Metastatic lung cancer
My disease has spread. How are therapy options usually structured?
In metastatic disease, biomarkers and general condition are the primary determinants of therapy category, and clinical trials are often part of the discussion.
Not a diagnosis and not final medical advice. Must be reviewed by a doctor.
What changes at this stage
- The general goal of therapy is to control the disease and maintain quality of life.
- Biological markers determine whether targeted therapy is relevant.
- The history of previous therapy determines the order of subsequent choices.
Options that are usually discussed
Systemic therapy based on markers
If actionable markers are found, the target therapy category becomes the main discussion.
Immunotherapy, alone or in combination
The relevance of immunotherapy is assessed by markers such as PD-L1 as well as the patient's condition.
Clinical trials
Ongoing studies are often discussed when standard options are limited or have already been explored.
The decision remains with your doctor
Practical next steps
- Make sure all marker results are available in the form of a complete report.
- Ask how many lines of therapy have been undertaken and what the response has been.
- Assess suitability for the clinical trial that is recruiting participants.
Questions for your oncologist
- What are the goals of therapy at this stage and how is its success assessed?
- Which markers should I base my therapy choices on?
- What options are available if this therapy no longer works?
- Are there any clinical trials that might be appropriate?
Treatment categories
Drugs commonly discussed
Clinical trials
Registry studies for this group
International-patient access and site readiness have not been verified for any study.
NCT03191149Phase 2Targeted therapy
Testing Osimertinib as a Treatment for Lung Cancers With an EGFR Exon 20 Change
Lung Cancer | biomarker: EGFR | Targeted therapy
United States347 registry sites
Why this appears: Appears because it is recorded for Lung Cancer, it mentions marker EGFR, the treatment category is Targeted therapy.
What to verify: Acceptance of patients from outside the local country has not been verified.
- Registry
- Recruiting in registry
- Site
- Not verified
- International access
- Unknown
- Patient match
- Not assessed
Last checked 16 Oktober 2026Source ClinicalTrials.govNCT03191149Not verified
NCT03460977Phase 1Combination regimen
A Study of Mevrometostat for Treatment of Relapsed/Refractory SCLC, Castration Resistant Prostate Cancer, and Follicular Lymphoma
United States, Bulgaria, China +584 registry sites
Why this appears: Appears because it is recorded for Lung Cancer.
What to verify: Acceptance of patients from outside the local country has not been verified.
- Registry
- Recruiting in registry
- Site
- Not verified
- International access
- Unknown
- Patient match
- Not assessed
Last checked 16 Oktober 2026Source ClinicalTrials.govNCT03460977Not verified
NCT04267848Phase 3Immunotherapy
Testing the Addition of a Type of Drug Called Immunotherapy to the Usual Chemotherapy Treatment for Non-small Cell Lung Cancer, an ALCHEMIST Treatment Trial (Chemo-IO [ACCIO])
Lung Cancer | Immunotherapy, Chemotherapy
United States, Guam1151 registry sites
Why this appears: Appears because it is recorded for Lung Cancer, the treatment category is Immunotherapy.
What to verify: Acceptance of patients from outside the local country has not been verified.
- Registry
- Recruiting in registry
- Site
- Not verified
- International access
- Unknown
- Patient match
- Not assessed
Last checked 16 Oktober 2026Source ClinicalTrials.govNCT04267848Not verified
NCT05636969Not applicableCombination regimen
Multimodal Prehabilitation in Patients With Lung Cancer Undergoing Neoadjuvant Therapy
Spain1 registry sites
Why this appears: Appears because it is recorded for Lung Cancer.
What to verify: Acceptance of patients from outside the local country has not been verified.
- Registry
- Recruiting in registry
- Site
- Not verified
- International access
- Unknown
- Patient match
- Not assessed
Last checked 16 Oktober 2026Source ClinicalTrials.govNCT05636969Not verified
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