About this trial
The purpose of this study is to evaluate the efficacy and safety of ZL-1310 in combination with a checkpoint inhibitor compared to standard first-line therapy in participants with Extensive-Stage Small Cell Lung Cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically or cytologically confirmed ES-SCLC
No prior systemic therapy has been received
Medically eligible to receive standard platinum-based chemotherapy with atezolizumab or durvalumab as first-line therapy
Eastern Cooperative Oncology Group performance status of 0 or 1
Disqualifiers
Has a contraindication to receive atezolizumab or durvalumab according to local drug label or local treatment guideline
Participants with symptomatic CNS metastases (require initiation or dose change of steroids or anti-convulsant within 7 days prior to randomization; require steroid dose higher that prednisone 10 mg/day or equivalent within 14 days prior to randomization
History of ILD/pnuemonitis (non-infectious) that required corticosteroids, current ILD/pnuemonitis of any grade, or suspected ILD/pnuemonitis that cannot be ruled out by imaging at screening
Received radiotherapy within 2 weeks to the non-thoracic and within 4 weeks to the thoracic area prior to the first dose of study treatment or received more than 30 Gy of thoracic radiotherapy
Trial design
Parallel
Treatments tested in this trial
ZL-1310 in combination with Atezolizumab or Durvalumab
Combination productZL-1310 ADC in combination with checkpoint inhibitor
Carboplatin/Etoposide in Combination with Atezolizumab followed by maintenance Atezolizumab with Lurbinectedin
Combination productPlatinum-based chemotherapy in combination with a checkpoint inhibitor
Carboplatin/Etoposide or Cistplatin/Etoposide in Combination with Durvalumab induction followed by Durvalumab maintenance
Combination productStandard of Care Platinum-based chemotherapy in combination
Treatment groups
Trial outcomes
Primary outcomes
Overall survival of ZL-1310 with IO compared to chemo with IO
Secondary outcomes
Progression-free survival (PFS) assessed by Blinded Independent Central Review (BICR) and by investigator per RECIST v1.1 of ZL-1310 with IO compared to chemo with IO
Confirmed objective response rate (ORR) assessed by BICR and by investigator per RECIST v1.1 of ZL-1310 with IO compared to chemo with IO
Duration of response (DoR) assessed by BICR and by the investigator per RECIST v1.1 of ZL-1310with IO compared to chemo with IO
Time to response (TTR) assessed by BICR and by the investigator per RECIST v1.1 of ZL-1310 with IO compared to chemo with IO
Locations
Sponsors and contacts
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Zai Lab (Shanghai) Co., Ltd.
Lead sponsor
Zai Lab (US) LLC
Collaborator
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