Table 2. Key active trials combining immunotherapy and radiation therapy in SCLC.
| Trial name/NCT number | Phase | Stage/inclusion | ICB agent | Trial design | RT technique/dose | RT and ICB timing |
|---|---|---|---|---|---|---|
| Limited stage | ||||||
| NRG-LU005 NCT03811002 | 2/3R | Limited stage | Atezolizumab | ChemoXRT +/− concurrent and adjuvant ICB for 12 months | Conventional 45 Gy/30 fractions (BID) or 66 Gy/33 fractions | Concurrent and adjuvant |
| NCT03540420 | 2R | Limited stage | Atezolizumab | ChemoXRT +/− adjuvant ICB for 12 months | Conventional 45 Gy/30 fractions (BID) | ChemoXRT first then ICB adjuvant |
| NCT02046733 | 2R | Limited stage | Nivolumab and ipilimumab | ChemoXRT +/− consolidation and maintenance IO | Conventional | Adjuvant |
| NCT02402920 | 1 | Limited or extensive stage (see below) | Pembrolizumab | ChemoXRT + ICB concurrent + adjuvant | Conventional 45 Gy/30 fractions (BID) | Concurrent and adjuvant |
| Extensive stage | ||||||
| NCT02402920 | I | Extensive or limited stage SCLC | Pembrolizumab | Chemotherapy followed by ICB and radiation therapy | Conventional (BID) | Concurrent and adjuvant |
| Recurrent/relapsed | ||||||
| NCT02402920 | 2R | Relapsed/recurrent | Tremelimumab and durvalumab | IO alone vs. SBRT followed by IO | SBRT in 3–5 fractions | SBRT first then IO |
SCLC, small cell lung cancer; ICB, immune checkpoint blockade; IO, immuno-oncology therapy.