Lung cancer immunotherapy cocktail shows promise but trial halted early
NCT ID NCT04832854
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tested two immunotherapy drugs (tiragolumab and atezolizumab) with or without chemotherapy in 50 people with early-stage non-small cell lung cancer that could be surgically removed. The goal was to see if the treatment shrank tumors before surgery and prevented return after. The study was terminated early, so results are limited, but researchers looked at surgical safety and tumor response.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tiragolumab and atezolizumab (immunotherapy drugs) with or without platinum-based chemotherapy
- What this could lead to
- If successful, this combination could improve tumor shrinkage before surgery and reduce recurrence after surgery for lung cancer patients.
- What could go wrong
- The trial was terminated early, so data is limited. Immunotherapy can cause immune-related side effects, and adding chemo increases toxicity. Results may not apply to all lung cancer types.
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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50 people
The number who actually took part.
- Started
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Apr 2021
- Finished
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Mar 2025
- 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
-
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.
Key inclusion criteria: * Histologically or cytologically confirmed Stage II, IIIA, or select IIIB (T3N2 only) NSCLC of squamous or non-squamous histology * Eligible for R0 resection with curative intent at the time of screening * Adequate pulmonary function to be eligible for surgical resection with curative intent * Eligible to receive a platinum-based chemotherapy regimen * Measurable disease, as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 * Availability of a representative tumor specimen that is suitable for determination of PD-L1 status * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 * Normal life expectancy, excluding lung cancer mortality risk * Adequate hematologic and end-organ function * Negative human immunodeficiency virus (HIV) test at screening * Negative serology for active hepatitis B virus (HBV) and active hepatitis C virus (HCV) at screening Key Exclusion Criteria: * NSCLC with histology of large cell neuroendocrine carcinoma, sarcomatoid carcinoma, or NSCLC not otherwise specified * Small cell lung cancer (SCLC) histology or NSCLC with any component of SCLC * Any prior therapy for lung cancer * Active or history of autoimmune disease or immune deficiency * History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan * Active tuberculosis * Significant cardiovascular disease * NSCLC with an activating EGFR mutation or ALK fusion oncogene * Known c-ros oncogene 1 (ROS1) rearrangement * History of malignancy other than NSCLC within 5 years prior to screening, with the exception of malignancies with negligible risk of metastasis or death * Severe infection within 4 weeks prior to initiation of study treatment or any active infection that, in the opinion of the investigator, could impact patient safety * Prior treatment with CD127 agonists or immune checkpoint blockade therapies, including anti-CTLA-4, anti-PD-1, anti-TIGIT, and anti-PD-L1 therapeutic antibodies * Treatment with systemic immunostimulatory agents * Treatment with systemic immunosuppressive medication * Pregnancy or breastfeeding
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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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City of Hope Cancer Center
Duarte, California, 91010, United States
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Columbia University
New York, New York, 10032-3725, United States
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Complejo Hospitalario Universitario A Coruña (CHUAC)
A Coruña, 15006, Spain
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Corporacio Sanitaria Parc Tauli
Sabadell, Barcelona, 08208, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Puerta de Hierro
Majadahonda, Madrid, 28222, Spain
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ICO L'Hospitalet
L'Hospitalet de Llobregat, Barcelona, 08908, Spain
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Kantonsspital Baden
Baden, 5404, Switzerland
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Kantonsspital Graubünden Medizin Onkologie
Chur, 7000, Switzerland
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Kantonsspital St. Gallen
Sankt Gallen, 9007, Switzerland
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Kantonsspital Winterthur
Winterthur, 8401, Switzerland
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NYU Cancer Center
New York, New York, 10016, United States
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Peter Maccallum Cancer Institute
Melbourne, Victoria, 3000, Australia
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Severance Hospital, Yonsei University Health System
Seoul, 03722, South Korea
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St. Vincent's Hospital
Gyeonggi-do, 16247, South Korea
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Sunshine Coast University Hospital
Birtinya, Queensland, 4575, Australia
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University of Southern California
Los Angeles, California, 90033, United States
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UniversitätsSpital Zürich
Zurich, 8091, Switzerland
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Vall d?Hebron Institute of Oncology (VHIO), Barcelona
Barcelona, 08035, Spain
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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Winthrop Univ Hospital
Mineola, New York, 11501, United States
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