Immunotherapy combo targets rare, aggressive lung cancer
NCT ID NCT06049966
First seen Jul 08, 2026 · Last updated Jul 09, 2026 · Updated 1 time
Summary
This trial investigates whether adding the immunotherapy drug atezolizumab (Tecentriq) to standard chemotherapy (carboplatin and etoposide) helps people with a rare and aggressive lung cancer called large cell neuroendocrine carcinoma (LCNEC). The study enrolls adults with advanced or metastatic LCNEC who have not had prior treatment. Researchers measure how long patients live without the cancer worsening, overall survival, and tumor shrinkage. They also look at blood markers called miR-21 and miR-375 to see if they can predict treatment response.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- atezolizumab (Tecentriq) plus carboplatin and etoposide
- What this could lead to
- If successful, this could offer a new treatment option for a rare and aggressive lung cancer, potentially improving survival and response rates.
- What could go wrong
- This is an early-phase, small study (22 people) with no randomization. The drug may not work better than chemo alone, and side effects from immunotherapy can be serious.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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22 people
The number who actually took part.
- Started
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Nov 2019
- Finished
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Sep 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 90 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Cohorts A and B: Inclusion Criteria: * Histologically confirmed Stage IV (metastatic) or unresectable locally advanced LCNEC * No prior treatment * With or without brain metastasis, if symptomatic patients should be treated with WBRT first * Performance Status ≤ 2 * Life expectancy \> 3 months * Written informed consent * Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 Exclusion Criteria: * Prior treatment with chemotherapy, immunotherapy, targeted small molecule therapy, or radiation therapy (except WBRT for brain metastasis from LCNEC) * Active or history of autoimmune disease or immune deficiency * Treatment with systemic immunosuppressive medications with the following exceptions: Patients who have received acute, low-dose systemic immunosuppressant medication (≤ 10 mg/day oral prednisone or equivalent) or a one-time pulse dose of systemic immunosuppressant medication (e.g., 48 hours of corticosteroids for a contrast allergy) are eligible for the study after Medical Monitor approval has been obtained. * Major surgical procedure other than for diagnosis within 4 weeks before initiation of study treatment, or anticipation of need for a major surgical procedure during the study * Active malignancy or malignancy within 3 years * Active tuberculosis * Current severe, uncontrolled systemic disease other than cancer * Known clinically significant liver disease * Treatment with any other investigational agent or participation in another clinical study with therapeutic intent
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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
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National and Kapodistrian University of Athens
Athens, 11527, Greece
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OCEBER
Athens, Athens, 11527, Greece
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Sotiria Thoracic Diseases General Hospital of Athens
Athens, 115 27, Greece
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