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NCT05384873: MURAL
Immunonutrition for Improving the Efficacy of Immunotherapy in Patients With Metastatic Non-small Cell Lung Cancer
NA trial testing Immunonutrition in Lung Cancer, Nonsmall Cell in 180 participants. Currently enrolling.
31 July 2026
Quick facts
| Lead sponsor | Fondazione IRCCS Policlinico San Matteo di Pavia |
|---|---|
| Phase | NA |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 180 |
| Start date | 1 June 2023 |
| Primary completion | 31 July 2026 |
| Estimated completion | 31 July 2027 |
| Sites | 1 location across Italy |
Drugs / interventions tested
- Immunonutrition — full drug profile →
- Control dietary intervention
Conditions studied
- Lung Cancer, Nonsmall Cell — all drugs for Lung Cancer, Nonsmall Cell →
Sponsor
Fondazione IRCCS Policlinico San Matteo di Pavia
Who can join
18 and older, any sex, with Lung Cancer, Nonsmall Cell. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
The present study was designed to evaluate the efficacy of the early systematic provision of oral nutritional supplements enriched in immunonutrients in non-small lung cancer patients undergoing immunotherapy and receiving nutritional counseling
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
-
Modulating gut microbiome in cancer immunotherapy: Harnessing microbes to enhance treatment efficacy.
Kang X, Lau HC, Yu J. · · 2024 · cited 65× · PMID 38631285 · DOI 10.1016/j.xcrm.2024.101478 -
The Role of the Gut Microbiome in Cancer Immunotherapy: Current Knowledge and Future Directions.
Kiousi DE, Kouroutzidou AZ, Neanidis K, Karavanis E, et al · · 2023 · cited 29× · PMID 37046762 · DOI 10.3390/cancers15072101 -
Gut microbiota and dietary intervention: affecting immunotherapy efficacy in non-small cell lung cancer.
Xin Y, Liu CG, Zang D, Chen J. · · 2024 · cited 20× · PMID 38361936 · DOI 10.3389/fimmu.2024.1343450 -
The Gut Microbiome from a Biomarker to a Novel Therapeutic Strategy for Immunotherapy Response in Patients with Lung Cancer.
Duttagupta S, Hakozaki T, Routy B, Messaoudene M. · · 2023 · cited 20× · PMID 37999101 · DOI 10.3390/curroncol30110681 -
Multicentre, randomised, open-label, parallel-group, clinical phase II study to evaluate immunonutrition in improving efficacy of immunotherapy in patients with metastatic non-small cell lung cancer, undergoing systematic nutritional counseling.
Caccialanza R, Cereda E, Agustoni F, Klersy C, et al · · 2022 · cited 10× · PMID 36434615 · DOI 10.1186/s12885-022-10296-x -
Non-pharmaceutical interventions to optimize cancer immunotherapy.
Boesch M, Baty F, Rassouli F, Kowatsch T, et al · · 2023 · cited 8× · PMID 37791231 · DOI 10.1080/2162402x.2023.2255459 -
Nutritional status, immunonutrition, and gut microbiome: a coming of age for immunotherapy?
Mattavelli E, Agustoni F, Tartara A, De Simeis F, et al · · 2025 · cited 3× · PMID 40927712 · DOI 10.3389/fimmu.2025.1612567 -
Foods may modify responsiveness to cancer immune checkpoint blockers by altering both the gut microbiota and activation of estrogen receptors in immune cells.
Hilakivi-Clarke L, Verma V, McDermott M, Koak P, et al · · 2022 · cited 1× · PMID 41852822 · DOI 10.3389/frmbi.2022.1049688
Verify or expand the search:
- PubMed search for NCT05384873
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Currently open trials in the same condition.
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Other Fondazione IRCCS Policlinico San Matteo di Pavia 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 NCT05384873 (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 Fondazione IRCCS Policlinico San Matteo di Pavia
- Last refreshed: 1 May 2025
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