About this trial
The objective of the study is to evaluate the efficacy and safety of BL-M14D1 in combination with Atezolizumab compared to Standard-of-Care Therapy in adult participants with previously untreated extensive-stage small cell lung cancer (ES-SCLC).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically or cytologically confirmed first-line (1L), extensive-stage (ES) small cell lung cancer (SCLC)
Must be eligible to receive a platinum-based chemotherapy regimen in combination with an anti-PD-L1 inhibitor.
At least one measurable lesion based on RECIST v1.1 per investigator assessment.
An Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 to 1.
Disqualifiers
Received any kind of platinum or etoposide treatment for limited stage (LS) SCLC within 6 months prior to enrollment.
Participants who have received prior topoisomerase inhibitor-based ADC therapy.
Participants with history of severe heart disease
Participants with active autoimmune diseases and inflammatory diseases,
Trial design
Parallel
Treatments tested in this trial
BL-M14D1 and Atezolizumab
DrugBL-M14D1 administered in combination with atezolizumab. BL-M14D1 will be given intravenously at the protocol-specified dose and schedule. Atezolizumab will be administered intravenously according to the approved dosing regimen.
Carboplatin+ Etoposide + Atezolizumab followed by Atezolizumab and Lurbinectedin
DrugCarboplatin and etoposide will be administered intravenously in combination with atezolizumab for induction therapy, followed by maintenance treatment with atezolizumab with or without lurbinectedin per protocol.
Treatment groups
Trial outcomes
Primary outcomes
Progression-Free Survival (PFS) per Blinded Independent Central Review (BICR)
Progression-free survival (PFS) is defined as the time from randomization to the first documented disease progression, as assessed by blinded independent central review (BICR) according to RECIST v1.1, or death from any cause, whichever occurs first.
Secondary outcomes
Overall Survival (OS)
Overall survival (OS) is defined as the time from randomization to death from any cause.
Participants with Serious Adverse Events (SAEs)
Measuring the number of participants with serious adverse events (SAEs)
Participants with treatment-emergent adverse events (TEAEs)
Measuring the number of participants with Treatment-emergent adverse events (TEAEs) leading to discontinuation
Evaluate the safety of BL-M14D1 in combination with atezolizumab
Death
Sponsors and contacts
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