Lung cancer showdown: which drug combo works best?
NCT ID NCT07394062
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study follows 400 people with advanced non-small cell lung cancer whose tumors have low PD-L1 levels (below 50%). Researchers will compare two standard treatment combos: chemotherapy plus pembrolizumab versus nivolumab plus ipilimumab with chemotherapy. The goal is to see which approach leads to longer survival and better quality of life in everyday medical practice.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- pembrolizumab, nivolumab, ipilimumab, and platinum-based chemotherapy
- What this could lead to
- If successful, this study could help doctors choose the best treatment for advanced lung cancer patients with low PD-L1 levels, improving survival and quality of life.
- What could go wrong
- This is an observational study, not a controlled trial, so results may be influenced by patient differences. It won't prove one treatment is better, only provide real-world insights.
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 400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Feb 2028
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
The study population consists of adult patients with metastatic non-small cell lung cancer and PD-L1 expression below 50% who are receiving standard first-line chemo-immunotherapy regimens in routine clinical practice.
- 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: * Age ≥18 years. * Histologically or cytologically confirmed non-small cell lung cancer. * Metastatic (stage IV) disease at the time of study entry. * Tumor PD-L1 expression \<50%. * Initiation of first-line systemic treatment with either chemotherapy plus pembrolizumab or nivolumab plus ipilimumab in combination with chemotherapy, according to routine clinical practice. * Ability to provide informed consent. Exclusion Criteria: * Prior systemic therapy for metastatic non-small cell lung cancer. * Participation in an interventional clinical trial that mandates treatment assignment. * Presence of another active malignancy requiring systemic treatment. * Inability to comply with routine clinical follow-up or data collection.
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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
2 sites. 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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Ankara Etlik City Hospital
RECRUITINGAnkara, Turkey (Türkiye)
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Gazi University Faculty of Medicine, Department of Medical Oncology
RECRUITINGAnkara, Turkey (Türkiye)
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