๐Ÿ›๏ธ Verified NIH Record โ€ข Updated 2026-08-15

Testing the Addition of Radiation Therapy to the Usual Treatment (Immunotherapy With or Without Chemotherapy) for Advanced Stage Non-small Cell Lung Cancer Patients Who Are PD-L1 Negative (NCT04929041)

A Randomized Phase II/III Trial of Modern Immunotherapy Based Systemic Therapy With or Without Radiation Therapy for PD-L1-Negative, Advanced Non-Small Cell Lung Cancer

๐Ÿ”ต Active, Not Recruiting Phase2 / Phase3 ๐Ÿ’Š Investigational Drug / Biologic Sponsor: National Cancer Institute (NCI)

๐Ÿฉบ Plain-English Summary (8th-Grade Level)

This phase II/III trial compares the addition of radiation therapy to the usual treatment (immunotherapy with or without chemotherapy) versus (vs.) usual treatment alone in treating patients with non-small cell lung cancer that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced) or that has spread from where it first started (primary site) to other places in the body (metastatic) whose tumor is also negative for a molecular marker called PD-L1. Radiation therapy uses high energy x-rays, particles, or radioactive seeds to kill tumor cells and shrink tumors. Immunotherapy with monoclonal antibodies, such as nivolumab, ipilimumab may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. The addition of radiation therapy to usual treatment may stop the cancer from growing and increase the life of patients with advanced non-small cell lung cancer who are PD-L1 negative.

Who can join: Review the eligibility criteria below.

Location: Mayo Clinic Hospital in Arizona โ€” Phoenix, Arizona

Age range: 18 Years

๐Ÿงช Interventions in This Study

๐Ÿ“‹ "Do I Qualify?" โ€” 1-Minute Self Screener

Instant Checklist

Full eligibility criteria are available on the official NIH protocol. View the criteria โ†—

๐Ÿ“ All Participating Trial Locations (169 Sites)

Showing the first 25 of 169 sites.

  • Mayo Clinic Hospital in Arizona โ€” Phoenix, Arizona
  • University of Arkansas for Medical Sciences โ€” Little Rock, Arkansas
  • Alta Bates Summit Medical Center-Herrick Campus โ€” Berkeley, California
  • City of Hope Comprehensive Cancer Center โ€” Duarte, California
  • City of Hope at Irvine Lennar โ€” Irvine, California
  • City of Hope Antelope Valley โ€” Lancaster, California
  • Fremont - Rideout Cancer Center โ€” Marysville, California
  • Memorial Medical Center โ€” Modesto, California
  • Providence Queen of The Valley โ€” Napa, California
  • University of California Davis Comprehensive Cancer Center โ€” Sacramento, California
  • City of Hope South Pasadena โ€” South Pasadena, California
  • Gene Upshaw Memorial Tahoe Forest Cancer Center โ€” Truckee, California
  • City of Hope Upland โ€” Upland, California
  • UCHealth Memorial Hospital Central โ€” Colorado Springs, Colorado
  • Memorial Hospital North โ€” Colorado Springs, Colorado
  • Poudre Valley Hospital โ€” Fort Collins, Colorado
  • Cancer Care and Hematology-Fort Collins โ€” Fort Collins, Colorado
  • UCHealth Greeley Hospital โ€” Greeley, Colorado
  • Medical Center of the Rockies โ€” Loveland, Colorado
  • Beebe South Coastal Health Campus โ€” Millville, Delaware
  • Helen F Graham Cancer Center โ€” Newark, Delaware
  • Medical Oncology Hematology Consultants PA โ€” Newark, Delaware
  • Beebe Health Campus โ€” Rehoboth Beach, Delaware
  • MedStar Washington Hospital Center โ€” Washington D.C., District of Columbia
  • UM Sylvester Comprehensive Cancer Center at Aventura โ€” Aventura, Florida

๐Ÿ“ž Contact the Study Coordinator

Phone: (800) 664-4580

Coordinator details come directly from the registered NIH protocol. Confirm the study is still recruiting before traveling.

๐Ÿ’ฐ Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA ยง 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

๐Ÿ’ก How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Contact the study coordinator using the phone/email above.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
๐Ÿ›๏ธ View Official NIH Record โ†—