All Trials

A Phase II Trial of Durvalumab and Ablative Radiation in Extensive-Stage Small Cell Lung Cancer (DARES)

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

TrialFetch AI summary: Treatment-naïve adults with extensive-stage small cell lung cancer (ECOG 0–2), including those with treated/stable brain metastases and at least one lesion suitable for ablative RT, receive carboplatin/etoposide plus durvalumab (anti–PD-L1) with hypofractionated ablative radiation to selected lesions during cycle 2, followed by durvalumab maintenance. Excludes prior SCLC systemic/PD-(L)1/CTLA-4 therapy or thoracic RT and active autoimmune disease or uncontrolled infections.

ClinicalTrials.gov ID: NCT05068232

(TESSERACT): Phase I/II Trial in ES-SCLC to Enhance Response to Atezolizumab Plus Chemotherapy With Total Body Irradiation (TBI)

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with untreated extensive-stage SCLC (ECOG 0–2; controlled brain mets allowed) receive standard carboplatin/etoposide plus atezolizumab (PD-L1 inhibitor) with the investigational addition of low-dose total body irradiation and short-course hypofractionated RT to dominant disease sites. Maintenance atezolizumab follows, with primary focus on safety and PFS.

ClinicalTrials.gov ID: NCT06110572

A Phase I Study of Palliative Radiotherapy with Lurbinectedin in Patients with Extensive Stage Small Cell Lung Cancer

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

TrialFetch AI summary: Adults with extensive-stage SCLC who progressed after first-line therapy and are receiving or eligible for lurbinectedin receive concurrent palliative external beam radiotherapy (5–10 fractions) plus lurbinectedin every 21 days. Lurbinectedin is a DNA minor-groove binder that inhibits oncogenic transcription via RNA polymerase II stalling and depletes tumor-associated macrophages; treated brain metastases allowed, ECOG 0–2 (≤3 permitted).

ClinicalTrials.gov ID: NCT05244239

Phase I Study Targeting DNA Methyltransferases in Metastatic Triple-Negative Breast Cancer

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with metastatic or unresectable triple-negative breast cancer (ER/PR ≤10%, HER2−), ECOG 0–2, including those with prior PD-1/PD-L1 therapy and treated/stable brain metastases, receive paclitaxel plus pembrolizumab combined with ASTX727 (oral decitabine, a DNA methyltransferase inhibitor, and cedazuridine, a cytidine deaminase inhibitor) to evaluate safety and dosing. Up to three prior metastatic chemotherapy lines allowed; key exclusions include active autoimmune disease requiring recent immunosuppression and uncontrolled intercurrent illness.

ClinicalTrials.gov ID: NCT05673200

Pilot Study of Cemiplimab and Hepatic Radioembolization in Patients With Liver Dominant Metastatic Breast Cancer

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with liver-dominant metastatic breast cancer (ECOG 0–1) previously treated with at least one line of metastatic chemotherapy and with liver tumor burden <50% receive cemiplimab (anti–PD-1 antibody) every 3 weeks combined with two sessions of hepatic Y-90 radioembolization; controlled extrahepatic disease allowed, but no cirrhosis, recent immunotherapy, or progressing/untreated extrahepatic disease. The study assesses intratumoral immune activation and safety, with biopsies around TARE sessions and response of treated hepatic lesions.

ClinicalTrials.gov ID: NCT06860815

An Open-label, Randomized, Multi-Center Study to Evaluate the Efficacy and Safety of Induction Treatment With Melphalan/HDS Followed by Consolidation Treatment With Trifluridine-Tipiracil Plus Bevacizumab Versus Trifluridine-Tipiracil Plus Bevacizumab Alone in Patients With Refractory Metastatic Colorectal Cancer With Liver Dominant Disease

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with refractory metastatic colorectal cancer and liver-dominant disease (≤50% liver involvement; limited extrahepatic disease allowed; ECOG 0–1) are randomized to induction hepatic-directed high-dose melphalan via the Delcath system (regional chemotherapy that isolates hepatic circulation to intensify cytotoxic exposure) followed by trifluridine–tipiracil plus bevacizumab, versus trifluridine–tipiracil plus bevacizumab alone. Prior exposure to fluoropyrimidine, oxaliplatin, irinotecan, anti-VEGF, and anti-EGFR (if RAS WT) is required; key exclusions include significant hepatic dysfunction, portal/venous thrombosis, major cardiopulmonary comorbidity, prior arterial liver-directed therapy, and peritoneal disease.

ClinicalTrials.gov ID: NCT06607458

A Randomized Phase 2 Trial of Flat Dose vs. Weight-based Dose of Intra-peritoneal (IP) Chemotherapy for Patients Undergoing Cytoreductive Surgery and Heated Intra-peritoneal Chemotherapy (CRS/HIPEC) for Advanced Gastrointestinal Malignancy

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

TrialFetch AI summary: Adults with peritoneal carcinomatosis from colorectal or appendiceal primaries undergoing cytoreductive surgery are randomized to HIPEC mitomycin C given as a fixed total dose (40 mg) versus weight-based dosing (12.5 mg/m2). Both arms use mitomycin C, a DNA crosslinking cytotoxic antibiotic, with the study focused on pharmacokinetics and potential reduction of systemic exposure/toxicity.

ClinicalTrials.gov ID: NCT04779554

A Single Arm Open Label Study to Determine the Safety and Efficacy/Tolerability of Rhenium-186 NanoLiposomes (186RNL) for Recurrence of Glioma in Patients Who Received a Prior Treatment With 186RNL

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with histologically confirmed recurrent malignant glioma (WHO grade III–IV) who previously received 186RNL, eligible for stereotactic biopsy, are retreated with a single intratumoral infusion of rhenium-186 nanoliposomes via convection-enhanced delivery. 186RNL is a beta-emitting radionuclide encapsulated in nanoliposomes to deliver localized radiation to tumor tissue, with safety, dosimetry, and efficacy (ORR/PFS) assessed; key exclusions include multifocal/leptomeningeal disease and most infratentorial tumors.

ClinicalTrials.gov ID: NCT05460507

Preservation of Cognition and Neuropsychiatric Functioning With Corpus Callosum Genu-Sparing Whole Brain Radiation Therapy for Brain Metastases: A Pilot Study

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

TrialFetch AI summary: Adults with solid-tumor brain metastases scheduled for WBRT (MMSE ≥24, KPS ≥70) receive intensity-modulated whole-brain radiotherapy delivering 30 Gy in 10 fractions while selectively sparing the genu of the corpus callosum. Intended for patients without genu involvement (prior SRS allowed, no prior WBRT), this approach aims to preserve cognition and neuropsychiatric function compared with standard WBRT.

ClinicalTrials.gov ID: NCT03223922

Phase I Study of Stereotactic Radiosurgery Dose Escalation for Brain Metastases

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

TrialFetch AI summary: Adults with 1–5 previously unirradiated, non–brainstem brain metastases (KPS ≥60) receive stereotactic radiosurgery with dose escalation to one or more eligible lesions, while other lesions (if present) receive standard SRS dosing. Excludes radiosensitive primaries (e.g., small cell, germ cell, lymphoma/leukemia, myeloma) and leptomeningeal disease; evaluates safety/MTD based on grade ≥3 toxicities over 12 weeks.

ClinicalTrials.gov ID: NCT02390518