Liver SBRT in Combination With Immune Checkpoint Inhibition in Patients With Metastatic Non-small Cell Lung Cancer

Eligibility Criteria

• * Adult patients (≥18 years of age)
• * Histologically or cytologically confirmed NSCLC with liver metastases
• * Eligible for immune checkpoint inhibitors per treating medical oncologist
• * Disease must be measurable per RECIST criteria
• * ECOG Performance status of 0 - 2
• * Adequate organ function per protocol.
• * Allowable prior therapy includes adjuvant durvalumab, prior radiotherapy outside the upper abdomen.
• * Patients must be willing and able to sign an informed consent form.
• * Participants of childbearing potential willing to undergo pregnancy test and use contraception per Appendix.
• * Liver tumor burden which cannot be targeted with SBRT per treating radiation oncologist
• * Presence of uncontrolled intercurrent illness or significant comorbidities precluding participation in a clinical study as determined by investigator
• * Diagnosis of underlying parenchymal end stage liver disease (cirrhosis) or biliary disease (primary biliary cirrhosis).
• * Other invasive malignancy active within 1 years, excluding in situ cancers
• * Presence of psychiatric or substance abuse disorders that would interfere with compliance or safety
• * Has a known history of active Bacillus Tuberculosis (TB), Hepatitis B or Hepatitis C infection
• * Has received a live (active) vaccine within 30 days of enrollment.
• * Active autoimmune disease that has required systemic treatment in the past 1 years aside from hormone replacement therapy (ie. thyroxine, insulin, or physiologic corticosteroid replacement therapy)
• * Baseline corticosteroid use (\>10 mg prednisone daily or equivalent) at study entry
• * Pregnancy or breast feeding