Lung cancer combo aims to wipe out tumors before surgery
NCT ID NCT06788912
First seen Jun 27, 2026 · Last updated Sep 02, 2026 · Updated 2 times
Summary
This phase 2 trial is testing whether giving the immunotherapy drug pembrolizumab (Keytruda) along with chemotherapy before surgery can eliminate all signs of cancer in people with resectable stage II to IIIB non-small cell lung cancer. About 60 participants will receive the combination for four cycles, then have surgery to remove any remaining tumor. The main goals are to see how many people have no cancer cells left in the removed tissue and how much the tumor shrinks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pembrolizumab (Keytruda) plus chemotherapy (cisplatin with either gemcitabine or pemetrexed)
- What this could lead to
- If successful, this approach could increase the chance of eliminating all visible cancer before surgery, potentially improving long-term outcomes for people with early-stage lung cancer.
- What could go wrong
- This is a small, early-phase study (60 people) with no control group, so results may not apply broadly. Chemotherapy and immunotherapy can cause serious side effects.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Feb 2032
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.
The main inclusion and exclusion criteria include but are not limited to the following: Inclusion Criteria: * Has previously untreated and pathologically confirmed resectable Stage II, IIIA, or IIIB (N2) non-small cell lung cancer (NSCLC) * Able to undergo protocol therapy, including necessary surgery * Confirmation that epidermal growth factor receptor (EGFR) -directed therapy is not indicated as primary therapy * Has an Eastern Cooperative Oncology Group (ECOG) performance status of either 0 or 1 as assessed within 10 days before initiation of study intervention. * Is able to provide archival or newly obtained core/excisional biopsy of the primary lung tumor or lymph node metastasis. Exclusion Criteria: * Has one of the following tumor locations/types: NSCLC involving the superior sulcus, large-cell neuro-endocrine cancer, mixed tumors containing small cell and non-small cell elements, or sarcomatoid tumor. * Has Grade ≥2 peripheral neuropathy. * Has history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing. * Has active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis, or chronic diarrhea). * Has uncontrolled, significant cardiovascular disease or cerebrovascular disease. * Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention * Received prior radiotherapy within 2 weeks of start of study intervention, or radiation related toxicities, requiring corticosteroids. * 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 to the first dose of study intervention. * Known additional malignancy that is progressing or has required active treatment within the past 5 years. * Severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients. * Active autoimmune disease that has required systemic treatment in the past 2 years. Replacement therapy (e.g. thyroxine, insulin, or physiologic corticosteroid) is allowed. * History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease. * Active infection requiring systemic therapy. * Hepatitis B (defined as hepatitis B surface antigen \[HBsAg\] reactive) or Hepatitis C virus (defined as detectable hepatitis C virus (HCV) ribonucleic acid (RNA) \[qualitative\]) infection. * Known history of human immunodeficiency virus (HIV) infection. * History of allogeneic tissue/solid organ transplant.
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Get notified about this 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.
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
39 sites in 9 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
Study contacts
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Contact
Email: •••••@•••••
Locations
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ATTIKON GENERAL UNIVERSITY HOSPITAL-Oncology ( Site 0202)
RECRUITINGAthens, Attica, 12462, Greece
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Akdeniz Universitesi Hastanesi-Medical Oncology ( Site 0704)
RECRUITINGAntalya, 07059, Turkey (Türkiye)
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Alexandra General Hospital of Athens Oncology-Hematology Unit ( Site 0203)
RECRUITINGAthens, Attica, 115 28, Greece
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Azienda Ospedaliera Universitaria Careggi ( Site 0173)
RECRUITINGFlorence, Tuscany, 50134, Italy
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Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 0702)
RECRUITINGAdana, 01250, Turkey (Türkiye)
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Bradfordhill ( Site 0160)
RECRUITINGSantiago, Region M. de Santiago, 8420383, Chile
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CNCE Precarpathian Clinical Oncologic Center ( Site 0131)
RECRUITINGIvano-Frankivsk, Ivano-Frankivsk Oblast, 76018, Ukraine
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CNE CC of Oncology Hematol ( Site 0130)
RECRUITINGCherkasy, Cherkasy Oblast, 18009, Ukraine
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Centro de Estudios Clínicos SAGA ( Site 0162)
RECRUITINGSantiago, Region M. de Santiago, 7500653, Chile
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Communal Noncommercial Enterprise "Podillia Regional Oncology Center Of Vinnytsia Regional Council" ( Site 0135)
RECRUITINGVinnytsia, Vinnytsia Oblast, 21029, Ukraine
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FALP ( Site 0161)
RECRUITINGSantiago, Region M. de Santiago, 7500921, Chile
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Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175)
RECRUITINGMilan, 20133, Italy
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0174)
RECRUITINGRoma, 00168, Italy
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Greenebaum Comprehensive Cancer Center ( Site 0402)
RECRUITINGBaltimore, Maryland, 21201, United States
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Hacettepe Universite Hastaneleri-oncology hospital ( Site 0700)
RECRUITINGAnkara, 06230, Turkey (Türkiye)
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Hospital Clinic de Barcelona ( Site 0092)
RECRUITINGBarcelona, 08008, Spain
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Jász-Nagykun-Szolnok Vármegyei Hetényi Géza Kórház-Onkologiai Kozpont ( Site 0061)
RECRUITINGSzolnok, Jász-Nagykun-Szolnok, 5000, Hungary
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ME RIVNE REGIONAL ANTITUMOR CENTER ( Site 0460)
RECRUITINGRivne, Rivne Oblast, 33010, Ukraine
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MNPE LTMU Multidisc. Clin. Hosp. of Emerg. and Intens. Care ( Site 0132)
RECRUITINGLviv, Lviv Oblast, 79059, Ukraine
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MedStar Franklin Square Medical Center ( Site 0033)
RECRUITINGBaltimore, Maryland, 21237, United States
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Metropolitan Hospital-4th Oncology Dept ( Site 0201)
RECRUITINGAthens, Attica, 185 47, Greece
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Municipal Enterprise "Bukovinian сlinical oncology сenter" ( Site 0139)
RECRUITINGChernivtsi, Chernivetska Oblast, 58013, Ukraine
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Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworow Pluca i Klatki Pier ( Site 0151)
RECRUITINGWarsaw, Masovian Voivodeship, 02-781, Poland
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Oncology Associates of Oregon, P.C.(Willamette Valley Cancer Institute) (WVCI) ( Site 8006)
RECRUITINGEugene, Oregon, 97401, United States
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Ondokuz Mayıs Universitesi-Oncology department ( Site 0706)
RECRUITINGSamsun, 55139, Turkey (Türkiye)
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Országos Korányi Pulmonológiai Intézet ( Site 0060)
RECRUITINGBudapest, 1121, Hungary
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Ospedale San Raffaele. ( Site 0171)
RECRUITINGMilan, 20132, Italy
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Petz Aladar Egyetemi Oktato Korhaz-Pulmonológia (Dr. Szalai Zsuzsanna) ( Site 0062)
RECRUITINGGyőr, Győr-Moson-Sopron, 9024, Hungary
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Rocky Mountain Cancer Centers (RMCC) ( Site 8011)
RECRUITINGLone Tree, Colorado, 80124, United States
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Sansum Clinic (Ridley Tree) ( Site 8012)
RECRUITINGSanta Barbara, California, 93105, United States
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Shalimov Institute of Surgery and Transplantation ( Site 0138)
RECRUITINGKyiv, 03126, Ukraine
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Southern Cancer Center (SCC) ( Site 8004)
RECRUITINGDaphne, Alabama, 36526, United States
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Texas Oncology - Central/South Texas ( Site 8009)
RECRUITINGAustin, Texas, 78705, United States
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Texas Oncology - Northeast Texas ( Site 8005)
RECRUITINGTyler, Texas, 75702, United States
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University General Hospital of Heraklion ( Site 0200)
RECRUITINGHeraklion, Irakleio, 71110, Greece
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Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 0150)
RECRUITINGGdansk, Pomeranian Voivodeship, 80-952, Poland
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Virginia Cancer Specialists (VCS) ( Site 8002)
RECRUITINGFairfax, Virginia, 22031, United States
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Wielkopolskie Centrum Pulmonologii i Torakochirurgii-Oddzial Onkologii Klinicznej z Pododdzialem Dz ( Site 0153)
RECRUITINGPoznan, Greater Poland Voivodeship, 60-569, Poland
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İzmir Suat Seren Chest Disease Training & Research Hospital ( Site 0701)
RECRUITINGIzmir, 35110, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Smaller chest drain may speed recovery after lung cancer surgery
- Gut bacteria may hold clues to why some cancer treatments work better
- Breath-Tracking sensor aims to sharpen lung cancer scans
- Can PET scan signals predict who beats lung cancer with immunotherapy?
- Two-Drug combo takes aim at Hard-to-Treat lung cancer