Understanding cancer-related fatigue in lung cancer patients on immunotherapy

Cancer-related Fatigue During Maintenance Immunotherapy for Non-small Cell Lung Cancer (NSCLC): a Qualitative Study

Observational Wake Forest University Health Sciences · NCT06567704

This study is trying to understand how cancer-related fatigue affects people with lung cancer who are receiving immunotherapy and what their caregivers experience during this time.

Quick facts

Study typeObservational
Enrollment20 (estimated)
Ages18 Years and up
SexAll
SponsorWake Forest University Health Sciences Academic / other
Drugs / interventionschemotherapy, immunotherapy, radiation
Locations2 sites (Charlotte, North Carolina and 1 other locations)
Trial IDNCT06567704 on ClinicalTrials.gov

What this trial studies

This observational pilot study aims to explore the experiences of cancer-related fatigue in patients with inoperable non-small cell lung cancer (NSCLC) undergoing treatment with immune checkpoint inhibitors. The study involves qualitative interviews conducted at two time points, where patients will complete a fatigue assessment and caregivers will provide insights into their caregiving experiences. Participants will be asked about changes in fatigue and their views on physical activity during follow-up interviews. The research is being conducted at Levine Cancer Institute and Atrium Health Wake Forest Baptist Comprehensive Cancer Center.

Who should consider this trial

Good fit: Ideal candidates include adults aged 18 and older with inoperable NSCLC who have completed at least two cycles of immune checkpoint inhibitors and report fatigue.

Not a fit: Patients with operable NSCLC or those who have not received immune checkpoint inhibitors may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide valuable insights into managing fatigue in lung cancer patients, potentially improving their quality of life.

How similar studies have performed: While there have been studies on cancer-related fatigue, this specific qualitative approach in the context of NSCLC and immunotherapy is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ≥ 18 years of age at the time of consent.
* Must be able to speak, read, and understand English.
* Participants diagnosed with NSCLC, and:

  * have advanced/metastatic disease who are currently receiving immunotherapy monotherapy, or
  * have locally advanced disease who are currently receiving immunotherapy monotherapy after completing thoracic radiation therapy, or
  * who underwent resection and are currently receiving immunotherapy monotherapy after completing all other perioperative treatment
* Immunotherapy planned to continue for at least three months after the time of study enrollment (to ensure participant remains on IO long enough to obtain study assessments)
* Have completed at least two cycles of immunotherapy.
* Self-reported cancer-related fatigued that impacts daily function.

Exclusion Criteria:

* Participants who have received a dose of chemotherapy (including maintenance pemetrexed) within the past 3 months
* Participants who have received radiation therapy within the past 3 months. Note: a short course of palliative radiation therapy within up to 20 Gy and up to 5 fractions is permissible.
* Diagnosis of dementia.
* Anemia Hgb \<10 g/dL.
* Sarcopenia which is being pharmacologically treated with a prescribed appetite stimulant (e.g., megestrol).
* Untreated hypothyroidism.
* Symptomatic heart failure.
* Oxygen dependent lung disease.
* Cognitively unable to complete interviews per investigator.

Where this trial is running

Charlotte, North Carolina and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Non-small Cell Lung CancerCancer related fatigueImmune checkpoint inhibitor
Last reviewed 2026-06-13 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.