Can immunotherapy extend remission in Limited-Stage lung cancer?
NCT ID NCT02046733
First seen Aug 24, 2026 · Last updated Aug 25, 2026 · Updated 1 time
Summary
This trial is investigating whether adding two immunotherapy drugs, nivolumab and ipilimumab, after standard chemotherapy and radiation can help people with limited-stage small cell lung cancer. Even though initial treatment often works well, the cancer frequently returns within a couple of years. The study compares standard treatment alone versus standard treatment followed by the immunotherapy combination, aiming to see if it can delay cancer progression and improve survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nivolumab and ipilimumab (immunotherapy drugs)
- What this could lead to
- If successful, this could lead to a new treatment strategy that helps keep limited-stage small cell lung cancer from returning after standard therapy.
- What could go wrong
- This is a phase II trial, so results are preliminary. The drugs may cause immune-related side effects, and not all patients may benefit.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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222 people
The number who actually took part.
- Started
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Dec 2015
- Finished
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Feb 2022
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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 years and older
- 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 for enrolment: * Histologically or cytologically confirmed small cell lung carcinoma. * Untreated limited-stage disease (with the exception of one cycle of chemotherapy given prior to enrolment) as defined by stage I-IIIB based on 7th TNM classification (IASLC classification for SCLC proposal). M0 proven by whole body FDG-PET CT including a contrast-enhanced CT of thorax and upper abdomen (incl. liver, kidney, adrenals); OR contrast-enhanced CT of thorax and upper abdomen (incl. liver, kidney, adrenals) and bone scan; AND brain MRI (or contrast enhanced CT of the brain) within 28 days before start of chemotherapy. * Age ≥ 18 years. * ECOG performance status 0-1. * Adequate haematological function: haemoglobin \> 9 g/dL, neutrophils count \>1.5×109/L, platelet count \> 100 × 109/L. * Adequate liver function: total bilirubin \< 2.5 × ULN, ALT and/or AST \< 2.5 × ULN, alkaline phosphatase \< 5 ULN. * Adequate renal function: Calculated creatinine clearance ≥ 30 mL/min (Cockroft-Gault). * Pulmonary function FEV1 of 1.0L or \> 40% predicted value and DLCO \> 40% predicted value. * Patient capable of proper therapeutic compliance, and accessible for correct follow-up. * Women of childbearing potential, including women who had their last menstrual period in the last 2 years, must have a negative serum or urine pregnancy test within 7 days before beginning of chemotherapy. * All sexually active men and women of childbearing potential must use an effective contraceptive method (two barrier methods or a barrier method plus a hormonal method) during the study treatment and for a period of at least 12 months following the last administration of trial drugs. * Measurable or evaluable disease (according to RECIST 1.1 criteria). Not eligible: patients with only one measurable or evaluable tumour lesion which was resected or irradiated prior to enrolment. * Written Informed Consent (IC) must be signed and dated by the patient and the investigator prior to any trial-related intervention for a) Chemo-radiotherapy treatment and PCI, and subsequent randomisation, including mandatory biological samples b) Optional biological material collection, long-term storage and future use of biological material for translational research. Exclusion Criteria for enrolment: * Patient with mixed small-cell and non-small-cell histologic features. * Patient with pleural or pericardial effusions proven to be malignant. * Patients who have had in the past 5 years any previous or concomitant malignancy EXCEPT adequately treated basal or squamous cell carcinoma of the skin, in situ carcinoma of the cervix or bladder, in situ ductal carcinoma of the breast (if no RT was involved). * Patients with other serious diseases or clinical conditions, including but not limited to uncontrolled active infection and any other serious underlying medical processes that could affect the patient's capacity to participate in the study. * Ongoing clinically serious infections requiring systemic antibiotic or antiviral, antimicrobial, antifungal therapy. * Known or suspected hypersensitivity to nivolumab or ipilimumab or any of their excipients. * Substance abuse, medical, psychological or social conditions that may interfere with the patient's participation in the study or evaluation of the study results. * Documented history of severe autoimmune or immune mediated symptomatic disease that required prolonged (more than 2 months) systemic immunosuppressive (e.g. steroids) treatment, such as but not limited to ulcerative colitis and Crohn´s disease, rheumatoid arthritis, systemic progressive sclerosis (scleroderma), systemic lupus erythematosus, or autoimmune vasculitis (eg, Wegener's granulomatosis). * Subjects with an autoimmune paraneoplastic syndrome requiring concurrent immunosuppressive treatment. * Interstitial lung disease or pulmonary fibrosis. * Women who are pregnant or in the period of lactation. * Sexually active men and women of childbearing potential who are not willing to use an effective contraceptive method during the study. * Patients with any concurrent anticancer systemic therapy (except for chemotherapy cycle 1). * HIV, active Hepatitis B or Hepatitis C infection. * Previous radiotherapy to the thorax (prior to inclusion), including RT for breast cancer. * Planned radiotherapy to lung of mean dose \> 20 Gy or V20 \> 35 %. * Patients who received treatment with an investigational drug agent during the 3 weeks before enrolment in the study. * Prior chemotherapy or radiotherapy for SCLC. Exception: one cycle of chemotherapy (as specified to section 10.2 of the protocol) may be administered prior to enrolment. Inclusion Criteria for randomisation: * Chemo-radiotherapy completed per protocol: 4 cycles of chemotherapy, ≥85% of PTV of thoracic radiotherapy, as well as completed, mandatory PCI. * Non-PD after chemo-radiotherapy and PCI. * ECOG performance status 0-2. * Recovery of all adverse events to a grade ≤1, except for fatigue, appetite, oesophagitis and renal impairment (where ≤2 is allowed) and alopecia (any grade). * Women of childbearing potential, including women who had their last menstrual period in the last 2 years, must have a negative serum or urine pregnancy test within 7 days before randomisation. Exclusion criteria for randomisation: * Less than 4 cycles of chemotherapy administered, less than 85% PTV of thoracic radiotherapy delivered, or PCI not completed. * Progressive disease after chemo-radiotherapy and PCI.
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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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AP-HM
Marseille, France
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Austin Hospital
Melbourne, Australia
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Avignon - Institut Sainte-Catherine
Avignon, France
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Bendigo Hospital
Bendigo, Australia
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CH
Mulhouse, France
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CHI
Toulon, France
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CHU
Caen, France
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CHU
Grenoble, France
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CHU
Rennes, France
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CHU
Toulouse, France
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CHU
Tours, France
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CRLCC
Nantes, France
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Caen - Centre François Baclesse
Caen, France
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Centre Hospitalier Général
Le Mans, 72037, France
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Centre Hospitalier Universitaire Vaudois
Lausanne, Switzerland
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Centre Hospitalier Universitaire de Montpellier
Montpellier, France
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Clermont-Ferrand
Clermont-Ferrand, France
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Clinico San Carlos
Madrid, Spain
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Coffs Harbour Health Campus
Coffs Harbour, Australia
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Créteil - CHI
Créteil, France
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Epworth HealthCare - Richmond
Richmond, Australia
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Hospital Clínico Universitario De Valencia
Valencia, Spain
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Hospital De La Santa Creu I Sant Pau
Barcelona, Spain
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Hospital General Universitario Alicante
Alicante, Spain
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Hospital Puerta de Hierro
Madrid, Spain
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Hospital Universitario 12 Octubre
Madrid, Spain
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Hospital Universitario Central De Asturias
Oviedo, Spain
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Hospital Universitario Cruces
Barakaldo, Spain
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Hospital Universitario Fundacion Jimenez Díaz
Madrid, Spain
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Hospital Virgen De La Salud
Toledo, Spain
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Hôpital Louis Pradel
Lyon, France
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Institut Gustave Roussy
Villejuif, France
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Klinikum Esslingen
Esslingen am Neckar, Germany
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Klinikum München-Bogenhausen
München, Germany
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Krankenhaus der Barmherzigen Brüder
Trier, Germany
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LungenClinic Grosshansdorf GmbH
Großhansdorf, 22927, Germany
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Lyon - Sud
Lyon, France
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Maastro Clinic
Maastricht, Netherlands
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NNSWLHD - The Tweed Hospital
Lismore, Australia
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Nice - CRLCC
Nice, France
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Nouvel Hôpital Civil
Strasbourg, France
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Orléans - CH
Orléans, France
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Paris - Bichat
Paris, France
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Paris - Saint-Louis
Paris, France
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Paris - Tenon
Paris, France
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Percy/Armées
Clamart, France
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Pius-Hospital Oldenburg
Oldenburg, Germany
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Port Macquarie Base Hospital
Port Macquarie, Australia
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Princess Alexandra Hospital
Woolloongabba, Australia
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Riverina Cancer Centre
Mount Kuring-Gai, Australia
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Royal Brisbane and Women's Hospital (QLD)
Herston, Australia
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Royal Hobart Hospital
Hobart, Australia
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Royal Marsden
London, United Kingdom
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St James' University Hospital
Leeds, United Kingdom
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Suresnes
Suresnes, France
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The Christie NHS Foundation Trust
Manchester, United Kingdom
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Thoracic Oncology Centre Munich
München, Germany
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University Hospital Gasthuisberg, KU Leuven
Leuven, 3000, Belgium
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University Hospital Zürich
Zurich, Switzerland
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Universitätsklinikum Tübingen
Tübingen, Germany
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VUMC
Amsterdam, Netherlands
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Other studies related to the condition(s) this trial covers.
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