A Study of Ivonescimab in First-Line ES-SCLC

NCT ID: NCT07245446

Last Updated: 2025-11-24

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-29

Study Completion Date

2028-06-30

Brief Summary

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The goal of this clinical trial is to learn if different combinations of a drug called Ivonescimab, along with chemotherapy and other investigational drugs, are safe and effective for the initial treatment of adults with extensive-stage small cell lung cancer (ES-SCLC).

The main questions the study aims to answer are:

* What side effects do participants experience from these combination treatments?
* How well do the treatments work to shrink tumors?

Researchers will compare three groups to see which combination works best. All participants will receive Ivonescimab and chemotherapy (etoposide and carboplatin). The differences are:

* Group 1 will also receive an additional drug called AK117.
* Group 2 will also receive a different additional drug called Cadonilimab.
* Group 3 will receive Ivonescimab and chemotherapy only.

Participants will:

* Be assigned by chance to one of the three groups.
* Undergo an initial treatment phase (about 3 months), receiving chemotherapy plus the specific study drugs for their group.
* If the treatment is effective and side effects are manageable, continue with a maintenance phase using only the study drugs (without chemotherapy) for up to 2 years.
* Attend regular clinic visits for check-ups, blood tests, and imaging scans (like CT scans) to see how they are responding to the treatment.

Detailed Description

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Conditions

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

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ivonescimab + AK117 + Chemotherapy

Group Type EXPERIMENTAL

Ivonescimab

Intervention Type DRUG

Administered intravenously at a specified dose and frequency.

AK117

Intervention Type DRUG

Administered intravenously at a specified dose and frequency.

Etoposide

Intervention Type DRUG

Administered intravenously at 100 mg/m² on Days 1-3 of each 3-week cycle for 4 cycles.

Carboplatin (AUC 5)

Intervention Type DRUG

Administered intravenously at AUC 5 on Day 1 of each 3-week cycle for 4 cycles.

Ivonescimab + Cadonilimab + Chemotherapy

Group Type EXPERIMENTAL

Ivonescimab

Intervention Type DRUG

Administered intravenously at a specified dose and frequency.

Cadonilimab

Intervention Type DRUG

Administered intravenously at a specified dose and frequency.

Etoposide

Intervention Type DRUG

Administered intravenously at 100 mg/m² on Days 1-3 of each 3-week cycle for 4 cycles.

Carboplatin (AUC 5)

Intervention Type DRUG

Administered intravenously at AUC 5 on Day 1 of each 3-week cycle for 4 cycles.

Ivonescimab + Chemotherapy

Group Type EXPERIMENTAL

Ivonescimab

Intervention Type DRUG

Administered intravenously at a specified dose and frequency.

Etoposide

Intervention Type DRUG

Administered intravenously at 100 mg/m² on Days 1-3 of each 3-week cycle for 4 cycles.

Carboplatin (AUC 5)

Intervention Type DRUG

Administered intravenously at AUC 5 on Day 1 of each 3-week cycle for 4 cycles.

Interventions

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Ivonescimab

Administered intravenously at a specified dose and frequency.

Intervention Type DRUG

Cadonilimab

Administered intravenously at a specified dose and frequency.

Intervention Type DRUG

AK117

Administered intravenously at a specified dose and frequency.

Intervention Type DRUG

Etoposide

Administered intravenously at 100 mg/m² on Days 1-3 of each 3-week cycle for 4 cycles.

Intervention Type DRUG

Carboplatin (AUC 5)

Administered intravenously at AUC 5 on Day 1 of each 3-week cycle for 4 cycles.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed extensive-stage small cell lung cancer (ES-SCLC).
* No prior systemic therapy for ES-SCLC.
* At least one measurable lesion as defined by RECIST v1.1.
* Age 18 to 75 years.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
* Adequate organ function.

Exclusion Criteria

* Active or untreated central nervous system (CNS) metastases (Treated, stable brain metastases are allowed).
* History of severe hypersensitivity to monoclonal antibodies.
* Active autoimmune disease requiring systemic treatment within the past 2 years.
* Significant cardiovascular disease.
* Active hepatitis B or C, or HIV infection.
* Interstitial lung disease or non-infectious pneumonitis.
* Significant bleeding tendency or risk, including tumor invasion of major blood vessels.
* Pregnancy or lactation.
* Other active malignancies within 5 years prior to enrollment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Akeso

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China

Site Status RECRUITING

Shanghai Pulmonary Hospital Affiliated to Tongji University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wenting Li

Role: CONTACT

+86-18116403289

Facility Contacts

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Zhijie Wang, MD, PhD

Role: primary

+86-10-87788525

Yu Yao, MD, PhD

Role: primary

+86-13572101611

Shengxiang Ren, MD, PhD

Role: primary

+86-21-65102117

Other Identifiers

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AK112-214

Identifier Type: -

Identifier Source: org_study_id

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