About this trial
This is a multicenter phase III simulated RCT study aimed to compare the efficacy and safety of atezolizumab combined with chemotherapy versus placebo combined with chemotherapy in small cell lung cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed Informed Consent Form
Male or female, 18 years of age or older
ECOG performance status of 0 or 1
Histologically or cytologically confirmed ES-SCLC (per the Veterans Administration Lung Study Group (VALG) staging system
Disqualifiers
Active or untreated CNS metastases as determined by computed tomography (CT) or magnetic resonance imaging (MRI) evaluation during screening and prior radiographic assessments
Spinal cord compression not definitively treated with surgery and/or radiation or previously diagnosed and treated spinal cord compression without evidence that disease has been clinically stable for ≥ 1 week prior to randomization
Leptomeningeal disease
Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently) Patients with indwelling catheters (e.g., PleurX®) are allowed.
Trial population
This is a multi-center study to compare the efficacy and safety of atezolizumab plus chemotherapy versus placebo plus chemotherapy in small cell lung cancer.
Trial design
Case-control
Retrospective
Treatments tested in this trial
Atezolizumab
DrugAtezolizumab, 1200 mg intravenous infusion, 21 days per cycle
Etoposide
DrugEtoposide,intravenous infusion, 100mg/m,21 days per cycle
Carboplatin
Drugcarboplatin,intravenous infusion, AUC=5, 21 days per cycle.
Treatment groups
Trial outcomes
Primary outcomes
progression free survival
Progression-free survival (PFS): refers to the time from the date of initiation of combination therapy to any objectively documented tumor progression or patient death (the last follow-up time for patients lost to follow-up; Patients who are still alive at the end of the study will be the end of follow-up at the end of the study).
Secondary outcomes
objective response rate
Objective response rate (ORR): refers to the proportion of patients whose tumors shrink to a certain amount and remain for a certain period of time, including complete response (CR) and partial response (PR) cases.
duration of response
Duration of response (DOR): refers to the duration of a patient's time from the first documented confirmed response (CR or PR) to the first documentation of disease progression (PD) or death due to any cause, whichever occurs first.
Sponsors and contacts
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