Radiotherapy for advanced small-cell lung cancer after chemotherapy
Official title: Consolidative Thoracic Radiotherapy for Extensive-stage Small-cell Lung Cancer Treated With Chemo-immunotherapy Followed by PD-1/PD-L1 Maintenance Therapy:an Open Label, Single Arm Prospective Trial
Run by Ruijin Hospital · NCT05552846 · Data updated 2026-11-12
This study is testing if adding radiation therapy to ongoing treatment can help people with advanced small-cell lung cancer who haven't gotten worse after chemotherapy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 104 (estimated) |
| Sponsor | Ruijin Hospital Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Shanghai, Shanghai Municipality) |
| Status | Recruiting |
| Started | January 30, 2021 |
| Main results expected | September 30, 2027 |
| Study ends | September 30, 2027 |
| Registry record updated | August 12, 2026 |
| Trial ID | NCT05552846 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 80 with extensive-stage small-cell lung cancer who have not shown disease progression after initial chemotherapy and immunotherapy.
✕Probably not a fit
Patients who have previously received chemotherapy, immunotherapy, or radiotherapy for small-cell lung cancer may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This open-label, single-arm Phase II study aims to evaluate the efficacy and safety of thoracic radiotherapy in patients with extensive-stage small-cell lung cancer (ES-SCLC) who have not progressed after receiving standard chemo-immunotherapy. Participants will receive thoracic radiotherapy alongside PD-1/PD-L1 maintenance therapy for a minimum of six months. The study focuses on patients with measurable thoracic lesions who meet specific eligibility criteria, including adequate organ function and performance status.
Why it matters
Potential benefit: If successful, this approach could improve treatment outcomes and prolong survival for patients with advanced small-cell lung cancer.
How similar studies have gone: While there have been studies on radiotherapy in lung cancer, this specific approach combining thoracic radiotherapy with PD-1/PD-L1 maintenance therapy in ES-SCLC is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age between18 years and 80 years at time of study entry 2. ECOG performance status of 0 or 1 3. Body weight \>30 kg 4. Adequate bone marrow, liver and kidney function 5. Life expectancy of at least 3 months 6. At least one measurable (RECIST 1.1), thoracic lesion that can be irradiated with 45 Gy/15 fractions 7. Histologic or cytologic confirmation of small cell lung cancer 8. Stage III-IV disease (TNM v8) 9. Adequate pulmonary function with FEV1 \>1 L or \>30 % of predicted value and DLCO \>30 % of predicted value 10. Patients with brain metastases are eligible provided they are asymptomatic or treated and stable on steroids and/or anticonvulsants prior to the start of treatment - Exclusion Criteria: 1. Previous chemo-, immuno- or radiotherapy for SCLC 2. Major surgical procedure last 28 days 3. History of allogenic organ transplantation, autoimmune disease, immunodeficiency, hepatitis or HIV 4. Uncontrolled intercurrent illness 5. Other active malignancy 6. Leptomeningeal carcinomatosis 7. Immunosuppressive medication 8. Pregnant or breastfeeding women
Where it's running
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Ruijin Hospital, Shanghai jiaotong univestigy school of medicine
Shanghai, Shanghai Municipality, China Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.