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Can adding radiation to immunotherapy help advanced cancer patients? new study explores safety and 'Abscopal' effects

NCT ID NCT03042156

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
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 This study
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 Results may not be published yet.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This status has not been confirmed recently, so it may be out of date.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 27, 2026 · Last updated Jun 27, 2026

Summary

This study looked at 42 adults with advanced solid tumors who were already on or about to start checkpoint inhibitor immunotherapy and also needed palliative radiotherapy for symptom relief. Researchers wanted to see if the combination was safe (less than 30% severe side effects) and whether it could shrink tumors both where the radiation was aimed and elsewhere in the body (the 'abscopal' effect). The goal was to gather more information on how patients respond to this combined treatment.

What this could mean

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

Active substance
checkpoint inhibitor immunotherapy and palliative radiation therapy
What this could lead to
If successful, this could help doctors understand which patients with advanced cancer might benefit from combining immunotherapy with palliative radiation, potentially improving symptom control and even shrinking tumors outside the radiated area.
What could go wrong
This is a small, early-stage study with only 42 participants, so results may not apply to everyone. The main goal was safety, not proving the combination works better than either treatment alone.

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

42 people

The number who actually took part.

Started

Jan 2017

Finished

Apr 2025

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 advanced malignancy referred for palliative radiotherapy for symptom control who are either (a) already on a checkpoint inhibitor or (b) about to start immunotherapy (including PD1 inhibitors, CTLA4 inhibitors or other novel checkpoint inhibitor agents)

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. Adults aged 18 years or older 2. Histologically or cytologically confirmed solid tumor malignancy 3. Advanced disease (locally advanced and/or metastatic) 4. Life expectancy \> 3 months 5. Patients planned to receive palliative radiotherapy (including whole liver radiotherapy) 6. Patients who are already on or about to commence a checkpoint inhibitor 7. Measurable disease according to irRECIST on CT or MRI 8. ECOG performance status 0-2 9. Able to provide informed consent 10. Able to complete telephone/email communication 11. Additional criteria for subset of patients for abscopal analysis (to be done post hoc): 1. Measurable disease outside irradiated volume 2. Must be on same checkpoint inhibitor/immunotherapy (or same class of checkpoint inhibitor) for 3 months prior to radiotherapy and have stable disease or oligoprogression in past 3 months 3. Availability of prior biopsy specimen (preferably fresh frozen tissue) for research and genotyping Exclusion Criteria: 1. Medical conditions which may be contraindications to radiotherapy 2. Any medical or non-medical issue that would affect the patient's ability to provide informed consent for study participation, or would interfere with the patient's treatment on study.

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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.

Contacts and locations

Locations

  • Princess Margaret Hospital

    Toronto, Ontario, M5G 2M9, Canada

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