Can an oral chemo pill boost immunotherapy's power against lung cancer?

NCT ID NCT02546986

First seen Jul 22, 2026 · Last updated Jul 23, 2026 · Updated 1 time

Summary

This phase 2 trial is testing whether adding an oral chemotherapy drug (CC-486, a form of azacitidine) to the immunotherapy pembrolizumab can help people with advanced non-small cell lung cancer who have already received one round of platinum-based chemotherapy. About 100 participants will be randomly assigned to receive either the combination or pembrolizumab alone. The study aims to see if the combination delays cancer progression better than the standard single-drug approach.

What this could mean

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

Active substance
an oral chemotherapy drug called CC-486 (azacitidine) combined with the immunotherapy pembrolizumab
What this could lead to
If the combination works better than pembrolizumab alone, it could offer a new treatment option for people with advanced lung cancer who have already tried chemotherapy.
What could go wrong
This is a phase 2 trial, so results are still preliminary. Adding CC-486 may increase side effects without improving outcomes, and the benefit may be limited to certain patient subgroups.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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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

  • Georgetown University Medical Center

    Washington D.C., District of Columbia, 20057, United States

  • Local Institution - 006

    New York, New York, 10011, United States

  • Local Institution - 200

    Marseille, 13915, France

  • Local Institution - 201

    Villejuif, 94805, France

  • Local Institution - 203

    Toulouse, 31059, France

  • Local Institution - 204

    Lyon, 69008, France

  • Local Institution - 300

    Esslingen am Neckar, 73730, Germany

  • Local Institution - 301

    Löwenstein, 74245, Germany

  • Local Institution - 302

    Berlin, State of Berlin, 13125, Germany

  • Local Institution - 304

    Cologne, 50937, Germany

  • Local Institution - 600

    Novara, 28100, Italy

  • Local Institution - 601

    Aviano, 33081, Italy

  • Local Institution - 602

    Milan, 20132, Italy

  • Local Institution - 603

    Napoli, Campania, 80131, Italy

  • Local Institution - 604

    Catania, 95122, Italy

  • Local Institution - 605

    Roma, 00128, Italy

  • Local Institution - 606

    Milan, 20133, Italy

  • Local Institution - 700

    Valencia, 46014, Spain

  • Local Institution - 701

    Madrid, 28040, Spain

  • Local Institution - 702

    Barcelona, 08035, Spain

  • Local Institution - 703

    Madrid, 28034, Spain

  • Local Institution - 704

    Madrid, 28040, Spain

  • Local Institution - 705

    Barakaldo, 48903, Spain

  • Local Institution - 706

    Madrid, 28041, Spain

  • Local Institution - 903

    Athens, 15562, Greece

  • NYU Langone Medical Center

    New York, New York, 10016, United States

  • North Shore Hematology Oncology Associates

    East Setauket, New York, 11733-3456, United States

  • Palo Verde Hematology Oncology

    Glendale, Arizona, 85304, United States

  • Research Medical Center

    Kansas City, Missouri, 64132, United States

  • UCLA Hematology Oncology

    Los Angeles, California, 90095, United States

  • University Cancer and Blood Center, LLC

    Athens, Georgia, 30607, United States

  • Vanderbilt Univ Medical Center

    Nashville, Tennessee, 37232-6307, United States

  • Washington Univ School of Medicine

    St Louis, Missouri, 63110, United States

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