Trial Comparing Systemic Therapy Alone and With Local Ablative Treatment for Stage IV NSCL Cancer Patients
NCT06114108 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 128
Last updated 2026-04-02
Summary
Unfortunately, most patients are already at a very advanced stage when they are diagnosed with lung cancer, i.e. the cancer has already spread outside the lungs forming metastases. The current standard of care therapy at this advanced stage of lung cancer includes systemic anti-cancer therapy such as chemotherapy, immunotherapy to boost the body's immune response, or targeted therapy that directly hinders tumor growth. In this study, the aim is to find out whether it is better if, after a good response to the standard therapy, the remains of main tumor and the metastases are additionally treated by surgery and/or radiation.
Conditions
- Non-small Cell Lung Cancer (NSCLC)
- Stage IV
Interventions
- OTHER
-
Systemic therapy alone or in combination with LAT (surgery and/or radiotherapy)
The choice of LAT intervention for the primary tumor and all metastases (surgery or SBRT) and the sequence of the treatment (primary tumor vs metastases) will be decided at the local MDT according to the medical need and patient counseling during interdisciplinary clinic visits.
- OTHER
-
Surgery
Surgery
- RADIATION
-
Radiotherapy
Radiotherapy
Sponsors & Collaborators
-
Swiss Cancer Institute
lead OTHER
Principal Investigators
-
Isabelle Schmitt-Opitz, Prof · Universitätsspital Zürich
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-12-21
- Primary Completion
- 2027-11-01
- Completion
- 2028-03-01
Countries
- Switzerland
Study Locations
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