Non Small Cell Lung CancerPhase 2ATHENEANCT07153445
Neoadjuvant Treatment With Atezolizumab and Atezolizumab as Maintenance for the Treatment of Stage III Non Small-Cell Lung Cancer (NSCLC)
A Phase 2 study testing Atezolizumab, Paclitaxel and Carboplatin in people with Non Small Cell Lung Cancer and Stage IIIA Lung Cancer, run by Fundación GECP at 21 sites in Spain.
Trial summary
This is an open-label, phase II, multi-centre clinical trial. 97 Patients with stage IIIA and IIIB non-small cell lung cancer will be enrolled. The treatment is Atezolizumab + Paclitaxel + Carboplatin 3 cycles as neoadjuvant/induction treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non Small Cell Lung Cancer, Stage IIIA Lung Cancer, Stage IIIB Lung Cancer
- What is being tested?
- Atezolizumab, Paclitaxel and Carboplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 97 participants
- Where
- 21 sitesSpain
- Study dates
- 8 Jul 2025to 2 May 2035
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Previously untreated patients with histologically- or cytologically- documented Non Small-Cell Lung Cancer (NSCLC) who present stage IIIA - IIIB disease (according to 8th version of the International Association for the Study of Lung Cancer Staging Manual in Thoracic Oncology)
- Confirm the absence of distant disease
- ECOG (Performance status) 0-1
- Adequate hematologic and organ function
- All patients are notified of the investigational nature of this study and signed a written in-formed consent in accordance with institutional and national guidelines, including the Declaration of Helsinki prior to any trial-related intervention
- Adequate lung function
Show all 12Show fewer
- Patients aged > 18 years
- For female patients of childbearing potential, agreement (by patient and/or partner) to use a highly effective form(s) of contraception
- For male patients with female partners of childbearing potential, agreement (by patient and/or partner) to use a highly effective form of contraception
- Oral contraception should always be combined with an additional contraceptive method
- Women who are not postmenopausal or surgically sterile must have a negative serum pregnancy test result within 8 days prior to initiation of study drug.
- Patient capable of proper therapeutic compliance and accessible for correct follow-up
Who cannot join
- Patients mutation or an amplification in the EGFRgene, ALK fusion oncogene.
- Known STK-11 ligand alterations, MDM2 amplifications or ROS1 translocations.
- Weight loss >10% within the previous 3 months.
- Patients that receive previous treatment with antineoplasic drugs, chest radiotherapy, or previous surgery for lung cancer.
- Malignancies other than Non Small-Cell Lung Cancer (NSCLC) within 3 years prior to enrolment
- Pleural or pericardial effusion
Show all 13Show fewer
- Known hypersensitivity or allergy to atezolizumab formulation.
- History of autoimmune disease or lung disease
- Positive test for human immunodeficiency viruses (HIV)
- Patients with active hepatitis B or hepatitis C or psitive for hepatitis C virus.
- Active tuberculosis.
- Symptomatic neuropathy grade > 1 according to Common Terminology Criteria for Adverse Events (CTCAE) v5.0
- Severe infections within 4 weeks prior to be included in the study
Trial locations and contacts
21 sites in 1 country. Contact the study team or a site near you to ask about taking part.
21 sites in 1 country
Spain21 sites, 21 recruiting
- Recruiting
Hospitalario Universitario A Coruña
A Coruña, La Coruña, 15006
Rosario García Campelo, MD
Rosario García Campelo, MD
- Recruiting
Hospital General Universitario Dr. Balmis de Alicante
Alicante, Alicante, 03010
Bartomeu Massuti, MD
Bartomeu Massuti, MD
- Recruiting
ICO Badalona, Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916
Enric Carcereny, MD
Enric Carcereny, MD
- Recruiting
Hospital Universitari Vall d' Hebron
Barcelona, Barcelona, 08035
Alex Martínez, MD
Alex Martínez, MD
- Recruiting
Hospital de la Santa Creu i Sant Pau
Barcelona, Barcelona, 08041
Sergio Martínez Recio, MD
Sergio Martínez Recio, MD
- Recruiting
Hospital Parc Taulí
Barcelona, Barcelona, 08208
Laia Vilà, MD
Laia Vilà, MD
- Recruiting
Hospital De Basurto
Bilbao, Bilbao, 48013
Mª Ángeles Sala, MD
Mª Ángeles Sala, MD
- Recruiting
ICO Girona, Hospital Josep Trueta
Girona, Girona, 17007
Elia Sais, MD
Elia Sais, MD
- Recruiting
Hospital Universitario Clinico San Cecilio
Granada, Granada, 18007
Silvia Sequero López, MD
Silvia Sequero López, MD
- Recruiting
Hospital Univ. De Jerez De La Frontera
Jerez de la Frontera, Cadiz, 11407
Mª Angeles Moreno, MD
Mª Angeles Moreno, MD
- Recruiting
Hospital Universitari de Gran Canària Doctor Negrín
Las Palmas de Gran Canaria, Las Palmas, 35010
David Aguiar Bujanda, MD
David Aguiar Bujanda
- Recruiting
Hospital Universitario Lucus Augusti
Lugo, Lugo, 27003
Begoña Campos, MD
Begoña Campos, MD
- Not yet recruiting
Hospital Universitario Fundación Jiménez Díaz
Madrid, Madrid, 28040
Manuel Dómine, MD
Manuel Dómine, MD
- Recruiting
Hospital Universitario Puerta de Hierro
Majadahonda, Madrid, 28222
Mariano Provencio, MD
Clara Salas, MD
- Recruiting
Hospital Universitari Son Llatzer
Palma de Mallorca, Palma de Mallorca, 07198
Ester Gost, MD
Juan Coves Sarto, MD
- Recruiting
Complejo Hospitalario de Navarra
Pamplona, Pamplona, 31008
Maite Martínez, MD
Maite Martínez, MD
- Recruiting
Hospital Universitari Sant Joan de Reus
Reus, Tarragona, 43204
Clara Lucía Gozalvez, MD
Clara Lucía Gozalvez, Md
- Recruiting
Hospital Universitario Salamanca
Salamanca, Salamanca, 37007
Alejandro Olivares Hernández, MD
Alejandro Olivares Hernández, MD
- Recruiting
Hospital Universitario Nuestra Señora La Candelaria
Santa Cruz de Tenerife, Santa Cruz de Tenerife, 38009
Karla Mercedes Medina, MD
Karla Mercedes Medina, MD
- Recruiting
Hospital Universitario Virgen Del Rocio
Seville, Sevilla, 41013
Reyes Bernabé, MD
Reyes Bernabé, MD
- Recruiting
Hospital General Universitario de Valencia
Valencia, Valencia, 46014
Paula Espinosa, MD
Paula Espinosa, MD
About this study
Official title: Phase II Clinical Trial of Chemotherapy + Atezolizumab for Stage IIIa and IIIb Non-small Cell Lung Cancer Followed by Atezolizumab as Adjuvant Treatment After Surgery and Atezolizumab as Maintenance Treatment for Non-resected Patients After Chemoradiotherapy
This is an open-label, phase II, multi-centre clinical trial. 97 Patients with stage IIIA and IIIB non-small cell lung cancer will be enrolled.
The treatment is Atezolizumab + Paclitaxel + Carboplatin 3 cycles as neoadjuvant/induction treatment. After the induction treatment every patient will be evaluated by a multidisciplinary team in each participant hospital to decide if the patient is candidate for surgery or not.
Depending on the decision each patient will be treated in a different way. The primary objective is to evaluate the Progression free survival (PFS). The total trial duration will be 10 years approximately. Patient accrual is expected to be completed within 2 years. Two years of treatment, 5 years of follow up, and 4-6 months of close-out.
Read the detailed description
The study ATHENEA is a phase II clinical trial intending to enroll 97 patients, who will receive Atezolizumab + Paclitaxel + Carboplatin as induction/neoadjuvant treatment. After the induction treatment all patients will be evaluated by a multidisciplinary team in each participant hospital to decide if the patient is candidate for surgery or not.
Depending on the decision each patient will be treated in a different way.
The study is an open-label, phase II, multicenter clinical trial for previously untreated adult patients with stage to IIIA and IIIB non-small cell lung cancer.
The primary objective is to evaluate the Progression free survival (PFS) in the intent-to-treat population.
Progression free survival (PFS) defined as the time from initiation of treatment to the occurrence of disease progression or death.
The total trial duration will be 10 years approximately. Approval-start up: 4-6 months. Patient accrual is expected to be completed within 2 years. Two years of treatment, 5 years of follow up, and close-out: 4-6 months. The study will end once survival follow-up has concluded.
- Being tested
- Atezolizumab, Paclitaxel, Carboplatin
- Keywords
- Non small cell lung cancer, Atezolizumab, Non-resected lung cancer, Adjuvant treatment
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Lung Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtezolizumabDrug
Also called Tecentriq
Patients will receive atezolizumab administered by intravenous infusion in a monitored setting where there is immediate access to trained personnel and adequate equipment/medicine to manage potentially serious reactions.
PaclitaxelDrug
Also called Taxol
Neoadjuvant / induction treatment:
Atezolizumab Paclitaxel Carboplatin
Neoadjuvant / induction treatment 3 cycles will be administered prior to the assessment for surgery.
Route of administration Paclitaxel: Intravenous infusion.
Guidelines of Paclitaxel administration: Paclitaxel must be administered by infusion over 3 hours in dextrose (D5W) or normal saline (NS). The concentration must not exceed 1.2 mg/ml.
CarboplatinDrug
Also called Paraplatin
Neoadjuvant / induction treatment:
Atezolizumab Paclitaxel Carboplatin*
*Infusion according to the standard of each center
Neoadjuvant / induction treatment 3 cycles will be administered prior to the assessment for surgery.
Route of administration Carboplatin: Intravenous infusion. Guidelines of Carboplatin administration: According to the standard of each center.
| Study group | Role | What they receive |
|---|---|---|
| Experimental: Neoadjuvant/Induction treatment | Experimental | Neoadjuvant/Induction treatment prior to surgery:
* Atezolizumab
* Paclitaxel:
* Carboplatin
After assessment by a multidisciplinary team who will decide on the best post-induction treatment Receives: Drug: Atezolizumab; Drug: Paclitaxel; Drug: Carboplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival (PFS)
Progression free survival (PFS) defined as the time from initiation of treatment to the occurrence of disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Measured: From the date of randomization until end of follow up, up to 60 months.
Secondary outcomes (3)
Resectability rate (%)
Resectability rate defined as the percentage of patients resected divided by the total number of patients who received neoadjuvant treatment.
Measured: From the date of randomization until end of follow up, up to 60 months.
Pathological complete response (pCR)
Pathological complete response (pCR) is defined as the absence of residual viable tumor on hematoxylin and eosin evaluation of the complete resected specimen
Measured: From the date of randomization until end of surgery, up to 6 months
Overall survival (OS)
Overall survival (OS) defined as the time which begins at the start of treatment and up to the time of death or last follow up
Measured: From the date of randomization until end of follow up, up to 60 months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Sep 2025
- Study start8 Jul 2025
- Primary completion2 May 2035 (estimated)
- Study completion2 May 2035 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non Small Cell Lung CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 97 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Fundación GECP
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Mariano Provencio, MD, Study chair, President of Grupo Español de Cáncer de Pulmón
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07153445
- Sponsor's protocol ID
- GECP 23/02_ATHENEA
- Other IDs
- 2024-515984-68-00
- Acronym
- ATHENEA
- Status last verified
- Nov 2025
- First submitted
- 24 Jul 2025
- Last updated
- 19 Nov 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Clinical Trial of Chemotherapy + Atezolizumab for Stage IIIa and IIIb Non-small Cell Lung Cancer Followed by Atezolizumab as Adjuvant Treatment After Surgery and Atezolizumab as Maintenance Treatment for Non-resected Patients After Chemoradiotherapy
- ClinicalTrials.gov ID
- NCT07153445
- Acronym / sponsor ID
- ATHENEA / GECP 23/02_ATHENEA
- Keywords
- Non small cell lung cancer, Atezolizumab, Non-resected lung cancer, Adjuvant treatment
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 97 participants (estimated)
- Lead sponsor
- Fundación GECPUniversity, hospital or other
- Study start
- 8 Jul 2025 (actual)
- Primary completion
- 2 May 2035 (estimated)
- Study completion
- 2 May 2035 (estimated)
- First posted
- 4 Sep 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label, phase II, multi-centre clinical trial. 97 Patients with stage IIIA and IIIB non-small cell lung cancer will be enrolled.
The treatment is Atezolizumab + Paclitaxel + Carboplatin 3 cycles as neoadjuvant/induction treatment. After the induction treatment every patient will be evaluated by a multidisciplinary team in each participant hospital to decide if the patient is candidate for surgery or not.
Depending on the decision each patient will be treated in a different way. The primary objective is to evaluate the Progression free survival (PFS). The total trial duration will be 10 years approximately. Patient accrual is expected to be completed within 2 years. Two years of treatment, 5 years of follow up, and 4-6 months of close-out.
Detailed description
The study ATHENEA is a phase II clinical trial intending to enroll 97 patients, who will receive Atezolizumab + Paclitaxel + Carboplatin as induction/neoadjuvant treatment. After the induction treatment all patients will be evaluated by a multidisciplinary team in each participant hospital to decide if the patient is candidate for surgery or not.
Depending on the decision each patient will be treated in a different way.
The study is an open-label, phase II, multicenter clinical trial for previously untreated adult patients with stage to IIIA and IIIB non-small cell lung cancer.
The primary objective is to evaluate the Progression free survival (PFS) in the intent-to-treat population.
Progression free survival (PFS) defined as the time from initiation of treatment to the occurrence of disease progression or death.
The total trial duration will be 10 years approximately. Approval-start up: 4-6 months. Patient accrual is expected to be completed within 2 years. Two years of treatment, 5 years of follow up, and close-out: 4-6 months. The study will end once survival follow-up has concluded.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Experimental: Neoadjuvant/Induction treatment | Experimental | Drug: Atezolizumab, Drug: Paclitaxel, Drug: CarboplatinNeoadjuvant/Induction treatment prior to surgery: * Atezolizumab * Paclitaxel: * Carboplatin After assessment by a multidisciplinary team who will decide on the best post-induction treatment |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Previously untreated patients with histologically- or cytologically- documented Non Small-Cell Lung Cancer (NSCLC) who present stage IIIA - IIIB disease (according to 8th version of the International Association for the Study of Lung Cancer Staging Manual in Thoracic Oncology)
- Confirm the absence of distant disease
- ECOG (Performance status) 0-1
- Adequate hematologic and organ function
- All patients are notified of the investigational nature of this study and signed a written in-formed consent in accordance with institutional and national guidelines, including the Declaration of Helsinki prior to any trial-related intervention
Key exclusion criteria (13 listed)
- Patients mutation or an amplification in the EGFRgene, ALK fusion oncogene.
- Known STK-11 ligand alterations, MDM2 amplifications or ROS1 translocations.
- Weight loss >10% within the previous 3 months.
- Patients that receive previous treatment with antineoplasic drugs, chest radiotherapy, or previous surgery for lung cancer.
- Malignancies other than Non Small-Cell Lung Cancer (NSCLC) within 3 years prior to enrolment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AtezolizumabAlso: TecentriqPatients will receive atezolizumab administered by intravenous infusion in a monitored setting where there is immediate access to trained personnel and adequate equipment/medicine to manage potentially serious reactions. | Drug | Experimental: Neoadjuvant/Induction treatment |
| PaclitaxelAlso: TaxolNeoadjuvant / induction treatment: Atezolizumab Paclitaxel Carboplatin Neoadjuvant / induction treatment 3 cycles will be administered prior to the assessment for surgery. Route of administration Paclitaxel: Intravenous infusion. Guidelines of Paclitaxel administration: Paclitaxel must be administered by infusion over 3 hours in dextrose (D5W) or normal saline (NS). The concentration must not exceed 1.2 mg/ml. | Drug | Experimental: Neoadjuvant/Induction treatment |
| CarboplatinAlso: ParaplatinNeoadjuvant / induction treatment: Atezolizumab Paclitaxel Carboplatin* *Infusion according to the standard of each center Neoadjuvant / induction treatment 3 cycles will be administered prior to the assessment for surgery. Route of administration Carboplatin: Intravenous infusion. Guidelines of Carboplatin administration: According to the standard of each center. | Drug | Experimental: Neoadjuvant/Induction treatment |
Primary outcome
Progression-free survival (PFS)
Time frame: From the date of randomization until end of follow up, up to 60 months.
Progression free survival (PFS) defined as the time from initiation of treatment to the occurrence of disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
3 secondary outcomes
Resectability rate (%)
Time frame: From the date of randomization until end of follow up, up to 60 months.
Pathological complete response (pCR)
Time frame: From the date of randomization until end of surgery, up to 6 months
Overall survival (OS)
Time frame: From the date of randomization until end of follow up, up to 60 months.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Nov 2025.
- Description Web page of the sponsor where users can find more information about Fundación GECP studiesLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Mariano Provencio, MD study chair
President of Grupo Español de Cáncer de Pulmón
21 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Atezolizumab, Paclitaxel and Carboplatin in people with Non Small Cell Lung Cancer and Stage IIIA Lung Cancer, run by Fundación GECP at 21 sites in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 19 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 21 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Eva Pereira (+34934302006, secretaria@gecp.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival (PFS) (time frame: From the date of randomization until end of follow up, up to 60 months.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Nov 2025.