A Phase 2 Randomized, Open Label, Multicenter Study to Evaluate the Optimal Dose, Safety, and Efficacy of ABBV-706 in Combination With Atezolizumab Versus Standard of Care as First-Line Treatment in Subjects With Previously Untreated Extensive Stage Small Cell Lung Cancer (ES-SCLC)
Summary
Small cell lung cancer (SCLC) is characterized by aggressive and rapid growth and a tendency to develop early spread to distant sites including mediastinal lymph nodes, liver, bones, adrenal glands, and brain. The purpose of this study is to assess safety, dose, change in disease activity of ABBV-706 given with atezolizumab, compared to standard of care (SOC) treatment (etoposide, carboplatin, atezolizumab, and optional lurbinectedin). ABBV-706 is an investigational drug being developed for the treatment of SCLC. There are multiple treatment arms in this study. Participants will either receive ABBV-706 given with atezolizumab, at 1 of 2 doses, or SOC. Approximately 180 adult participants will be enrolled in the study across sites worldwide. In the safety lead-in, participants with SCLC will receive intravenous (IV) ABBV-706 in 1 of 2 doses with IV atezolizumab, or IV SOC. In the expansion portion of the study, participants with SCLC will receive IV ABBV-706 in 1 of 2 doses with atezolizumab, or IV SOC, until the optimal dose of ABBV-706 is determined. The estimated duration of the study is up to 69.5 months. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, questionnaires, and scans.
Arms & interventions
- DrugABBV-706
Intravenous (IV) Infusion
- DrugAtezolizumab
IV Infusion
- DrugEtoposide
IV Infusion
- DrugCarboplatin
IV Injection
- DrugCarboplatin
IV Infusion
- DrugLurbinectedin
IV Infusion
Outcome measures
Primary
Number of Participants with Adverse Events (AE)s
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
Time frame: Up to 69.5 Months
Progression-Free Survival (PFS) Based on Investigator Assessment
PFS is defined as the time from randomization to the first documentation of radiological progressive disease (PD) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 per investigator or death from any cause, whichever occurs first.
Time frame: Up to Approximately 24 Months
Secondary
Overall Response (OR) as Measured by Overall Response Rate (ORR) Based on Investigator Assessment
Time frame: Up to Approximately 24 Months
Duration of Response (DoR) Based on Investigator Assessment
Time frame: Up to Approximately 24 Months
Disease Control (DC) Based on Investigator Assessment
Time frame: Up to Approximately 24 Months
OS
Time frame: Up to Approximately 28 Months
Eligibility criteria
Study locations (10)
Yale University School of Medicine /ID# 278181
New Haven, Connecticut, 06510
Ocala Oncology Center /ID# 278269
Ocala, Florida, 34474
Moffitt Cancer Center /ID# 277573
Tampa, Florida, 33612
Fort Wayne Medical Oncology And Hematology /ID# 277336
Fort Wayne, Indiana, 46804
Baptist Health Lexington /ID# 277729
Lexington, Kentucky, 40503
Dana-Farber Cancer Institute /ID# 277732
Boston, Massachusetts, 02215
Missouri Cancer Associates /ID# 278299
Columbia, Missouri, 65201
University Hospitals Cleveland Medical Center /ID# 277556
Cleveland, Ohio, 44106
The University of Texas MD Anderson Cancer Center /ID# 277929
Houston, Texas, 77030
Virginia Cancer Specialists - Fairfax /ID# 278298
Fairfax, Virginia, 22031