First Scottish patient enters ground-breaking lung cancer clinical trial

The first patient in Scotland recruited to a major research study has described it as “the light at the end of the tunnel” after he was diagnosed with late-stage lung cancer last year.

The TOURIST PRINCE trial is part of the world’s largest clinical trial using radiotherapy in the treatment of metastatic lung cancer, funded by a £3.4m grant from the National Institute for Health and Care Research (NIHR).

The trial is looking at whether modern radiotherapy treatments can improve outcomes for patients with stage IV disease, who often have a poor prognosis and typically have about a year to live.

PRINCE is part of the wider TOURIST trial platform which is sponsored by The Christie NHS Foundation Trust in Manchester and managed by Southampton Clinical Trials Unit.

81-year-old great-grandfather Robert Brown, a retired managing director from Glasgow, was diagnosed with non-small cell lung cancer (NSCLC) in the summer of 2025. He said: “At the beginning of July, I had a cough which lasted for six weeks before I went to see the GP. He jumped on it right away and sent me for an X-ray at the New Victoria Hospital and it was then that I was diagnosed with lung cancer.

“I’ve had a decent life and lived pretty healthily for 81 years, so I suppose it’s just life, isn’t it? But when the team at the hospital told me about the trial and asked if I’d consider taking part, I went straight on to it. It’s the light at the end of the tunnel.”

Lung cancer is the 3rd most common cancer in the UK, but is the biggest cancer killer, accounting for 21% of cancer deaths annually.

Between 85 and 90 per cent of cases diagnosed are non-small cell lung cancer (NSCLC) and nearly half of these cancers are diagnosed at a late stage when the disease has spread and is incurable, meaning treatment focuses on controlling symptoms and extending life, rather than curing patients.

TOURIST is the first trial in 20 years to look at how radiotherapy could benefit late-stage metastatic lung cancer patients.

It uses a technique called ‘VMAT’ (volumetric modulated arc therapy) which is a form of radiotherapy that uses multiple beams of varying strengths to treat cancer. A device called a linear accelerator (LINAC) delivers high-energy beams while rotating around the patient to treat the tumours.

Professor Matthew Hatton, Honorary Professor of Clinical Oncology at The University of Sheffield, who is the chief investigator for the TOURIST PRINCE trial, said: “Giving the radiotherapy in this way makes it very accurate, shortens the treatment time, and uses a lower overall dose of radiation.

“It means more cancer cells can be killed while also sparing healthy tissue around the organ. Previously this machine has only been used to treat patients with early-stage cancer that has not spread, but we are hoping to show that it could also have benefits for those with late-stage disease. If successful, this trial could change global clinical practice for treating advanced lung cancer.”

Robert, who has been married to his wife Caroline for 56 years and has two children, two grandchildren and two great grandchildren, said: “Being on the trial has been okay for me, I’ve had no issues so far.

“I am still keeping myself fit and strong, and despite my treatment I’m even continuing to go jogging. It feels good to be part of the trial and part of research. Research has got to help.”

The PRINCE trial is aiming to recruit 472 patients newly diagnosed with stage IV non-small cell lung cancer at hospitals across the UK. It first opened to recruitment in autumn 2024, but Robert is the first patient in Scotland to take part.

Lucy Badesha is a Senior Research Nurse at the New Victoria Hospital in Glasgow. She said: “As a satellite site of the Beatson West of Scotland Cancer Centre, part of our mission at the New Victoria Hospital is to offer clinical trials to patients who may not be able to access them otherwise.

“We were delighted to hear that we had recruited the first TOURIST PRINCE participant in Scotland, and we hope to be able to continue to offer participation in this and other life-changing cancer clinical trials to patients living on the south side of Glasgow.”

PRINCE is one of two trials currently recruiting patients in the TOURIST platform, which has been set up to see if radiotherapy, alongside other treatments, improves outcomes and quality of life for lung cancer patients.

Nicky Downs, Senior Trial Manager for the TOURIST trial platform at the Southampton Clinical Trials Unit, said: “It is wonderful to see the first patient recruited to the PRINCE trial in Scotland, and we are so grateful to Robert, and to all the other patients who have agreed to take part in TOURIST, for helping further our research into this awful disease.

“We hope to be able to expand the platform in the coming months with new trials, allowing us to include even more patients, understand the disease better, and learn how we can control patients’ symptoms and improve survival.”

Dr David Woolf, consultant oncologist at The Christie and is the joint chief investigator for the TOURIST platform, said: “The TOURIST trials represent a huge shift in the way we potentially treat lung cancer patients and could bring additional benefit to patients undergoing their standard treatments in the future.

“This is the first time we have delivered a trial in radiotherapy for stage IV NSCLC patients for two decades and techniques have advanced massively in that time. We therefore hope to provide enough evidence to change clinical practice globally, which could help up to a million people a year worldwide.”

Professor Anthony Gordon, Director of NIHR’s Health Technology Assessment Programme, said: “Living with late-stage lung cancer is difficult and challenging for patients and their families.

“This important trial demonstrates innovation by harnessing the latest radiotherapy treatments aiming to improve care for people with this disease to help ease their symptoms and improve outcomes and life expectancy.

“This trial demonstrates NIHR’s mission to drive life-changing research for the health and wealth of our society and ensuring more people can get involved in research. Our aim is to help new treatments reach patients earlier, helping them lead healthier and happier lives, while reducing the burden on the NHS.”

Cancer death rates 80% higher in the most deprived areas of Scotland

ACTION ON SMOKING URGENTLY NEEDED

Cancer death rates are around 80% higher for people living in the most deprived areas of Scotland compared to the least deprived, a new report from Cancer Research UK reveals.

The report, titled Cancer in the UK 2025: Socioeconomic Deprivation, found that there are around 4,300 extra cancer deaths in Scotland each year linked to socioeconomic inequality. This equates to 12 additional deaths each day – around a quarter of all deaths from cancer.

Almost half of these additional deaths are caused by lung cancer, where the death rate for the most deprived areas is almost three and a half times that of the least deprived areas of Scotland.  

More than a tenth of all cancer diagnoses in Scotland are linked to deprivation. Many of these cases are caused by preventable risk factors such as smoking.   

Smoking is the biggest cause of cancer in Scotland, and rates in the most deprived parts of the country are more than four times those in the least deprived. 

In publishing the report, Cancer Research UK is calling for urgent action to tackle these stark inequalities. 

One vital opportunity to do so is the upcoming vote in Scotland for new legislation which will see an increase in the age of sale of tobacco. 

If MSPs vote for the new Tobacco and Vapes Bill, it would become illegal to sell tobacco to anyone born after 1st January 2009.  

This vote will pave the way for the Bill to become law in Scotland, as well as the rest of the UK. 

Dr Sorcha Hume, Cancer Research UK’s public affairs manager in Scotland, said: “Where you live shouldn’t increase your risk of dying from this devastating disease. These figures are shocking and unacceptable and crucially many of these cancer deaths are avoidable. 

“With almost half of the additional deaths being caused by lung cancer, it’s clear that action on smoking is needed urgently. 

“Smoking remains the leading cause of lung cancer, a disease that is often diagnosed late when treatment options are more limited. 

“One of the ways we can prevent lung cancer is to deter people from ever taking up smoking in the first place. 

“If MSPs vote in support of the age of sale legislation in the Tobacco and Vapes Bill, it could be one of the most impactful public health interventions in living memory, helping people to live longer, better lives, no matter where they live in Scotland.” 

Introducing a lung cancer screening programme in Scotland would also help address these inequalities. 

The UK National Screening Committee has recommended that all UK nations move towards implementing a national lung cancer screening programme to target those considered to be of high risk of developing lung cancer – people aged between 55 and 74 who either smoke or used to smoke.  

A targeted lung screening programme is being introduced in England, but no such commitment has been made by the Scottish Government. 

If lung screening were to be introduced, around 400 extra cases each year in Scotland could be diagnosed at an early stage (stages 1 and 2) rather than a late stage (stages 3 and 4).

Dr Hume added: “Lung screening matters because it means more people can be diagnosed at an earlier stage, when treatment is more likely to be successful. 

“Research has consistently shown that lung screening is effective at reducing deaths from cancer so it’s essential a Scotland-wide programme is introduced here as soon as possible.” 

Laura Tobin helps to raise awareness of link between air pollution and lung cancer in people who have never smoked 

The weather presenter is backing ScottishPower’s support for Cancer Research UK studies which are uncovering how air pollution causes lung cancer in people who have never smoked.  

ScottishPower has welcomed Laura Tobin to its Whitelee Windfarm – the largest onshore windfarm in the UK – to help raise awareness about air pollution, its impact on lung cancer and the need for more research. 

The TV meteorologist, whose own family has been impacted by cancer, is backing the leading renewable energy company’s support of Cancer Research UK’s studies which are investigating the link between lung cancer in people who have never smoked and air pollution.  

In the UK, it is estimated that nearly 6,000 people who have never smoked die of lung cancer each year*. Research estimates that lung cancer in people who have never smoked is the eighth most common cause of cancer death in the UK*. Outdoor air pollution causes around 1 in 10 cases of lung cancer. 

ScottishPower has been a long-standing supporter of Cancer Research UK for over ten years and is covering the cost of the TOPICAL study, which hopes to help scientists better understand the link between air pollution and lung cancer. Insights from this research could shape new ways to diagnose and treat lung cancer in people who have never smoked. 

Led by Professor Charles Swanton, Cancer Research UK’s Chief Clinician and Group Leader at the Francis Crick Institute, the study is examining the role of tiny particles in the air called PM2.5, which are derived in part from burning solid and liquid fuels. Professor Swanton and his team are looking at the relationship between these tiny air pollution particles and cases of lung cancer in people who have never smoked.  

Results from Professor Swanton’s lab** suggest that PM2.5 pollution can awaken dormant cells in the lungs carrying cancer-causing mutations, which go on to become tumours. This game-changing discovery could open new ways to prevent and treat lung cancer in people who have never smoked in the future.  

The support of this project is part of ScottishPower’s ongoing partnership with Cancer Research UK, which since 2012 has seen more than £35m raised to help beat cancer sooner – and they aren’t stopping there. 

Laura Tobin said: “Air pollution is invisible to the human eye, yet it can have a considerable effect on our health. Being at a place like Whitelee Windfarm really brings clean air to the forefront of your mind and makes you realise its importance. 

“I know from my own personal experience how important it is for us to understand how cancer starts, grows and spreads, so we can find new ways to beat it. ScottishPower’s support of Cancer Research UK’s innovative research on air pollution is breaking new ground in our understanding of lung cancer.  

“The funding ScottishPower has provided to Cancer Research UK over many years is vital to bringing forward the day when we beat cancer.” 

Whitelee is the UK’s largest onshore windfarm and is a vital part of Scotland and the UK’s transition to a clean energy future. It was awarded with a prestigious Green Flag award for its benefit to the local community and role in providing a positive, environmentally-friendly location. 

Professor Charles Swanton, Cancer Research UK’s Chief Clinician, said: “Lung cancer in people who have never smoked is more common than many people realise, and we need to understand it better.  

“Previously, we had thought that environmental carcinogens, like air pollution, directly mutated our DNA to cause cancer. But our research has revealed a new way in which air pollution can set off another molecular chain of events that leads to cancer. 

“This finding wouldn’t have happened without funding from Cancer Research UK and partners like ScottishPower. ScottishPower’s unwavering support of Cancer Research UK is helping us work towards a world where people can live longer, better lives, free from the fear of cancer.” 

Andrew Ward, CEO of ScottishPower Retail, said: “ScottishPower is committed to leading the fight against climate change, but we’re also committed to playing a leading role in the fight against cancer. 

“The simple fact is that we need to reduce our reliance on fossil fuels, both for our planet and our health. At ScottishPower we’re investing heavily in clean, green electricity generation, as well as providing decarbonisation solutions for households and business, including solar panels, heat pumps and electric vehicle solutions. 

“I had the pleasure of listening to Professor Swanton when he visited us at ScottishPower HQ and it’s fantastic to hear how our partnership is helping to support such ground-breaking research. 

“Working with Laura Tobin at our iconic Whitelee Windfarm provides a really striking link to clean air to help us all understand the importance of combating air pollution and better understanding the impact it has on us. 

“I’m thrilled that studies we’ve helped to fund are already aiding research breakthroughs and we’re committed to working in partnership with Cancer Research UK in the years to come to help beat cancer sooner.” 

To find out more about ScottishPower’s partnership and support of Cancer Research UK, please visit: scottishpower.co.uk