Real-world first-line atezolizumab for stage IV NSCLC with PD-L1 ≥50% in Türkiye
Official title: TRIMPACT: A Prospective Real-World Study of Atezolizumab Monotherapy as First-Line (Stage IV) Treatment in Patients With Non-Small Cell Lung Cancer With PD-L1 Tumor Cell Expression ≥50% and No Targetable Mutations
Run by Antalya Training and Research Hospital · NCT07279402 · Data updated 2026-11-12
This project will see how well first-line atezolizumab works and how safe it is for adults with stage IV non-small cell lung cancer whose tumors have PD-L1 ≥50% and no targetable mutations in routine care in Türkiye.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Antalya Training and Research Hospital Government |
| Drugs / interventions | atezolizumab |
| Locations | 25 sites (Adana and 24 other locations) |
| Status | Recruiting |
| Started | September 15, 2025 |
| Main results expected | May 1, 2027 |
| Study ends | October 1, 2027 |
| Registry record updated | April 30, 2026 |
| Trial ID | NCT07279402 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with stage IV non-small cell lung cancer, tumor PD-L1 expression ≥50%, no targetable driver mutations, who have been prescribed atezolizumab as first-line therapy and received up to three cycles by screening are eligible.
✕Probably not a fit
Patients with targetable mutations, those not receiving atezolizumab, pregnant or breastfeeding women, or those with known hypersensitivity to atezolizumab are unlikely to benefit from joining this project.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective, multicenter observational study will collect routine clinical data from about 150 patients treated with first-line atezolizumab across several Turkish hospitals. No protocol-mandated interventions are required; treatments, imaging, labs, and follow-up occur per each center's standard practice. Investigators will analyze survival, response, safety, and real-world treatment patterns using information abstracted from medical records. The goal is to describe how atezolizumab performs outside of controlled trials in a national cohort.
Why it matters
Potential benefit: If successful, this could show that first-line atezolizumab is effective and safe for adults with stage IV NSCLC and high PD-L1 expression in everyday clinical practice in Türkiye.
How similar studies have gone: Randomized trials have shown benefit for single-agent PD-(L)1 therapy in high PD-L1 advanced NSCLC, but prospective real-world evidence specifically describing first-line atezolizumab in this exact population is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Signed informed consent form. * Diagnosis of stage IV non-small cell lung cancer. * Male or female patients aged 18 years or older. * Patients who have been prescribed atezolizumab in accordance with routine clinical practice and the locally approved indication in Türkiye. * Patients who have received up to 3 cycles of atezolizumab at the screening visit. Exclusion Criteria: * Patients who are not receiving atezolizumab for the treatment of lung cancer according to standard of care and the approved indication. * Known or suspected hypersensitivity to atezolizumab. * Pregnant or breastfeeding women.
Where it's running
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Adana City Hospital
Adana, Turkey (Türkiye) Recruiting -
Afyonkarahisar Health Sciences University Hospital
Afyonkarahisar, Turkey (Türkiye) Recruiting -
Ankara Atatürk Sanatoryum Training and Research Hospital
Ankara, Turkey (Türkiye) Recruiting -
Antalya Training and Research Hospital
Antalya, Turkey (Türkiye) Recruiting -
Antalya City Hospital
Antalya, Turkey (Türkiye) Recruiting -
Adnan Menderes University Faculty of Medicine Hospital
Aydin, Turkey (Türkiye) Recruiting
Show 19 more locations
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Trakya University Faculty of Medicine Hospital
Edirne, Turkey (Türkiye) Recruiting -
Gaziantep City Hospital
Gaziantep, Turkey (Türkiye) Recruiting -
Başakşehir Çam and Sakura City Hospital
Istanbul, Turkey (Türkiye) Recruiting -
Dokuz Eylul University Faculty of Medicine Hospital
Izmir, Turkey (Türkiye) Recruiting -
Ege University Hospital
Izmir, Turkey (Türkiye) Recruiting -
Necmettin Erbakan University Meram Faculty of Medicine Hospital
Konya, Turkey (Türkiye) Recruiting -
Mersin University Faculty of Medicine Hospital
Mersin, Turkey (Türkiye) Recruiting -
Sakarya University Faculty of Medicine Hospital
Sakarya, Turkey (Türkiye) Recruiting -
Karadeniz Technical University Farabi Hospital
Trabzon, Turkey (Türkiye) Recruiting -
Ankara Oncology Training and Research Hospital
Ankara, Turkey (Türkiye) Not yet recruiting -
Memorial Ankara Hospital
Ankara, Turkey (Türkiye) Not yet recruiting -
Ankara Bilkent City Hospital
Ankara, Turkey (Türkiye) Not yet recruiting -
Dicle University Hospital
Diyarbakır, Turkey (Türkiye) Not yet recruiting -
Bahçelievler Memorial Hospital
Istanbul, Turkey (Türkiye) Not yet recruiting -
İstanbul Medipol Mega Hospital
Istanbul, Turkey (Türkiye) Not yet recruiting -
Ümraniye Training and Research Hospital
Istanbul, Turkey (Türkiye) Not yet recruiting -
Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi
Istanbul, Turkey (Türkiye) Not yet recruiting -
Ordu State Hospital
Ordu, Turkey (Türkiye) Not yet recruiting -
Medical Park Samsun Hospital
Samsun, Turkey (Türkiye) Not yet recruiting
Study contacts
- Study coordinator: Derya Kıvrak Salim
- Email: derya.kivraksalim@sbu.edu.tr
- Phone: +90 533 648 82 17
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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.