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NCT07224971RecruitingPhase 2

Impact of Circadian Rhythm on Immunotherapy

Assessing the Impact of Circadian Rhythm on Anti-PD-1/PD-L1 Immunotherapy

Source: ClinicalTrials.gov · Last updated 9 Dec 2025

Brief summary (registry, in English)

This study aims to determine whether morning versus afternoon treatment impacts efficacy of (standard of care) immunotherapy in a broad patient population. Patients with any type of advanced/metastatic malignancy are eligible to enroll in this study, as long as first-line anti-PD-1/PD-L1 immunotherapy is on label for their condition. Participants will then be randomized to either the early treatment group (administration must start and conclude by 11:00 AM +1 hour window) or the late treatment group (administration must start after 12:00 PM).

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
350 (estimated)
First submitted
31 Oct 2025
Start date
2 Dec 2025
Primary completion date
1 May 2027
Lead sponsor
Liza Villaruz, MD
Diseases
Lung cancer
NCT number
NCT07224971

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 350
  • From 2 Dec 2025 to the primary completion date, 1 May 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • 1\. Participant unable to receive anti-PD-1/PD-L1 therapy due to prior allergic reactions to therapy or any therapy ingredients.

Who the study is looking for

  • Cohort Specific Criteria
    • Cohort A: Advanced/metastatic NSCLC patients for which 1st line PD-1/PD-L1 therapy is on-label either alone or in combination.
    • Cohort B: Advanced/metastatic NSCLC patients who have completed up to 4 cycles of induction therapy who have stable disease or responsive disease and for which maintenance anti-PD-1/PD-L1 therapy is on-label either alone or in combination.
    • Cohort C: Advanced/metastatic solid tumor malignancy for which first-line anti-PD-1/PD-L1 therapy is on-label either alone or in combination.
  • Prior and concurrent therapy criteria
    • o Patients should be ICI-naïve (this should be first-line therapy) (Cohorts A and C), or should have received ICI induction therapy and are now eligible for ICI maintenance therapy (Cohort B).
  • Must be willing to be randomized to complete therapy at assigned time of day, which may be early in the morning OR later in the day/into the evening.
  • Must be eligible to receive anti-PD-1/PD-L1 therapy singly or in combination with other FDA-approved agents according to standard of care practices, as determined by the clinical judgment of the investigator but according to approved label indications
  • Must have the ability to understand and the willingness to sign a written informed consent document.
  • Able to read and write in English.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
UPMC Hillman Cancer Center
Coordinator of this site? Confirm its status
PittsburghUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.