RecruitingPhase IEN originalLung cancerMetastatic / advanced

Study of Aerosolized Antibiotics and Pembrolizumab in Advanced Non-small Cell Lung Cancer

⚠️

This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.

About the trial

Background: Non-small cell lung cancer (NSCLC) can be hard to treat and is often fatal. People with NSCLC commonly have changes in the bacteria that populate their lungs. These bacterial changes may aid tumor growth. Researchers want to find out if treating the bacteria, too, can help cancer treatment work better. Objective: To test 2 inhaled antibiotics (aztreonam and vancomycin), combined with a standard cancer treatment, in people with NSCLC. Eligibility: People aged 18 years and older with NSCLC that has returned or progressed after treatment and cannot be treated with surgery. Design: Participants will be screened. They will have a physical exam with blood tests. They may blow into a machine to test how well their lungs work. They will have imaging scans. They may need to have a small piece of tissue cut from their tumor (biopsy). Participants will be treated in six 21-day cycles. They will visit the clinic to receive a drug for cancer treatment on the first day of each cycle. This drug will be administered through a tube attached to a needle inserted into a vein in the arm. The 2 antibiotic drugs will be in the form of a fine mist that can be inhaled. Participants use a device to take these drugs at home. They will inhale aztreonam up to 3 times a day and vancomycin 1 or 2 times a day. They will take these drugs during only 3 of the treatment cycles. Biopsies and other tests will be repeated halfway through and after the study treatment. Follow-up visits will continue for 1 year after study treatment.

Original English text from ClinicalTrials.gov

Who can (and can't) join

✓ Qualifies

  • Potwierdzony zaawansowany rak płuca, który powrócił lub pogorszył się po poprzednim leczeniu
  • Wiek 18 lat lub więcej
  • Choroba nie może być leczona chirurgicznie
  • Wymagane wyniki testów krwi wykazujące dostateczną funkcję wątroby i nerek
  • Wymagana prawidłowa liczba białych krwinek, płytek krwi i hemoglobiny
  • Wynik testu PD-L1 co najmniej 1% (test immunologiczny nowotworów)
  • Choroba pogorszyła się pomimo poprzedniego leczenia zatwierdzonego przez FDA
  • Osób z przerzutami do mózgu można włączyć, jeśli są leczone i stabilne

Simplified criteria — AI translation

Trial details

Minimum age
18 Years
Maximum age
120 Years
Last updated (source)
July 23, 2026
Sex
No restrictions

Therapies / drugs in trial

Locations (1)

National Institutes of Health Clinical Center

Bethesda, United States

Trial contact

Contact information from ClinicalTrials.gov. Contact in English.

Share this trial

Data from ClinicalTrials.gov. AI-assisted translation, last sync: 7/24/2026.

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