Inhaled drug combo aims to boost lung cancer treatment before surgery

NCT ID NCT06694454

First seen Jun 25, 2026 · Last updated Aug 14, 2026 · Updated 35 times

Summary

This study tests whether adding an inhaled form of the drug azacytidine to standard chemotherapy and immunotherapy (durvalumab) can improve outcomes for people with early-stage non-small cell lung cancer before they have surgery. The trial involves 60 adults with operable stage IB-IIIA NSCLC. Participants receive the inhaled drug for three days each cycle, plus IV chemo and immunotherapy, followed by tumor removal surgery. The goal is to find the safest and most effective dose and see if this combination can eliminate all cancer cells in the removed tissue.

What this could mean

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

Active substance
inhaled azacytidine (a drug that affects gene activity) combined with standard chemotherapy (carboplatin and paclitaxel) and durvalumab (an immunotherapy)
What this could lead to
If it works, this could lead to a new treatment option that helps shrink early-stage lung cancer before surgery, potentially reducing the chance of the cancer coming back.
What could go wrong
This is an early-phase trial with only 60 people, so the benefits are not proven yet. The inhaled drug is experimental for lung cancer, and side effects from the combination therapy could be significant.

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.

non-small cell lung carcinoma Pathologic Complete Response

As listed by the trial registrant

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

Contacts and locations

Locations

  • National Institutes of Health Clinical Center

    Bethesda, Maryland, 20892, United States

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