Evidence map›Paper›PMID 41992146›Full record

ArticleBMC cancer2026

FDG-PET/CT based small volume accelerated immuno chemoradiotherapy in locally advanced NSCLC (PACCELIO) - a randomized, open-label, multicenter phase II trial protocol.

Rami El Shafie, Jonas Willmann, Eleni Gkika, Tanja Schimek-Jasch, Matthias Miederer, Farastuk Bozorgmehr, Frank Griesinger, Farkhad Manapov, Petros Christopoulos, Thomas Hehr and 11 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06102057 (PACCELIO - FDG-PET Based Small Volume Accelerated Immuno Chemoradiotherapy in Locally Advanced NSCLC), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06102057 phase2recruitingnot on this map

PACCELIO - FDG-PET Based Small Volume Accelerated Immuno Chemoradiotherapy in Locally Advanced NSCLC

TypeinterventionalSponsorTheraOpRan2024 to 2028Enrolled110ConditionsStage III Non-small Cell Lung Cancer, Locally Advanced, UnresectableArmsstandard Radiotherapy, Chemotherapy, Immunotherapy, Experimental Radiotherapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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.

Rami El Shafie *Department of Radiation Oncology, University Hospital Göttingen, University Medical Center Göttingen (UMG), Robert-Koch-Str. 40, Göttingen, 37075, Germany. rami.elshafie@med.uni-goettingen.de.
Jonas Willmann *Department of Radiation Oncology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Eleni GkikaDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
Tanja Schimek-JaschDepartment of Radiology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Matthias MiedererDepartment of Translational Imaging in Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden: Faculty of Medicine and University Hospital Carl Gustav Carus, University of Technology Dresden (TUD), German Cancer Research Center (DKFZ) Heidelberg, and Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany.
Farastuk BozorgmehrNational Center for Tumor Diseases (NCT), Heidelberg, Germany.
Frank GriesingerDepartment of Internal Medicine Oncology, Pius Hospital, University Medicine, Oldenburg, Germany.
Farkhad ManapovDepartment of Radiation Oncology, University Hospital of Munich (LMU), Munich, Germany.
Petros ChristopoulosNational Center for Tumor Diseases (NCT), Heidelberg, Germany.
Thomas HehrDepartment of Radiation Oncology, Marienhospital Stuttgart, Stuttgart, Germany.
Markus HechtDepartment of Radiation Oncology, Saarland University Medical Center, Homburg, Germany.
Rebecca BütofDepartment of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Martin StuschkeDepartment of Radiation Therapy, University Hospital Essen, Essen, Germany.
Matthias GuckenbergerDepartment of Radiation Oncology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Gerald Schmid-BindertBU Oncology - Medical Affairs, AstraZeneca GmbH, Hamburg, Germany.
Jan MeinersBU Oncology - Medical Affairs, AstraZeneca GmbH, Hamburg, Germany.
Sascha HerzerClinical Operations - Medical Writing, Alcedis GmbH, Gießen, Germany.
Sonja HartmannClinical Operations - Medical Writing, Alcedis GmbH, Gießen, Germany.
Joana LamchéBU Oncology - Medical Affairs, AstraZeneca GmbH, Hamburg, Germany.
Stefan Rieken *Department of Radiation Oncology, University Hospital Göttingen, University Medical Center Göttingen (UMG), Robert-Koch-Str. 40, Göttingen, 37075, Germany.
Ursula Nestle *Department of Radiation Oncology, Kliniken Maria Hilf, Moenchengladbach, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStandard treatment for unresectable stage III non-small cell lung cancer (NSCLC) involves chemoradiation (CRT) followed by PD-L1 targeting immune checkpoint inhibition (IO). Integrating 18 F-fluorodeoxyglucose-positron emission tomography (FDG-PET)/CT into radiotherapy planning reduces toxicity, improves CRT outcomes, and potentially enhances immunotherapy response. Hypofractionated, accelerated CRT shortens treatment time, improves compliance, and may increase CRT completion rates, qualifying more patients for consolidative IO. METHODS/

designPACCELIO is a multinational, multicenter, randomized, phase II trial comparing the safety and efficacy of FDG-PET/CT based, volume-reduced, hypofractionated CRT with consolidation durvalumab to standard-volume, conventionally fractionated CRT with consolidation durvalumab in inoperable stage III NSCLC. One hundred and ten patients will be enrolled in Germany, Austria, and Switzerland, randomized 1:1, stratified by age, NSCLC stage, and site. The primary objective is to increase completion of CRT with successful transition to consolidation immunotherapy. Secondary outcomes include locoregional and distant tumor control rates, overall survival, safety, and health-related quality of life (HR-QoL). Exploratory outcomes involve prognostic immunomarkers and PET parameters. The primary endpoint of treatment completion will be analyzed using Fisher's Exact test, with safety and efficacy outcomes analyzed via Kaplan-Meier. DISCUSSION: The PACCELIO trial addresses a clinical need in stage III NSCLC by combining FDG-PET/CT based RT volume reduction with hypofractionated accelerated CRT and durvalumab immunotherapy. This approach aims to improve treatment completion, compliance, tumor control, and reduce toxicity. The trial will provide insights into the efficacy and safety of this combined treatment, potentially influencing future standards in stage III NSCLC treatment. Recruitment began in July 2024, with ongoing enrollment.

trial registrationClinicaltrials.gov identifier: NCT06102057 (Date of initial registration: 26th October 2023), https://clinicaltrials.gov/study/NCT06102057 .

Indexed as

Carcinoma, Non-Small-Cell LungChemoradiotherapyLung NeoplasmsPositron Emission Tomography Computed TomographyAdultAgedAntibodies, MonoclonalClinical Trials, Phase II as TopicFemaleFluorodeoxyglucose F18HumansImmune Checkpoint InhibitorsImmunotherapyMaleMiddle AgedMulticenter Studies as TopicAntibodies, MonoclonaldurvalumabFluorodeoxyglucose F18Immune Checkpoint InhibitorsHypofractionationImmunotherapyNSCLCRadiotherapyRadoitherapy

Identifiers

PMID41992146
PMCPMC13088629

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.