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New hope for lung cancer patients too weak for standard treatment?

NCT ID NCT04221529

First seen Nov 01, 2025 · Last updated Jun 19, 2026 · Updated 27 times

Summary

This study tested whether adding the immunotherapy drug atezolizumab to standard chemotherapy (carboplatin and etoposide) is safe and effective for people with extensive-stage small cell lung cancer who have poor performance status (ECOG 2). The trial enrolled 70 participants and measured overall survival and tumor response. The goal is to see if this combination can help a group of patients who often have very limited treatment options.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • Asklepios Klinik Altona

    Hamburg, 22763, Germany

  • Brüderkrankenhaus St. Josef

    Paderborn, 33098, Germany

  • Fachkliniken Wangen

    Wangen, 88239, Germany

  • Helios Dr. Horst Schmidt Kliniken Wiesbaden

    Wiesbaden, 65199, Germany

  • Helios Universitätsklinikum

    Wuppertal, 42283, Germany

  • Johannes Wesling Klinikum

    Minden, 32429, Germany

  • Karl Landsteiner Institut für Lungenforschung und Pneumologische Onkologie c/o Wilhelminenspital der Stadt Wien

    Vienna, 1160, Austria

  • Klinikum Esslingen GmbH

    Esslingen am Neckar, 73730, Germany

  • Klinikum Klagenfurt

    Klagenfurt, 9020, Austria

  • Klinikum Löwenstein gGmbH

    Löwenstein, 74245, Germany

  • Klinikum der Universität München

    München, 80336, Germany

  • Krankenhaus Martha-Maria Halle-Dölau

    Halle, 06120, Germany

  • LungenClinic Grosshansdorf GmbH

    Großhansdorf, 22927, Germany

  • Niels-Stensen-Kliniken

    Georgsmarienhütte, 49124, Germany

  • St. Josef Hospital

    Bochum, 44791, Germany

  • Universität Heidelberg

    Heidelberg, 69126, Germany

  • Universitätsklinikum Freiburg

    Freiburg im Breisgau, 79106, Germany

  • Universitätsklinikum Gießen und Marburg GmbH

    Marburg, 35043, Germany

  • Universitätsklinikum Krems

    Krems, 3500, Austria

What this could mean

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

Active substance

Atezolizumab (an immunotherapy drug) plus carboplatin and etoposide (chemotherapy)

What this could lead to

If successful, this could show that adding immunotherapy to standard chemo is safe and effective for SCLC patients who are too weak for standard treatment, potentially improving survival in this group.

What could go wrong

This is a small, single-arm phase 2 trial with only 70 participants, so results may not be definitive. Patients with poor performance status often have worse outcomes, and the added immunotherapy may not improve survival or could cause additional side effects.

Conditions

The condition(s) this trial relates to.

small cell lung carcinoma

As listed by the trial registrant

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