Table 1. Ongoing clinical trials combining radiation and immunotherapy for NSCLC.
Institution | Disease | Design | Primary outcome | Immunotherapy | Radiation | Combination timing |
---|---|---|---|---|---|---|
UC Davis | Stage I NSCLC | Single arm phase I | Safety | Atezolizumab (anti-PD-L1) | SBRT 50 Gy | Concurrent |
Weill Medical College of Cornell Univ. | Stage IB and II NSCLC | Randomized phase II | DFS | Durvalumab (anti-PD-L1) | Randomized to surgery or preop SBRT | Concurrent |
RTOG/Multi-Institutional | Stage III NSCLC (unresectable) | Phase III randomized | OS, PFS | Nivolumab (anti-PD1) | Thoracic chemoradiation 60 Gy | Immunotherapy after chemo-radiation |
Duke Univ./Multi-Institutional | Stage IB, II or IIIA NSCLC | Single arm phase II | Surgical feasibility | Pembrolizumab | Adjuvant thoracic RT if necessary | Not concurrent |
UC Davis | Stage IV or recurrent NSCLC | Single arm phase I | safety | MPDL3280A (anti-PD-L1) | SBRT | Concurrent; induction; or sequential |
Royal Marsden Hospital | Metastatic NSCLC | Phase I dose escalation | safety | Pembrolizumab (anti-PD1) | Palliative RT (low-dose, high-dose) | |
Albert Einstein College of Medicine | Metastatic NSCLC | Phase 2 | PFS | FLT3 ligand (CDX-301)—given subcutaneously | SBRT to lung lesion | Concurrent |
NSCLC, non-small cell lung cancer; DFS, disease-free survival; PFS, progression-free survival; OS, overall survival; SBRT, stereotactic body radiotherapy.