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NSCLCELDAPTNCT02284308

Elderly With Locally Advanced Lung Cancer: Deciding Through Geriatric Assessment on the Optimal Treatment Strategy

An observational study of NSCLC, run by Maastricht Radiation Oncology at 22 sites in Netherlands.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

There is no detailed information available on benefits and harms of intensified treatment with concurrent RCHT among a subpopulation of elderly patients. Reliable tools are needed to distinguish the subgroup of fit patients from frail patients. Read more about this study

Who is it for?
Ages 75 years and older
Conditions the study is for
NSCLC
How many people
180 participants
Where
22 sitesNetherlands
Study dates
Jul 2016to 18 Dec 2029
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 75 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Study population: Patients aged ≥ 75 years, with any subtype of NSCLC, stage III

Who may be able to join

  • Any subtype of pathologically proven NSCLC, primary UICC Stage III disease;
  • Age ≥ 75 years;
  • No surgery or adjuvant chemotherapy for NSCLC in the last year;
  • No prior radiotherapy to the ipsilateral thorax or mediastinum;
  • No clinical superior vena cava syndrome;
  • No diagnosis of other cancer within the last 3-years (except in situ carcinoma's and / or non-melanoma skin cancer);
  • Written informed consent

Who cannot join

None listed.

Trial locations and contacts

22 sites in 1 country.

22 sites in 1 country

Netherlands22 sites
  • Ziekenhuisgroep Twente

    Almelo, 7609 PP

  • Gelre ziekenhuis

    Apeldoorn, 7334 DZ

  • Radiotherapiegroep Arnhem

    Arnhem, 6815 AD

  • Rijnstate

    Arnhem, 6815 AD

  • Deventer Hospital

    Deventer, 7416 SE

  • Gelderse Vallei

    Ede, 6716 RP

  • Catharina Ziekenhuis

    Eindhoven, 5623 EJ

  • Máxima MC

    Eindhoven, 5631 BM

  • Medisch Spectrum Twente

    Enschede, 7500 KA

  • Rivas Zorggroep

    Gorinchem, 4200 AB

  • Groen Hart Ziekenhuis

    Gouda, 2803 HH

  • Zuyderland

    Heerlen, 6419 PC

  • Maastro

    Maastricht, 6229 ET

  • MUMC+

    Maastricht, 6229 HX

  • Canisius-Wilhelmina Hospital

    Nijmegen, 6532 SZ

  • Laurentius Hospital

    Roermond, 6043 VC

  • Maasstad Ziekenhuis

    Rotterdam, 3079 DZ

  • Ikazia Ziekenhuis

    Rotterdam, 3083 AN

  • Haga Ziekenhuis

    The Hague, 2504 LN

  • Haaglanden MC

    The Hague, 2512 VA

  • VieCuri MC

    Venlo, 5912 BL

  • Zaans MC

    Zaandam, 1502 DV

Other trials in Netherlands

About this study

Official title: ELDAPT: Elderly With Locally Advanced Lung Cancer: Deciding Through Geriatric Assessment on the oPtimal Treatment Strategy

There is no detailed information available on benefits and harms of intensified treatment with concurrent RCHT among a subpopulation of elderly patients. Reliable tools are needed to distinguish the subgroup of fit patients from frail patients.

Read the detailed description

Lung cancer is a problem of the elderly: 30% of the lung cancer patients are aged ≥ 75 years. Due to underrepresentation of elderly patients in clinical trials there is a lack of evidence to select the optimal treatment strategy for these patients. Concurrent radiochemotherapy (RCHT) has been recognised as the standard treatment of stage III NSCLC patients with a good performance status. Evidence for this treatment was gained in clinical trials that mostly excluded elderly patients. Furthermore, the survival gain obtained with combined RCHT, comes with a significant increase in toxicity. Therefore, information on benefits and harms of intensified treatment with concurrent RCHT among a subpopulation of medically fit elderly patients is still lacking. Moreover, reliable tools are needed to distinguish the subgroup of fit patients from frail patients, i.e. those expected to experience important toxicity.

Conditions
NSCLC
Keywords
NSCLC

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02284308
Study groupRoleWhat they receive
Patients with any subtype of NSCLC, primary UICC Stage III, age ≥ 75 yearsAll registered patients will undergo a geriatric assessment to assess vulnerability. Based on this assessment, patients are offered treatment according to the discretion of the physician and patient.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Correlation GA with QAS (quality adjusted survival)

    To corellate results of the geriatric assessment with quality-adjusted survival (QAS) after radical intent therapy in patients with stage III NSCLC ≥75 years

    Measured: 5 years

Secondary outcomes (6)
  1. Geriatric assessment

    To perform a geriatric assessment in stage III NSCLC patients to distinguish patients fit enough to undergo intensified treatment and to develop a reliable and clinically applicable geriatric screening instrument to guide treatment decisions in stage III NSCLC

    Measured: Baseline

  2. Medical comparison between treatments

    To compare different treatment strategies for fit elderly patients with respect to overall and quality adjusted survival

    Measured: 5 years

  3. Cost-effectiveness

    To compare cost-effectiveness of sequential and concurrent RCHT for fit elderly patients with stage III NSCLC

    Measured: End of study

  4. Development and validation of geriatric screening instrument

    To develop and validate a clinically applicable geriatric screening instrument that enables appropriate treatment stratification in the elderly NSCLC patient

    Measured: 5 years

  5. Flow chart

    To develop a flow chart for cost-effective clinical decision-making, in clinical practice

    Measured: 5 years

  6. Predictive value

    To determine the predictive value of saliva biomarkers on QAS in elderly patients with stage III NSCLC

    Measured: 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Nov 2014 (estimated)
  2. Study startJul 2016
  3. Primary completion1 Jan 2025
  4. Study completion18 Dec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02284308
Sponsor's protocol ID
ELDAPT
Acronym
ELDAPT
Status last verified
Oct 2026
First submitted
30 Oct 2014
Last updated
30 Oct 2026
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Driessen EJM, van Loon JGM, Maas HA, Dingemans AC, Janssen-Heijnen MLG. Geriatric Assessment for Older Patients with Non-small Cell Lung Cancer: Daily Practice of Centers Participating in the NVALT25-ELDAPT Trial. Lung. 2018 Aug;196(4):463-468. doi: 10.1007/s00408-018-0116-8. Epub 2018 Apr 12.

    PubMed 29651598

Questions about this trial

What is this clinical trial studying?

An observational study of NSCLC, run by Maastricht Radiation Oncology at 22 sites in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Correlation GA with QAS (quality adjusted survival) (time frame: 5 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02284308, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2026.

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