New hope for rare lung cancer: experimental drug combo enters human trials
NCT ID NCT07476287
First seen Jun 24, 2026 · Last updated Aug 18, 2026 · Updated 5 times
Summary
This study tests a new medicine called PF-08634404 given with chemotherapy for adults with transformed small cell lung cancer (T-SCLC), a rare and aggressive cancer that develops from another lung cancer type. About 40 participants will receive the drug combo through IV infusions, then continue the study drug alone. The main goal is to see if tumors shrink and to check for side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- PF-08634404 (also called SSGJ-707) given with chemotherapy
- What this could lead to
- If it works, this could offer a new treatment option for people with transformed small cell lung cancer, a rare and aggressive cancer that currently has few options.
- What could go wrong
- This is an early Phase 2 trial with only 40 participants, so results may not apply to everyone. The drug may not shrink tumors or could cause side effects like those from chemotherapy.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Mar 2031
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.
Show the full entry requirements Hide the full entry requirements
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 aged ≥18 years at the time of informed consent. * Histologically or cytologically confirmed T-SCLC. Participant must have had a prior diagnosis of NSCLC with EGFR mutation which transformed to SCLC following the treatment with TKI(s). * Participants have not received systemic therapy for T-SCLC. * Have at least one measurable lesion as the target lesion based on RECIST v1.1. * Have sufficient tumor tissue from the diagnosis of transformed SCLC available. * Eastern Cooperative Oncology Group performance status of 0 or 1. * Have a minimum life expectancy of \>12 weeks. * Clinical laboratory values at screening within acceptable limits, as defined in the protocol, including: 1) Hematology, 2) Liver function and 3) Renal function. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: * Active or untreated CNS disease, including brain, brainstem, spinal cord, or meningeal metastases. Participants with definitively treated, clinically stable brain metastases may be eligible per protocol criteria. Participants with untreated asymptomatic brain metastases of longest diameter \<1 cm are permitted if all of the following criteria are met: absence of neurological symptoms, no need for corticosteroids, and brain metastasis has no evidence of edema or hemorrhagic features. * Leptomeningeal disease * Clinically significant risk of hemorrhage or fistula, including tumor necrosis/cavitation, invasion or compression of major blood vessels, airways, or critical organs, or risk of tracheoesophageal or pleuroesophageal fistula * History of another malignancy (other than NSCLC) within 3 years prior to first dose, except for malignancies with negligible risk of metastasis or death (eg, adequately treated carcinoma in situ, nonmelanoma skin cancer) * Unresolved toxicity from prior anti-tumor therapy that has not recovered to Grade ≤1 per NCI CTCAE v5.0 (except alopecia or irreversible toxicities deemed stable) * History of allogeneic organ or hematopoietic stem cell transplantation * Active autoimmune disease requiring systemic treatment within the past 2 years (Stable replacement therapy and selected low-risk autoimmune conditions are permitted per protocol) * Interstitial lung disease (ILD), pneumonitis, or significant pulmonary disease, including: * Prior or current non-infectious pneumonitis requiring systemic therapy * DLCO \<50% predicted * Severe asthma, COPD, pulmonary embolism, or autoimmune lung involvement * Uncontrolled or clinically significant cardiovascular, cerebrovascular, metabolic, hepatic, or renal disease within 6 months prior to first dose * Baseline QTcF \>480 msec * Major surgery or severe trauma within 4 weeks prior to first dose, or planned major surgery during the study * Clinically significant pleural effusion, pericardial effusion, or ascites requiring repeated drainage * History of significant bleeding disorders or recent major bleeding events * Clinically significant gastrointestinal conditions, including recent perforation, fistula, obstruction, or active bleeding * Active, uncontrolled, or symptomatic infection, including: * Active TB * Active hepatitis B or C * Uncontrolled HIV infection * History of immunodeficiency * Severe hypersensitivity or allergic reactions to study intervention components or monoclonal antibodies * Psychiatric illness or medical condition, including recent suicidal ideation or behavior, that may increase risk or interfere with study participation * Prior anti-angiogenic therapy or other prohibited anti-tumor or immunomodulatory therapies per protocol-specified washout periods * Use of prohibited concomitant medications, including high-dose systemic corticosteroids, certain anticoagulants, or live vaccines within protocol-specified timeframes * Recent participation in another investigational study (within 30 days or 5 half-lives, whichever is longer) * Pregnant or breastfeeding participants, or unwillingness to comply with contraception requirements
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
30 sites in 10 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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A.O.U. San Luigi Gonzaga
NOT_YET_RECRUITINGOrbassano, Turin, 10043, Italy
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Centre Léon Bérard
NOT_YET_RECRUITINGLyon, 69373, France
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City of Hope Lennar Foundation Cancer Center
RECRUITINGIrvine, California, 92618, United States
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City of Hope National Medical Center
RECRUITINGDuarte, California, 91010, United States
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Cliniche Gavazzeni S.p.A. - Humanitas Gavazzeni
NOT_YET_RECRUITINGBergamo, 24125, Italy
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Fujian Cancer Hospital
NOT_YET_RECRUITINGFuzhou, Fujian, 350014, China
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Henan Cancer Hospital
NOT_YET_RECRUITINGZhengzhou, Henan, 450008, China
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Hope and Healing Clinical Research
RECRUITINGHinsdale, Illinois, 60521, United States
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Hope and Healing Clinical Research
RECRUITINGNew Lenox, Illinois, 60451, United States
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Hospital São Lucas da PUCRS
RECRUITINGPorto Alegre, 90610-000, Brazil
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hospital Universitario Virgen Del Rocio
RECRUITINGSeville, 41013, Spain
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IRCCS Istituto Nazionale dei Tumori Regina Elena
NOT_YET_RECRUITINGRoma, ROME, 00144, Italy
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Institut Català d'Oncologia - L'Hospitalet
NOT_YET_RECRUITINGL'Hospitalet de Llobregat, Catalunya [cataluña], 08908, Spain
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Institut Gustave Roussy
NOT_YET_RECRUITINGVillejuif, VAL DE Marne, 94805, France
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Japanese Foundation for Cancer Research
RECRUITINGKotoku, Tokyo, 135-8550, Japan
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Kansai Medical University Hospital
RECRUITINGHirakata, Osaka, 573-1191, Japan
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National Cancer Center - Tsukiji Campus
RECRUITINGChūō, Tokyo, 104-0045, Japan
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National Cheng Kung University Hospital
RECRUITINGTainan, 704302, Taiwan
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National Taiwan University Cancer Center (NTUCC)
RECRUITINGTaipei, 106, Taiwan
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National Taiwan University Hospital
RECRUITINGTaipei, 100, Taiwan
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Osaka International Cancer Institute(OICI)
RECRUITINGOsaka, 541-8567, Japan
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Peking Union Medical College Hospital
RECRUITINGBeijing, Beijing Municipality, 100730, China
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Queen Mary Hospital
NOT_YET_RECRUITINGHong Kong, Hong Kong
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Shaare Zedek Medical Center
RECRUITINGJerusalem, Jerusalem, 9103102, Israel
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Shanghai Chest Hospital
RECRUITINGShanghai, Shanghai Municipality, 200030, China
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Sheba Medical Center
RECRUITINGRamat Gan, HA Merkaz, 5265601, Israel
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Taipei Veterans General Hospital
RECRUITINGTaipei, 11217, Taiwan
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The First Affiliated Hospital of Nanchang University
RECRUITINGNanchang, Jiangxi, 330200, China
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
RECRUITINGWuhan, Hubei, 430048, China
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