Clinical trial Recruiting at 1 site Observational Ages 18 and up

Lung MRI to identify immune patterns in non-small cell lung cancer

Official title: Magnetic Resonance Imaging of the Lung: Oncological Applications

Run by Fondazione IRCCS Policlinico San Matteo di Pavia · NCT07486219 · Data updated 2026-11-12

This will see if combining different MRI measurements of the lung can create imaging signatures that identify immune-related patterns in people with primary non-small cell lung cancer.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment50 (estimated)
SponsorFondazione IRCCS Policlinico San Matteo di Pavia
Academic / other
Locations1 site (Pavia)
StatusRecruiting
StartedJanuary 15, 2020
Main results expectedApril 2026
Study endsApril 2026
Registry record updatedMarch 20, 2026
Trial IDNCT07486219 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with primary non-small cell lung cancer (TNM 8th edition T≥T1c) who have a biopsy adequate for PD-L1 testing and a staging CT with uncertain nodal status, and who can safely undergo MRI with gadolinium contrast.

Probably not a fit

People with absolute contraindications to MRI or gadolinium-based contrast agents, tumors smaller than T1c, or without adequate biopsy material are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational, single-center study will collect multiparametric MRI scans of the primary lung tumor in people with non-small cell lung cancer. MRI parameters will be combined to generate imaging "signatures" that investigators will compare with tumor biopsy results such as PD-L1 and histology to infer immune phenotypes. Eligible patients must have primary NSCLC (TNM 8th edition T≥T1c) with a biopsy adequate for PD-L1 quantification and a staging CT with uncertain nodal status. Patients with contraindications to MRI or gadolinium will be excluded and no investigational treatments are administered.

Why it matters

Potential benefit: If successful, this could provide a noninvasive way to identify tumor immune phenotypes and help guide treatment decisions without repeated biopsies.

How similar studies have gone: Preliminary radiomics and multiparametric MRI studies have shown promise in correlating imaging features with tumor microenvironment and immune markers, but noninvasive immune "signatures" are not yet widely validated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Primary NSCLC of the lung (TNM 8th edition T parameter ≥T1c)
* Biopsy examination of the primary tumor adequate at least for PDL-1 quantification
* Staging CT scan with uncertain N parameter and definite M parameter.

Exclusion Criteria:

* Absolute contraindications to magnetic resonance imaging or the administration of gadolinium-based contrast agents

Where it's running

  • Fondazione IRCCS Policlinico San Matteo
    Pavia, Italy
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.