Summary
Carboplatin has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Lung Cancer would be drug repurposing rather than first-in-human development. This does not mean it is approved for Lung Cancer. ClinicalTrials.gov lists 8 registered trials linking Carboplatin to Lung Cancer: 1 is currently recruiting; 3 have completed; 4 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 4 (NCT02299765). The largest enrolment is 495 participants (NCT06400472). Registration activity spans 1998 to 2024. The literature layer holds 17 publications for this pair: 5 Cochrane reviews, 3 meta-analyses, 3 systematic reviews, 1 randomised controlled trial publication and 5 clinical trial publications. Publication years run from 2021 to 2026. Because at least one synthesis-level source exists (systematic review, meta-analysis or Cochrane review), this pair has been assessed beyond single studies, although the synthesis may concern a different indication.
The RepurpOS disease-intelligence file for Lung Cancer ranks 465 candidate therapeutics from Open Targets, ChEMBL, DGIdb and PubMed; only a minority carry direct clinical evidence, and this page covers one of those. Spontaneous remission context recorded for the condition: Spontaneous regression is rare (<0.5% of cases); 5-year survival without treatment: <5% for advanced NSCLC; ~20% for stage I-II with surgery.
Evidence table
| Evidence tier | A · Strong |
|---|---|
| Evidence score | 74.0 (trials 24.0, literature 30.0, tier 15, approved bonus 5.0) |
| Registered trials | 8 total: 1 recruiting, 0 active / not yet recruiting, 3 completed, 4 other |
| Linked publications | 17 (5 Cochrane reviews, 5 clinical trial publications, 3 meta-analyses, 3 systematic reviews, 1 randomised controlled trial publication) |
| Agent type | Drug (Small molecule) |
| Development stage (any indication) | Approved |
| Mechanism / class | Not recorded |
| Data sources | DGIdb |
| Linked via biomarker / target | BRCA1 |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
| NCT ID | Title | Status | Phase | Enrolment |
|---|---|---|---|---|
| NCT02299765 | Intercalating and Maintenance Gefitinib in Combination With Chemotherapy for Advanced EGFR-mutant NSCLC 2014 | terminated | Phase 4 | 61 |
| NCT04222972 | A Study of Pralsetinib Versus Standard of Care for First-Line Treatment of Advanced Non-Small Cell Lung Cancer (NSCLC) 2020 | terminated | Phase 3 | 223 |
| NCT03711305 | Study of Carboplatin Plus Etoposide With or Without SHR-1316 in Participants With Untreated Extensive-Stage (ES) Small Cell Lung Cancer (SCLC) 2018 | status unknown | Phase 3 | 462 |
| NCT01563601 | Efficacy and Safety of Obatoclax Mesylate in Combination With Carboplatin and Etoposide Compared With Carboplatin and Etoposide Alone in Chemotherapy-Naive Patients With Extensive-Stage Small Cell Lung Cancer 2012 | withdrawn | Phase 3 | — |
| NCT00003657 | High-dose ICE With Amifostine 1998 | completed | Phase 2 | 24 |
| NCT00072527 | Cisplatin and Irinotecan Followed by Carboplatin, Etoposide, and Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer 2003 | completed | Phase 2 | 78 |
| NCT00528619 | A Study To Find The Best Dose Of SU011248 When Given With Pemetrexed, Pemetrexed And Cisplatin Or Pemetrexed And Carboplatin In Patients With Advanced Solid Tumors 2006 | completed | Phase 1 | 96 |
| NCT06400472 | A Study of LY4170156 in Participants With Selected Advanced Solid Tumors 2024 | recruiting | Phase 1 | 495 |
Published literature
- Clinical trial publication Prognostic associations between patient-reported outcomes and overall survival among patients with advanced squamous non-small cell lung cancer: results from the RATIONALE-307 trialWang J, Yu X, Leaw S et al. · Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026 · PMID 42319531
- Clinical trial publication Aumolertinib with or without chemotherapy in EGFR-mutated advanced non-small-cell lung cancer (AENEAS2): an open-label, multicentre, randomised, controlled, phase 3 trialLi Z, Hu J, Chen J et al. · The Lancet. Oncology · 2026 · PMID 42296979
- Clinical trial publication Ivonescimab plus chemotherapy versus tislelizumab plus chemotherapy in advanced squamous non-small-cell lung cancer (HARMONi-6): interim overall survival analysis of a randomised, double-blind, phase 3 trial in ChinaLu S, Liu B, Luo Y et al. · Lancet (London, England) · 2026 · PMID 42218899
- Clinical trial publication Final overall survival analysis of the APPLE study: atezolizumab and platinum-pemetrexed with or without bevacizumab for metastatic nonsquamous non-small cell lung cancerShiraishi Y, Kishimoto J, Sugawara S et al. · Lung cancer (Amsterdam, Netherlands) · 2026 · PMID 42127535
- Clinical trial publication Simplified perioperative serplulimab and chemotherapy for resectable squamous NSCLC: a phase II trial with biomarker analysisFu F, Wu H, Deng C et al. · Journal for immunotherapy of cancer · 2026 · PMID 42114951
- Cochrane review A Scoping Review to Evaluate Different Treatments Used in Advanced Nonsmall-cell Lung Cancer in IndiaSemwal J, Juyal R, Vyas S et al. · Indian journal of public health · 2026 · PMID 42085074
- Randomized controlled trial Tiragolumab Plus Atezolizumab and Chemotherapy for Advanced Nonsquamous Non-Small Cell Lung Cancer: The Phase 3 SKYSCRAPER-06 Randomized Clinical TrialSocinski MA, Stahel R, Lee DH et al. · JAMA oncology · 2026 · PMID 42060297
- Cochrane review Osimertinib Efficacy and Safety in Treating Epidermal Growth Factor Receptor Mutation-Positive Advanced Non-Small-Cell Lung Cancer: A Meta-AnalysisZhao M, Zhang J, Gao J et al. · Clinical pharmacology in drug development · 2025 · PMID 39520036
- Meta-analysis The benefit and risk of adding immunotherapy to chemoradiotherapy as the first-line treatment for limited-stage small cell lung cancer: a meta-analysis of randomized controlled trialsFu X, Zhang Y, Xu Y et al. · World journal of surgical oncology · 2025 · PMID 41390407
- Cochrane review Comparative efficacy of immune checkpoint inhibitors combined with chemotherapy in patients with advanced driver-gene negative non-small cell lung cancer: A systematic review and network meta-analysisZhang X, Wu M, Chen J et al. · Heliyon · 2024 · PMID 38774326
- Cochrane review Efficacy and safety of nab-paclitaxel plus platinum in non-small cell lung cancer: a meta-analysisTan T, Li S, Hu W et al. · Frontiers in medicine · 2023 · PMID 37554498
- Cochrane review Best first-line therapy for people with advanced non-small cell lung cancer, performance status 2 without a targetable mutation or with an unknown mutation statusGijtenbeek RG, de Jong K, Venmans BJ et al. · The Cochrane database of systematic reviews · 2023 · PMID 37419867
- Meta-analysis First-line immune-checkpoint inhibitor treatment in extensive-disease small-cell lung cancer: A classical and network meta-analysisMutlu H, Bozcuk H, Artaç M et al. · Journal of cancer research and therapeutics · 2023 · PMID 37147977
- Meta-analysis Efficacy and toxicity profile of first-line treatment for extensive-stage small cell lung cancer: A Bayesian network meta-analysisLin G, Yao Z, Kang K et al. · Cancer medicine · 2023 · PMID 36951654
- Systematic review Identification of cardiotoxicity related to non-small cell lung cancer (NSCLC) treatments: A systematic reviewChan SHY, Khatib Y, Webley S et al. · Frontiers in pharmacology · 2023 · PMID 37383708
- Systematic review The efficacy of adebrelimab compared with durvalumab and atezolizumab in untreated extensive-stage small-cell lung cancer: a survival analysis of reconstructed patient-level dataWang BC, Fu C, Lin GH · Frontiers in immunology · 2023 · PMID 37215120
- Systematic review Effectiveness and Safety of Adding Bevacizumab to Platinum-Based Chemotherapy as First-Line Treatment for Advanced Non-Small-Cell Lung Cancer: A Meta-AnalysisLiu Y, Li HM, Wang R · Frontiers in medicine · 2021 · PMID 34277647
Mechanism and notes
No mechanism of action is recorded for this pair in the source databases.
OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in DGIdb, in this case via the biomarker or target BRCA1. The tier describes how well the drug-disease link is documented, not how well the drug works.
Frequently asked questions
Is Carboplatin approved for Lung Cancer?
Carboplatin has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Lung Cancer would be drug repurposing rather than first-in-human development. This does not mean it is approved for Lung Cancer. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Carboplatin in clinical trials for Lung Cancer?
ClinicalTrials.gov lists 8 registered trials linking Carboplatin to Lung Cancer: 1 is currently recruiting; 3 have completed; 4 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 4 (NCT02299765). The largest enrolment is 495 participants (NCT06400472). Registration activity spans 1998 to 2024.
What does the evidence show for Carboplatin in Lung Cancer?
Carboplatin has both completed registered trials and synthesis-level publications linked to Lung Cancer. That is the strongest profile in this database, but the summaries here do not extract effect sizes, so read the linked reviews for direction and magnitude of benefit. OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in DGIdb, in this case via the biomarker or target BRCA1. The tier describes how well the drug-disease link is documented, not how well the drug works.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-07-05. Page built 2026-10-07.