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RecruitingInterventionalPhase 2

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)

NCT ID: NCT07155174Sponsor: AbbVieLast updated: 2026-06-16

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

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Diagnosis of histologically or cytologically confirmed extensive stage small cell lung cancer (ES-SCLC) requiring treatment with first line therapy. * Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1 during the screening period prior to the first dose of study treatment. * Have measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST v1.1). * Suspected brain metastases at screening should have a computed tomography (CT)/ magnetic resonance imaging (MRI) of the brain prior to study entry. Exclusion Criteria: * Have received any kind of treatment for limited stage small cell lung cancer (LS-SCLC). * Known active/symptomatic central nervous system (CNS) metastases should be excluded. * History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, or any evidence of active ILD/pneumonitis on screening chest computed tomography (CT) scan should be excluded. * Have any clinically significant conditions that would adversely affect the participant's participation in the study, and the subject should have a life expectancy of at least 3 months.

Study locations (10)

Yale University School of Medicine /ID# 278181

New Haven, Connecticut, 06510

Recruiting

Ocala Oncology Center /ID# 278269

Ocala, Florida, 34474

Recruiting

Moffitt Cancer Center /ID# 277573

Tampa, Florida, 33612

Recruiting

Fort Wayne Medical Oncology And Hematology /ID# 277336

Fort Wayne, Indiana, 46804

Recruiting

Baptist Health Lexington /ID# 277729

Lexington, Kentucky, 40503

Recruiting

Dana-Farber Cancer Institute /ID# 277732

Boston, Massachusetts, 02215

Recruiting

Missouri Cancer Associates /ID# 278299

Columbia, Missouri, 65201

Recruiting

University Hospitals Cleveland Medical Center /ID# 277556

Cleveland, Ohio, 44106

Recruiting

The University of Texas MD Anderson Cancer Center /ID# 277929

Houston, Texas, 77030

Recruiting

Virginia Cancer Specialists - Fairfax /ID# 278298

Fairfax, Virginia, 22031

Recruiting