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Clinical Trial Summary

The SMARTEST trial is a phase II non-blinded randomized trial designed to evaluate the benefit of low dose cyclophosphamide in sequential combination with sub-ablative radiation (Arm A) versus sub-ablative radiation alone (Arm B) before surgery as well as the safety and efficacy of consolidation tremelimumab-durvalumab for eligible patients after surgery in both arms.


Clinical Trial Description

This study has two parts. In the first part of the study the investigators are exploring the benefit of using low dose Cyclophosphamide in combination with low dose radiation before surgery and in the second part of the study the investigators are exploring safety and efficacy of using a combination of immunotherapy drugs, tremelimumab-durvalumab, after surgery. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05380713
Study type Interventional
Source University Health Network, Toronto
Contact Marc de Perrot, MD, MSc
Phone 416 340-5549
Email marc.deperrot@uhn.ca
Status Recruiting
Phase Phase 2
Start date May 3, 2022
Completion date October 30, 2028

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