Electric field therapy device takes on metastatic lung cancer in major trial
NCT ID NCT06216301
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase 3 trial tests whether adding a wearable device that delivers electric fields (TTFields) to standard immunotherapy and chemotherapy improves survival in people with metastatic non-small cell lung cancer. About 734 participants who have not had prior treatment for their advanced cancer will be enrolled. The device is used at home and aims to disrupt cancer cell division.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tumor Treating Fields (TTFields) delivered by a portable device, plus pembrolizumab and platinum-based chemotherapy
- What this could lead to
- If successful, this could provide a new treatment option that extends survival for people with advanced lung cancer by adding TTFields to standard immunotherapy and chemotherapy.
- What could go wrong
- This is a Phase 3 trial, but results are not yet known. Adding a device may increase side effects or burden without clear benefit. The study is large but still experimental.
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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 734 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Oct 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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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 * ≥22 years of age in the USA ≥18 years of age outside of the USA. * Histologically or cytologically diagnosis of stage 4 (according to Version 8 of the American Joint Committee on Cancer \[AJCC\] criteria) non-squamous or squamous NSCLC. * Evaluable (measurable or non-measurable) disease in the thorax per RECIST v1.1. * Have not received prior systemic treatment for their metastatic NSCLC. Subjects who received adjuvant, neoadjuvant chemotherapy or chemoradiotherapy with curative intent for non-metastatic disease are eligible if the therapy was completed at least 12 months prior to the development of metastatic disease. * ECOG Performance Status (PS) of 0-1. * Adequate hematologic and end-organ function o For subjects not receiving therapeutic anticoagulation: INR or aPTT ≤ 1.5 x ULN (unless participant is receiving anticoagulant therapy as long as INR or aPTT is within therapeutic range of intended use of anticoagulants). * A female participant is eligible to participate if she is not pregnant, not breastfeeding * If male subject with a female partner(s) of child-bearing potential, must agree to use an effective contraception * All subjects must sign written informed consent. Exclusion Criteria: All individuals meeting any of the following exclusion criteria will be excluded from study participation: * Mixed small cell and NSCLC histology. * EGFR sensitizing mutation and/or ALK translocation, and/or ROS1 and/or RET targetable gene rearrangement, and/or METex14 skipping mutation, and/or NTRK1/2 gene fusion and/or BRAF V600 mutations directed therapy is indicated or planned for other targeted therapy, where such testing and therapy is locally approved and available. * Has received systemic therapy for metastatic disease. * Had major surgery \<3 weeks prior to randomization * Received radiation therapy to the lung that is \> 30 Gy within 6 months of randomization. * Has received prior radiotherapy within 2 weeks of randomization. Subjects must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A 1-week washout is permitted for palliative radiation (≤2 weeks of radiotherapy) to non-CNS disease. * Is expected to require any other form of antineoplastic therapy while on study. * Has a known additional malignancy that is progressing or has required active treatment within the past 3 years. * Note: Subjects with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ (e.g., breast carcinoma, cervical cancer in situ) that have undergone potentially curative therapy are not excluded * Has symptomatic Central Nervous System (CNS) metastases and/or carcinomatous meningitis. Subjects with asymptomatic CNS metastases or with previously treated brain metastases may participate provided they were treated before randomization (if applicable) and are neurologically stable and without requirement of steroid treatment for at least 7 days prior to randomization. * Has active autoimmune disease that has required systemic treatment in past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). * Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior randomization. Subjects with asthma that require intermittent use of bronchodilators, inhaled steroids, or local steroid injections would not be excluded from the study. * Had prior treatment with any other anti-PD-1, or PD-L1 or PD-L2 agent or an antibody or a small molecule targeting other immuno-regulatory receptors or mechanisms in the 12 months prior to randomization. * Participation in another clinical study with an investigational agent or device during the 4 weeks prior to randomization. * Concurrent treatment with other experimental treatments for NSCLC while in the study. * Has a known sensitivity to any component of the planned systemic therapies (pembrolizumab, cisplatin/carboplatin, pemetrexed/paclitaxel/nab-paclitaxel) . * Pregnant or breastfeeding * Admitted to an institution by administrative or court order.
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Get notified about this study
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
98 sites in 16 countries. 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Locations
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A.O. SS. Antonio e Biagio e Cesare Arrigo di Alessandria
RECRUITINGAlessandria, 15121, Italy
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AHN Cancer Center
RECRUITINGPittsburgh, Pennsylvania, 15212, United States
Contact Email: •••••@•••••
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AZ Maria Middelares - Campus Maria Middelares
RECRUITINGGhent, 9000, Belgium
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Abramson Cancer Center
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Azienda Ospedaliera Universitaria Senese Policlinico Le Scotte
RECRUITINGSiena, 53100, Italy
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Azienda Ospedaliero-Universitaria di Ferrara - Arcispedale Sant'Anna
RECRUITINGFerrara, 44124, Italy
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Azienda Sanitaria Territoriale Pesaro Urbino
RECRUITINGPesaro, 61122, Italy
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Bacs-Kiskun Varmegyei Oktatokorhaz
RECRUITINGKecskemét, 6000, Hungary
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Bnai zion MC
RECRUITINGHaifa, 34561, Israel
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CHU Limoges
RECRUITINGLimoges, 87000, France
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CHU de Bordeaux
RECRUITINGPessac, 33604, France
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Cancer Treatment Centers of America (CTCA)
RECRUITINGZion, Illinois, 60099, United States
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Cantonal Hospital Baden
RECRUITINGBaden, 5404, Switzerland
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Central Alabama Research
RECRUITINGBirmingham, Alabama, 35209, United States
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Centre Hospitalier Intercommunal de Creteil
RECRUITINGCréteil, 94010, France
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Centre Hospitalier Lyon Sud
RECRUITINGPierre-Bénite, 69495, France
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Charing Cross Hospital
RECRUITINGLondon, Greater London, United Kingdom
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Clatterbridge Cancer Centre - Liverpool
RECRUITINGLiverpool, Merseyside, L7 8YA, United Kingdom
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Clinica Mi Tres Torres Barcelona - Giromed Institute
RECRUITINGBarcelona, Catalonia, 8017, Spain
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Clinica Universidad de Navarra
RECRUITINGPamplona, 31008, Spain
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Clinica Universidad de Navarra (Madrid)
RECRUITINGMadrid, 28027, Spain
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Cliniques universitaires Saint-Luc
RECRUITINGBrussels, 1200, Belgium
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Curie Oncology
RECRUITINGSingapore, 329563, Singapore
Contact Email: •••••@•••••
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DHR Health Oncology Institute
RECRUITINGEdinburg, Texas, 78539, United States
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Edward Cancer Center
RECRUITINGNaperville, Illinois, 60540-6766, United States
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Elmhurst Hospital Nancy Knowles Cancer Center
RECRUITINGElmhurst, Illinois, 60126, United States
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Emek Medical Center
RECRUITINGAfula, 1834111, Israel
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Evangelische Lungenklinik Berlin
RECRUITINGBerlin, 13125, Germany
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Fakultni nemocnice Olomouc FNOL
RECRUITINGOlomouc, 779 00, Czechia
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Farkasgyepui Tudogyogyintezet
RECRUITINGFarkasgyepű, 8582, Hungary
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Florida Cancer Affiliates - Ocala Oncology
RECRUITINGOcala, Florida, 34474, United States
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Franciscan Health Indianapolis
RECRUITINGIndianapolis, Indiana, 46237, United States
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General University Hospital in Prague
RECRUITINGPrague, 12808, Czechia
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HFR Freiburg-Kantonsspital
RECRUITINGFribourg, 1752, Switzerland
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Hoag Family Cancer Institute - Hoag Memorial Hospital
RECRUITINGNewport Beach, California, 92663, United States
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Hopital Europeen
RECRUITINGMarseille, 13003, France
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Hopital Prive du Confluent
RECRUITINGNantes, 44277, France
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Hospital Regional Universitario de Malaga
RECRUITINGMálaga, 29010, Spain
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Hospital Ruber Internacional
RECRUITINGMadrid, 28034, Spain
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Hospital Universitario Arnau de Vilanova
RECRUITINGLleida, 25198, Spain
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Hospital Universitario Virgen del Rocio
RECRUITINGSeville, Andalusia, 41013, Spain
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Hospital Universitario de Torrejon
RECRUITINGTorrejón de Ardoz, Madrid, 28850, Spain
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Hospital Universitario del Vinalopo
RECRUITINGElche, Alicante, 3293, Spain
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Houston Methodist Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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Humanitas Gavazzeni
RECRUITINGBergamo, 24125, Italy
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IRCCS - Istituto Romagnolo per lo Studio Dei Tumori, Dino Amadori
RECRUITINGMeldola, 47014, Italy
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Icon Cancer Centre Singapore (Singapore Oncology Consultants)
RECRUITINGSingapore, 574623, Singapore
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Institut Catala d'Oncologia
RECRUITINGBarcelona, 8916, Spain
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Institut Curie
RECRUITINGParis, 75005, France
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Jason Bates at University of Texas Health Science Center
RECRUITINGSan Antonio, Texas, 78229, United States
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Karl Landsteiner Institut fur Lungenforschung und pneumologische Onkologie c/o Klinik Floridsdorf
RECRUITINGVienna, 1210, Austria
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Klinik Loewenstein gGmbH
RECRUITINGLöwenstein, 74245, Germany
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Krankenhaus Martha-Maria Halle-Dolau
RECRUITINGHalle, 06120, Germany
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Luminis Health Radiation Oncology - Anne Arundel Health System
RECRUITINGAnnapolis, Missouri, 21401, United States
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Medisch Centrum Leeuwarden (MCL) - Oncologisch Centrum Leeuwarden (OCL)
RECRUITINGFriesland, 8934 AD, Netherlands
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Methodist Richardson Cancer Center
RECRUITINGRichardson, Texas, 75082, United States
Contact Email: •••••@•••••
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Moffitt Cancer Center
RECRUITINGTampa, Florida, 33612, United States
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MultiCare Deaconess Cancer and Blood Specialty Center - Downtown
RECRUITINGSpokane, Washington, 99218, United States
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MultiCare Institute for Research & Innovation
RECRUITINGTacoma, Washington, 98405, United States
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MultiCare Regional Cancer Center
RECRUITINGAuburn, Washington, 98001, United States
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MultiCare Regional Cancer Center
RECRUITINGGig Harbor, Washington, 98335, United States
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MultiCare Regional Cancer Center
RECRUITINGPuyallup, Washington, 98372, United States
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NCCS Singapore
RECRUITINGSingapore, 168583, Singapore
Contact Email: •••••@•••••
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Nemocnice Agel Ostrava-Vitkovice / Agel Ostrava-Vitkovice Hospital
RECRUITINGOstrava, 70300, Czechia
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New York Cancer & Blood Specialists (NYCBS)
RECRUITINGNew Hyde Park, New York, 11042, United States
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New York Cancer & Blood Specialists (NYCBS)
RECRUITINGNew York, New York, 10028, United States
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New York Cancer & Blood Specialists (NYCBS)
RECRUITINGShirley, New York, 19967, United States
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New York Cancer & Blood Specialists (NYCBS)
RECRUITINGThe Bronx, New York, 10469, United States
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Northwest Oncology & Hematology
RECRUITINGBarrington, Illinois, 60010, United States
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Nouvel Hopital Civil (NHC)
RECRUITINGStrasbourg, 67091, France
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Old Parkland Hospital Hematology Oncology Clinic
RECRUITINGDallas, Texas, 75235, United States
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Ospedale Isola Tiberina Gemelli
RECRUITINGRome, 00186, Italy
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Parkview Packnett Family Cancer Institute
RECRUITINGFort Wayne, Indiana, 46845, United States
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Pius-Hospital Oldenburg
RECRUITINGOldenburg, 26121, Germany
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Rijnstate Ziekenhuis
RECRUITINGArnhem, 6815AD, Netherlands
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Saitama Medical University International Medical Center
RECRUITINGHidaka, Saitama, 350-1298, Japan
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St Antonius Ziekenhuis
RECRUITINGUtrecht, 3543 AZ, Netherlands
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St. Jansdal ziekenhuis
RECRUITINGHarderwijk, 3844 DG, Netherlands
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St. Jude Herritage Medical Group
RECRUITINGFullerton, California, 92835, United States
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Sutter Institute for Medical Research
RECRUITINGSacramento, California, 95816, United States
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The Royal Marsden NHS Foundation Trust
RECRUITINGLondon, London, SW3 6JJ, United Kingdom
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The Royal Marsden NHS Foundation Trust - Sutton
RECRUITINGSutton, Sutton, SM2 5PT, United Kingdom
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Thoraxklinik Heidelberg
RECRUITINGHeidelberg, 69126, Germany
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Tolna Varmegyei Balassa Janos Korhaz
RECRUITINGSzekszárd, 7100, Hungary
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UT Southwestern Medical Center
RECRUITINGDallas, Texas, 75235, United States
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Universita Campus Bio-Medico di Roma (UCBM) - Policlinico Universitario
RECRUITINGRoma, 00128, Italy
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Universitaetsklinik fuer Innere Medizin V Innsbruck
RECRUITINGInnsbruck, 6020, Austria
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University Hospital Giessen, ZIM IV
RECRUITINGGiessen, 35392, Germany
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University Hospital Salzburg
RECRUITINGSalzburg, 5020, Austria
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University Hospitals of Leicester NHS Trust
RECRUITINGLeicester, Leicestershire, LE1 5WW, United Kingdom
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University of Kansas Cancer Center
RECRUITINGWestwood, Kansas, 66205, United States
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University of Kansas Cancer Center - Lee's Summit
RECRUITINGLee's Summit, Missouri, 64064, United States
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University of Kansas Cancer Center - North
RECRUITINGKansas City, Missouri, 64154, United States
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University of Kansas Cancer Center - Overland Park
RECRUITINGOverland, Missouri, 66210, United States
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University of Rochester Medical Center
RECRUITINGRochester, New York, 14642, United States
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Uniwersytecki Szpital Kliniczny
RECRUITINGPoznan, 60-693, Poland
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WakeMed Health & Hospitals
RECRUITINGCary, North Carolina, 27518, United States
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Western Regional Medical Center, LLC
RECRUITINGGoodyear, Arizona, 85338, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can radiation turn tumors into targets for immunotherapy?
- Seeing the fight: new imaging tracer may reveal how immune cells attack lung cancer
- Can a pill outperform chemo for a Hard-to-Treat lung cancer mutation?
- Can a new drug shrink Hard-to-Treat tumors?
- Breath test may reveal who benefits from lung cancer immunotherapy
- Targeted radiation and immunotherapy join forces against Hard-to-Treat lung cancer