A Phase III, Open-Label Study of Maintenance Lurbinectedin in Combination With Atezolizumab Compared With Atezolizumab in Participants With Extensive-Stage Small-Cell Lung Cancer (IMforte)
Small-Cell Lung Cancer

About this trial
This is an interventional treatment trial for Small-Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria for the Induction Phase:
- ECOG PS of 0 or 1
 - No prior systemic therapy for ES-SCLC
 - Treatment-free for at least 6 months since last chemo/radiotherapy, among those treated (with curative intent) with prior chemo/radiotherapy for limited-stage SCLC
 - Histologically or cytologically confirmed ES-SCLC
 - Adequate hematologic and end-organ function to receive 4 cycles of induction treatment with carboplatin, etoposide and atezolizumab
 - Measurable disease, as defined by RECIST v1.1
 - Negative HIV test and no evidence of active Hepatitis B or Hepatitis C at screening
 
Exclusion Criteria for the Induction Phase:
- Presence or history of CNS metastases
 - Active or history of autoimmune disease or deficiency
 - History of malignancies other than SCLC within 5 years prior to enrollment
 - Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including anti-CTLA-4, anti-PD-1, and anti-PD-L1 therapeutic antibodies, or lurbinectedin or trabectedin
 - History of idiopathic pulmonary fibrosis, organizing pneumonia, drug induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan
 - Treatment with investigational therapy within 28 days prior to enrollment
 
Inclusion Criteria for the Maintenance Phase:
- ECOG PS of 0 or 1
 - Ongoing response or stable disease per RECIST 1.1 after 4 cycles of induction therapy
 - Toxicities attributed to prior induction anti-cancer therapy or PCI resolved to Grade <=1
 - Adequate hematologic and end-organ function
 
Exclusion Criteria for the Maintenance Phase:
- Presence or history of CNS metastases
 - Receiving consolidative chest radiation
 - Severe infection within 2 weeks prior to randomization into the maintenance
 - Treatment with therapeutic oral or IV antibiotics at the time of randomization
 
Sites / Locations
- Alabama OncologyRecruiting
 - Va Palo Alto Health Care System
 - National Jewish HealthRecruiting
 - MedStar Georgetown University Hospital (Lombardi Comprehensive Cancer Center)Recruiting
 - Florida Cancer Specialists - Fort Myers (Broadway)Recruiting
 - Florida Cancer Specialist, North RegionRecruiting
 - SCRI Florida Cancer Specialists PANRecruiting
 - Florida Cancer SpecialistsRecruiting
 - Northwest Georgia Oncology Centers, a Service of WellStar Cobb Hospital
 - Illinois Cancer CareRecruiting
 - Hematology Oncology ClinicRecruiting
 - New England Cancer SpecialistsRecruiting
 - Dana Farber Cancer InstituteRecruiting
 - Cancer & Hematology Centers of Western Michigan; Spectrum Health Butterworth Research Pharmacy
 - Mercy Research - St. LouisRecruiting
 - Mercy Research SPRGRecruiting
 - Optum Health CareRecruiting
 - Clinical Research AllianceRecruiting
 - Messino Cancer CentersRecruiting
 - The Mark H. Zangmeister Ctr; Mid Ohio Onc/Hem Inc.
 - Fox Chase Cancer Center
 - Rhode Island HospitalRecruiting
 - Hollings Cancer CenterRecruiting
 - Tennessee Oncology - Chattanooga; Tennessee Oncology - East Third Street
 - West ClinicRecruiting
 - Tennessee Oncology; Sarah Cannon Research Institute
 - Michael E. DeBakey VA Medical CenterRecruiting
 - Mays Cancer Center at UT Health San Antonio MD Anderson CancerRecruiting
 - Cancer Care Northwest - Spokane ValleyRecruiting
 - Institut Jules BordetRecruiting
 - Jessa Zkh (Campus Virga Jesse)Recruiting
 - UZ Leuven GasthuisbergRecruiting
 - AZ St Maarten Campus LeopoldstrRecruiting
 - CHU UCL Mont-GodinneRecruiting
 - VitazRecruiting
 - Zentralklinik Bad Berka GmbH; Abteilung Onkologie und HämatologieRecruiting
 - Evang. Lungenklinik Berlin Klinik für PneumologieRecruiting
 - Helios Klinikum Emil von Behring GmbHRecruiting
 - Klinikum Chemnitz gGmbHRecruiting
 - Kliniken Essen Mitte Evang. Huyssens Stiftung/Knappschaft GmbHRecruiting
 - Niels-Stensen-Kliniken Franziskus-Hospital Harderberg GmbHRecruiting
 - LungenClinic Großhansdorf GmbH
 - Krankenhaus Martha-Maria Halle-Doelau gGmbH; Klinik fuer Innere Medizin IIRecruiting
 - KRH Klinikum Siloah-Oststadt-Heidehaus
 - Fachklinik für Lungenerkrankungen
 - Universitätsklinikum Schleswig-Holstein; Campus Lübeck
 - Asklepios Klinik München-GautingRecruiting
 - Krankenhaus Barmherziger Brüder; Klinik für Internistische Onkologie / HämatologieRecruiting
 - Sotiria Thoracic Diseases Hospital of Athens; 3rd University Pathology ClinicRecruiting
 - ERRIKOS DYNAN HOSPITAL; 4th ONCOLOGY CLINICRecruiting
 - University Hospital of Larissa;Department of Medical OncologyRecruiting
 - Euromedical General Clinic of Thessaloniki; Oncology Department
 - Diavalkaniko HospitalRecruiting
 - Orszagos Koranyi Pulmonologiai IntezetRecruiting
 - Pécsi Tudományegyetem; Klinikai Központ Onkoterápiás IntézetRecruiting
 - Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rend.Int.Recruiting
 - Tudogyogyintezet Torokbalint
 - AUSL della Romagna; Dipartimento Oncoematologico - U.O.C. Oncologia
 - ASL 3 Genovese
 - Irccs Ospedale San Raffaele;Oncologia MedicaRecruiting
 - Irccs Istituto Europeo di Oncologia (IEO); Divisione di OncologiaRecruiting
 - Azienda Socio Sanitaria Territoriale Niguarda (Ospedale Niguarda Ca' Granda); Oncologico -Onc.FalckRecruiting
 - Azienda Ospedaliero Universitaria Ospedali RiunitiRecruiting
 - Chungbuk National University HospitalRecruiting
 - Chilgok Kyungpook National University Medical CenterRecruiting
 - Samsung Changwon HospitalRecruiting
 - Gyeongsang National University HospitalRecruiting
 - Seoul National University Bundang Hospital
 - Asan Medical Center
 - Samsung Medical CenterRecruiting
 - Ulsan University HosiptalRecruiting
 - Antiguo Hospital Civil de Guadalajara Fray Antonio AlcaldeRecruiting
 - Health Pharma Professional Research
 - Filios Alta MedicinaRecruiting
 - Centro de Investigacion Clinica de Oaxaca
 - Uniwersyteckie Centrum Kliniczne; Klinika Onkologii i RadioterapiiRecruiting
 - Krakowski Szpital Specjalistyczny im sw. Jana Paw?a II; Oddzia? OnkologicznyRecruiting
 - Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie; Oddzial onkologii z pododdzialem chemioterapii
 - Mazowieckie Centrum Leczenia Chorob Pluc i Gruzlicy; Oddzial III Chorob PlucRecruiting
 - Wielkopolskie Centrum Pulmonologii i Torakochirurgii w Poznaniu; Oddzial Onkologii Klinicznej
 - Centrum Onkologii Instytut im.Marii Sklodowskiej-Curie; Klinika Nowotworow Pluca i Klatki Piersiowej
 - Hospital Univ Vall d'Hebron; Servicio de OncologiaRecruiting
 - Complejo Hospitalario Universitario A Coruña (CHUAC); Servicio de Oncologia
 - Hospital del Mar; Servicio de Oncologia
 - Hospital de la Santa Creu i Sant Pau; Servicio de OncologiaRecruiting
 - Hospital Universitario 12 de Octubre; Servicio de OncologiaRecruiting
 - Hospital Clinico Universitario Virgen de la Victoria; Servicio de OncologiaRecruiting
 - Hospital Universitario Virgen del Rocio; Servicio de OncologiaRecruiting
 - E-DA Hospital; ChestRecruiting
 - Taichung Veterans General Hospital; Dept of Internal Medicine
 - National Cheng Kung University Hospital; Oncology
 - Taipei Veterans General Hospital; Chest Dept , Section of Thoracic OncologyRecruiting
 - Adana Baskent University Hospital; Medical Oncology
 - Gülhane E?itim Ve Ara?t?rma HastanesiRecruiting
 - Memorial Ankara Hastanesi
 - Liv Hospital Ankara; Medical Oncology
 - Ankara City Hospital; Oncology
 - Uludag Uni Hospital; Oncology
 - Pamukkale University School Of Medicine; Oncology Department
 - Dicle University Faculty of Medicine
 - Trakya Universitesi Tip Fakultesi, Medikal Onkoloji Bilim Dali, Balkan Yerleskesi
 - Ba?c?lar Medipol Mega Üniversite Hastanesi; Oncology
 - Istanbul Uni Cerrahpasa Medical Faculty Hospital; Medical Oncology
 - ?zmir Medical Park; Onkoloji
 - Kocaeli University Faculty of Medicine; Medical oncology
 - Goztepe Prof.Dr. Suleyman Yalcin City Hospital; Clinical Oncology
 - TC Necmettin Erbakan University Meram Medical Faculty Hospital
 - Medikal Park Samsun
 - Ac?badem Altunizade Hastanesi; Oncology
 - Ysbyty Gwynedd HospitalRecruiting
 - Blackpool Victoria Hospital
 - Western General Hospital; Edinburgh Cancer CenterRecruiting
 - Christie NHS Foundation Trust
 - Castle Hill Hospital; The Queen's Centre for Oncology & Haematology
 - St James University HospitalRecruiting
 - Leicester Royal Infirmary
 - University College London HospitalRecruiting
 - Guy's Hospital; Oncology & Haematology Clinical Trials (OHCT) Unit. GI/Urology Research Office
 
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Arm A: Atezolizumab+Lurbinectedin
Arm B: Atezolizumab
Induction phase: participants will receive standard of care atezolizumab on Day 1 of each 21-day cycle in combination with carboplatin on Day 1 and etoposide on Days 1, 2, and 3 of each 21-day cycle for 4 cycles. Maintenance phase: participants will receive atezolizumab on Day 1 of each 21-day cycle in combination with lurbinectedin on Day 1 of each 21-day cycle.
Induction phase: participants will receive standard of care atezolizumab on Day 1 of each 21-day cycle in combination with carboplatin on Day 1 and etoposide on Days 1, 2, and 3 of each 21-day cycle for 4 cycles. Maintenance phase: participants will receive atezolizumab on Day 1 of each 21-day cycle.