ClinicalTrials.gg
TerminatedNCT03307759SABRseqUpdated Sep 15, 2025Results posted

Sequencing of Stereotactic Ablative Body Radiotherapy in Combination With PD-1 Blockade Using Pembrolizumab in Metastatic Non-Small Cell Lung Carcinoma

A Phase 1 interventional study of Pembrolizumab and Radiotherapy (SABR) in Non-small Cell Lung Cancer, sponsored by Peter MacCallum Cancer Centre, Australia. Terminated at 1 site in Australia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-15.

Sponsored by Peter MacCallum Cancer Centre, Australia · Phase 1, Interventional, and Treatment

Why this study was terminated
Slow patient accrual

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Phase
Phase 1
Study type
Interventional
Enrollment
13
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 127 studies testing pembrolizumab in Carcinoma, Non-Small-Cell Lung — 29 open to participants now, 48 under way, 13 of them phase 3. pembrolizumab · Carcinoma, Non-Small-Cell Lung.

Enrollment
114th of 127
13 · median 65
Started
2017
with 14 others
Phase 1
22 of 127
2 open now
Registered
45th of 127
by date

Among the 127 studies testing pembrolizumab in Carcinoma, Non-Small-Cell Lung, this one is the 114th largest by enrollment, is one of 15 that started in 2017, is one of 22 in phase 1, and was the 45th registered.

Carcinoma, Non-Small-Cell Lung

7,624 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,837 are open to participants now.

Browse Carcinoma, Non-Small-Cell Lung studies →

Open to participants now

29 of the 127 studies testing pembrolizumab in Carcinoma, Non-Small-Cell Lung are open now, in 10 countries. Recruiting first, the newest first:

24 more — sign in →

By country, each count listing its studies:

All 29 open studies →

About pembrolizumab

pembrolizumab: first FDA approval 2014 (KEYTRUDA), first EMA approval 2015. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 1,326 Carcinoma, Non-Small-Cell Lung studies recruiting now, 988 (75%) set no upper age limit and 225 (17%) stop at 75 or younger; 34 take children under 18; 40 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 127 studies testing pembrolizumab in Carcinoma, Non-Small-Cell Lung, or all of them as a file.
02

Study summary

This investigator driven Phase Ib study will examine the safety, efficacy and biological effects of two schedules of pembrolizumab, an antibody targeted against anti-programmed cell death 1 (PD-1), which will be given either before or after stereotactic ablative body radiotherapy (SABR) for metastatic NSCLC.

03

Conditions studied

  • Non-small Cell Lung Cancer
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Have provided written for the trial.
  2. Be ≥ 18 years of age on day of signing informed consent.
  3. Have at least one lesion not planned for SABR that is based on 1.1.
  4. Patients must have a or cytologically confirmed non-small cell lung cancer.
  5. Patients with disease previously untreated with systemic therapy must have ≥ 50% staining and patients who have previously received systemic therapy must have ≥ 1% PD-L1 staining on immunohistochemistry
  6. Patients must have at least 1-3 lesions suitable for treatment with stereotactic radiotherapy.
  7. Be willing to provide tissue from a newly obtained core or excisional of a tumour lesion where feasible. Newly-obtained is defined as a specimen obtained up to 12 weeks prior to randomisation. Patients for whom newly-obtained samples cannot be provided (e.g. inaccessible or patient safety concern) may submit an archived specimen only upon agreement from the study principal investigators.
  8. Have a performance status of 0-1 on the Performance Scale (see Appendix 1).
  9. Demonstrate adequate organ function as defined in table 3 below, all screening labs should be performed within 10 days of randomisation.

    Table 3 Adequate Organ Function Laboratory Values

    (ANC) ≥1.5x109/L ≥100x109L ≥90 g/L without transfusion or EPO dependency (within 7 days of assessment)

    Serum creatinine OR Measured or calculated ( can also be used in place of creatinine or CrCl) ≤1.5 X (ULN) OR ≥30 mL/min for patients with creatinine levels > 1.5 X institutional ULN

    Serum total ≤ 1.5 X ULN OR Direct bilirubin ≤ ULN for patients with total bilirubin levels > 1.5 ULN (SGOT) and ALT (SGPT)≤ 2.5 X ULN OR ≤ 5 X ULN for patients with liver metastases

    (INR) or Prothrombin Time (PT) Activated Partial Thromboplastin Time (aPTT) ≤1.5 X ULN unless patient is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants ≤1.5 X ULN unless patient is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants

  10. > 3 months.
  11. Be willing and able to comply with all study requirements, including treatment, attending assessments and follow-up.
  12. Female patient of should have a negative urine or serum pregnancy within 7 days of randomisation. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.
  13. Female patients of childbearing potential should be willing to use 2 methods of or be surgically sterile, or abstain from heterosexual activity for the course of the study through 120 days after the last dose of study medication (See Section 8.10). Patients of childbearing potential are those who have not been surgically sterilized or have not been free from menses for > 1 year.
  14. Male patients should agree to use an adequate method of contraception starting with the first dose of study therapy through 120 days after the last dose of study therapy.

Exclusion criteria

Exclusion Criteria:

  1. Has had previous high dose radiotherapy (biological equivalent of >30Gy in 10#) to an area to be treated which includes vertebral bodies (see below).

    Note: Previous high dose radiotherapy is defined as a biological equivalent dose to above that of 30 Gy in 10 fractions using an alpha/beta ratio (50) of 3.

    Where a patient has received radiotherapy to an equivalent or lower dose than defined above, stereotactic radiotherapy of the area may be considered. In doing so, assessment of the volume and total dose received by any overlap region must be made, and documented by generating a cumulative plan incorporating both the previous and current treatment fields. It is the treating radiation oncologist's responsibility to review both the current plan and the cumulative plan inclusive of previous radiotherapy.

  2. Has had previous thoracic radiotherapy of > 36Gy within the 6 months prior to randomisation.
  3. Has known active central nervous system (CNS) and/or carcinomatous meningitis. Patients with small asymptomatic or previously treated may participate provided they are stable (without evidence of progression by imaging for at least four weeks prior to the first dose of trial treatment and any neurologic symptoms have returned to baseline), have no evidence of enlarging brain metastases, and are not using for intracranial neurological symptoms at least 7 days prior to trial randomisation. This exception does not include which is excluded regardless of clinical stability.
  4. Has evidence of Spinal Cord Compression.
  5. Has a Spinal Instability Neoplastic Score ≥ 7 unless lesion reviewed by a neurosurgical service and considered stable (see Appendix 2).
  6. Requires surgical fixation of bone lesion for stability. All surgical fixation and instrumentation must be completed before randomisation on study.
  7. Is currently participating and receiving study therapy or has participated in a study of an agent and received study therapy or used an investigational device within 4 weeks of randomisation.
  8. Has a diagnosis of immunodeficiency.
  9. Has a known history of active TB (Bacillus Tuberculosis).
  10. Has a to pembrolizumab or any of its .
  11. Has had a prior anti-cancer monoclonal antibody (mAb) within 4 weeks prior to randomisation or who has not recovered (i.e., ≤ Grade 1 or at baseline) from adverse events due to agents administered more than 4 weeks earlier.
  12. Has diagnosed and/or treated additional within 5 years prior to randomisation with the exception of: curatively treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, curatively treated early stage cervical cancer, breast cancer or prostate cancer with no evidence of active disease. Other exceptions may be considered following consultation with the principal investigator
  13. Has active disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or drugs). Replacement therapy (e.g. thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
  14. Has a history of (non-infectious) pneumonitis that required steroids or current pneumonitis.
  15. Has had any systemic anti-cancer therapy or radiation therapy within 4 weeks prior to randomisation
  16. Has known interstitial lung disease
  17. Has an active infection requiring systemic therapy.
  18. Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the patient's participation for the full duration of the trial, or is not in the best interest of the patient to participate, in the opinion of the treating investigator.
  19. Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
  20. Has received prior therapy with an , anti-PD-L1, or anti-PD-L2 agent.
  21. Has a known history of (HIV) (HIV 1/2 antibodies).
  22. Has known active (e.g., HBsAg reactive) or (e.g., HCV RNA [qualitative] is detected).
  23. Has received a within 30 days of randomisation. Note: Seasonal influenza vaccines for injection are generally inactivated flu vaccines and are allowed; however intranasal influenza vaccines (e.g., Flu- Mist®) are live attenuated vaccines, and are not allowed. -
Terms in these criteria, in plain language(33)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Active comparator
    SABR plus pembrolizumab

    SABR followed by pembrolizumab

    Drug: Pembrolizumab · Radiation: Radiotherapy (SABR)

  • Active comparator
    Pembrolizumab plus SABR

    Pembrolizumab followed by SABR after cycle 1

    Drug: Pembrolizumab · Radiation: Radiotherapy (SABR)

Interventions

  • Pembrolizumab

  • RadiationRadiotherapy (SABR)

    Radiotherapy

06

What researchers measure

Primary outcomes

  1. Adverse Events Measured Using CTCAE Version 4.03

    Number of participants with grade 3 treatment related adverse events as determined using CTCAE version 4.03 criteria. Grade 3 treatment-related events are high grade toxicities.

    Time frame: Up to 24 months after commencement of treatment

Secondary outcomes

  1. Number of Participants With Overall Response (CR + PR) Assessed Using RECIST 1.1

    Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

    Time frame: Assessed up to 24 months

  2. Number of Participants With Overall Response (irCR + irPR) Assessed Using irRECIST

    Per Response Evaluation Criteria In Solid Tumors Criteria (irRECIST) for all lesions and assessed by CT: irComplete Response (CR), Disappearance of all target lesions; irPartial Response (PR), \>=30% decrease in TMTB; Overall Response (OR) = irCR + irPR.

    Time frame: Assessed up to 24 months

  3. Number of Participants With Overall Response (CMR + PMC) Assessed Using PERCIST1.0

    Per PERCIST 1.0 Criteria for all lesions and assessed by PET/CT: Complete Metabolic Response (CMR), complete resolution of 18F-FDG uptake; Partial Metabolic Response (PMR), \>=30% decrease in target measurable tumour 18F-FDG SUL peak; Overall Response (OR) = CMR + PMR.

    Time frame: Assessed up to 24 months

  4. Number of Participants With Overall Response (CMRv + PMRv) Assessed Using Peter Mac Metabolic Response Criteria

    Per Peter Mac Metabolic Response Criteria In Solid Tumors Criteria (irRECIST) for a lesion and assessed by PET/CT: Complete Metabolic Response (CMRv), FDG activity within tumour site decreased to equal or less than adjacent soft tissue; Partial Metabolic Response (PMRv), any appreciable reduction in intensity of tumour FDG update or in tumour volume; Overall Response (OR) = CMRv + PMRv.

    Time frame: Assessed up to 24 months

  5. Percentage of Participants With Overall Survival

    From randomisation until the date of death from any cause assessed up to the date when the last patient has their 24 months assessment

    Time frame: 24 months

  6. Percentage of Participants With Progression Free Survival (PFS)

    From randomisation until the date of first progression or until the date of death from any cause, whichever occurs first, assessed up to the date when the last patient has their 12 months assessment

    Time frame: 12 months

07

Results

Posted Sep 15, 2025

Participant flow

Participant flow — Overall Study
MilestoneSABR Plus PembrolizumabPembrolizumab Plus SABR
Started58
Completed58
Not completed00

Outcome measures

PrimaryAdverse Events Measured Using CTCAE Version 4.03

Number of participants with grade 3 treatment related adverse events as determined using CTCAE version 4.03 criteria. Grade 3 treatment-related events are high grade toxicities.

Time frame:
Up to 24 months after commencement of treatment
Reported as:
Number · participants with G3 TRAEs.
Adverse Events Measured Using CTCAE Version 4.03
participants with G3 TRAEs.SABR Plus PembrolizumabPembrolizumab Plus SABR
Adverse Events Measured Using CTCAE Version 4.0301
SecondaryNumber of Participants With Overall Response (CR + PR) Assessed Using RECIST 1.1

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Time frame:
Assessed up to 24 months
Reported as:
Count of participants · Participants
Number of Participants With Overall Response (CR + PR) Assessed Using RECIST 1.1
ParticipantsSABR Plus PembrolizumabPembrolizumab Plus SABR
Number of Participants With Overall Response (CR + PR) Assessed Using RECIST 1.144
SecondaryNumber of Participants With Overall Response (irCR + irPR) Assessed Using irRECIST

Per Response Evaluation Criteria In Solid Tumors Criteria (irRECIST) for all lesions and assessed by CT: irComplete Response (CR), Disappearance of all target lesions; irPartial Response (PR), \>=30% decrease in TMTB; Overall Response (OR) = irCR + irPR.

Time frame:
Assessed up to 24 months
Reported as:
Count of participants · Participants
Number of Participants With Overall Response (irCR + irPR) Assessed Using irRECIST
ParticipantsSABR Plus PembrolizumabPembrolizumab Plus SABR
Number of Participants With Overall Response (irCR + irPR) Assessed Using irRECIST44
SecondaryNumber of Participants With Overall Response (CMR + PMC) Assessed Using PERCIST1.0

Per PERCIST 1.0 Criteria for all lesions and assessed by PET/CT: Complete Metabolic Response (CMR), complete resolution of 18F-FDG uptake; Partial Metabolic Response (PMR), \>=30% decrease in target measurable tumour 18F-FDG SUL peak; Overall Response (OR) = CMR + PMR.

Time frame:
Assessed up to 24 months
Reported as:
Count of participants · Participants
Number of Participants With Overall Response (CMR + PMC) Assessed Using PERCIST1.0
ParticipantsSABR Plus PembrolizumabPembrolizumab Plus SABR
Number of Participants With Overall Response (CMR + PMC) Assessed Using PERCIST1.033
SecondaryNumber of Participants With Overall Response (CMRv + PMRv) Assessed Using Peter Mac Metabolic Response Criteria

Per Peter Mac Metabolic Response Criteria In Solid Tumors Criteria (irRECIST) for a lesion and assessed by PET/CT: Complete Metabolic Response (CMRv), FDG activity within tumour site decreased to equal or less than adjacent soft tissue; Partial Metabolic Response (PMRv), any appreciable reduction in intensity of tumour FDG update or in tumour volume; Overall Response (OR) = CMRv + PMRv.

Time frame:
Assessed up to 24 months
Reported as:
Count of participants · Participants
Number of Participants With Overall Response (CMRv + PMRv) Assessed Using Peter Mac Metabolic Response Criteria
ParticipantsSABR Plus PembrolizumabPembrolizumab Plus SABR
Number of Participants With Overall Response (CMRv + PMRv) Assessed Using Peter Mac Metabolic Response Criteria34
SecondaryPercentage of Participants With Overall Survival

From randomisation until the date of death from any cause assessed up to the date when the last patient has their 24 months assessment

Time frame:
24 months
Reported as:
Number · percentage of participants
Percentage of Participants With Overall Survival
percentage of participantsSABR Plus PembrolizumabPembrolizumab Plus SABR
Percentage of Participants With Overall Survival80 (20 to 97)50 (15 to 77)
SecondaryPercentage of Participants With Progression Free Survival (PFS)

From randomisation until the date of first progression or until the date of death from any cause, whichever occurs first, assessed up to the date when the last patient has their 12 months assessment

Time frame:
12 months
Reported as:
Number · percentage of participants
Percentage of Participants With Progression Free Survival (PFS)
percentage of participantsSABR Plus PembrolizumabPembrolizumab Plus SABR
Percentage of Participants With Progression Free Survival (PFS)60 (13 to 88)43 (10 to 73)

Adverse events

Collected over Up to 2 years.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SABR Plus Pembrolizumab1/5 (20%)2/5 (40%)0/5 (0%)
Pembrolizumab Plus SABR4/8 (50%)3/8 (37.5%)0/8 (0%)
Most frequent serious events
Most frequent serious events
EventSABR Plus PembrolizumabPembrolizumab Plus SABR
Cortical thinningMusculoskeletal and connective tissue disorders1/50/8
Hip painMusculoskeletal and connective tissue disorders1/50/8
Pericardial effusionCardiac disorders1/50/8
Reaccumulation of pericardial effusionCardiac disorders1/50/8
Diabetic ketoacidosisMetabolism and nutrition disorders0/51/8
Non ST elevation myocardial infarctCardiac disorders0/51/8
FatigueGeneral disorders0/51/8

Baseline characteristics

Age, Continuous
Age, Continuous(years)SABR Plus PembrolizumabPembrolizumab Plus SABRTotal
Mean62 ± 1068 ± 866 ± 9
Sex: Female, Male
Sex: Female, Male(Participants)SABR Plus PembrolizumabPembrolizumab Plus SABRTotal
Female415
Male178
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)SABR Plus PembrolizumabPembrolizumab Plus SABRTotal
Count of participants——0
08

Study locations

1 site
  • Peter MacCallum Cancer Centre
    Melbourne, Victoria 3000, Australia
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2017 to primary completion in Jan 2022, 49 months.

Results were first posted in Sep 2025, 3 years 7 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 6, 2017
First posted
Oct 12, 2017
StartActual
Dec 7, 2017
Primary completionActual
Jan 31, 2022
CompletionActual
Jan 31, 2022
Results first posted
Sep 15, 2025
Last update
Sep 15, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03307759
Lead sponsor
Peter MacCallum Cancer Centre, Australia
Responsible party
Sponsor
First posted
Oct 12, 2017
Start date
Dec 7, 2017
Primary completion
Jan 31, 2022
Completion
Jan 31, 2022
Results posted
Sep 15, 2025
Last update
Sep 15, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Pembrolizumab

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