Can adding radiation to immunotherapy help advanced cancer patients? new study explores safety and 'Abscopal' effects
NCT ID NCT03042156
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
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Apr 2025
- 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
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
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18 years and older
- Sex
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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 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: 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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