New Antibody-Like drug joins forces with standard chemo to fight lung cancer
NCT ID NCT06077500
First seen Jun 25, 2026 · Last updated Sep 17, 2026 · Updated 6 times
Summary
This early-phase trial tests a new drug called BI 764532 (obrixtamig) added to standard chemotherapy and immunotherapy for people with extensive-stage small cell lung cancer. The main goal is to find the highest safe dose of BI 764532 when given with standard treatments. About 46 adults will receive the combination as intravenous infusions, and researchers will monitor side effects and tumor response.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BI 764532 (obrixtamig) plus carboplatin, etoposide, and atezolizumab
- What this could lead to
- If it works, this could point toward a more effective first-line treatment for extensive-stage small cell lung cancer.
- What could go wrong
- This is an early Phase 1 trial with only 46 participants, focused on safety and dosing. The combination may cause significant side effects and may not improve outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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46 people
The number who actually took part.
- Started
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Feb 2024
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female participants ≥18 years old and at least at the legal age of consent in countries where it is greater than 18 years at the time of signature of the informed consent form (ICF) * Signed and dated written informed consent in accordance with International Council for Harmonisation-Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial * Histologically or cytologically confirmed extensive-stage small cell lung carcinoma (ES-SCLC) * Availability of archival tumour tissue * Patients must be eligible for platinum+etoposide+anti-Programmed Cell Death Ligand 1 (PD-L1) regimen as first line standard of care (SoC) treatment: * In Part A, patients must be eligible to receive carboplatin + etoposide + atezolizumab * In Part B, patients must be eligible to receive etoposide, carboplatin or cisplatin, and atezolizumab or durvalumab * No prior systemic treatment for ES-SCLC * Prior systematic anti-cancer treatment for limited-stage small cell lung cancer (SCLC) must have been complete at least 6 months prior to the diagnosis of ES-SCLC * Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 Further inclusion criteria apply. Exclusion Criteria: * Previous treatment in this trial * Treatment with a systemic anti-cancer therapy or investigational drug within 28 days or 5 half-lives (whichever is longer) of the first administration of trial medication * Presence of leptomeningeal carcinomatosis * Previous treatment with Delta-like ligand 3 (DLL3)-targeting T cell engagers and cell therapies * Patients who have been treated with extensive field radiotherapy including whole brain irradiation within 2 weeks prior to first administration of BI 764532 * Persistent toxicity from previous treatments that has not resolved to ≤ Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 (except for alopecia, asthenia/fatigue, CTCAE Grade 2 neuropathy, or Grade 2 endocrinopathies controlled by replacement therapy) * Major surgery (major according to the investigator's assessment) within 28 days prior to first administration of BI 764532 or planned during treatment period, e.g. hip replacement * Any documented active or suspected malignancy or history of malignancy within 5 years prior to Screening (other than the target indication), except for appropriately treated basal cell carcinoma of the skin or in situ carcinoma of uterine cervix Further exclusion criteria apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AZ Groeninge
Kortrijk, 8500, Belgium
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Cliniques Universitaires Saint-Luc
Brussels, 1200, Belgium
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Emory University
Atlanta, Georgia, 30322, United States
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Fundación Jiménez Díaz
Madrid, 28040, Spain
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HOP Civil
Strasbourg, 67091, France
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Hamamatsu University Hospital
Shizuoka, Hamamatsu, 431-3192, Japan
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Hopital Louis Pradel
Bron, 69677, France
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Hospital Universitario Ramon Y Cajal
Madrid, 28034, Spain
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Hospital Universitario Virgen De La Macarena
Seville, 41009, Spain
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INS Bergonie
Bordeaux, 33000, France
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Institut Gustave Roussy
Villejuif, 94805, France
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Instituto Valenciano de Oncología
Valencia, 46009, Spain
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Japanese Foundation for Cancer Research
Tokyo, Koto-ku, 135-8550, Japan
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Med Polonia Sp. z o.o
Poznan, 60-693, Poland
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Medical University Gdansk
Gdansk, 80-214, Poland
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National Cancer Center Hospital
Tokyo, Chuo-ku, 104-0045, Japan
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Orlando Health Cancer Institute
Orlando, Florida, 32806, United States
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Polish Mother's Memorial Hospital - Research Institute
Lodz, 93-338, Poland
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Saitama Medical University International Medical Center
Saitama, Hidaka, 350-1298, Japan
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University Hospital of Lausanne
Lausanne, 1011, Switzerland
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Universitätsklinikum Gießen und Marburg GmbH
Giessen, 35392, Germany
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