MRI-Guided radiation could sharpen lung cancer treatment
NCT ID NCT06545747
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether using MRI scans to guide radiation therapy can improve outcomes for people with locally advanced non-small cell lung cancer. Participants receive radiation, chemotherapy, and immunotherapy. The study compares MRI-guided radiation to standard CT-guided radiation, aiming to reduce lung side effects and improve cancer control. About 490 people will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- radiation therapy (hypofractionated radiotherapy), chemotherapy (albumin-bound paclitaxel and cisplatin), and immunotherapy (consolidative immunotherapy)
- What this could lead to
- If successful, this approach could improve local tumor control and reduce lung side effects for people with advanced lung cancer, potentially leading to longer survival.
- What could go wrong
- This is still an early-phase 3 trial, so results are not guaranteed. The combination of treatments may cause significant side effects, and the benefit over standard care is uncertain.
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 490 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Jul 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.
- Ages
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18 to 75 years
- 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: * Male or female aged between 18 and 75 years old. * Patients must have histological or cytological confirmation of locally advanced, unresectable (stage III) non-small cell lung cancer (NSCLC). * No prior radiation therapy or surgery. * Expected life expectancy of at least 12 weeks. * World Health Organization (WHO) performance status score of 0 or 1. * Able to undergo magnetic resonance imaging (MRI) examination. * Organ and bone marrow function meeting the following criteria: Forced expiratory volume in 1 second (FEV1) ≥ 800 ml; Absolute neutrophil count ≥ 1.5 × 10\^9/L; Platelets ≥ 100 × 10\^9/L; Hemoglobin ≥ 9.0 g/dL; Serum creatinine clearance rate calculated by the Cockcroft-Gault formula ≥ 50 mL/min (Cockcroft and Gault 1976); Serum bilirubin ≤ 1.5 times the upper limit of normal (ULN); Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 times ULN. Exclusion Criteria: * Contraindications to MRI examination. * Concurrent participation in another clinical study, unless it is an observational (non-interventional) clinical study. * Histological type of mixed small cell and non-small cell lung cancer. * The presence of sensitive EGFR mutations or ALK rearrangements. * Major surgery performed within 4 weeks prior to entering the study (excluding vascular access). * History or occurrence of autoimmune disease within the past 2 years. * Active or history of inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis). * History of primary immunodeficiency. * History of organ transplantation requiring immunosuppressive therapy. * Average QT interval (QTc) ≥ 470 ms calculated from 3 ECG cycles using Bazett's correction. * Uncontrolled comorbidities, including but not limited to persistent or active infection, symptomatic congestive heart failure, poorly controlled hypertension, unstable angina, arrhythmia, active peptic ulcer disease or gastritis, active bleeding disorder, human immunodeficiency virus (HIV), or psychiatric/social situations that would limit compliance with study requirements or impair the ability to provide written informed consent. * Active tuberculosis. * Receipt of a live attenuated vaccine within 30 days prior to the start of the study. * History of another primary malignancy within 5 years, excluding adequately treated basal or squamous cell skin cancer or in situ cervical cancer. * Pregnant or breastfeeding women; or males and females of reproductive potential not using effective contraception.
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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
1 site. 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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Sun Yat-sen University Cancer Center
RECRUITINGGuangzhou, China
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