Hope for frail lung cancer patients: immunotherapy combo shows promise

NCT ID NCT04221529

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This study tested whether adding the immunotherapy drug atezolizumab to standard chemotherapy can help people with advanced small cell lung cancer who are in poor health. The trial included 70 patients with extensive-stage disease and a low performance status (ECOG 2). Researchers measured overall survival and tumor response to see if this combination is safe and effective for this vulnerable group.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Atezolizumab (an immunotherapy drug) plus carboplatin and etoposide (chemotherapy)
What this could lead to
If successful, this could provide a treatment option for extensive-stage small cell lung cancer patients who are too weak for standard therapy, potentially improving survival.
What could go wrong
This is a small, early-phase trial with only 70 participants and no comparison group, so results may not be conclusive. The patients are already in poor health, which increases the risk of side effects and limits how much benefit can be expected.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Asklepios Klinik Altona

    Hamburg, 22763, Germany

  • Brüderkrankenhaus St. Josef

    Paderborn, 33098, Germany

  • Fachkliniken Wangen

    Wangen, 88239, Germany

  • Helios Dr. Horst Schmidt Kliniken Wiesbaden

    Wiesbaden, 65199, Germany

  • Helios Universitätsklinikum

    Wuppertal, 42283, Germany

  • Johannes Wesling Klinikum

    Minden, 32429, Germany

  • Karl Landsteiner Institut für Lungenforschung und Pneumologische Onkologie c/o Wilhelminenspital der Stadt Wien

    Vienna, 1160, Austria

  • Klinikum Esslingen GmbH

    Esslingen am Neckar, 73730, Germany

  • Klinikum Klagenfurt

    Klagenfurt, 9020, Austria

  • Klinikum Löwenstein gGmbH

    Löwenstein, 74245, Germany

  • Klinikum der Universität München

    München, 80336, Germany

  • Krankenhaus Martha-Maria Halle-Dölau

    Halle, 06120, Germany

  • LungenClinic Grosshansdorf GmbH

    Großhansdorf, 22927, Germany

  • Niels-Stensen-Kliniken

    Georgsmarienhütte, 49124, Germany

  • St. Josef Hospital

    Bochum, 44791, Germany

  • Universität Heidelberg

    Heidelberg, 69126, Germany

  • Universitätsklinikum Freiburg

    Freiburg im Breisgau, 79106, Germany

  • Universitätsklinikum Gießen und Marburg GmbH

    Marburg, 35043, Germany

  • Universitätsklinikum Krems

    Krems, 3500, Austria

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Other studies related to the condition(s) this trial covers.