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NCT04253964
Phase II Pilot Study of Performance Status 2 vs. Performance Status 0-1 Non-Small Cell Lung Cancer Patients Treated With Chemo/Immunotherapy
Phase 2 trial testing Pembrolizumab in Nonsmall Cell Lung Cancer in 105 participants. Currently enrolling.
1 September 2026
Quick facts
| Lead sponsor | Wake Forest University Health Sciences |
|---|---|
| Phase | Phase 2 |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | non randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 105 |
| Start date | 1 July 2020 |
| Primary completion | 1 September 2026 |
| Estimated completion | 1 September 2026 |
| Sites | 1 location across United States |
Drugs / interventions tested
- Pembrolizumab (pembrolizumab) — full drug profile →
- Carboplatin
- Paclitaxel — full drug profile →
- Nab paclitaxel
- Quality of Life Questionnaire, lung cancer-specific (QLQ-LC13)
- QLQ-C30 Global Health/Quality of Life Questionnaire
- COPD Assessment Test and modified Medical Research Council Dyspnea Patient Reported Outcomes
- Pemetrexed — full drug profile →
Conditions studied
- Nonsmall Cell Lung Cancer — all drugs for Nonsmall Cell Lung Cancer →
- Performance Status — all drugs for Performance Status →
Sponsor
Wake Forest University Health Sciences
Who can join
18 and older, any sex, with Nonsmall Cell Lung Cancer or Performance Status. Patients with the condition only — healthy volunteers not accepted.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
-
Proportion of Participants with Progression-Free Survival
Time frame: From baseline to end of 4th cycle of treatment (12 weeks)
Using non-blinded central imaging using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 to define progressive disease. RECIST v 1.1 criteria: * Complete Response (CR): Disappearance of all target lesions. * Partial Response (PR): Decrease by ≥ 30% in sum of longest diameter of target lesions. * Stable Disease (SD): Not meeting criteria for CR, PR, or PD. * Progressive Disease (
Sponsor's own description
This pilot study is configured as a non-inferiority comparison of Performance Status 2 patients with Performance Status 0-1 patients, with the goal of demonstrating non-inferiority in terms of efficacy (progression-free survival, overall survival) and safety (rates of adverse events, quality of life) when treating Performance Status 2 patients with the same first-line immunotherapy-based regimen as Performance Status 0-1 patients.
Publications & conference data
3 peer-reviewed publications reference this trial (live from Europe PMC):
-
First-line immunotherapy in non-small cell lung cancer patients with poor performance status: a systematic review and meta-analysis.
Facchinetti F, Di Maio M, Perrone F, Tiseo M. · · 2021 · cited 30× · PMID 34295688 · DOI 10.21037/tlcr-21-15 -
COPD and Immune Checkpoint Inhibitors for Cancer: A Literature Review.
Lycan TW, Norton DL, Ohar JA. · · 2024 · cited 9× · PMID 39677829 · DOI 10.2147/copd.s490252 -
User-centered design of a COPD care pathway for patients with cancer: a mixed-methods clinical trial protocol.
Lycan TW, Price SN, Mileham K, Stoen E, et al · · 2025 · PMID 41084760 · DOI 10.1080/14796694.2025.2562715
Verify or expand the search:
- PubMed search for NCT04253964
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
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Trials testing the same drug.
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Other recruiting trials for Nonsmall Cell Lung Cancer
Currently open trials in the same condition.
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- NCT03753685 — X-396(Ensartinib) Capsules in ALK-Positive NSCLC Patients With Brain Metastases · Phase 2 · active not recruiting
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Other Wake Forest University Health Sciences trials
Trials by the same sponsor.
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04253964 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Wake Forest University Health Sciences
- Last refreshed: 17 March 2026
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04253964.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing