Can targeted radiation boost lung cancer treatment? 4000-patient study seeks answers.
NCT ID NCT06613633
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 4000 people with advanced lung cancer who had a specific gene mutation (EGFR) and were taking a targeted pill. The goal was to find the best time to add focused radiation to shrink any remaining tumors. Researchers tracked when tumors shrank the most and where they were located, to see if adding radiation is a good next step.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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4,000 people
The number who actually took part.
- Started
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Sep 2018
- Finished
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Feb 2026
- 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
Advanced EGFR-mutant NSCLC patients receiving third-generation EGFR-TKIs are enrolled
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pathologically confirmed non-small cell lung cancer; * clinical stage IV (AJCC, 8th edition, 2017); * EGFR sensitizing mutations (L858R or 19del); * age≥18 years old; * KPS score≥70; * complete systemic imaging (including brain MRI) before third-generation EGFR-TKI treatment; * received standard third-generation EGFR-TKI therapy (monotherapy or combined with brain radiotherapy); * willing to cooperate with the follow-up after third-generation EGFR-TKI treatment; * informed consent of the patient. Exclusion Criteria: * Multiple primary or metastatic tumors (except early skin cancer, cervical carcinoma in situ that has been treated radically, with no recurrence or progression for more than 5 years); * Pregnant or lactating women who, as judged by the investigator, were not candidates for brain MRI; * Uncontrolled epilepsy, central nervous system disease, or history of mental disorders, judged by the researcher to potentially interfere with the signing of the informed consent form or affect patient compliance.; * patients without EGFR sensitive mutations or with unknown EGFR mutation status. Withdrawal criteria * The investigators considered that the patients had poor adherence to the study protocol. * The patient withdrew informed consent and asked to withdraw. * There was any safety reason (adverse event) considered by the investigator; * Due to other underlying diseases, side effects, economic factors, and other reasons, patients did not receive regular doses of third-generation EGFR-TKI (continuous withdrawal time more than 1 week, cumulative withdrawal time more than 2 weeks, etc.). * The patient was not followed up according to the protocol. * Other circumstances in which withdrawal from the study was deemed necessary by the investigator.
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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
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Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200050, China
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Shanghai Chest Hospital
Shanghai, Shanghai Municipality, China
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Wuhan Tongji Hospital
Wuhan, Hubei, 430030, China
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