Pulse Radiotherapy to Overcome Metastatic Immune System Evasion in Lung Cancer

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorHouda Bahig

About this trial

This phase I study aims to evaluate the safety and effectiveness of adaptive pulsed radiotherapy combined with immunotherapy in patients with metastatic non-small cell lung cancer (NSCLC) resistant to immune checkpoint inhibitors. The primary goal is to assess treatment-related toxicity, while secondary objectives include progression-free survival, overall survival, and quality of life. The study will enroll 32 patients.

Eligibility criteria

Qualifiers

Participants must be ≥ 18 years old

Ability to provide written informed consent

Actively receiving PD(L)-1 inhibitors

Progressive disease defined as per RECIST criteria 1.1 on CT metrics as a greater than 20% increase in the sum measurement of lesions, non-target unequivocal progressive disease or a new lesion on CT.

Disqualifiers

Pregnant or breastfeeding individuals are excluded.

Medical conditions that would hinder the safe administration of radiotherapy or follow-up.

Patients who are ineligible for immunotherapy.

Patients with a history of pneumonitis are excluded.

Trial design

Treatments tested in this trial

  • Pulse radiotherapy

Treatment groups

32 Participants
are divided into 1 treatment group

Sponsors and collaborators

Houda Bahig

Lead sponsor

Centre hospitalier de l'Université de Montréal (CHUM)

Sponsor institution

Varian, a Siemens Healthineers Company

Collaborator