Poop pills may help revive immunotherapy in lung cancer patients
NCT ID NCT07432984
First seen Jun 27, 2026 · Last updated Aug 12, 2026 · Updated 2 times
Summary
This study tests whether a fecal microbiota transplant (FMT) — transferring healthy gut bacteria from a donor — can help restore the immune system's ability to fight advanced non-small cell lung cancer in 15 patients whose disease worsened after prior immunotherapy. Participants will receive FMT along with the drug tislelizumab. The goal is to see if this combination is safe and can shrink tumors or slow cancer growth.
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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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About 15 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2029
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.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: * DONOR ① Subjects who have voluntarily provided written Informed consent to participate in this clinical trial ② Aged of 19 or older ③ Subjects who meet one of the following criteria: 1. Patients with histologically confirmed NSCLC who have maintained a clinical benefit(partial response, PR) for more than 1 year through immune checkpoint inhibitor therapy 2. Healthy volunteers with no history of inflammatory bowel disease ④ Subjects who agree to provide repetitive blood and fecal samples during the trial period * RECIPIENT * Have voluntarily provided written Informed consent to participate in this clinical trial * Adults aged 19 years or older * Histologically or cytologically confirmed progressive or metastatic NSCLC * Subjects with at least one measurable lesion according to RECIST v1.1 * Subjects who have received one or more chemotherapy treatments and have experienced disease progression after prior immunotherapy (However, patients with confirmed EGFR or ALK mutations must have shown progression after approved targeted therapies.) * ECOG 0-1 * Subjects with a life expectancy is at least 3 months ⑧ Subjects with adequate bone marrow and organ function within 14 days prior to study treatment, defined as: 1. Absolute neutrophil count (ANC): ≥ 1.5×109/L 2. Hemoglobin: ≥ 9.0 g/dL 3. Platelet count: ≥ 75×109/L 4. Serum creatinine ≤ 1.5×ULN or CrCl ≥ 30 mL/min as determined by Cockcroft-Gault 5. AST(SGOT)/ALT(SGPT): ≤ 3×ULN (≤ 5×ULN in the presence of liver metastases) 6. Total bilirubin: ≤ 1.5×ULN (\< 3×ULN for Gilbert's syndrome(unconjugated hyperbilirubinemia) or liver metastases) ⑨ Female Subjects must be using a highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug ⑩ Male Subjects must be using highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug and refrain from sperm donation ⑪ Agreed to provide blood and fecal samples during the trial period Exclusion Criteria: * DONOR * Have voluntarily provided written Informed consent to participate in this clinical trial * Adults aged 19 years or older * Histologically or cytologically confirmed progressive or metastatic NSCLC * Subjects with at least one measurable lesion according to RECIST v1.1 * Subjects who have received one or more chemotherapy treatments and have experienced disease progression after prior immunotherapy (However, patients with confirmed EGFR or ALK mutations must have shown progression after approved targeted therapies.) ⑥ ECOG 0-1 * Subjects with a life expectancy is at least 3 months * Subjects with adequate bone marrow and organ function within 14 days prior to study treatment, defined as: 1. Absolute neutrophil count (ANC): ≥ 1.5×109/L 2. Hemoglobin: ≥ 9.0 g/dL 3. Platelet count: ≥ 75×109/L 4. Serum creatinine ≤ 1.5×ULN or CrCl ≥ 30 mL/min as determined by Cockcroft-Gault 5. AST(SGOT)/ALT(SGPT): ≤ 3×ULN (≤ 5×ULN in the presence of liver metastases) 6. Total bilirubin: ≤ 1.5×ULN (\< 3×ULN for Gilbert's syndrome(unconjugated hyperbilirubinemia) or liver metastases) * Female Subjects must be using a highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug * Male Subjects must be using highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug and refrain from sperm donation * Agreed to provide blood and fecal samples during the trial period * RECIPIENT * Have voluntarily provided written Informed consent to participate in this clinical trial * Adults aged 19 years or older * Histologically or cytologically confirmed progressive or metastatic NSCLC * Subjects with at least one measurable lesion according to RECIST v1.1 * Subjects who have received one or more chemotherapy treatments and have experienced disease progression after prior immunotherapy (However, patients with confirmed EGFR or ALK mutations must have shown progression after approved targeted therapies.) * ECOG 0-1 ⑦ Subjects with a life expectancy is at least 3 months * Subjects with adequate bone marrow and organ function within 14 days prior to study treatment, defined as: 1. Absolute neutrophil count (ANC): ≥ 1.5×109/L 2. Hemoglobin: ≥ 9.0 g/dL 3. Platelet count: ≥ 75×109/L 4. Serum creatinine ≤ 1.5×ULN or CrCl ≥ 30 mL/min as determined by Cockcroft-Gault 5. AST(SGOT)/ALT(SGPT): ≤ 3×ULN (≤ 5×ULN in the presence of liver metastases) 6. Total bilirubin: ≤ 1.5×ULN (\< 3×ULN for Gilbert's syndrome(unconjugated hyperbilirubinemia) or liver metastases) * Female Subjects must be using a highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug ⑩ Male Subjects must be using highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug and refrain from sperm donation * Agreed to provide blood and fecal samples during the trial period
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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 official record
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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.
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Other studies related to the condition(s) this trial covers.
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