Can zapping a few tumor spots extend cancer treatment success?
NCT ID NCT07545486
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study looks at whether using local ablative therapy (like radiation or surgery) on a limited number of tumor spots can improve outcomes for patients with solid tumors that responded to initial chemotherapy. The researchers will enroll over 1,200 patients with various cancer types and compare their response duration to historical data. The goal is to see if this approach can delay disease progression and improve survival, while also tracking 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
- local ablative therapy (LAT)
- What this could lead to
- If successful, this approach could extend the time patients with certain solid tumors remain progression-free after initial treatment, potentially improving survival.
- What could go wrong
- This is a proof-of-concept study, not yet recruiting, and results are compared to historical data, not a control group. Local ablative therapy carries risks of serious side effects, including fatal complications.
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.
- Participants
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About 1,235 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2036
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.
Who is studied
Patients with non-progressive disease after at least 3 months of optimal standard first line therapy (OST) defined according to ESMO guidelines. The OST is defined as the up-to-date most efficient first systemic line in term of anti-tumoral activity and survival benefit for each tumor type according to the ESMO guidelines and national practice. All cancer sites (including primitive lesion if concerned) must be accessible for local ablative treatment (LAT) based on radiological assessment of less than 6 weeks and LAT must have been decided by the investigator's local multidisciplinary team before inclusion in the study.
- 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: 1. Performance status 0 or 1 on the Eastern Cooperative Oncology Group (ECOG). 2. Histologically diagnosis of one of these tumour types: 1. Hormone receptor positive, HER2 negative breast cancer 2. Triple negative breast cancer 3. HER2+ breast cancer 4. Non small cell lung cancer without oncogenic addiction 5. Head and Neck squamous cell carcinoma without recurrence in the radiation field 6. Gastric adenocarcinoma 7. Esophageal cancer (adenocarcinoma or epidermoid carcinoma) 8. Recurrent pancreatic cancer without local recurrence 9. Anal cancer 10. Bladder cancer 11. Clear cells renal cell carcinoma 12. Prostate cancer sensitive to castration 13. Adenocarcinoma endometrial cancer 14. Epidermoid carcinoma or adenocarcinoma of the cervix 15. Colorectal cancer 16. Recurrent Soft Tissue Sarcoma 17. Melanoma 3. Patient with a decision by the local team to give OST and effective administration of OST. OST is defined as the most efficient choice in terms of survival in first line of advanced disease according to ESMO or other international guidelines. In case of multiple choice as first line, if no data provided direct evidence of superiority from one or the other options, there are all considered as OST. If the patient received a less efficient treatment because of his comorbidity or frailty, the eligible criteria won't be fulfilled. 4. Have non-progressive disease after 3 to 6 months of treatment, and less than 6 weeks before presentation to the multidisciplinary team 1. Patients with complete response and no target lesion are excluded. 2. Patients with bone metastasis with remaining bone condensation or scare from tumoral activity may be eligible depending on metabolic activity of the lesion or local multidisciplinary committee decision concerning the risk of residual disease. 5. After 3 to 6 months of treatment, and less than 6 weeks before start of LAT, patient must have an oligometastatic disease defined as all lesions (including primitive lesion) amenable to local ablative treatment according to local investigator team and respective local committee. Exclusion Criteria: 1. Patients who already received systemic antitumoral treatment in the advanced setting (including chemotherapy, immunotherapy, targeted therapy, …) 2. Patients without OST administration 3. Patients that have progressing lesion at any time point before decision of LAT by the expert committee 4. Has a known recent history of other invasive tumour, excepted if local investigator may provide histologically data that all active lesions targeted are from the same cancer primitive. 5. Radiotherapy or other LAT to any metastatic site before the start of OST. 6. Exclusion criteria specific for France: Vulnerable persons according to the article L.1121-6 of the public health law (CSP), adults who are the subject of a measure of legal protection or unable to express their consent according to article L.1121-8 of the CSP
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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
12 sites in 5 countries. 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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American University of Beirut (AUB)
Beirut, Lebanon
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Bank of Cyprus Oncology
Nicosia, 2006, Cyprus
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CHIREC Hospital
Brussels, 1160, Belgium
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CHU Brugmann
Brussels, 1020, Belgium
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CHU de Saint-Etienne
Saint-Priest-en-Jarez, 42270, France
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Centre de Lutte contre le Cancer François Baclesse
Caen, 14000, France
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Cliniques Universitaires Saint-Luc
Brussels, 1200, Belgium
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Grand Hôpital de Charleroi, site Notre Dame
Charleroi, 6000, Belgium
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HELORA Hôpital de Mons - Site Kennedy
Mons, 7000, Belgium
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Hôpital Universitaire de Strasbourg
Strasbourg, 67200, France
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Institut Paoli-Calmettes
Marseille, 13009, France
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Oslo University Hospital / The Norwegian Radium Hospital
Oslo, Norway
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