Evidence map›Paper›PMID 40147985›Full record

ArticleBMJ open2025

NeoTRACK trial:

Romina M Roesch, Johannes Schnorbach, Laura V Klotz, Raffaella Griffo, Michael Thomas, Albrecht Stenzinger, Petros Christopoulos, Michael Allgaeuer, Marc Schneider, Martin Schuler and 11 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05825625 (Neoadjuvant TiRagolumab, Atezolizumab and Chemotherapy - Dissection of IO Efficacy in NSCLC by Longitudinal tracKing), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05825625 phase2active not recruitingnot on this map

Neoadjuvant TiRagolumab, Atezolizumab and Chemotherapy - Dissection of IO Efficacy in NSCLC by Longitudinal tracKing: a Non-randomized, Open-label, Single-arm Phase II Study

TypeinterventionalSponsorInstitut für Klinische Krebsforschung IKF GmbH at Krankenhaus NordwestRan2023 to 2027Enrolled35ConditionsNon-small Cell Lung CancerArmsAtezolizumab, Tiragolumab
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Romina M RoeschDepartment of Thoracic Surgery, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Johannes SchnorbachDepartment of Thoracic Oncology, Thoraxklinik at Heidelberg University Hospital and National Center for Tumor Diseases (NCT), Heidelberg, Baden-Württemberg, Germany.
Laura V KlotzDepartment of Thoracic Surgery, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Raffaella GriffoDepartment of Thoracic Surgery, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Michael ThomasTranslational Lung Research Center (TLRC-H), Member of German Center for Lung Research (DZL), Heidelberg, Germany.
Albrecht StenzingerTranslational Lung Research Center (TLRC-H), Member of German Center for Lung Research (DZL), Heidelberg, Germany.
Petros ChristopoulosTranslational Lung Research Center (TLRC-H), Member of German Center for Lung Research (DZL), Heidelberg, Germany.
Michael AllgaeuerTranslational Lung Research Center (TLRC-H), Member of German Center for Lung Research (DZL), Heidelberg, Germany.
Marc SchneiderTranslational Lung Research Center (TLRC-H), Member of German Center for Lung Research (DZL), Heidelberg, Germany.
Martin SchulerMedical Faculty, University of Duisburg-Essen, Duisburg-Essen, Germany.
Marcel WieswegMedical Faculty, University of Duisburg-Essen, Duisburg-Essen, Germany.
Alexander SchrammMedical Faculty, University of Duisburg-Essen, Duisburg-Essen, Germany.
Servet BölükbasMedical Faculty, University of Duisburg-Essen, Duisburg-Essen, Germany.
Fabian DoerrMedical Faculty, University of Duisburg-Essen, Duisburg-Essen, Germany.
Balazs HegedüsMedical Faculty, University of Duisburg-Essen, Duisburg-Essen, Germany.
Jelena CvetkovicDepartment of Thoracic Oncology, Thoraxklinik at Heidelberg University Hospital and National Center for Tumor Diseases (NCT), Heidelberg, Baden-Württemberg, Germany.
Marietta KirchnerInstitute of Medical Biometry, Universitätsklinikum Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-0294-2483
Martin E EichhornDepartment of Thoracic Surgery, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Hauke WinterDepartment of Thoracic Surgery, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Farastuk Bozorgmehr *Translational Lung Research Center (TLRC-H), Member of German Center for Lung Research (DZL), Heidelberg, Germany.ORCID http://orcid.org/0000-0001-8058-8884
Florian Eichhorn *Department of Thoracic Surgery, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany florian.eichhorn@gmx.de.ORCID http://orcid.org/0000-0002-1924-7404

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunotherapies targeting the programmed death receptor-1/programmed death ligand-1(PD-1/PD-L1) checkpoint have a major impact on the treatment of both resectable and advanced non-small cell lung cancer (NSCLC). Additional blockade of the T-cell immunoreceptor with immunoglobulin and immunoreceptor tyrosine-based inhibition motif domain (TIGIT)-receptor may synergistically foster the immune-related response. Several trials are currently investigating the combination of neoadjuvant platinum-based chemotherapy and dual checkpoint inhibition prior to curative surgery. The investigator-initiated NeoTRACK trial (EU CT number: 2022-501322-38-00; ClinicalTrials.gov identifier: NCT05825625; IKF056) aims to evaluate the feasibility and safety of perioperative anti-PD-L1 (by atezolizumab) and anti-TIGIT (by tiragolumab) treatment in combination with chemotherapy in patients with early stage NSCLC. METHODS AND ANALYSIS: NeoTRACK is an open-label, single-arm, prospective, bicentric phase II trial. Patients with NSCLC in clinical stages II, IIIA and IIIB (only T3N2) will receive two cycles of standard platinum-based chemotherapy in combination with the anti-TIGIT antibody tiragolumab and the anti-PD-L1 antibody atezolizumab, followed by curative surgery. After surgery, patients without pathological complete response (pCR) will receive another two cycles of chemotherapy in combination with tiragolumab and atezolizumab, followed by tiragolumab/atezolizumab maintenance for up to 1 year (maximum 16 cycles). Patients with pCR will only receive dual immunotherapy. All patients will be followed-up for 30 months after the last study treatment. The clinical study will be aligned with a translational research programme to investigate treatment-naïve tumour tissues, surgical specimens and longitudinally collected blood samples. 35 patients are planned for enrolment. Patient recruitment started in August 2023, and treatment of the last patient is estimated to start 2.5 years thereafter. DISCUSSION: The NeoTRACK trial aims to assess the feasibility and efficacy of combining tiragolumab and atezolizumab as both neoadjuvant and adjuvant therapies in patients with resectable NSCLC. The concept of treatment personalisation based on postoperative pCR is of great clinical interest. ETHICS AND DISSEMINATION: The trial obtained ethical and regulatory approval in Germany through the Clinical Trials Information System (CTIS, ID: 2022-501322-38-00) and the Paul Ehrlich Institute (PEI, competent authority for approval of clinical trials using medicinal products for human use in Germany, process number: PB00148) on 30 March 2023. A data safety and monitoring board will meet regularly to review ongoing treatment in terms of safety.Study results will be published in peer-reviewed journals, presented at conferences and in the public registry of CTIS, following trial completion. TRIAL REGISTRATION NUMBER: NCT05825625.

Indexed as

Antibodies, Monoclonal, HumanizedCarcinoma, Non-Small-Cell LungLung NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsClinical Trials, Phase II as TopicHumansImmune Checkpoint InhibitorsNeoadjuvant TherapyAntibodies, Monoclonal, HumanizedatezolizumabImmune Checkpoint InhibitorsTiragolumabCHEMOTHERAPYImmunologyLung NeoplasmsONCOLOGYRespiratory tract tumoursThoracic surgery

Identifiers

PMID40147985
PMCPMC11956294

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.