Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT03467360

Phase I Trial of CArbonic Anhydrase Inhibition in Combination With Radiochemotherapy or Radioimmunotherapy in Small Cell Lung Carcinoma

Led by Centre Antoine Lacassagne · Updated on 2026-01-20

27

Participants Needed

2

Research Sites

403 weeks

Total Duration

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AI-Summary

What this Trial Is About

The investigators propose to study the carbonic anhydrase inhibition (acetazolamide) associated with concomitant radiochemotherapy or radioimmunotherapy in small cell lung cancer due to: 1. The over-expression of carbonic anhydrases in this type of cancer, 2. The Anti-tumor effect in preclinical acetazolamide in various tumor lines including neuroendocrine tumor lines, 3. The observed synergy between irradiation and inhibition of carbonic anhydrases, 4. Potential anti-tumor immune effect caused by decreased extracellular acidity.

CONDITIONS

Official Title

Phase I Trial of CArbonic Anhydrase Inhibition in Combination With Radiochemotherapy or Radioimmunotherapy in Small Cell Lung Carcinoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Performance Status between 0 and 2
  • Diagnosed with localized non-metastatic or extensive small cell lung cancer
  • Starting radiotherapy combined with platinum and etoposide chemotherapy (localized SCLC) or completed 4 cycles of chemoimmunotherapy with platinum, etoposide, and immunotherapy (atezolizumab or durvalumab) for extensive SCLC
  • Tumor evaluation using RECIST 1.1 and/or PERCIST 1.0 criteria
  • Negative pregnancy test within 72 hours before first treatment if woman of childbearing potential
  • Use of two effective contraception methods or surgical sterilization for women of childbearing potential during and for 1 month after treatment
  • Male participants with female partners of childbearing age must use contraception from first treatment to 1 month after last treatment
  • Able and willing to provide written informed consent
  • Affiliated with a health insurance system
Not Eligible

You will not qualify if you...

  • Presence of metastatic disease
  • Previous thoracic irradiation or irradiation near the thoracic field
  • Refusal or inability to participate in the study
  • Contraindications to thoracic radiotherapy including unbalanced congestive heart failure (ejection fraction <30%) or severe respiratory failure such as grade IV COPD, oxygen dependence, FEV1 <40% predicted, DLCO <40% predicted, or vital capacity <40% predicted
  • Contraindications to acetazolamide including hypersensitivity, severe liver, kidney or adrenal insufficiency, sulfonamide intolerance, history of renal colic, or wheat allergy (except celiac disease)
  • Currently receiving prohibited treatments as specified in the protocol
  • History of cancer except for those in complete remission over 5 years, completely resected basal cell or squamous cell skin carcinoma, or in situ cervical cancer
  • Persons vulnerable under French Healthcare Code including those deprived of freedom, under legal protection, or pregnant or breastfeeding women

AI-Screening

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Trial Site Locations

Total: 2 locations

1

Centre Antoine Lacassagne

Nice, France, 06189

Actively Recruiting

2

Centre Hospitalier Princesse grace

Monte Carlo, Monaco

Terminated

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Research Team

J

Jérôme DOYEN, PH

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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