Lung Cancer


I laugh and celebrate all the little things in life. I do not take them for granted because they are what I fought for. And as for my life overall, I am alive, and that is the best quality of life imaginable." Emily Bennett Taylor, lung cancer survivor

Lung cancer is the most common type of cancer worldwide - around 225,000 new cases will be diagnosed in the United States this year, mostly among smokers. A growing number of cases are being found in people who never smoked, which means factors like the environment or genetics may be involved.

If you have been diagnosed with lung cancer, or if you may be at high risk of developing it, the specialists at City of Hope will provide you with the information and expertise you need.

Request a consultation

City of Hope’s world renowned thoracic care team use the latest technology and innovation to treat lung cancer while providing compassionate care. Call 800-826-HOPE or request an appointment online.

Even for stage 4 disease we have a lot of hope. There’s a light at the end of the tunnel." Ravi Salgia, M.D., Arthur & Rosalie Kaplan Chair in Medical Oncology

Ravi Salgia - Image for lung program body copy Ravi Salgia, M.D.

City of Hope is a nationally recognized leader in the research and treatment of lung cancer. We are one of the few facilities designated as a comprehensive cancer center by the National Cancer Institute. For more than a decade, U.S. News & World Report has named City of Hope one of the top cancer hospitals in America.

We bring together a broad array of expertise from multiple specialties and are unmatched in our rapid
“bench-to-bedside” record of translating leading-edge research into real-world treatments.

Our commitment to providing the best care - and the best quality of life possible for you includes:

  • Lung experts who regularly treat aggressive and late-stage cancer, including complicated cases other institutions may have deemed untreatable.
  • Minimally-invasive techniques, including laparoscopic and robotic surgery, that injure the body less and make recovery faster.
  • Genetic tests to figure out your lung tumor’s specific biology and tailor your treatments to stop it from growing.
  • Immunotherapies that activate your immune system to fight lung cancer.
  • Compassionate care from staff who communicate openly and truly listen to patient and family concerns.
  • Exceptional family and survivorship programs.

And City of Hope is a leader in personalized medicine, including clinical trials here that are finding new and more effective drug combinations to kill lung cancer cells.

When we treat cancer at City of Hope we are not just focused high quality care and innovation -  we are working to make you whole again.



What is lung cancer?

Lung cancer is the most common type of cancer worldwide—around 225,000 new cases will be diagnosed in the United States this year, mostly among smokers. A growing number of cases are being found in people who never smoked, which means factors like the environment or genetics may be involved.

Lung cancer is considered either non-small cell or small-cell, which describes how the cells look when viewed under a microscope.

What are the types of lung cancer?

There are three main kinds of lung cancer - small cell, non-small cell and carcinoid lung tumors. Of these, non-small cell is by far the most common, while small cell lung cancer, which tends to spread quickly, is found in 10 to 15 percent of cases. Fewer than 5 percent of lung cancers are lung carcinoid tumors.

Non-small cell lung cancer

Non-small cell lung cancers are the most common types of lung cancer, accounting for approximately 80 to 85% of lung cancer cases. Non-small cell lung cancer can form in different parts of the lungs, and can spread to other parts of the body as the cancer develops.
Types of non-small cell lung cancer include:
  • Adenocarcinoma is the most common type of non-small cell lung cancer; it begins in the deepest parts of the breathing passages, called the alveoli. This type of lung cancer is most common in people who have never smoked.
  • Squamous cell carcinoma starts in the flat, thin cells lining the inside of the airways. It tends to develop in the bronchi, near the middle of the lungs.
  • Large cell carcinoma is an aggressive type of lung cancer, with large abnormal looking cells, that tends to grow and spread quickly. It can begin in any part of the lungs.
  • Other types of disease called adenosquamous carcinoma and sarcomatoid carcinoma are rare types of non-small cell lung cancer.

Small cell lung cancer

Small cell lung cancer is sometimes called oat cell lung cancer, because the small, oval-shaped cancer cells resemble oats when viewed under a microscope. It is an aggressive cancer, most common in smokers, that tends to grow fast and spread quickly to other parts of the body. About 10 to 15% of all lung cancers are small cell cancers.

Pulmonary metastases

Cancer that comes from another part of the body to the lungs is called pulmonary metastasis. These cancer types are defined by the organ in which they started, and are not technically lung cancer. For example, breast cancer cells that travel to the lungs are considered breast cancer that has metastasized (spread) to the lungs.

Some common cancers that spread to the lungs include bladder cancer, breast cancer, colon cancer, kidney cancer, melanoma, ovarian cancer, thyroid cancer and sarcoma.

Pulmonary neuroendocrine tumors

Neuroendocrine tumors form from endocrine cells, which are scattered throughout the body and release hormones into the blood in response to signals from the nervous system. Such tumors can form in various parts of the body, including the lungs.

Pulmonary neuroendocrine tumors include:

  • Large cell neuroendocrine carcinoma. This subtype of non-small cell lung cancer is rare and tends to grow quickly.
  • Typical carcinoid tumor. These tumors tend to grow slowly and rarely spread beyond the lungs.
  • Atypical carcinoid tumor. About 10% of carcinoid tumors are atypical. They more closely resemble fast-growing tumors and are somewhat more likely to spread than typical carcinoid tumors.

How lung cancer develops

Lung tissue is some of the most sensitive in the body, and its health is largely affected by what you breathe in. Inhaling things like cigarette smoke, air pollution or the fumes from other substances like certain household products — along with certain genetic factors — may lead to harmful changes to cells in your lungs.

Getting lung cancer

Your lungs are a tree-like series of connected tubes surrounded by thick, spongy lobes. There are three lobes in the right lung and two on the left (to make space for the heart).

When you breathe in, air travels down through a large tube called the trachea, then branches out through a network of smaller tubes in the lungs called the bronchi and bronchioles — and finally ends up inflating tiny air sacs called alveoli.

Getting lung cancer means abnormal cells in your lungs are growing and dividing at a rapid pace — so fast that cells in your immune system that fight disease cannot keep up.

Besides damaging lung tissue, clusters of those abnormal cells – called tumors – can block your airways, causing problems like cough, chest pain and sometimes bleeding.

If it is caught early, lung cancer may be treated with surgery. In more advanced cases, cancer cells will have spread from one lung to another or moved to other parts of the body — a process called metastasis. Lung cancer that has metastasized tends to go to the adrenal gland, bones, brain or liver.

Some first steps for finding lung cancer involve your doctors identifying any signs and symptoms you are experiencing; performing screening tests to identify whether they are due to lung cancer — and finding out whether the disease has spread.

What increases your risk of lung cancer?

Things that put you at higher risk of getting lung cancer are called risk factors. Most people who get lung cancer are smokers, but in around 20% of cases non-smokers will get lung cancer.

Risk factors for lung cancer

  • Smoking cigarettes is responsible for between 80-90% of lung cancer deaths in men and women—and the more you smoke the higher your risk. Just being around cigarette smoke also can affect your risk: Being exposed to secondhand smoke at home or work increases the chances of lung cancer by 20-30%.
  • Being exposed to radon is the second leading cause of lung cancer. It occurs naturally in soil, water and rock and can be found in homes, buildings and schools.
  • Tiny fibers of asbestos can be breathed in and become lodged in lung tissue. Until a few decades ago, asbestos was a common ingredient in things like building materials, steam pipes, vehicle brake shoes and plastics. Asbestos was banned as a new material decades ago, but still is present in the environment.
  • Exposure to materials like uranium, arsenic, vinyl chloride, coal products, mustard gas, diesel exhaust and others may increase your risk of lung cancer.
  • Breathing in air pollution like diesel engine exhaust, metals, dust and solvents — found in products like paint, personal care products, nail polish remover and household cleaners — may increase your risk for lung cancer.
  • Having a family history, like parents or siblings with lung cancer, increases your risk.
  • Older age makes you more likely to get cancer. Close to 90% of people diagnosed with lung cancer are 55 or older.
  • Other lung diseases like chronic obstructive pulmonary disease (COPD) or pulmonary fibrosis increase your risk of getting lung cancer.

Having some combination of exposures, like being a smoker who also was exposed to asbestos, may increase your chances of getting lung cancer.


The best way to reduce your risk for lung cancer is to stop smoking. Other things like testing your home for radon and avoiding secondhand smoke also may help. Exercising and eating a healthy diet also may reduce your risk of lung cancer.

Are you a smoker?

If you are a current or former smoker, you may reduce your risk of dying of lung cancer by getting screened for lung cancer with a low dose radiation CT scan of your lungs. 

Lung cancer screening is safe, painless, and saves lives. And research shows that chemotherapy works more effectively, and there are fewer complications from surgery, in non-smokers.

Lung cancer symptoms

Most lung cancers do not cause symptoms until they have grown very large or have spread. That is when symptoms like cough, chest pain and breathing problems come on and do not go away. It also may be found during a chest X-ray or a screening test for some other condition.         

Early lung cancer symptoms

  • a cough that does not go away
  • shortness of breath or other breathing problems like wheezing
  • constant chest pain
  • coughing up blood or rust-colored spit                          
  • a raspy, hoarse or high-pitched voice
  • frequent lung infections like pneumonia and bronchitis
  • arm or shoulder pain
  • weight loss that you cannot explain
  • clubbing of fingers

Later lung cancer symptoms

Once lung cancer has progressed your symptoms may be different since later-stage cancer affects other parts of the body – like the brain or bones. Later-stage lung cancer symptoms may include:

  • drooping eyelids
  • pain or tenderness in your bones or joints
  • bone fractures
  • facial paralysis
  • changes to your voice like hoarseness
  • difficulty swallowing
  • shoulder pain
  • weakness
  • nail problems
  • swelling in your face or arms

These symptoms could mean lung cancer or they might be a completely different issue. It is important to get screened to find out if these symptoms are because of cancer or some other medical problem.

Lung cancer screening

Screening increases your chances of catching lung cancer at an early stage, when it is easier to treat, and may find other diseases like emphysema or heart disease. Getting screened at a comprehensive cancer center is one way to ensure you get the best and lowest-dose scan.

At City of Hope we do low dose spiral CT scanning, which uses the minimum dose of radiation possible to accurately detect lung cancer. Our screening methods are proven to decrease what are called false positives – test results that say you have cancer when you don’t – and help you avoid unnecessary or invasive procedures.

Who should be screened?

Lung cancer screening is likely to be of most benefit to you if you are, or were, a heavy smoker. Even if you do not have symptoms you should get a lung cancer screening if you are:

  • between ages 55-74 and
  • have smoked a pack a day for 30 years (smoking two packs a day for 15 years, or three a day for 10 is the same), and
  • still are smoking or have quit sometime during the past 15 years.

Screening may be an option for patients who smoked the equivalent of a pack a day for fewer than 30 years, but also have a serious risk factor for lung cancer. Speak with your doctor to discuss your options.

Lung cancer diagnosis

To accurately diagnose lung cancer, City of Hope uses a combination of leading-edge screening methods and a team of doctors whose sole focus is treating lung cancer. Our team of thoracic specialists combines its deep expertise with advanced technology to provide you with the most accurate diagnosis—leading to the most effective treatment.

If screening shows lung cancer is possible, a tiny piece of tissue from the lung (a biopsy) may be removed and examined under a microscope to find cancer cells. Cancer cells also are tested for genetic markers, since tumors with specific markers may respond better to certain treatments.

Your team is looking for the type of tumor, the stage it is in and whether certain genetic problems or mutations (abnormal changes inside a cell) are driving the cancer. All of this information can help give you the most specific and tailored treatment possible.

Testing for lung cancer

One or a combination of tests may be used to diagnose lung cancer including several minimally-invasive procedures:

  • Sputum cytology is mucus or phlegm (also called sputum) you cough up from your lungs that is examined under a microscope to check for cancer cells.
  • Needle biopsy is a thin, hollow needle that is guided to a mass in the lung. A pathologist looks at the sample under a microscope to check for cancer.
  • Bronchoscopy uses a flexible tube called a bronchoscope that is guided through the mouth or nose into the airways of the lungs. This procedure gets samples of lung tissue and fluid, and locates and fixes things like lung blockages.
  • Endobronchial ultrasound uses a narrow, flexible camera that is guided into the airways. This allows the surgeon to see lymph nodes through the windpipe and take a sample with a needle.
  • Electromagnetic navigation bronchoscopy uses technology similar to a car’s global positioning system (GPS) to find tumors in the smallest airways of the lungs using an ultra-thin catheter (tube).


Imaging and other tests of the lungs involves looking at them without having to do surgery:

  • Low-dose spiral CT scan is a first-line screening method at City of Hope that uses low-dose x-rays to scan the body in a spiral path. The images that come out of this scan appear as “slices” of the body from different points of view. A large study showed that it decreased the risk of dying from lung cancer.
  • Chest X-ray for lung cancer looks for any mass or spot on the lungs.
  • Positron Emission Tomography uses a radioactive tracer to locate cancer cells and measure cancer their activity. PET also may be used to determine if the cancer has spread from the lungs to other areas of the body.
  • Brain MRI uses magnets and radio waves to create a series of pictures of the brain – a common site where lung cancer spreads.

Other tests that may be used to figure out if lung cancer has spread include:

  • Thoracentesis, a procedure that involves inserting a hollow needle through the chest wall, removing fluid and sending it to a lab to check for cancer cells.
  • Cervical mediastinoscopy, which involves first making a small cut to the neck, then guiding a scope with a camera on it through the middle part of the chest to remove samples from lymph nodes.
  • Thoracoscopy, when a small tube with a video camera at the tip is used to look at the outer part of the lungs and chest wall to locate and sample any abnormal tissue.

Lung Cancer Stages

What stage lung cancer is in depends on things like the size of the tumor and whether it has spread to other areas of the body.

Stage 1 cancer

Lung cancer is confined to the lung, meaning it has not spread to any other part of the body—like the chest wall. This tumor is in deeper lung tissue but still surrounded by normal tissue.

Stage 2 cancer

This tumor tends to be larger than those found in stage 1 and will have either spread to nearby lymph nodes or other tissues nearby like the chest wall, diaphragm, pleura (membranes that surround the lungs), bronchus or heart tissue.

Stage 3 cancer

In most cases, tumors in this stage have spread to lymph nodes near the windpipe and middle chest area. Stage 3 disease may also involve more than one malignant tumor in the lung that has spread to other organs like the heart, esophagus or trachea.

Stage 4 cancer

Tumors are in both lungs or in the fluid between the pleura — the protective membranes that surround the lungs. In this stage, lung cancer may have spread to other parts of the body like the bones, liver, brain or adrenal glands.  


There is no typical story because when a person is diagnosed with lung cancer today, I don’t know what I’m going to be treating them within 5 years. But I very well likely will be treating them in 5 years—and that’s a new story for lung cancer." Karen Reckamp, M.D., co-director, Lung Cancer and Thoracic Oncology Program

Karen Reckamp 256x256 Karen Reckamp, M.D.

At the heart of your treatment at City of Hope is your individuality. We understand that you – and your specific type of lung cancer – are unique and we use that knowledge to determine the best therapy, leading to the best outcome.

Treating you as an individual starts with assembling an experienced care team led by world leaders in the biology of lung cancer. At City of Hope breakthroughs from our renowned research team move quickly to our patients. That means you get rapid access to the best treatments, including the latest therapies and clinical studies.

From research through diagnosis and treatment few cancer centers take care of lung cancer like City of Hope can.

Newest treatments

Lung cancer is a disease whose treatments change rapidly. Your team at City of Hope combines leading-edge technologies – like minimally-invasive, laparoscopic and robotic surgery – with the latest therapeutic and radiological advances including:

  • Precision medicine techniques, such as chemotherapy regimens tailored to individual patients and pioneering clinical trials.
  • Robotic-assisted surgery that is less invasive, leading to less pain, quicker healing and improved outcomes.
  • Video-assisted thoracoscopic surgery, using advanced computer and video technology to perform minimally-invasive biopsies and surgeries.
  • Ultra-precise radiation therapy techniques including Helical TomoTherapy and 4D CT scanning.
  • Supportive care services that provide exceptional family and survivorship programs.

Comprehensive, multidisciplinary care

Whether you are diagnosed at stage 1 or stage 4, comprehensive care is at the core of your lung cancer treatment at City of Hope. Our surgeons, oncologists, supportive care and pain management specialists – and other team members – are in frequent communication about the best path for your treatment so that you receive care of the highest caliber.


At City of Hope, our experienced thoracic specialists perform advanced procedures not available at other centers—and are among the best when it comes to high-quality minimally-invasive thoracic surgery for conditions including:

  • lung and esophageal cancer
  • chest wall cancer
  • pleural cancers (including mesothelioma)
  • thymoma
  • mediastinal tumors

Surgery on the lung is delicate—and preserving as much tissue as possible requires both experience and skill. Our surgical team includes highly-trained leaders in lung surgery who regularly take on more complex cases—including some deemed untreatable at other facilities.

Types of lung cancer surgery

  • Lobectomy is removing an entire lobe of the lung.
  • Segmentectomy is removing a large segment of a lobe of the lung.
  • Wedge Resection is removing of a piece of lung (smaller than a segment).
  • Pneumonectomy is removing the entire lung on one side.
  • Sleeve Resection is removing part of the airway with or without the lobe of the lung and sewing the airway back together. This procedure is usually done to avoid removing the entire lung.

Surgery for lung cancer begins with a conversation about your needs, and continues as a coordinated effort between staff from many different disciplines – from oncologists to pathologists, nurses, radiologists, researchers and support staff – to determine the best treatment for your individual case.

At City of Hope our goal is always finding the most targeted, least invasive way of treating you so that we preserve your lung function and quality of life.


Chemotherapy for lung cancer is using cancer drugs to interfere with cancer cells’ ability to grow and divide. Different drug combinations work in different ways to fight cancer cells.

For patients with aggressive or recurrent disease, we routinely perform genetic tests to find mutations (abnormal changes inside a cell), allowing us to find a drug combination that works best for your specific tumor. You also may be enrolled in a clinical trial to treat the mutation driving your cancer.

Your doctor will tailor a treatment to your specific type of cancer, and work with the rest of your team to decide whether chemotherapy should be given before or after other treatments – like surgery – or alone.

Targeted therapy

Targeted therapy involves first understanding the biology of your cancer, then finding the best treatments based on this biology. It involves using medications to target abnormal changes in the genetic makeup of a cancer, called mutations.

City of Hope does next-generation DNA sequencing, a way of analyzing cancer cells’ genetic traits to design better, less toxic therapies for patients. Drugs that target specific mutations often have a better chance of a response and fewer side effects than chemotherapy.


City of Hope clinical trials are looking at the inner-world of a tumor as a way of understanding how to make better, more powerful therapies. One way that cancer cells continue growing is by tricking the immune system into not attacking them. Our immunotherapeutic approaches empower a patient’s own immune system to kill these cells by making them more recognizable.

Radiation therapy

Radiation therapy uses high-energy radiation to kill cancer cells and shrink tumors. Radiation may be used alone or with chemotherapy to treat lung cancer. There are two ways to deliver radiation therapy:

  • External radiation directs radiation from outside the body directly to cancer cells. High-energy beams are focused on destroying cancer cells while preserving normal tissue that surrounds it.
  • Internal radiation delivers radiation to the tumor by sending seeds, capsules, ribbons or wires along a catheter (a tube) to destroy cancer cells.

City of Hope uses leading-edge radiation therapy techniques:

  • Helical TomoTherapy directs radiation at a tumor from many different directions. It uses the highest radiation dose possible to kill cancer cells while sparing normal tissue nearby.
  • Four-dimensional computed tomography scanning takes into account breathing during radiation treatment, which can drastically widen the area receiving radiation and affect normal tissue. 4D CT scanning more accurately targets cancer cells and reduces side effects.
  • Intensity modulated radiation therapy and image-guided radiation therapy direct radiation directly at a tumor while protecting normal tissue around it.
  • Stereotactic body radiation is a new technology that delivers a very high dose of focused and precise radiation treatment while taking into account breathing motion. It often is done alongside image-guided radiation therapy.

City of Hope’s renowned thoracic physicians and researchers utilize the latest in technology and innovation to treat lung cancer, coupled with our enduring belief in providing unparalleled compassionate care. Call 800-826-4673 or request an appointment online.

Thoracic Surgery

Loretta Erhunmwunsee, M.D.

Clinical Specialties

  • Thoracic Surgery
Jae Y. Kim, M.D.

Clinical Specialties

  • Thoracic Surgery
Dan J. Raz, M.D., M.A.S.

Clinical Specialties

  • Thoracic Surgery

Medical Oncology

Samuel Chung, M.D.

Clinical Specialties

  • Medical Oncology
  • Hematology
Mihaela C. Cristea, M.D.

Clinical Specialties

  • Medical Oncology
M. Houman Fekrazad, M.D.

Clinical Specialties

  • Medical Oncology
  • Hematology
Karen Reckamp, M.D., M.S.

Clinical Specialties

  • Medical Oncology
Ravi Salgia, M.D., Ph.D.

Clinical Specialties

  • Medical Oncology

Radiation Oncology

Sagus Sampath, M.D.

Clinical Specialties

  • Radiation Oncology

Hematology, Pathology, and Diagnostic Radiology

Marianna Koczywas, M.D.

Clinical Specialties

  • Medical Oncology
Tommy Richard Sun Wing Tong, M.D.

Clinical Specialties

  • Anatomic & Clinical Pathology
Arnold J. Rotter, M.D.

Clinical Specialties

  • Diagnostic Radiology

Lung Cancer Research

Betty Ferrell, Ph.D., M.A., F.A.A.N., F.P.C.N.

Research Focus

  • Pallative Care
  • Quality of Life
  • Pain Management
  • End-of-Life Care
  • Interprofessional Education
Paul Frankel, Ph.D.

Research Focus

  • Biostatistics
Linda Malkas, Ph.D.

Research Focus

  • Cancer Biology
  • Peptides Directed Against Cancer Associated PCNA Has Therapeutic Potential in Breast Cancer
  • New Molecular Target for Neuroblastoma Therapy
  • NIH/NCI Cancer Center Support Grant
  • A Structure/function analysis of a tumor specific protein
  • caPep: mechanistic evaluation of an agent for neuroblastoma
  • Development of novel agents, technologies, and markers for the better diagnosis, prognosis, screening, prevention, and treatment of breast cancer
Binghui Shen, Ph.D.

Research Focus

  • Cancer Genetics and Epigenetics
Xiwei Wu, Ph.D.

Research Focus

  • Genomics, Bioinformatics

Lung cancer research and clinical trials at City of Hope

Getting lung cancer treatment at City of Hope means you are steps away from labs where exciting new therapies for lung cancer are being developed. It means you get something unique in cancer care — “bench to bedside” treatment. That means new research we are conducting in our labs is moved quickly to the bedside to treat our patients.

City of Hope patients have access to a wide variety of clinical trials looking into early-detection for lung cancer, the newest chemotherapy treatments, targeted therapies and surgical and radiation approaches — all with the goal of helping extend life.

Current research and clinical trials include new therapies that shut down chemical pathways that influence how lung cancer develops, progresses and spreads:

  • A Chinese herb called the “Thunder of God Vine” — called MRx102 — is a potential new treatment for patients with lung cancer. In early studies MRx102 destroyed lung cancer cells by blocking a pathway in the body that caused lung cancer cells to grow.
  • Our researchers have found a protein that is active in lung cancer cells — but not healthy cells — called caPCNA. They are researching how to use what they know about caPCNA to kill small cell lung cancer cells with minimal effects on surrounding healthy cells.
  • For patients with soft-tissue sarcomas, the cancer most frequently spreads to their lungs. Our researchers are analyzing the genetics of those sarcomas and the sites where they spread to identify ways to stop this process.
  • City of Hope is working on innovative ways to activate the immune system to fight squamous cell carcinoma, which happens about 30% of the time non-small cell lung cancer is diagnosed. A therapy called nivolumab that allows a patient’s own T cells (cells in the immune system) to attack cancer cells is leading to remarkable improvements in survival and fewer side effects in patients.
  • Chemotherapy is designed to damage DNA in cancer cells to kill them, but cancer cells can figure out ways around this and continue repairing DNA. In an innovative clinical trial, City of Hope is exploring a compound called TRC102, which keeps cancer cells from self-repairing. TRC102 is being tested in combination with two drugs to try and make chemotherapy more effective.
  • Some patients with non-small cell lung cancer have mutations in the tumor that cause the cancer to grow, which can be treated with targeted therapy. Unfortunately, over time the cancer becomes resistant, continuing to grow again. City of Hope is exploring ways to pair existing targeted therapies with other drugs to help overcome this resistance. Early study results show that this strategy has significantly slowed tumor growth.
  • One treatment for patients with early stage non-small cell lung cancer is a form of radiation called stereotactic body radiation therapy (SBRT). After SBRT, clinicians typically monitor patients for two years using CT imaging. However, it can be difficult to distinguish between tumor recurrence that needs further treatment and harmless treatment-associated scar tissue that requires no further action. City of Hope is the first institution to study higher-quality multi-parametric MRI imaging after SBRT to get a clearer picture of treatment response sooner.
  • Our researchers are leading a pilot study using a video educational program to help reduce anxiety and psychological harm during lung cancer screening. The study involves finding ways to overcome barriers to screening so at-risk individuals can get the care they need.
  • City of Hope is developing a tobacco cessation mobile app to help smokers with lung cancer to taper down smoking and connect with each other for peer support.
  • We are studying survivorship care plans that give patients helpful information on treatments, side effects and follow-up, along with useful tips on eating healthy and physical activity. Data from this early study will be used to build a larger clinical trial.


Current clinical trials

Koczywas, 14203: SWOG S1400: Phase II/III Biomarker-Driven Master Protocol for Second Line Therapy of Squamous Cell Lung Cancer
This screening and multisubstudy randomized phase II/III trial will establish a method for genomic screening of similar large cancer populations followed by assigning and accruing simultaneously to a multisubstudy hybrid “Master Protocol” (S1400). The type of cancer trait (biomarker) will determine to which substudy, within this protocol, a participant will be assigned to compare new targeted cancer therapy, designed to block the growth and spread of cancer, or combinations to standard of care therapy with the ultimate goal of being able to approve new targeted therapies in this setting.
Salgia, 16035: A Phase II single-arm trial to investigate tepotinib in stage IIIB/IV adenocarcinoma of the lung with MET exon 14 (METex14) skipping alterations after failure of at least one prior active therapy, including a platinumdoublet-containing regimen
This study will look at how effective the study drug(tepotinib) is at stopping the growth and spread of lung cancer that carries a specific genetic alteration (MET exon 14 skipping alterations) and that did not respond to standard of care treatment such as chemotherapy (platinum doublet containing regimen).
Reckamp, 16208: A Phase II, open-label, multicenter, single-arm study to investigate the efficacy and safety of Atezolizumab as Neoadjuvant and Adjuvant Therapy in patients with Stage IB, II or IIIA resectable and untreated nonsmall cell lung cancer
This study is designed to evaluate the safety and efficacy of neoadjuvant and adjuvant atezolizumab in participants with Stage IB, II or IIIA NSCLC who are eligible for surgical resection with curative intent. Neoadjuvant therapy will consist of two 21-day cycles with atezolizumab. Following surgery, adjuvant therapy will consist of up to 12 months of atezolizumab in participants who demonstrate clinical benefit with neoadjuvant therapy.

Living with lung cancer

Getting lung cancer is frightening and devastating. Getting through it and figuring out how to live a long life takes layers of support. When you come to City of Hope, you get access to a strong support network, including staff to help you and your family at every step in your journey. That includes everything from talk therapy, to meditation, to being connected with a patient navigator. Supportive care is not just about improving your mood and quality of life – it has been shown in studies to extend life.

Learn more about the resources listed below at our Living with Cancer or Supportive Care Medicine sites.


Learn more about these resources at our Living with Cancer or Supportive Care Medicine sites.

For more information about the supportive care programs we offer, please contact the Sheri & Les Biller Patient and Family Resource Center at 626-218-2273 (CARE).


Emily Taylor Success Story Image
Emily, lung cancer survivor

With the burden of cancer greatly lifted, the Taylors are now embarking on their next big adventure of building a family.


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