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Clinical Trials List

Protocol Number1438-0012
NCT Number(ClinicalTrials.gov Identfier)NCT07472517
Active

2026-04-01 - 2029-11-30

Phase III

Not yet recruiting6

DAREON ® -Lung-1: A Phase III Multi-center, Open-label, Randomised Trial of Intravenous Obrixtamig in Combination With Atezolizumab, Carboplatin, and Etoposide vs. Atezolizumab, Carboplatin, and Etoposide as First-line Treatment in Patients With Extensive-stage Small Cell Lung Cancer

  • Trial Applicant

    Boehringer Ingelheim

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/09/10

Investigators and Locations

Principal Investigator Chi-Lu Chiang Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator TSUNG -YING YANG Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator Cheng-Ta Yang Division of Thoracic Medicine

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator JIN-YUAN SHIH Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Condition/Disease

Small Cell Lung Cancer (SCLC) 、Extensive-stage Small Cell Lung Cancer (ES-SCLC)

Objectives

本試驗將對 obrixtamig 併用 atezolizumab、carboplatin 和 etoposide,與 atezolizumab、carboplatin 和 etoposide 用於廣泛期小細胞肺癌( ES-SCLC) 參與者進行比較。主要目的是證明在以下 2 個族群中,至少其中 1 個族群在整體存活期 (OS) 方面具有優越性:1) 整體族群和 2) DLL3 高表現 (≥50% TC) 族群。將採用分層對數等級檢定和風險比值來確定優越性。 主要比較將針對隨機分配的參與者進行,其中包括治療停止、因任何原因中斷試驗藥物、使用受限制的藥物或開始後續抗癌治療(即治療政策策略)的影響。

Test Drug

N/A
N/A
N/A
N/A
N/A

Active Ingredient

BI 764532 (Obrixtamig)
CARBOPLATIN
ETOPOSIDE
Atezolizumab
Tocilizumab

Dosage Form

N/A
N/A
N/A
N/A
N/A

Dosage

30 mg/vial
10 mg/ml
20 mg/ml
60 mg/ml

Endpoints

本試驗所定義的主要指標為 OS,定義為自隨機分配起至因任何原因死亡為止所經過的時間。

Inclution Criteria

Inclusion Criteria :

Patients with histologically confirmed Extensive-stage Small Cell Lung Cancer (ES-SCLC)
Patients without any previous systemic anti-cancer treatment for ES-SCLC. Patients who received previous systemic anti-cancer treatment during limited stage are eligible if the treatment has been completed more than 6 months before the diagnosis of ES-SCLC.
Adequate archival formalin-fixed paraffin-embedded (FFPE) tumour tissue, as specified in the Laboratory Manual, must be available for central laboratory analysis of Delta-like ligand 3 (DLL3) expression status and other biomarkers. The central laboratory investigational VENTANA DLL3 (SP347) RxDx test result must be available prior to randomisation.
Patients with asymptomatic brain metastasis are eligible if they meet one of the following criteria:

Treatment for brain metastases (e.g. whole brain radiation therapy, stereotactic radiotherapy, or radiosurgery) completed at least 7 days prior to randomisation and the patient is neurologically stable without the use of glucocorticoids or therapeutic anti-convulsant for at least 7 days prior to randomisation
Untreated brain metastases that do not require treatment and the patient is neurologically stable without the use of glucocorticoids or therapeutic anti-convulsant for at least 28 days prior to randomisation
Eastern Cooperative Oncology Group (ECOG) score of 0 or 1
Eligible for continuing carboplatin + etoposide + atezolizumab regimen as first-line Standard of care (SoC) treatment within 28 days after the start of the initial cycle of standard therapy
Eligible to receive treatment with full dose of atezolizumab, carboplatin, and etoposide as first-line SoC treatment, in accordance with the approved Summary of Product Characteristics if provided centrally or approved local product label if provided by the trial site Further inclusion criteria apply.

Exclusion Criteria

Exclusion Criteria :

Presence of leptomeningeal disease and/or carcinomatous meningitis
Previous treatment targeting DLL3 (e.g. T cell engagers (TcEs), cell therapies, antibody-drug conjugates, or radiopharmaceuticals)
Radiotherapy of any anatomical site within 7 days prior to randomisation
Toxicity from previous treatments that has not resolved to ≤ Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or baseline. Patients with alopecia, any grade, CTCAE ≤Grade 2, asthenia/fatigue, amenorrhea/menstrual disorders any grade, CTCAE Grade ≤2 peripheral neuropathy, and/or CTCAE Grade 2 endocrinopathies controlled by replacement therapy, and toxicities, which are considered irreversible but stable for at least 4 weeks prior to randomisation, per investigator judgment may be eligible. Note: Patients who developed toxicity from the cycle of standard therapy received prior to randomisation are eligible if adequate organ function is ensured as described
Patient with active autoimmune disease or a documented history of autoimmune disease that requires systemic treatment (e.g. glucocorticoids or immunosuppressive drugs). Patients with vitiligo, resolved childhood asthma/atopy, alopecia, or any chronic skin condition that does not require systemic therapy, patients with autoimmune-related hypothyroidism on a stable dose of thyroid replacement hormone and/or controlled Type 1 diabetes mellitus on a stable insulin regimen may be included if in the opinion of the investigator it is appropriate and safe to do so.

The Estimated Number of Participants

  • Taiwan

    20 participants

  • Global

    670 participants