Lung Cancer Clinical Trials in the UK (2026)
Lung cancer is the third most common cancer in the UK, with around 48,000 new cases each year. It is also one of the most rapidly evolving areas of oncology research, driven by advances in biomarker testing, targeted therapies, and immunotherapy. This guide covers the main types of lung cancer trials currently recruiting in the UK and how to find ones that match your situation.
Non-Small Cell Lung Cancer (NSCLC) Trials
NSCLC accounts for around 85% of lung cancers and has seen the most dramatic advances in treatment. Trials are increasingly organised around specific genetic alterations:
Trials testing third-generation TKIs (osimertinib combinations), EGFR-directed ADCs, and novel approaches for EGFR exon 20 insertions. Also studying resistance mechanisms after TKI progression.
Next-generation ALK inhibitors being tested after alectinib or lorlatinib, plus trials for brain metastases (a common site of progression in ALK+ disease).
Following the success of sotorasib and adagrasib, new trials test KRAS G12C inhibitors in combination with immunotherapy, chemotherapy, and other targeted agents, including in the adjuvant setting.
First-line immunotherapy alone or combined with chemotherapy for PD-L1 high NSCLC. Trials also test neoadjuvant and adjuvant immunotherapy for resectable disease (following CheckMate 816 and KEYNOTE-671).
Small Cell Lung Cancer (SCLC) Trials
SCLC is more aggressive but has seen important advances. Current UK trials include:
- Immunotherapy combinations — Testing PD-L1 inhibitors with novel agents in extensive-stage SCLC
- Antibody-drug conjugates — DLL3-targeted therapies (tarlatamab) showing promise in relapsed SCLC
- PARP inhibitors — For SCLC patients with DNA damage repair deficiencies
- Lurbinectedin combinations — Novel chemotherapy approaches after standard treatment
Key Biomarkers for Lung Cancer Trials
Biomarker testing is essential for matching to the right lung cancer trial. The main tests include:
- Molecular profiling — Next-generation sequencing (NGS) panels testing for EGFR, ALK, ROS1, BRAF, MET, RET, NTRK, KRAS, and HER2 alterations
- PD-L1 expression — Determines immunotherapy eligibility (TPS score)
- Tumour Mutational Burden (TMB) — May qualify for certain immunotherapy trials
- PD-L1 combined with histology — Squamous vs. non-squamous NSCLC affects treatment options
Important: Ask your oncologist about comprehensive genomic profiling (sometimes called a molecular tumour board review). Many NHS trusts now offer panel testing, and it is often required for clinical trial eligibility. Our Smart Matcher lets you enter specific biomarkers to find targeted trials.
Trial Phases and What They Mean
- Phase 1 — Early studies often testing novel targeted agents specific to a biomarker group. These may be available after standard options have been exhausted
- Phase 2 — Assessing efficacy in a defined population (e.g. EGFR-mutant NSCLC after osimertinib)
- Phase 3 — Practice-changing trials comparing new approaches to the current standard. Many UK patients access these through the NHS cancer network
UK Trial Locations for Lung Cancer
Major lung cancer trial centres in the UK include:
- London — The Royal Marsden, UCLH, Guy's and St Thomas'
- Manchester — The Christie, Wythenshawe Hospital
- Glasgow — Beatson West of Scotland Cancer Centre
- Southampton — University Hospital Southampton
- Leeds — St James's University Hospital
- Cambridge — Royal Papworth Hospital, Addenbrooke's
- Edinburgh — Edinburgh Cancer Centre
- Newcastle — Freeman Hospital, Northern Centre for Cancer Care
Am I Eligible?
Common eligibility criteria for lung cancer trials include:
- Confirmed diagnosis with specific histology (NSCLC adenocarcinoma, squamous, or SCLC)
- Documented biomarker status (e.g. EGFR mutation, ALK rearrangement, PD-L1 score)
- Specific stage of disease (some trials are for Stage III only, others for Stage IV)
- Number and type of prior treatments received
- Performance status (ECOG 0-1 for most trials, some accept ECOG 2)
- Measurable disease on imaging
- Adequate organ function and blood counts
How to Get Started
The most effective way to find lung cancer trials is to search with your specific details. Our matching tool asks about your subtype, biomarkers, prior treatments, and location to show the most relevant studies.
Find Your Matching Trials
Answer a few questions about your lung cancer diagnosis and we'll match you to the most relevant actively recruiting trials near you.
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