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.