Heart drug could boost radiation for brain tumors in lung cancer patients
NCT ID NCT06238882
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This phase III trial tests whether adding nitroglycerin patches to standard radiation therapy helps shrink brain tumors better than radiation alone in people with a specific type of lung cancer (EGFR-mutant non-small cell lung cancer). 74 participants will receive either radiation plus nitroglycerin or radiation alone. The study will measure tumor response, survival, quality of life, and side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nitroglycerin patch
- What this could lead to
- If it works, this could improve how well radiation shrinks brain tumors in people with a specific type of lung cancer, potentially extending life and preserving brain function.
- What could go wrong
- This is a small, early-stage trial (74 people) testing a repurposed drug. Nitroglycerin can cause headaches and low blood pressure, and the added benefit over radiation alone is uncertain.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 74 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2023
- Expected to finish
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Feb 2027
An estimate. End dates often move.
- 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 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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.
Inclusion Criteria: * Patients diagnosed with advanced non-small cell lung cancer (which includes de novo stage IIIB-IV, according to the 8th edition AJCC, or recurrent disease), documented by histology and/or cytology. * Presence of brain metastases, candidates for treatment with holocranial radiation therapy. * Documented EGFR sensitivity mutation. * Disease measurable by criteria: The Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM). * 18 years and up. * Functional status, by ECOG scale 0-2 * Life expectancy at least 12 weeks. * Not receive vasodilator treatment as calcium channel blockers. * Electrocardiogram * Neutrophil count 1.5 x 103/mm3, platelet count \>100 x (103/mm3). * Serum bilirubin should be 1.5 of the upper normal limit (ULN, upper normal limit). * AST and/or ALT 2 ULN (or 5 x ULN in patients with liver metastases). * Serum creatinine 1.5 (ULN), or creatinine clearance 60ml/min. * Ability to comply with study and follow-up procedures. * Informed written (signed) consent to participate in the study. * Have tumor tissue (paraffin blocks from diagnostic biopsy) obtained before systemic treatment Exclusion Criteria: * Any unstable systemic disease (including active infection, grade 4 hypertension, unstable angina, congestive heart failure, ischemic heart disease, liver, kidney disease). * Patients with a history of allergy to glyceryl tinistate * Any other malignant pathology within the previous 5 years (except for cervical carcinoma in situ or basal-cell skin cancer, treated appropriately). * Pregnant and/or breastfeeding women. * Meningeal carcinomatosis corroborated by cytopathological study. Disposal Criteria: * Failure to follow protocol rules. * Loss of patient follow-up. * Patients who express their desire not to continue the study. * Patients with unacceptable toxicity
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Instituto Nacional de Cancerologia
RECRUITINGMexico City, Mexico City, 14080, Mexico
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