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OncoMatch/Clinical Trials/NCT04892953

Local Consolidative Therapy and Durvalumab for Oligoprogressive and Polyprogressive Stage III NSCLC After Chemoradiation and Anti-PD-L1 Therapy

Is NCT04892953 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments for stage iii lung cancer ajcc v8.

Phase 2RecruitingM.D. Anderson Cancer CenterNCT04892953Data as of May 2026

Treatment: Carboplatin · Durvalumab · Gemcitabine · Nab-paclitaxel · Paclitaxel · PemetrexedThis phase II trial finds out the effect of local consolidative therapy and durvalumab in treating patients with stage III non-small cell lung cancer that has 3 or fewer lesions of progression (oligoprogressive) and greater than 3 lesions of progression (polyprogressive) after chemoradiation and anti-PD-l1 therapy. Local consolidative therapy, such as surgery and/or radiation, after initial treatment may kill any remaining tumor cells. Immunotherapy with durvalumab, may induce changes in body's immune system and may interfere with the ability of tumor cells to grow and spread. Giving local consolidative therapy and durvalumab may help to control the disease.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Disease stage

Required: Stage IIIA, IIIB, IIIC, III (AJCC 7th and 8th edition)

Stage III NSCLC (AJCC 7th and 8th edition)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: chemoradiation — definitive

patients who received standard chemoradiation followed by durvalumab therapy

Must have received: anti-PD-L1 therapy (durvalumab) — post-chemoradiation

patients who received standard chemoradiation followed by durvalumab therapy

Cannot have received: anti-PD-(L)1 therapy other than durvalumab

Patients who were treated with anti-PD-(L)1 therapy other than durvalumab

Lab requirements

Blood counts

Hemoglobin ≥ 9.0 g/dL; Platelet count ≥ 75 × 10^9/L

Kidney function

Measured creatinine clearance (CL) > 15 mL/min or calculated creatinine CL > 15 mL/min

Liver function

Serum bilirubin ≤ 1.5 x institutional ULN (except Gilbert's syndrome); AST/ALT ≤ 2.5 x ULN unless liver metastases present, then ≤ 5 x ULN

Cardiac function

Mean QTcF < 470 ms (from 3 ECGs within 15 minutes at 5 minutes apart)

Hemoglobin ≥ 9.0 g/dL; Platelet count ≥ 75 × 10^9/L; Serum bilirubin ≤ 1.5 x institutional ULN ... AST/ALT ≤ 2.5 x ULN unless liver metastases ... Measured creatinine clearance (CL) > 15 mL/min ... Mean QTcF < 470 ms

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • M D Anderson Cancer Center · Houston, Texas

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