Non-Small Cell Lung CancerNCT05236114
GEMINI-NSCLC: NSCLC Biomarker Study
An observational study of Non-Small Cell Lung Cancer, run by Tempus AI at 58 sites in United States.
Trial summary
GEMINI NSCLC Study is a non-interventional study that will be collecting clinical and molecular health information from patients with NSCLC who will receive longitudinal blood collection in addition to their standard of care therapy and disease surveillance with the goals of identifying the molecular evolution of lung… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer
- What is being tested?
- Observation
- Type of treatment
- Injection or infusion
- How many people
- 1,200 participants
- Where
- 58 sitesUnited States
- Study dates
- 22 Jun 2022to Jun 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: This protocol targets patients with Non-Small Cell Lung Cancer (NSCLC)
Who may be able to join
None listed.
Who cannot join
- Patients without a known or suspected NSCLC diagnosis, or other disease processes such as sarcoidosis, lymphoma, or metastatic cancer from other sites.
- Not willing to have additional blood samples collected
- Patients with a secondary malignancy must have been both diagnosed > 2 years from the lung cancer of interest and have completed all therapy for that malignancy (including extended adjuvant therapy) > 2 years prior to diagnosis of the lung cancer of interest with the exception of the following:
- Patients with superficial basal cell carcinoma of low-risk histology per NCCN Guidelines (Low-risk histologic subtypes include nodular, superficial, and other non-aggressive growth patterns such as keratotic, infundibulocystic, and fibroepithelioma of Pinkus) and low-risk for recurrence per NCCN Guidelines (location on trunk or extremities, size < 2 cm, primary (not recurrent), with well-defined borders) can be included even if they are diagnosed < 2 years from the lung cancer of interest.
- Patients with superficial squamous cell carcinoma of low-risk pathology per NCCN Guidelines (verrucous, keratoacanthomatous) and low-risk for recurrence per NCCN Guidelines (located on trunk or extremities; 2 cm in size; primary lesion (vs. recurrent); well to moderately differentiated; < 2 mm thick and no invasion beyond subcutaneous fat; negative for perineural invasion; and negative for lymphatic or vascular involvement) can be included even if they are diagnosed < 2 years from the lung cancer of interest.
Trial locations and contacts
58 sites in 1 country. Contact the study team or a site near you to ask about taking part.
58 sites in 1 country
United States58 sites, 56 recruiting
- Recruiting
New York Oncology Hematology
Albany, New York, 12206
Josephine Faruol, 518-489-0044, Josephine.faruol@usoncology.com
Makenzi Evangelist, MD
- Recruiting
ThedaCare Regional Cancer Center
Appleton, Wisconsin, 54911
Rachel Luedtke, 920-364-3616, Rachel.Luedtke@thedacare.org
Matthias Weiss, MD
- Recruiting
Morehouse School of Medicine (MSM)
Atlanta, Georgia, 30310
Carla Holloway, 404-752-8452, cmholloway@msm.edu
Roland Matthews
- Recruiting
Piedmont Healthcare
Atlanta, Georgia, 30318
Jean Dionne, dionne.jean@piedmont.org
Robert Klafter, MD
- Recruiting
University of Maryland
Baltimore, Maryland, 21201
Kaylee Martin, Kaylee.Martin@umm.edu
Samuel Rosner, MD
- Recruiting
Johns Hopkins University
Baltimore, Maryland, 21287
Cheryl Pai, 410-614-1926, cpai3@jhmi.edu
Lonny Yarmus, DO
- Recruiting
New Jersey Cancer Center
Belleville, New Jersey, 07109
Michael Johnstone, mjohnstone@njcancercare.com
James Orsini Jr.
- Recruiting
PeaceHealth St. Joseph Medical Center-Bellingham
Bellingham, Washington, 98225
Rebecca Crompton, rcrompton@peacehealth.org
Mervat Saleh, MD
- Recruiting
The Center for Cancer and Blood Disorder
Bethesda, Maryland, 20817
Kosunique Jenkins, kosunique.jenkins@tempus.com
Mark Goldstein, MD
- Recruiting
Alabama Oncology
Birmingham, Alabama, 35223
Amanda Joseph, Amanda.Joseph@AlabamaOncology.com
Mathew Tucker
- Recruiting
Aultman Hospital
Canton, Ohio, 44710
Carla Larch, (330)363-1250, carla.larch@aultman.com
Raza Khan, MD
- Recruiting
Southern Illinois Hospital Services
Carterville, Illinois, 62918
Sarmad Nomani, sarmad.nomani@sih.net
Muhammad Popalzai
- Recruiting
UNC
Chapel Hill, North Carolina, 27599
Ashley Delgado, ashley_delgado@med.unc.edu
Jason Akulian
- Recruiting
The Medical University of South Carolina
Charleston, South Carolina, 29425
Tyson Kelsey, tysonke@musc.edu
Christopher Gilbert, MD
- Recruiting
University of Virginia
Charlottesville, Virginia, 22908
Ryan Gentzler Principal Investigator, rg2uc@virginia.edu
- Recruiting
TriHealth Cancer Institute
Cincinnati, Ohio, 45220
Wayne Thompson, 513-865-5020, Wayne_Thompson@trihealth.com
Leanne Budde, MD
- Recruiting
Clermont Oncology Center
Clermont, Florida, 34711
Gopal Kunta, 352-242-1366, drgkunta@aorcorp.com
- Recruiting
Ohio State University
Columbus, Ohio, 43210
Hazel Antao, Hazel.Antao@osumc.edu
Asrar Alahmadi
- Recruiting
OhioHealth Reseach Institute
Columbus, Ohio, 43214
Kevin Miller, Kevin.Miller@ohiohealth.com
Arvinder Bhinder, MD
- Recruiting
Cancer Care Specialists of Illinois
Decatur, Illinois, 62526
Jade Wiemelt, jwiemelt@ccsci.net
James Wade
- Recruiting
Duke University
Durham, North Carolina, 27710
Lauren Gray, lauren.gray@duke.edu
Kamran Mahmood, MD
- Recruiting
Hematology Oncology Associates of Central New York
East Syracuse, New York, 13057
Nicole Coleman, ncoleman@hoacny.com
Ajeet Gajra
- Recruiting
Northwestern University
Evanston, Illinois, 60208
Mira Pasawala, mira.pasawala@northwestern.edu
Divya Gupta
- Recruiting
Mercy Clinic Oncology - Fort Smith
Fort Smith, Arkansas, 72903
Billy Cater, Billy.Cater@mercy.net
Aswanth Reddy, MD
- Recruiting
MemorialCare
Fountain Valley, California, 92708
Tuyet Collucci, 562.706.1195, TCollucci@memorialcare.org
Amol Rao, MD
- Recruiting
Frederick Health Regional System
Frederick, Maryland, 21702
Charity Drummond, cdrummond@frederick.health
Patrick Mansky
- Recruiting
Southeastern Medical Oncology Center (SMOC)
Goldsboro, North Carolina, 27534
Jennifer Fields, 919-587-9084, jfields@cancersmoc.com
Samer Kasbari, MD
- Recruiting
Hope and Healing Cancer Services
Hinsdale, Illinois, 60521
Ellen Gustafson, sgustafson@hopenheal.care
Srilata Gundala
- Recruiting
Hawaii Cancer Care
Honolulu, Hawaii, 96813
Angelei Pananganan, 808-524-6115, apanangan@hawaiicancercare.com
David Tamura, MD
- Recruiting
Community Health Network
Indianapolis, Indiana, 46250
Cindy Stoner, cstoner@ecommunity.com
Natraj Ammakkanavar, MD
- Recruiting
University of Iowa
Iowa City, Iowa, 52242
Laura Baptista, 319-467-6412, laura-batista@uiowa.edu
Muhammad Furqan
- Recruiting
Cayuga Medical Center
Ithaca, New York, 14850
Betty Haverlock, 607-252-3939, bhaverlock@cayugamed.org
Anthony Mato
- Recruiting
Mercy Clinic Oncology and Hematology - Joplin
Joplin, Missouri, 64804
Cynthia Meyer, Cynthia.Meyer@mercy.net
Samir Dalia, MD
- Recruiting
Gundersen Health System
La Crosse, Wisconsin, 54601
Jennifer Cole, 608-775-6694, jmcole@gundersenhealth.org
Benjamin Parsons, MD
- Recruiting
OptumCare Cancer Care
Las Vegas, Nevada, 89102
Danielle Handy, Danielle.handy1@optum.com
Russell Gollard
- Recruiting
Hope Cancer Care of Nevada
Las Vegas, Nevada, 89103
Mark Gatdula, CRC, 702-508-9128, Mark.Gatdula@aoncology.com
Raja Mehdi, MD
- Active, not recruiting
Cancer and Blood Specialty Clinic
Los Alamitos, California, 90720
- Recruiting
UCLA
Los Angeles, California, 90095
Deanna Romero, 310-694-1795, DLRomero@mednet.ucla.edu
Amy Cummings
- Recruiting
Taylor Cancer Research Center
Maumee, Ohio, 43537
Jennifer Martinez, jmartinez@toledoclinic.com
John Nemunaitis, MD
- Recruiting
Baptist Cancer Center
Memphis, Tennessee, 38120
Angela Gates, 901-317-0644, angela.gates@tempus.com
Raymond Osarogiagbon, MD
- Recruiting
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Stephanie Chang, stephanie.chang@mssm.edu
Fred Hirsch
- Recruiting
Eastern CT and Hematology and Oncology Associates
Norwich, Connecticut, 06360
Susan Johnson, sjohnson@echoct.com
Dennis Slater
- Recruiting
Hightower Clinical
Oklahoma City, Oklahoma, 73102
Caitlin Merrick, caitlin@hightowerclinical.com
Thy Nguyen, MD
- Recruiting
Mercy Clinic Oncology and Hematology - Coletta
Oklahoma City, Oklahoma, 73120
Marian Nolen, Marian.Nolen@mercy.net
Carla Kurkjian, MD
- Recruiting
Nebraska Cancer Specialists
Omaha, Nebraska, 68130
Kimberly Wendt, 531-444-1230, kwendt@nebraskacancer.com
Timothy Huyck, MD
- Recruiting
Lake Regional Health System
Osage Beach, Missouri, 65065
Kathy Hirst, khirst@lakeregional.com
Carla Ostronic
- Withdrawn
Woodlands Medical Specialists
Pensacola, Florida, 32503
- Recruiting
Cancer Care Specialists Reno
Reno, Nevada, 89511
Layla Quinonez, 775-329-0222 ext. 230, ltapia@ccsreno.com
Juan Adolfo Cattoni III
- Recruiting
OSF Saint Anthony Medical Center
Rockford, Illinois, 61108
Shylendra Sreenivasappa, 815-227-2859, shylendra.b.sreenivasappa2@osfhealthcare.org
- Recruiting
Oregon Oncology Specialists
Salem, Oregon, 97301
Cheryl LaBronte, clabronte@orcancer.com
Janelle Meyer, MD
- Recruiting
Cancer Care Northwest
Spokane Valley, Washington, 99216
Ronaye Wagner, ronaye.wagner@ccnw.net
Dr. Jessica Hellyer, MD
- Recruiting
Mercy Clinic Cancer and Hematology - Chub O'Reilly Cancer Center
Springfield, Missouri, 65804
Jennifer Hylton, Jennifer.Hylton@mercy.net
Mohan Tummala, MD
- Recruiting
Oncology Hematology Associates
Springfield, Missouri, 65807
Adrianna Moore, 417-882-4880, adrianna.moore@aoncology.com
Robert Ellis, MD
- Recruiting
Mercy Clinic Oncology and Hematology - Sindelar Cancer Center
St Louis, Missouri, 63128
Laura O'Brien, Laura.OBrien2@mercy.net
Yifan Tu, MD
- Recruiting
Mercy Clinic Oncology and Hematology - David C. Pratt Cancer Center
St Louis, Missouri, 63141
Jessica Black, Jessica.Black@mercy.net
Bethany Sleckman, MD
- Recruiting
Oklahoma Cancer Specialists and Research Institute
Tulsa, Oklahoma, 74146
Stephanie Sandoval, 918-505-3200, stephanie.sandoval@ocsri.org
Paul Zito, MD
- Recruiting
White Plains Hospital
White Plains, New York, 10601
Madison Gilmore, magilmore@wphospital.org
Dan Costin
- Recruiting
Cancer Care Associates of York
York, Pennsylvania, 17403
Jennifer Stough, 717-741-9229 ext. 149, jstough@cancercareyork.com
Chanh Hyunh, MD
About this study
Official title: TEMPUS GEMINI NSCLC STUDY: A Longitudinal Multi-Omic Biomarker Profiling Study of Patients With Non-Small Cell Lung Cancer (NSCLC)
GEMINI NSCLC Study is a non-interventional study that will be collecting clinical and molecular health information from patients with NSCLC who will receive longitudinal blood collection in addition to their standard of care therapy and disease surveillance with the goals of identifying the molecular evolution of lung cancer with standard of care therapy, and determining the utility of ctDNA dynamics to predict risk of recurrence and therapeutic outcomes.
- Conditions
- Non-Small Cell Lung Cancer
- Being tested
- Observation
- Keywords
- Cancer, Oncology, Observational, Genomic Profiling, Precision medicine, Non-Small Cell Lung Cancer, NSCLC, NGS, Biomarkers
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ObservationOther
No intervention
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1 | Cohort 1 will include patients with early-stage (Stages I-IIIB) who are candidates for treatment with curative intent, surgery with or without perioperative (neoadjuvant or adjuvant) therapy. Receives: Other: Observation | |
| Cohort 2 | Cohort 2 will include patients with stage IV disease receiving first line immunotherapy (as monotherapy or in combination with chemotherapy). Receives: Other: Observation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Real-World Disease Free Survival (rwDFS)
Measured: 5 years
Real-World Overall Survival (rwOS)
Measured: 3 years
Secondary outcomes (10)
Sensitivity, Specificity, PPV and NPV of MRD assay to predict recurrence at benchmark vs physician assessment of recurrence via conventional imaging every 6 months
Measured: 5 years
Sensitivity, Specificity, PPV and NPV of MRD assay to predict recurrence across longitudinal collections vs physician assessment of recurrence via conventional imaging every 6 months
Measured: 5 years
Real-World Disease Free Survival (rwDFS) stratified by ctDNA status at benchmark
Measured: 5 years
pCR rate stratified by ctDNA status
Measured: 5 years
Real-World Overall Survival (rwOS) stratified by ctDNA status at benchmark
Measured: 5 years
Positive percent agreement and negative percent agreement between plasma ctDNA vs tumor tissue at benchmark & longitudinal time points
Measured: 5 years
Real-World Overall Survival
Measured: 18 months
Real-World Progression-Free
Measured: 18 months
Treatment patterns
Measured: 18 months
Positive percent agreement and negative percent agreement between plasma ctDNA vs. tumor tissue at benchmark & longitudinal time points
Measured: 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Feb 2022
- Study start22 Jun 2022
- Primary completionJun 2029 (estimated)
- Study completionJun 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (61)Papers the sponsor has linked to this study.
- Other trials for Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 1,200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Tempus AI
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- AstraZeneca
- Responsible party
- Sponsor
- Investigators
- Virginia Rhodes, MD, Principal investigator, Tempus AI, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05236114
- Sponsor's protocol ID
- TP-CA-002
- Status last verified
- Feb 2026
- First submitted
- 12 Jan 2022
- Last updated
- 5 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020 Jan;70(1):7-30. doi: 10.3322/caac.21590. Epub 2020 Jan 8.
PubMed 31912902Duma N, Santana-Davila R, Molina JR. Non-Small Cell Lung Cancer: Epidemiology, Screening, Diagnosis, and Treatment. Mayo Clin Proc. 2019 Aug;94(8):1623-1640. doi: 10.1016/j.mayocp.2019.01.013.
PubMed 31378236Chansky K, Sculier JP, Crowley JJ, Giroux D, Van Meerbeeck J, Goldstraw P; International Staging Committee and Participating Institutions. The International Association for the Study of Lung Cancer Staging Project: prognostic factors and pathologic TNM stage in surgically managed non-small cell lung cancer. J Thorac Oncol. 2009 Jul;4(7):792-801. doi: 10.1097/JTO.0b013e3181a7716e.
PubMed 19458556Pignon JP, Tribodet H, Scagliotti GV, Douillard JY, Shepherd FA, Stephens RJ, Dunant A, Torri V, Rosell R, Seymour L, Spiro SG, Rolland E, Fossati R, Aubert D, Ding K, Waller D, Le Chevalier T; LACE Collaborative Group. Lung adjuvant cisplatin evaluation: a pooled analysis by the LACE Collaborative Group. J Clin Oncol. 2008 Jul 20;26(21):3552-9. doi: 10.1200/JCO.2007.13.9030. Epub 2008 May 27.
PubMed 18506026Curran WJ Jr, Paulus R, Langer CJ, Komaki R, Lee JS, Hauser S, Movsas B, Wasserman T, Rosenthal SA, Gore E, Machtay M, Sause W, Cox JD. Sequential vs. concurrent chemoradiation for stage III non-small cell lung cancer: randomized phase III trial RTOG 9410. J Natl Cancer Inst. 2011 Oct 5;103(19):1452-60. doi: 10.1093/jnci/djr325. Epub 2011 Sep 8.
PubMed 21903745Antonia SJ, Villegas A, Daniel D, Vicente D, Murakami S, Hui R, Kurata T, Chiappori A, Lee KH, de Wit M, Cho BC, Bourhaba M, Quantin X, Tokito T, Mekhail T, Planchard D, Kim YC, Karapetis CS, Hiret S, Ostoros G, Kubota K, Gray JE, Paz-Ares L, de Castro Carpeno J, Faivre-Finn C, Reck M, Vansteenkiste J, Spigel DR, Wadsworth C, Melillo G, Taboada M, Dennis PA, Ozguroglu M; PACIFIC Investigators. Overall Survival with Durvalumab after Chemoradiotherapy in Stage III NSCLC. N Engl J Med. 2018 Dec 13;379(24):2342-2350. doi: 10.1056/NEJMoa1809697. Epub 2018 Sep 25.
PubMed 30280658Schiller JH, Harrington D, Belani CP, Langer C, Sandler A, Krook J, Zhu J, Johnson DH; Eastern Cooperative Oncology Group. Comparison of four chemotherapy regimens for advanced non-small-cell lung cancer. N Engl J Med. 2002 Jan 10;346(2):92-8. doi: 10.1056/NEJMoa011954.
PubMed 11784875Jordan EJ, Kim HR, Arcila ME, Barron D, Chakravarty D, Gao J, Chang MT, Ni A, Kundra R, Jonsson P, Jayakumaran G, Gao SP, Johnsen HC, Hanrahan AJ, Zehir A, Rekhtman N, Ginsberg MS, Li BT, Yu HA, Paik PK, Drilon A, Hellmann MD, Reales DN, Benayed R, Rusch VW, Kris MG, Chaft JE, Baselga J, Taylor BS, Schultz N, Rudin CM, Hyman DM, Berger MF, Solit DB, Ladanyi M, Riely GJ. Prospective Comprehensive Molecular Characterization of Lung Adenocarcinomas for Efficient Patient Matching to Approved and Emerging Therapies. Cancer Discov. 2017 Jun;7(6):596-609. doi: 10.1158/2159-8290.CD-16-1337. Epub 2017 Mar 23.
PubMed 28336552Gobbini E, Swalduz A, Levra MG, Ortiz-Cuaran S, Toffart AC, Perol M, Moro-Sibilot D, Saintigny P. Implementing ctDNA Analysis in the Clinic: Challenges and Opportunities in Non-Small Cell Lung Cancer. Cancers (Basel). 2020 Oct 24;12(11):3112. doi: 10.3390/cancers12113112.
PubMed 33114393Aggarwal C, Thompson JC, Black TA, Katz SI, Fan R, Yee SS, Chien AL, Evans TL, Bauml JM, Alley EW, Ciunci CA, Berman AT, Cohen RB, Lieberman DB, Majmundar KS, Savitch SL, Morrissette JJD, Hwang WT, Elenitoba-Johnson KSJ, Langer CJ, Carpenter EL. Clinical Implications of Plasma-Based Genotyping With the Delivery of Personalized Therapy in Metastatic Non-Small Cell Lung Cancer. JAMA Oncol. 2019 Feb 1;5(2):173-180. doi: 10.1001/jamaoncol.2018.4305.
PubMed 30325992Shepherd FA, Rodrigues Pereira J, Ciuleanu T, Tan EH, Hirsh V, Thongprasert S, Campos D, Maoleekoonpiroj S, Smylie M, Martins R, van Kooten M, Dediu M, Findlay B, Tu D, Johnston D, Bezjak A, Clark G, Santabarbara P, Seymour L; National Cancer Institute of Canada Clinical Trials Group. Erlotinib in previously treated non-small-cell lung cancer. N Engl J Med. 2005 Jul 14;353(2):123-32. doi: 10.1056/NEJMoa050753.
PubMed 16014882Lynch TJ, Bell DW, Sordella R, Gurubhagavatula S, Okimoto RA, Brannigan BW, Harris PL, Haserlat SM, Supko JG, Haluska FG, Louis DN, Christiani DC, Settleman J, Haber DA. Activating mutations in the epidermal growth factor receptor underlying responsiveness of non-small-cell lung cancer to gefitinib. N Engl J Med. 2004 May 20;350(21):2129-39. doi: 10.1056/NEJMoa040938. Epub 2004 Apr 29.
PubMed 15118073Maemondo M, Inoue A, Kobayashi K, Sugawara S, Oizumi S, Isobe H, Gemma A, Harada M, Yoshizawa H, Kinoshita I, Fujita Y, Okinaga S, Hirano H, Yoshimori K, Harada T, Ogura T, Ando M, Miyazawa H, Tanaka T, Saijo Y, Hagiwara K, Morita S, Nukiwa T; North-East Japan Study Group. Gefitinib or chemotherapy for non-small-cell lung cancer with mutated EGFR. N Engl J Med. 2010 Jun 24;362(25):2380-8. doi: 10.1056/NEJMoa0909530.
PubMed 20573926Ramalingam SS, Vansteenkiste J, Planchard D, Cho BC, Gray JE, Ohe Y, Zhou C, Reungwetwattana T, Cheng Y, Chewaskulyong B, Shah R, Cobo M, Lee KH, Cheema P, Tiseo M, John T, Lin MC, Imamura F, Kurata T, Todd A, Hodge R, Saggese M, Rukazenkov Y, Soria JC; FLAURA Investigators. Overall Survival with Osimertinib in Untreated, EGFR-Mutated Advanced NSCLC. N Engl J Med. 2020 Jan 2;382(1):41-50. doi: 10.1056/NEJMoa1913662. Epub 2019 Nov 21.
PubMed 31751012Soda M, Choi YL, Enomoto M, Takada S, Yamashita Y, Ishikawa S, Fujiwara S, Watanabe H, Kurashina K, Hatanaka H, Bando M, Ohno S, Ishikawa Y, Aburatani H, Niki T, Sohara Y, Sugiyama Y, Mano H. Identification of the transforming EML4-ALK fusion gene in non-small-cell lung cancer. Nature. 2007 Aug 2;448(7153):561-6. doi: 10.1038/nature05945. Epub 2007 Jul 11.
PubMed 17625570
Study at a glance
From the registry record, last updated by the sponsor on 5 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- TEMPUS GEMINI NSCLC STUDY: A Longitudinal Multi-Omic Biomarker Profiling Study of Patients With Non-Small Cell Lung Cancer (NSCLC)
- ClinicalTrials.gov ID
- NCT05236114
- Acronym / sponsor ID
- TP-CA-002
- Conditions
- Non-Small Cell Lung Cancer
- Keywords
- Cancer, Oncology, Observational, Genomic Profiling, Precision medicine, Non-Small Cell Lung Cancer, NSCLC, NGS
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 1,200 participants (estimated)
- Lead sponsor
- Tempus AIIndustry (pharma, biotech, devices)
- Collaborators
- AstraZeneca
- Study start
- 22 Jun 2022 (actual)
- Primary completion
- Jun 2029 (estimated)
- Study completion
- Jun 2029 (estimated)
- First posted
- 11 Feb 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
GEMINI NSCLC Study is a non-interventional study that will be collecting clinical and molecular health information from patients with NSCLC who will receive longitudinal blood collection in addition to their standard of care therapy and disease surveillance with the goals of identifying the molecular evolution of lung cancer with standard of care therapy, and determining the utility of ctDNA dynamics to predict risk of recurrence and therapeutic outcomes.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cohort 1 | – | Other: ObservationCohort 1 will include patients with early-stage (Stages I-IIIB) who are candidates for treatment with curative intent, surgery with or without perioperative (neoadjuvant or adjuvant) therapy. |
| Cohort 2 | – | Other: ObservationCohort 2 will include patients with stage IV disease receiving first line immunotherapy (as monotherapy or in combination with chemotherapy). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- This protocol targets patients with Non-Small Cell Lung Cancer (NSCLC)
Key inclusion criteria (0 listed)
Key exclusion criteria (5 listed)
- Patients without a known or suspected NSCLC diagnosis, or other disease processes such as sarcoidosis, lymphoma, or metastatic cancer from other sites.
- Not willing to have additional blood samples collected
- Patients with a secondary malignancy must have been both diagnosed > 2 years from the lung cancer of interest and have completed all therapy for that malignancy (including extended adjuvant therapy) > 2 years prior to diagnosis of the lung cancer of interest with the exception of the following:
- Patients with superficial basal cell carcinoma of low-risk histology per NCCN Guidelines (Low-risk histologic subtypes include nodular, superficial, and other non-aggressive growth patterns such as keratotic, infundibulocystic, and fibroepithelioma of Pinkus) and low-risk for recurrence per NCCN Guidelines (location on trunk or extremities, size < 2 cm, primary (not recurrent), with well-defined borders) can be included even if they are diagnosed < 2 years from the lung cancer of interest.
- Patients with superficial squamous cell carcinoma of low-risk pathology per NCCN Guidelines (verrucous, keratoacanthomatous) and low-risk for recurrence per NCCN Guidelines (located on trunk or extremities; 2 cm in size; primary lesion (vs. recurrent); well to moderately differentiated; < 2 mm thick and no invasion beyond subcutaneous fat; negative for perineural invasion; and negative for lymphatic or vascular involvement) can be included even if they are diagnosed < 2 years from the lung cancer of interest.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ObservationNo intervention | Other | Cohort 1, Cohort 2 |
Primary outcome
Real-World Disease Free Survival (rwDFS)
Time frame: 5 years
Real-World Overall Survival (rwOS)
Time frame: 3 years
10 secondary outcomes
Sensitivity, Specificity, PPV and NPV of MRD assay to predict recurrence at benchmark vs physician assessment of recurrence via conventional imaging every 6 months
Time frame: 5 years
Sensitivity, Specificity, PPV and NPV of MRD assay to predict recurrence across longitudinal collections vs physician assessment of recurrence via conventional imaging every 6 months
Time frame: 5 years
Real-World Disease Free Survival (rwDFS) stratified by ctDNA status at benchmark
Time frame: 5 years
pCR rate stratified by ctDNA status
Time frame: 5 years
Real-World Overall Survival (rwOS) stratified by ctDNA status at benchmark
Time frame: 5 years
Positive percent agreement and negative percent agreement between plasma ctDNA vs tumor tissue at benchmark & longitudinal time points
Time frame: 5 years
Real-World Overall Survival
Time frame: 18 months
Real-World Progression-Free
Time frame: 18 months
Treatment patterns
Time frame: 18 months
Positive percent agreement and negative percent agreement between plasma ctDNA vs. tumor tissue at benchmark & longitudinal time points
Time frame: 18 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Feb 2026.
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- Background: PubMed 21903745Curran WJ Jr, Paulus R, Langer CJ, Komaki R, Lee JS, Hauser S, Movsas B, Wasserman T, Rosenthal SA, Gore E, Machtay M, Sause W, Cox JD. Sequential vs. concurrent chemoradiation for stage III non-small cell lung cancer: randomized phase III trial RTOG 9410. J Natl Cancer Inst. 2011 Oct 5;103(19):1452-60. doi: 10.1093/jnci/djr325. Epub 2011 Sep 8.
- Background: PubMed 30280658Antonia SJ, Villegas A, Daniel D, Vicente D, Murakami S, Hui R, Kurata T, Chiappori A, Lee KH, de Wit M, Cho BC, Bourhaba M, Quantin X, Tokito T, Mekhail T, Planchard D, Kim YC, Karapetis CS, Hiret S, Ostoros G, Kubota K, Gray JE, Paz-Ares L, de Castro Carpeno J, Faivre-Finn C, Reck M, Vansteenkiste J, Spigel DR, Wadsworth C, Melillo G, Taboada M, Dennis PA, Ozguroglu M; PACIFIC Investigators. Overall Survival with Durvalumab after Chemoradiotherapy in Stage III NSCLC. N Engl J Med. 2018 Dec 13;379(24):2342-2350. doi: 10.1056/NEJMoa1809697. Epub 2018 Sep 25.
- Background: PubMed 11784875Schiller JH, Harrington D, Belani CP, Langer C, Sandler A, Krook J, Zhu J, Johnson DH; Eastern Cooperative Oncology Group. Comparison of four chemotherapy regimens for advanced non-small-cell lung cancer. N Engl J Med. 2002 Jan 10;346(2):92-8. doi: 10.1056/NEJMoa011954.
- Background: PubMed 28336552Jordan EJ, Kim HR, Arcila ME, Barron D, Chakravarty D, Gao J, Chang MT, Ni A, Kundra R, Jonsson P, Jayakumaran G, Gao SP, Johnsen HC, Hanrahan AJ, Zehir A, Rekhtman N, Ginsberg MS, Li BT, Yu HA, Paik PK, Drilon A, Hellmann MD, Reales DN, Benayed R, Rusch VW, Kris MG, Chaft JE, Baselga J, Taylor BS, Schultz N, Rudin CM, Hyman DM, Berger MF, Solit DB, Ladanyi M, Riely GJ. Prospective Comprehensive Molecular Characterization of Lung Adenocarcinomas for Efficient Patient Matching to Approved and Emerging Therapies. Cancer Discov. 2017 Jun;7(6):596-609. doi: 10.1158/2159-8290.CD-16-1337. Epub 2017 Mar 23.
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- Background: PubMed 16014882Shepherd FA, Rodrigues Pereira J, Ciuleanu T, Tan EH, Hirsh V, Thongprasert S, Campos D, Maoleekoonpiroj S, Smylie M, Martins R, van Kooten M, Dediu M, Findlay B, Tu D, Johnston D, Bezjak A, Clark G, Santabarbara P, Seymour L; National Cancer Institute of Canada Clinical Trials Group. Erlotinib in previously treated non-small-cell lung cancer. N Engl J Med. 2005 Jul 14;353(2):123-32. doi: 10.1056/NEJMoa050753.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Virginia Rhodes, MD principal investigator
Tempus AI, Inc.
58 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Non-Small Cell Lung Cancer, run by Tempus AI at 58 sites in United States.
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 0 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 5 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 58 sites in United States. 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?
Contact GEMINI NSCLC ((833) 514-4187, gemini-nsclc@tempus.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Real-World Disease Free Survival (rwDFS) (time frame: 5 years). The study lists 2 primary outcomes in all. 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 NCT05236114, which also lists 61 linked publications.
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 5 Feb 2026.