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OncoMatch/Clinical Trials/NCT06598527

Stereotactic Body Radiotherapy Followed by Tislelizumab Plus Platinum-based Chemotherapy Versus Tislelizumab Plus Platinum-based Chemotherapy as Neoadjuvant Therapy in Patients With Resectable Stage Ⅱ-Ⅲ Non-small Cell Lung Cancer: A Phase Ⅲ, Randomized, Multicenter, Prospective Study

Is NCT06598527 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including Tislelizumab and Chemotherapy for lung cancer (nsclc).

Phase 3RecruitingYang HongNCT06598527Data as of May 2026

Treatment: Tislelizumab · ChemotherapyThe goal of this clinical trial is to compare the efficacy and safety of neoadjuvant Stereotactic Body Radiotherapy (SBRT) combined with immunochemotherapy versus neoadjuvant immunochemotherapy. The main questions it aims to answer are: Dose SBRT combined with immunochemotherapy improve event-free survival? Is SBRT combined with immunochemotherapy safe enough? Participants will: Receive neoadjuvant SBRT combined with immunochemotherapy or neoadjuvant immunochemotherapy. Tumor assessment will be performed prior to surgery. Surgery will be performed within 4 to 6 weeks (+ 7 days) after completion of the last cycle of immunochemotherapy.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: EGFR mutation

EGFR-mutations ... positive NSCLC [excluded]

Required: ALK fusion

ALK-fusion positive NSCLC [excluded]

Disease stage

Required: Stage IIA, IIB, IIIA, IIIB (T3-4N2) (AJCC 8th edition)

untreated stage IIa-IIIa (according to the AJCC 8th edition of thoracic tumor staging) non-small cell lung cancer. In addition, patients with potentially resectable stage IIIb (T3-4N2) NSCLC will also be enrolled.

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-PD-1 therapy

Received prior therapy with an anti-PD-1

Cannot have received: anti-PD-L1 therapy

Received prior therapy with an anti-PD-L1

Cannot have received: anti-PD-L2 therapy

Received prior therapy with an anti-PD-L2

Cannot have received: anti-CTLA-4 therapy

Received prior therapy with an anti-CTLA

Cannot have received: T-cell co-stimulation or immunoregulation pathway inhibitor

any other drugs specifically targeting T-cell co-stimulation or immunoregulation pathways

Cannot have received: radiation therapy

Exception: historical radiotherapy of chest

Historical radiotherapy of chest

Lab requirements

Blood counts

neutrophils ≥ 1500 x 10^9/L; platelets ≥ 100 x 10^9/L; hemoglobin > 9.0 g/dL; INR/APTT within the normal range

Kidney function

serum creatinine ≤ 1.5 x ULN or creatinine clearance (CrCl) ≥ 40 mL/min

Liver function

AST/ALT ≤ 3 x ULN; total bilirubin ≤ 1.5 x ULN

Requirements for hematology: i, neutrophils ≥ 1500 x 10^9/L; ii, platelets ≥ 100 x 10^9/L; iii, hemoglobin > 9.0 g/dL; iv, serum creatinine ≤ 1.5 x ULN or creatinine clearance (CrCl) ≥ 40 mL/min; v, aspartate transaminase (AST)/alanine transaminase (ALT) ≤ 3 x ULN; vi, total bilirubin ≤ 1.5 x ULN; vii. forced expiratory volume in the first second (FEV1) ≥ 1.2 L or > 40% predicted; viii. International Normalized Ratio/activated partial thromboplastin time (INR/APTT) within the normal range

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

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