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OncoMatch/Clinical Trials/NCT06448572

EXL01 in Combination With Nivolumab for Advanced NSCLC Refractory to Immunotherapy.

Is NCT06448572 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies EXL01 for non-small cell lung cancer.

Phase 1/2RecruitingUniversity Hospital, LilleNCT06448572Data as of May 2026

Treatment: EXL01As treatment options are limited following progression on anti PD-(L)1 and platinum-based chemotherapy, we propose this trial for patients who have failed to respond or have shown intolerance to standard therapies or for whom no appropriate therapies are known to provide clinical benefit. Considering the strong therapeutic rationale of an association between antineoplastic immunotherapy and EXL01 (single-strain of F. prausnitzii, a bacteria which is a dominant member of the healthy gut microbiota), we propose to assess this combination for NSCLC treatment. This is a pilot, Phase I/II, one-arm, monocentric study evaluating the combination of EXL01 with nivolumab treatment for Non-Small Cell Lung Cancer patients.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: ALK wild-type

Required: BRAF wild-type

Required: EGFR wild-type

Required: HER2 (ERBB2) wild-type

Required: MET wild-type

Required: RET wild-type

Required: ROS1 wild-type

Allowed: KRAS any mutation

Disease stage

Required: Stage INOPERABLE STAGE III NOT AMENABLE TO RADIATION THERAPY OR SURGERY, STAGE IV

Metastatic disease required

inoperable advanced/metastatic NSCLC. (inoperable stage III not amenable to radiation therapy or surgery, stage IV)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 2 prior lines

Must have received: anti-PD-1 therapy

Must have previously received anti-PD(L)1 agent

Must have received: platinum-based chemotherapy

Must have previously received ... platinum-based chemotherapy

Lab requirements

Blood counts

absolute neutrophil count ≥ 1500/μl; platelets ≥ 100 000/μl; hemoglobin ≥ 9.0 g/dl

Kidney function

creatinine clearance ≥ 50 ml/min

Liver function

total bilirubin ≤ 1.5 x uln; ast and alt ≤ 2.5 x uln (≤ 5 x uln for participants with liver metastasis)

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

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