Toripalimab and JS004 Combined With Platinum-based Chemotherapy for Relapsed and Extensive-stage Small Cell Lung Cancer

NCT ID: NCT06648200

Last Updated: 2024-10-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-01

Study Completion Date

2030-09-01

Brief Summary

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For extensive-stage small cell lung cancer (SCLC), platinum-chemotherapy (cisplatin or carboplatin) combined with etoposide as the first-line treatment is recommended. However, the recurrence rate is extremely high after the initial first-line treatment. For those who relapse or progress within more than six minths after the end of the-first-line treatment, chose the current guideline recommendation trearment plan has the poor prognosis. A new immunotherapeutic strategy is needed to achieve better anti-tumor effects. JS004 is a new antibody targeting B and T lymphocyte attenuator (BTLA), which restrains immune cells; function and leads to immune escape of tumor cells. The combination of PD-1 and BTLA antibodies has shown a good therapeutic effect in solid tumors. This trial aims to investigate the efficacy and safety of the therapeutic regimen of toripalimab and JS004 combined with platinum-based doublet chemotherapy in extensive-stage SCLC or relapsed within more than six months after radical treatment SCLC.

Detailed Description

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Conditions

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Small Cell Lung Cancer Extensive Stage Small Cell Lung Cancer Recurrent

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

All enrolled patients were randomly assigned to one of two groups. Patients in group 1 received toripalimab combined with etoposide and platinum Chemotherapy; patients in group 2 received toripalimab and JS004 combined with etoposide and platinum Chemotherapy.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Therapy With Toripalimab Combined With Platinum-based Doublet Chemotherapy

In this arm, 50 patients with extensive-stage small cell lung cancer or relapsed within more than 6 months after SCLC radical treatment will receive 4 circles of toripalimab combined with platinum-based doublet chemotherapy. Then patients received maintenance treatment with toripalimab until the disease progressed.

Group Type ACTIVE_COMPARATOR

Toripalimab

Intervention Type DRUG

Specified dose on specified days.

Etoposide

Intervention Type DRUG

Specified dose on specified days.

Platinum

Intervention Type DRUG

Specified dose on specified days.

Therapy With Toripalimab and JS004 Combined With Platinum-based Doublet Chemotherapy

In this arm, 50 patients with extensive-stage small cell lung cancer or relapsed within more than 6 months after SCLC radical treatment will receive 4 circles of toripalimab and JS004 combined with platinum-based doublet chemotherapy. Then patients received maintenance treatment with toripalimab and JS004 until the disease progressed.

Group Type EXPERIMENTAL

JS004

Intervention Type DRUG

Specified dose on specified days.

Toripalimab

Intervention Type DRUG

Specified dose on specified days.

Etoposide

Intervention Type DRUG

Specified dose on specified days.

Platinum

Intervention Type DRUG

Specified dose on specified days.

Interventions

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JS004

Specified dose on specified days.

Intervention Type DRUG

Toripalimab

Specified dose on specified days.

Intervention Type DRUG

Etoposide

Specified dose on specified days.

Intervention Type DRUG

Platinum

Specified dose on specified days.

Intervention Type DRUG

Other Intervention Names

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tifcemalimab

Eligibility Criteria

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Inclusion Criteria

1. The patient shall sign the Informed Consent Form;
2. Aged 18 ≥ years;
3. Histological or cytological diagnosis of SCLC by needle biopsy or EBUS, and extensive stage or recurrent confirmed by imageological examinations or relapsed within more than six months after radical treatment SCLC;
4. Eastern Cooperative Oncology Group (ECOG) performance-status score of 0 or 1;
5. Life expectancy is at least 12 weeks;
6. At least 1 measurable lesion according to RECIST 1.1;
7. Patients with good function of other main organs (liver, kidney, blood system, etc.);
8. Fertile female patients must voluntarily use effective contraceptives from the start of the trial to within 30 days after its completion, and urine or serum pregnancy test results within 7 days prior to enrollment are negative;
9. Unsterilized male patients must voluntarily use effective contraception during the trial period and for 30 days after its conclusion.

Exclusion Criteria

1. Patients with a malignancy other than SCLC within five years prior to the start of this trial;
2. Participants with any unstable systemic disease (including uncontrolled hypertension, severe arrhythmia, etc.);
3. With activate or suspectable autoimmune disease, or autoimmune paracancer syndrome requiring systemic treatment;
4. Participants who are allergic to the test drug or any auxiliary materials;
5. Participants with active hepatitis B, hepatitis C or HIV;
6. Participants with Interstitial lung disease currently;
7. Pregnant or lactating women;
8. Any malabsorption;
9. Participants suffering from nervous system diseases or mental diseases that cannot cooperate;
10. Other factors that researchers think it is not suitable for enrollment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Pulmonary Hospital, Shanghai, China

OTHER

Sponsor Role lead

Responsible Party

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Peng Zhang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Shanghai Pulmonary Hospital

Shanghai, , China

Site Status

Countries

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China

Central Contacts

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Peng Zhang, PhD

Role: CONTACT

02165115006

Facility Contacts

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Peng Zhang, PhD

Role: primary

Other Identifiers

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LungMate-031

Identifier Type: -

Identifier Source: org_study_id

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