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Can zapping a few tumor spots extend cancer treatment success?

NCT ID NCT07545486

Disease control Sponsor: Chirec Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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

About 1,235 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Jun 2026

An estimate. Start dates often move.

Expected to finish

Jun 2036

An estimate. End dates often move.

Lead sponsor

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

18 years and older

Sex

Anyone

Healthy volunteers

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

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.

  1. The places running it

    12 sites in 5 countries. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. 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

  • American University of Beirut (AUB)

    Beirut, Lebanon

  • Bank of Cyprus Oncology

    Nicosia, 2006, Cyprus

  • CHIREC Hospital

    Brussels, 1160, Belgium

  • CHU Brugmann

    Brussels, 1020, Belgium

  • CHU de Saint-Etienne

    Saint-Priest-en-Jarez, 42270, France

  • Centre de Lutte contre le Cancer François Baclesse

    Caen, 14000, France

  • Cliniques Universitaires Saint-Luc

    Brussels, 1200, Belgium

  • Grand Hôpital de Charleroi, site Notre Dame

    Charleroi, 6000, Belgium

  • HELORA Hôpital de Mons - Site Kennedy

    Mons, 7000, Belgium

  • Hôpital Universitaire de Strasbourg

    Strasbourg, 67200, France

  • Institut Paoli-Calmettes

    Marseille, 13009, France

  • Oslo University Hospital / The Norwegian Radium Hospital

    Oslo, Norway

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