New combo therapy aims to extend remission in aggressive lung cancer
NCT ID NCT05718323
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial tests whether adding the drug niraparib to standard maintenance therapy can help people with a specific type of advanced small cell lung cancer (SLFN11-positive) stay cancer-free longer. About 44 participants will receive niraparib pills plus an anti-PD-L1 antibody after initial chemo-immunotherapy. The main goal is to see how many patients have no cancer growth after 3 months.
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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 44 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2023
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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: Inclusion criteria for SLFN11-expression testing * Written IC part 1: for SLFN11-screening must be signed and dated by the patient and the investigator prior to sending any tumour material to the central laboratory. * Histologically or cytologically confirmed ED-SCLC (stage IV according to the 8th TNM classification). * Availability of FFPE tumour tissue for screening. Inclusion criteria for trial participation * Written IC part 2: for trial participation must be signed and dated by the patient and the investigator prior to any trial-related intervention. * High SLFN11-expression on FFPE tumour material: SLFN11-expression is determined at the central screening laboratory in Basel. Overexpression is defined as detectable protein expression by IHC in ≥20% of tumour cells. * Patients must have received standard first-line chemo-immunotherapy, consisting of 4 cycles of platinum-etoposide chemotherapy in combination with an anti-PD-L1 antibody (atezolizumab or durvalumab). Patients who started the immunotherapy at chemotherapy cycle 2 are eligible. * ED-SCLC must not have progressed during or after standard chemo-immunotherapy (as per RECIST v1.1). * Patients must be candidates for ongoing maintenance treatment with immune-checkpoint inhibition. * Adequate haematological function: * Adequate renal function: * Adequate liver function: * ECOG PS 0-2 * Age ≥18 years * Women of childbearing potential, including women who had their last menstruation in the last 2 years, must have a negative urinary or serum pregnancy test within 4 weeks before enrolment and within 3 days before treatment start. Exclusion Criteria: * Symptomatic brain metastases * Any clinically active cancer, other than SCLC Exception: malignancies with negligible risk of metastases or death (e.g. 5-year OS rate of \>90%), such as adequately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, localised prostate cancer, ductal carcinoma in situ, or stage I uterine cancer. Hormonal therapy for non-metastatic prostate or ductal carcinoma in situ is allowed. Consolidating thoracic radiotherapy. Palliative radiotherapy to the brain or to bones is allowed. * History of idiopathic pulmonary fibrosis, organising pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan. * Any lung disease requiring systemic steroids in doses of \>10 mg prednisolone (or equivalent dose of other steroid). * Any serious concomitant systemic disorders (for example active infection, unstable cardiovascular disease) which in the opinion of the investigator would compromise the patient's ability to complete the trial or interfere with the evaluation of the efficacy and safety of the protocol treatment. * Inadequately controlled hypertension, defined as systolic blood pressure \>150 mmHg and/or diastolic blood pressure \>95 mmHg. The patient must be considered stable and hypertension medically controlled. * History of myelodysplastic syndrome/acute myeloid leukemia (MDS/AML). * Prior Reversible Encephalopathy Syndrome (PRES) * Severe renal or hepatic impairment. * Any clinically significant gastrointestinal (GI) abnormalities that may alter absorption such as malabsorption syndrome or major resection of the stomach and/or bowels. * Treated with live vaccine within 30 days before enrolment. * Hypersensitivity to niraparib or any of its excipients (e.g., tartrazine). * Women who are pregnant or in the period of lactation. * Sexually active men and women of childbearing potential who are not willing to use an effective contraceptive method during the trial and within the required timelines after last dose of niraparib treatment. * Judgment by the investigator that the patient is unlikely to comply with trial procedures, restrictions and 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
18 sites in 5 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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Bürgerspital Solothurn
RECRUITINGSolothurn, Switzerland
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CHU - Angers
RECRUITINGAngers, France
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Caen - CHU
RECRUITINGCaen, France
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Centre Hospitalier d'Avignon
RECRUITINGAvignon, France
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Centre Hospitalier du Valais Romand
RECRUITINGSion, Switzerland
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Complejo Hospitalario Universitario a Coruña
NOT_YET_RECRUITINGA Coruña, Spain
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Complejo Hospitalario de Jaén
RECRUITINGJaén, Spain
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Hospital Universitario Puerta de Hierro
RECRUITINGMadrid, Spain
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Inselspital Bern
RECRUITINGBern, Switzerland
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Instituto Europeo di Oncologia (IEO)
NOT_YET_RECRUITINGMilan, Italy
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Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST)
RECRUITINGMeldola, Italy
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Kantonsspital Baden
RECRUITINGBaden, Switzerland
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Kantonsspital St. Gallen
RECRUITINGSankt Gallen, Switzerland
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Kantonsspital Winterthur
RECRUITINGWinterthur, Switzerland
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LMU Klinikum / Thoracic Oncology center Münich
RECRUITINGMünchen, Germany
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Lyon - Centre Léon Bérard
NOT_YET_RECRUITINGLyon, France
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Santa Maria della Misericordia Hospital
RECRUITINGPerugia, Italy
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University Hospital Basel
RECRUITINGBasel, Switzerland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a targeted drug combo outperform standard chemo for tough lung cancer?
- New drug cocktail aims to shrink tough lung cancers
- New drug cocktail aims at resistant lung cancer
- New drug combo aims to outperform standard care in aggressive lung cancer
- New hope for aggressive lung cancer: drug cocktail plus Low-Dose radiation shows promise