Summary
Cisplatin 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 ClinicalTrials.gov lists 8 registered trials linking Cisplatin to Lung Cancer: 4 have completed; 4 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 3 (NCT04222972). It plans or enrolled 223 participants. Registration activity spans 2003 to 2020. The literature layer holds 17 publications for this pair: 5 Cochrane reviews, 2 meta-analyses, 4 systematic reviews, 1 randomised controlled trial publication and 5 clinical trial publications. Publication years run from 2023 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 | 70.0 (trials 20.0, literature 30.0, tier 15, approved bonus 5.0) |
| Registered trials | 8 total: 0 recruiting, 0 active / not yet recruiting, 4 completed, 4 other |
| Linked publications | 17 (5 Cochrane reviews, 5 clinical trial publications, 4 systematic reviews, 2 meta-analyses, 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trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5).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 |
|---|---|---|---|---|
| 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 |
| NCT00891761 | A Study of IV Casopitant for the Prevention of Nausea and Vomiting Caused By Cisplatin-Based Highly Emetogenic Chemotherapy 2009 | withdrawn | Phase 3 | — |
| 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 |
| NCT03891173 | A Study of L-DOS47 in Combination With Vinorelbine/Cisplatin in Lung Adenocarcinoma 2019 | terminated | Phase 2 | 9 |
| NCT03781869 | Study of Anlotinib as the Maintenance Therapy for Extensive-stage Small Cell Lung Cancer 2018 | status unknown | Phase 2 | 116 |
| 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 |
| NCT00312819 | Initial Assessment of the Effect of the Addition of Disulfiram (Antabuse) to Standard Chemotherapy in Lung Cancer 2006 | completed | PHASE2, PHASE3 | 60 |
| NCT02797977 | A Phase 1/2 Trial SRA737 in Combination With Gemcitabine and Cisplatin or Gemcitabine Alone in Advanced Cancer Subjects 2016 | completed | PHASE1, PHASE2 | 153 |
Published literature
- 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 A Multi-Institutional Randomized Phase III Trial of Neoadjuvant Chemoimmunotherapy Followed By Surgery Versus Upfront Surgery in Patients With Resectable Clinical Stage II-III Non-Small Cell Lung Cancer: JCOG2317 (NATCH-ICI)Mitome N, Hamada A, Wakabayashi M et al. · Clinical lung cancer · 2026 · PMID 42107198
- Clinical trial publication 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
- Clinical trial publication Five-year overall survival in JCOG1205/1206: irinotecan or etoposide plus cisplatin for resected high-grade neuroendocrine carcinoma of the lungKenmotsu H, Niho S, Tsuboi M et al. · Lung cancer (Amsterdam, Netherlands) · 2026 · PMID 42000139
- Clinical trial publication Durvalumab combined with concurrent chemoradiotherapy in patients with limited-stage small cell lung cancer: A prospective, single-arm, phase 2 clinical trialSong C, Zhao X, Li S et al. · Cancer · 2026 · PMID 41832629
- 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 Ten-year overall survival in resectable stage-III NSCLC - Results of the randomized ESPATUE trial - Long-term survival and competing risk analysisEberhardt WEE, Schulte C, Pöttgen C et al. · European journal of cancer (Oxford, England : 1990) · 2026 · PMID 41702246
- Cochrane review Intracavitary perfusion with bevacizumab plus cisplatin versus cisplatin alone for malignant pleural effusion in lung cancer patients: a meta-analysis of randomized controlled trialsHan X, Qin S, Liu S et al. · World journal of surgical oncology · 2025 · PMID 40660271
- 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
- Systematic review Combating Drug Resistance in Lung Cancer: Exploring the Synergistic Potential of Metformin and Cisplatin in a Novel Combination Therapy; A Systematic ReviewJafarzadeh E, Sarajar BO, Lalani AR et al. · Current topics in medicinal chemistry · 2025 · PMID 39950484
- Cochrane review A meta-analysis of recombinant human endostatin combined with NP regimen for treating non-small cell lung cancerGao C, Gao C, Yuan Q · Medicine · 2024 · PMID 38788043
- 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
- Meta-analysis Meta-analysis of microarray data to determine gene indicators involved in cisplatin resistance in non-small cell lung cancerSheikhshabani SH, Modarres P, Ghafouri-Fard S et al. · Cancer reports (Hoboken, N.J.) · 2024 · PMID 38351531
- Meta-analysis Group I pharmaceuticals of IARC and associated cancer risks: systematic review and meta-analysisLim W, Moon S, Lee NR et al. · Scientific reports · 2024 · PMID 38172159
- Systematic review Development and Update of Guideline-based Quality Indicators in Lung CancerUtzig M, Hoffmann H, Reinmuth N et al. · Pneumologie (Stuttgart, Germany) · 2024 · PMID 38081218
- Systematic 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
- Systematic 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
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 Cisplatin approved for Lung Cancer?
Cisplatin 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 Cisplatin in clinical trials for Lung Cancer?
ClinicalTrials.gov lists 8 registered trials linking Cisplatin to Lung Cancer: 4 have completed; 4 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 3 (NCT04222972). It plans or enrolled 223 participants. Registration activity spans 2003 to 2020.
What does the evidence show for Cisplatin in Lung Cancer?
Cisplatin 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.