEMIST trial studies genetic testing in screening patients with stage IB-IIIA non-small cell lung cancer that has been or will be removed by surgery. Studying the genes in a patient's tumor cells may help doctors select the best treatment for patients that have certain genetic changes.
Conditions
- Stage IB Lung Non-Small Cell Carcinoma AJCC v7
- Stage II Lung Non-Small Cell Cancer AJCC v7
- Stage IIA Lung Cancer AJCC v8
- Stage IIB Lung Cancer AJCC v8
- Stage IIIA Lung Cancer AJCC v8
- Stage IIIA Lung Non-Small Cell Cancer AJCC v7
- Stage IIIB Lung Cancer AJCC v8
Interventions
- PROCEDURE
-
Biospecimen Collection
Undergo collection of blood samples
- DRUG
-
Given IV
- DRUG
-
Given IV
- OTHER
-
Clinical Observation
Undergo observation
- PROCEDURE
-
Computed Tomography
Undergo CT or PET/CT
- DRUG
-
Given PO
- OTHER
-
Cytology Specimen Collection Procedure
Undergo collection of blood and tissue
- PROCEDURE
-
Echocardiography Test
Undergo ECHO
- DRUG
-
Erlotinib
Given PO
- DRUG
-
Gemcitabine Hydrochloride
Given IV
- BIOLOGICAL
-
Given IV
- DRUG
-
Given IV
- BIOLOGICAL
-
Given IV
- DRUG
-
Pemetrexed
Given IV
- DRUG
-
Pemetrexed Disodium
Given IV
- OTHER
-
Placebo Administration
Given PO
- PROCEDURE
-
Positron Emission Tomography
Undergo PET/CT
Sponsors & Collaborators
-
National Cancer Institute (NCI)
lead NIH
Principal Investigators
-
David E Kozono · Alliance for Clinical Trials in Oncology
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- SCREENING
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-09-26
- Primary Completion
- 2026-09-28
- Completion
- 2026-09-28
- FDA Drug
- Yes
Countries
- United States
- Guam
- Puerto Rico
Study Locations
More Related Trials
-
Chemotherapy or Observation in Treating Patients With Early Stage Non-Small Cell Lung Cancer
NCT00863512 ·Status: TERMINATED ·Phase: PHASE3
-
National Lung Matrix Trial: Multi-drug Phase II Trial in Non-Small Cell Lung Cancer
NCT02664935 ·Status: COMPLETED ·Phase: PHASE2
-
Targeted Treatment for ALK Positive Patients Who Have Previously Been Treated for Non-squamous Non-small Cell Lung Cancer
NCT03737994 ·Status: TERMINATED ·Phase: PHASE2
-
A Study to See How Well and How Safely Different Treatments Work in a Group of Participants With Non-Small Cell Lung Cancer (NSCLC)
NCT06624059 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Genetic Sequencing-Informed Targeted Therapy in Treating Patients With Stage IIIB-IV Non-small Cell Lung Cancer
NCT02132884 ·Status: TERMINATED ·Phase: NA
-
Residual Hypermethylation in Early Stage Non-Small Cell Lung Cancer (NSCLC) As Part of Adjuvant Therapy and Preventive Strategy
NCT01209520 ·Status: COMPLETED ·Phase: NA
-
Combination Chemotherapy, Radiation Therapy, and Gefitinib in Treating Patients With Stage III Non-Small Cell Lung Cancer
NCT00040794 ·Status: COMPLETED ·Phase: PHASE2
-
Gemcitabine, Carboplatin, and Bortezomib in Advanced or Recurrent Non-Small Cell Lung Cancer
NCT00075751 ·Status: COMPLETED ·Phase: PHASE2
-
Azacitidine and Entinostat in Treating Patients With Recurrent Advanced Non-Small Cell Lung Cancer
NCT00387465 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Lung-MAP: Biomarker-Targeted Second-Line Therapy in Treating Patients With Recurrent Stage IV Squamous Cell Lung Cancer
NCT02154490 ·Status: COMPLETED
-
Adjuvant Chemotherapy in Patients With Intermediate or High Risk Stage I or Stage IIA Non-squamous Non-Small Cell Lung Cancer: AIM-HIGH (Adjuvant Intervention in Molecular High Risk Patients)
NCT01817192 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Gemcitabine and Carboplatin With or Without AZD2171 as First-Line Therapy in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer
NCT00326599 ·Status: COMPLETED ·Phase: PHASE2
-
Carboplatin and Gemcitabine Combined With Celecoxib and/or Zileuton in Treating Patients With Advanced Non-Small Cell Lung Cancer
NCT00070486 ·Status: COMPLETED ·Phase: PHASE2
-
AZD0530 to Treat Recurrent Stage IIIB/IV NSCLC Previously Treated With Combination Chemotherapy
NCT00638937 ·Status: COMPLETED ·Phase: PHASE2
-
A Phase 2 Trial of Antisense Nucleotide to PKC-Alpha (LY900003, ISIS 3521) Plus Gemcitabine and Carboplatin in Patients With Advanced, Previously Untreated Non-Small Cell Lung Cancer.
NCT00042679 ·Status: COMPLETED ·Phase: PHASE2
-
AK112 and AK104 With or Without Chemotherapy in Advanced Non-small Cell Lung Cancer
NCT05904379 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Gene Expression Levels in Predicting Treatment Response in Patients With Stage IV Non-small Cell Lung Cancer
NCT02145078 ·Status: TERMINATED ·Phase: NA
-
Azacitidine and Entinostat Before Chemotherapy in Treating Patients With Advanced Non-small Cell Lung Cancer
NCT01935947 ·Status: TERMINATED ·Phase: PHASE2
-
S0720: Adjuvant Therapy Based on Gene Expression in Stage IA and IB Non-Small Cell Lung Cancer
NCT00792701 ·Status: COMPLETED ·Phase: PHASE2
-
A Study Evaluating the Efficacy and Safety of Multiple Therapies in Cohorts of Participants With Locally Advanced, Unresectable, Stage III Non-Small Cell Lung Cancer (NSCLC)
NCT05170204 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Azacitidine in Treating Patients With Previously Treated Advanced Non-Small Cell Lung Cancer
NCT01281124 ·Status: COMPLETED ·Phase: PHASE2
-
First-Line Combination Chemotherapy in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer That Cannot Be Removed by Surgery
NCT00736814 ·Status: UNKNOWN ·Phase: PHASE2
-
Comparison of Two Combination Chemotherapy Regimens in Treating Non-small Cell Lung Cancer
NCT00006004 ·Status: COMPLETED ·Phase: PHASE2
-
A Home-Based Approach Study to Evaluate the Efficacy and Safety of Alectinib in Locally-Advanced or Metastatic ALK-Positive Solid Tumors
NCT04644315 ·Status: TERMINATED ·Phase: PHASE2
-
Preoperative Therapy in Patients With Stages IB, II, IIIA, and Selected IIIB Patients With Non-Small Cell Lung Cancer
NCT00193427 ·Status: COMPLETED ·Phase: PHASE2