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ClinicalTrials.gov record
Active, not recruiting Phase 2Phase 3 Interventional

Testing the Addition of Radiation Therapy to the Usual Treatment (Immunotherapy With or Without Chemotherapy) for Advanced Stage Non-small Cell Lung Cancer Patients Who Are PD-L1 Negative

ClinicalTrials.gov ID: NCT04929041

Public ClinicalTrials.gov record NCT04929041. Field values are reproduced from the official study page; the official ClinicalTrials.gov record remains the source of truth for eligibility, enrollment, and contact information.

ClinicalTrials.gov public records Last synced Oct 21, 2026, 9:11 AM EDT

Data is sourced from official ClinicalTrials.gov public API records. Always review the official ClinicalTrials.gov record for the latest information.

Official title

A Randomized Phase II/III Trial of Modern Immunotherapy Based Systemic Therapy With or Without Radiation Therapy for PD-L1-Negative, Advanced Non-Small Cell Lung Cancer

Brief summary

Reproduced verbatim from the official ClinicalTrials.gov record. Not medical advice.

This phase II/III trial compares the addition of radiation therapy to the usual treatment (immunotherapy with or without chemotherapy) versus (vs.) usual treatment alone in treating patients with non-small cell lung cancer that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced) or that has spread from where it first started (primary site) to other places in the body (metastatic) whose tumor is also negative for a molecular marker called PD-L1. Radiation therapy uses high energy x-rays, particles, or radioactive seeds to kill tumor cells and shrink tumors. Immunotherapy with monoclonal antibodies, such as nivolumab, ipilimumab may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. The addition of radiation therapy to usual treatment may stop the cancer from growing and increase the life of patients with advanced non-small cell lung cancer who are PD-L1 negative.

Study identification

NCT ID
NCT04929041
Recruitment status
Active, not recruiting
Study type
Interventional
Phase
Phase 2, Phase 3
Enrollment
427 participants

Conditions and interventions

Eligibility (public fields only)

Age range
18 Years and older
Sex
All
Healthy volunteers
Healthy volunteers not accepted

This page does not interpret eligibility. Detailed inclusion and exclusion criteria are on the official ClinicalTrials.gov record.

Study timeline

Start date
Oct 7, 2022 (Actual)
Primary completion
Dec 12, 2030 (Estimated)
Completion
Dec 12, 2030 (Estimated)
Last update posted
Oct 1, 2026

2022 – 2030

United States locations

U.S. sites
169
U.S. states
30
U.S. cities
132
Facility City State ZIP Site status
Mayo Clinic Hospital in Arizona Phoenix Arizona 85054 —
University of Arkansas for Medical Sciences Little Rock Arkansas 72205 —
Alta Bates Summit Medical Center-Herrick Campus Berkeley California 94704 —
City of Hope Comprehensive Cancer Center Duarte California 91010 —
City of Hope at Irvine Lennar Irvine California 92618 —
City of Hope Antelope Valley Lancaster California 93534 —
Fremont - Rideout Cancer Center Marysville California 95901 —
Memorial Medical Center Modesto California 95355 —
Providence Queen of The Valley Napa California 94558 —
University of California Davis Comprehensive Cancer Center Sacramento California 95817 —
City of Hope South Pasadena South Pasadena California 91030 —
Gene Upshaw Memorial Tahoe Forest Cancer Center Truckee California 96161 —
City of Hope Upland Upland California 91786 —
UCHealth Memorial Hospital Central Colorado Springs Colorado 80909 —
Memorial Hospital North Colorado Springs Colorado 80920 —
Poudre Valley Hospital Fort Collins Colorado 80524 —
Cancer Care and Hematology-Fort Collins Fort Collins Colorado 80528 —
UCHealth Greeley Hospital Greeley Colorado 80631 —
Medical Center of the Rockies Loveland Colorado 80538 —
Beebe South Coastal Health Campus Millville Delaware 19967 —
Helen F Graham Cancer Center Newark Delaware 19713 —
Medical Oncology Hematology Consultants PA Newark Delaware 19713 —
Beebe Health Campus Rehoboth Beach Delaware 19971 —
MedStar Washington Hospital Center Washington D.C. District of Columbia 20010 —
UM Sylvester Comprehensive Cancer Center at Aventura Aventura Florida 33180 —
Morton Plant Hospital Clearwater Florida 33756 —
UM Sylvester Comprehensive Cancer Center at Coral Gables Coral Gables Florida 33146 —
UM Sylvester Comprehensive Cancer Center at Deerfield Beach Deerfield Beach Florida 33442 —
University of Miami Miller School of Medicine-Sylvester Cancer Center Miami Florida 33136 —
UM Sylvester Comprehensive Cancer Center at Kendall Miami Florida 33176 —
UM Sylvester Comprehensive Cancer Center at Plantation Plantation Florida 33324 —
Saint Joseph's Hospital/Children's Hospital-Tampa Tampa Florida 33607 —
Winter Haven Hospital Winter Haven Florida 33881 —
CTCA at Southeastern Regional Medical Center Newnan Georgia 30265 —
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler Savannah Georgia 31405 —
Saint Luke's Cancer Institute - Boise Boise Idaho 83712 —
Saint Luke's Cancer Institute - Fruitland Fruitland Idaho 83619 —
Saint Luke's Cancer Institute - Meridian Meridian Idaho 83642 —
Saint Luke's Cancer Institute - Nampa Nampa Idaho 83687 —
Saint Luke's Cancer Institute - Twin Falls Twin Falls Idaho 83301 —
Northwestern University Chicago Illinois 60611 —
University of Illinois Chicago Illinois 60612 —
University of Chicago Comprehensive Cancer Center Chicago Illinois 60637 —
Carle at The Riverfront Danville Illinois 61832 —
Decatur Memorial Hospital Decatur Illinois 62526 —
Northwestern Medicine Cancer Center Kishwaukee DeKalb Illinois 60115 —
Carle Physician Group-Effingham Effingham Illinois 62401 —
Crossroads Cancer Center Effingham Illinois 62401 —
Northwestern Medicine Cancer Center Delnor Geneva Illinois 60134 —
Northwestern Medicine Glenview Outpatient Center Glenview Illinois 60026 —
Northwestern Medicine Grayslake Outpatient Center Grayslake Illinois 60030 —
Ingalls Memorial Hospital Harvey Illinois 60426 —
Northwestern Medicine Lake Forest Hospital Lake Forest Illinois 60045 —
Carle Physician Group-Mattoon/Charleston Mattoon Illinois 61938 —
UC Comprehensive Cancer Center at Silver Cross New Lenox Illinois 60451 —
HSHS Saint Elizabeth's Hospital O'Fallon Illinois 62269 —
University of Chicago Medicine-Orland Park Orland Park Illinois 60462 —
UW Health Carbone Cancer Center Rockford Rockford Illinois 61114 —
Southern Illinois University School of Medicine Springfield Illinois 62702 —
Springfield Clinic Springfield Illinois 62702 —
Springfield Memorial Hospital Springfield Illinois 62781 —
Carle Cancer Center Urbana Illinois 61801 —
Northwestern Medicine Cancer Center Warrenville Warrenville Illinois 60555 —
UChicago Medicine Northwest Indiana Crown Point Indiana 46307 —
Mary Greeley Medical Center Ames Iowa 50010 —
McFarland Clinic - Ames Ames Iowa 50010 —
UI Health Care Mission Cancer and Blood - Ankeny Clinic Ankeny Iowa 50023 —
Mercy Cancer Center-West Lakes Clive Iowa 50325 —
UI Health Care Mission Cancer and Blood - West Des Moines Clinic Clive Iowa 50325 —
Greater Regional Medical Center Creston Iowa 50801 —
Iowa Methodist Medical Center Des Moines Iowa 50309 —
UI Health Care Mission Cancer and Blood - Des Moines Clinic Des Moines Iowa 50309 —
Mercy Medical Center - Des Moines Des Moines Iowa 50314 —
UI Health Care Mission Cancer and Blood - Laurel Clinic Des Moines Iowa 50314 —
UI Health Care Mission Cancer and Blood - Waukee Clinic Waukee Iowa 50263 —
Mercy Medical Center-West Lakes West Des Moines Iowa 50266 —
The Iowa Clinic PC West Des Moines Iowa 50266 —
CommonSpirit Saint Joseph Medical Center - East Lexington Lexington Kentucky 40509 —
University of Kentucky/Markey Cancer Center Lexington Kentucky 40536 —
MaineHealth Cancer Care Center of York County Sanford Maine 04073 —
MaineHealth Maine Medical Center- Scarborough Scarborough Maine 04074 —
MaineHealth Cancer Care and IV Therapy - South Portland South Portland Maine 04106 —
Trinity Health Saint Joseph Mercy Hospital Ann Arbor Ann Arbor Michigan 48106 —
Trinity Health IHA Medical Group Hematology Oncology - Brighton Brighton Michigan 48114 —
Trinity Health Medical Center - Brighton Brighton Michigan 48114 —
Trinity Health IHA Medical Group Hematology Oncology - Canton Canton Michigan 48188 —
Trinity Health Medical Center - Canton Canton Michigan 48188 —
Chelsea Hospital Chelsea Michigan 48118 —
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital Chelsea Michigan 48118 —
Genesys Hurley Cancer Institute Flint Michigan 48503 —
Hurley Medical Center Flint Michigan 48503 —
Bronson Methodist Hospital Kalamazoo Michigan 49007 —
West Michigan Cancer Center Kalamazoo Michigan 49007 —
University of Michigan Health - Sparrow Lansing Lansing Michigan 48912 —
Trinity Health Saint Mary Mercy Livonia Hospital Livonia Michigan 48154 —
Michigan Healthcare Professionals Pontiac Pontiac Michigan 48341 —
Trinity Health Saint Joseph Mercy Oakland Hospital Pontiac Michigan 48341 —
MyMichigan Medical Center Saginaw Saginaw Michigan 48601 —
Oncology Hematology Associates of Saginaw Valley PC Saginaw Michigan 48604 —
MyMichigan Medical Center Tawas Tawas City Michigan 48764 —
Saint Mary's Oncology/Hematology Associates of West Branch West Branch Michigan 48661 —
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus Ypsilanti Michigan 48197 —
Miller-Dwan Hospital Duluth Minnesota 55805 —
Hennepin County Medical Center Minneapolis Minnesota 55415 —
North Memorial Medical Health Center Robbinsdale Minnesota 55422 —
Coborn Cancer Center at Saint Cloud Hospital Saint Cloud Minnesota 56303 —
Regions Hospital Saint Paul Minnesota 55101 —
Saint Francis Medical Center Cape Girardeau Missouri 63703 —
Parkland Health Center - Farmington Farmington Missouri 63640 —
Phelps Health Delbert Day Cancer Institute Rolla Missouri 65401 —
Sainte Genevieve County Memorial Hospital Sainte Genevieve Missouri 63670 —
Mercy Hospital Springfield Springfield Missouri 65804 —
Mercy Hospital South St Louis Missouri 63128 —
Missouri Baptist Medical Center St Louis Missouri 63131 —
Mercy Hospital Saint Louis St Louis Missouri 63141 —
Missouri Baptist Sullivan Hospital Sullivan Missouri 63080 —
Bozeman Health Deaconess Hospital Bozeman Montana 59715 —
Roswell Park Cancer Institute Buffalo New York 14263 —
Northwell Health/Center for Advanced Medicine Lake Success New York 11042 —
Mount Sinai Chelsea New York New York 10011 —
Mount Sinai West New York New York 10019 —
Mount Sinai Hospital New York New York 10029 —
Manhattan Eye Ear and Throat Hospital New York New York 10065 —
Lenox Hill Hospital New York New York 10075 —
Upstate Cancer Center at Oswego Oswego New York 13126 —
Upstate Cancer Center Radiation Oncology at Oswego Oswego New York 13126 —
State University of New York Upstate Medical University Syracuse New York 13210 —
Upstate Cancer Center at Hill Radiation Oncology Syracuse New York 13210 —
SUNY Upstate Medical Center-Community Campus Syracuse New York 13215 —
Upstate Cancer Center at Verona Verona New York 13478 —
Duke University Medical Center Durham North Carolina 27710 —
Duke Cancer Center Raleigh Raleigh North Carolina 27609 —
Wake Forest University Health Sciences Winston-Salem North Carolina 27157 —
Summa Health System - Akron Campus Akron Ohio 44304 —
Cancer Centers of Southwest Oklahoma Research Lawton Oklahoma 73505 —
University of Oklahoma Health Sciences Center Oklahoma City Oklahoma 73104 —
Mercy Hospital Oklahoma City Oklahoma City Oklahoma 73120 —
Legacy Mount Hood Medical Center Gresham Oregon 97030 —
Legacy Good Samaritan Hospital and Medical Center Portland Oregon 97210 —
Oregon Health and Science University Portland Oregon 97239 —
Legacy Meridian Park Hospital Tualatin Oregon 97062 —
Christiana Care Health System-Concord Health Center Chadds Ford Pennsylvania 19317 —
Geisinger Medical Center Danville Pennsylvania 17822 —
Penn State Milton S Hershey Medical Center Hershey Pennsylvania 17033-0850 —
Geisinger Medical Oncology-Lewisburg Lewisburg Pennsylvania 17837 —
Penn State Health Saint Joseph Medical Center Reading Pennsylvania 19605 —
Geisinger Wyoming Valley/Henry Cancer Center Wilkes-Barre Pennsylvania 18711 —
Medical University of South Carolina Charleston South Carolina 29425 —
The Don and Sybil Harrington Cancer Center Amarillo Texas 79106 —
VCU Massey Cancer Center at Stony Point Richmond Virginia 23235 —
VCU Massey Comprehensive Cancer Center Richmond Virginia 23298 —
VCU Health Tappahannock Hospital Tappahannock Virginia 22560 —
Legacy Cancer Institute Medical Oncology and Day Treatment Vancouver Washington 98684 —
Legacy Salmon Creek Hospital Vancouver Washington 98686 —
Providence Saint Mary Regional Cancer Center Walla Walla Washington 99362 —
Vandalia Health/CAMC Institute for Academic Medicine Charleston West Virginia 25304 —
Northwest Wisconsin Cancer Center Ashland Wisconsin 54806 —
Marshfield Medical Center-EC Cancer Center Eau Claire Wisconsin 54701 —
Gundersen Lutheran Medical Center La Crosse Wisconsin 54601 —
Mayo Clinic Health System-Franciscan Healthcare La Crosse Wisconsin 54601 —
Marshfield Medical Center-Marshfield Marshfield Wisconsin 54449 —
Marshfield Medical Center - Minocqua Minocqua Wisconsin 54548 —
ProHealth D N Greenwald Center Mukwonago Wisconsin 53149 —
Cancer Center of Western Wisconsin New Richmond Wisconsin 54017 —
ProHealth Oconomowoc Memorial Hospital Oconomowoc Wisconsin 53066 —
Marshfield Medical Center-Rice Lake Rice Lake Wisconsin 54868 —
Marshfield Medical Center-River Region at Stevens Point Stevens Point Wisconsin 54482 —
UW Cancer Center at ProHealth Care Waukesha Wisconsin 53188 —
Marshfield Medical Center - Weston Weston Wisconsin 54476 —

Site contact phone numbers, emails, and investigator names are intentionally not displayed here. Open the official ClinicalTrials.gov record for site contact information.

About this trial record page

What this page shows
Public field values for ClinicalTrials.gov record NCT04929041, including study identification, conditions, interventions, eligibility (age, sex, healthy volunteer), timeline, and U.S. site list.
What this page does not do
No medical advice, eligibility judgments, treatment recommendations, study quality scoring, or AI-generated medical summaries. No site contact phone numbers, emails, or investigator names.
Where the data comes from
Sourced from the official ClinicalTrials.gov public API. The official record is the source of truth.
Last refresh
Last update posted Oct 1, 2026 · Synced Oct 21, 2026

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Open the official record

The complete public registry record, listed eligibility criteria, and available contact information for NCT04929041 live on ClinicalTrials.gov.

View official ClinicalTrials.gov record →