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RecruitingInterventionalPhase 3

A Randomized, Double Blind, Multicenter Phase 3 Trial of BMS-986489 (BMS-986012+Nivolumab Fixed Dose Combination) in Combination With Carboplatin Plus Etoposide vs Atezolizumab in Combination With Carboplatin Plus Etoposide as First-Line Therapy in Participants With Extensive-Stage Small Cell Lung Cancer (TIGOS).

NCT ID: NCT06646276Sponsor: Bristol-Myers SquibbLast updated: 2026-06-16

Summary

The Purpose of the Study is to Compare the Efficacy and Safety of BMS-986489 (Anti-fucosyl-GM1+ Nivolumab Fixed Dose Combination) in Combination with Carboplatin plus Etoposide to that of Atezolizumab with Carboplatin plus Etoposide as First-Line Therapy in Participants with Extensive-Stage Small Cell Lung Cancer.

Arms & interventions

  • BiologicalBMS-986489 (BMS-986012+Nivolumab)

    Specified dose on specified days

  • BiologicalAtezolizumab

    Specified dose on specified days

  • DrugCarboplatin

    Specified dose on specified days

  • DrugEtoposide

    Specified dose on specified days

Outcome measures

Primary

  • Overall Survival (OS)

    Time frame: Up to 5 years

Secondary

  • Time to definitive deterioration (TTDD)based on the LCSS ASBI defined as the time from randomization until a definitive clinically meaningful decline (≥ 10 point increase from baseline in LCSS ASBI score).

    Time frame: Up to 5 years

  • Number of participants with Adverse Events (AEs)

    Time frame: Up to 135 days after last treatment

  • Number of Participants with Serious Adverse Events (SAEs)

    Time frame: Up to 135 days after last treatment

  • Number of Participants with Adverse Events (AEs) leading to discontinuation and death

    Time frame: Up to 135 days after last treatment

  • Objective Response (OR)

    Time frame: Up to 5 years

  • Duration of Response (DOR)

    Time frame: Up to 5 years

  • Progression Free Survival (PFS)

    Time frame: Up to 5 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria * Participants must have diagnosis of Extensive-Stage Small Cell Lung Cancer (ES-SCLC). * Participants must be Healthy enough to do their normal activities with little or no help based on the ECOG performance scale. * Participants must have at least one tumor that can be measured using special imaging techniques like a CT scan or MRI at a site other than the brain and nervous system Exclusion Criteria * Participants have already received certain types of treatment for extensive stage small cell lung cancer * Participants have certain health conditions, like spread of small cell lung cancer to the brain that are causing symptoms, certain lung diseases, heart diseases, infections, autoimmune diseases, other cancers, or a type of nerve damage called peripheral sensory neuropathy * Other protocol-defined Inclusion/Exclusion criteria apply.

Study locations (20)

Southern Cancer Center, PC

Daphne, Alabama, 36526

Recruiting
Michael Meshad, Site 0337 · Contact

Local Institution - 0283

Hot Springs, Arkansas, 71913

Completed

Florida Cancer Specialists - South

Fort Myers, Florida, 33901

Recruiting
Alexander Glick, Site 0245 · Contact

Mid Florida Hematology and Oncology Center

Orange City, Florida, 32763

Recruiting
Santosh Nair, Site 0009 · Contact

Florida Cancer Specialists - North

St. Petersburg, Florida, 33705

Recruiting
Maen Hussein, Site 0020 · Contact

Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital

Marietta, Georgia, 30060

Recruiting
Walid Shaib, Site 0013 · Contact

Illinois Cancer Care

Peoria, Illinois, 61615

Recruiting
Gary MacVicar, Site 0019 · Contact

Local Institution - 0037

Minneapolis, Minnesota, 55407

Withdrawn

University of New Mexico Comprehensive Cancer Center

Albuquerque, New Mexico, 87106

Recruiting
Moises Harari-Turquie, Site 0033 · Contact

Duke Cancer Institute

Durham, North Carolina, 27710

Recruiting
Neal Ready, Site 0029 · Contact

Sanford Medical Center

Bismarck, North Dakota, 58501

Recruiting
Thandiwe Gray, Site 0232 · Contact

Sanford Fargo Medical Center

Fargo, North Dakota, 58102

Recruiting
Mark Gitau, Site 0010 · Contact

Oncology Hematology Care

Cincinnati, Ohio, 45242

Recruiting
Patrick Ward, Site 0284 · Contact

Sanford Cancer Center

Sioux Falls, South Dakota, 57104

Recruiting
Allison Watson, Site 0231 · Contact

SCRI Oncology Partners

Nashville, Tennessee, 37203

Recruiting
Melissa Johnson, Site 0008 · Contact

Texas Oncology - Central/South Texas

Austin, Texas, 78705

Recruiting
James Uyeki, Site 0001 · Contact

Texas Oncology - Northeast Texas

Tyler, Texas, 75702

Recruiting
Sarah Wang, Site 0281 · Contact

Oncology & Hematology Associates of Southwest Virginia, Inc.

Roanoke, Virginia, 24014

Recruiting
Jerome Goldschmidt, Site 0246 · Contact

Swedish Cancer Institute - Edmonds

Edmonds, Washington, 98026

Recruiting
Siddhartha Devarakonda, Site 0339 · Contact

Swedish Medical Center

Seattle, Washington, 98104

Recruiting
Siddhartha Devarakonda, Site 0026 · Contact