Could a bone marrow shield improve chemo for aggressive lung cancer?
NCT ID NCT03041311
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether adding a drug called trilaciclib to standard chemotherapy could protect the bone marrow and immune system in people with advanced small cell lung cancer. About 100 participants received either trilaciclib or a placebo alongside their chemo. The main goal was to see if it reduced severe low white blood cell counts and shortened the time patients were at risk for infections.
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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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107 people
The number who actually took part.
- Started
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Jun 2017
- Finished
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Oct 2020
- 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.
Key Inclusion Criteria: * Male or female subjects aged ≥18 years * Unequivocally confirmed diagnosis of SCLC by histology or cytology, preferably including the presence of neuroendocrine features by immunohistochemistry * Extensive-stage SCLC * At least 1 target lesion that is measurable by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 * Adequate organ function * Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 2 * Predicted life expectancy of ≥3 months * Able to understand and sign an informed consent Exclusion Criteria: * Limited-stage SCLC * Prior chemotherapy for limited or extensive-stage SCLC * Prior treatment with immunotherapies including but not limited to cluster of differentiation 137 agonists or immune checkpoint blockade therapies (such as anti-programmed cell death protein 1 (PD-1), anti-programmed death-ligand 1(PD-L1), and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) therapeutic antibodies). * Presence of symptomatic brain metastases requiring immediate treatment with radiation therapy or steroids. * Malignancies other than SCLC within 3 years prior to randomization, with the exception of those with negligible risk of metastasis or death treated with expected curative outcome * History of idiopathic pulmonary fibrosis, organizing pneumonia, drug induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan * Active, known, suspected autoimmune disease requiring systemic treatment in the past 2 years * Uncontrolled ischemic heart disease or uncontrolled symptomatic congestive heart failure * Known history of stroke or cerebrovascular accident within 6 months prior to enrollment * Serious active infection at the time of enrollment * Psychiatric illness/social situations that would limit study compliance * Other uncontrolled serious chronic disease or conditions that in the investigator's opinion could affect compliance or follow-up in the protocol * Known human immunodeficiency virus, known active hepatitis B, or hepatitis C * Radiotherapy to any site or radiotherapy within 2 weeks prior to enrollment * Receipt of any investigational medication within 4 weeks prior to enrollment * Administration of attenuated vaccine within 4 weeks before enrollment or anticipation that such a live attenuated vaccine will be required during the study * Influenza vaccination should be given during influenza season only (approx. Oct to March). Patients must not receive live, attenuated influenza vaccine (eg, FluMist) within 4 weeks prior to enrollment at any time during the study, and at least 5 months after the last dose of atezolizumab. * Patients with a condition requiring systemic treatment with either corticosteroids ( \> 10 mg daily prednisone equivalents) or other immunosuppressive medications (including but not limited to cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents) within 14 days of study drug administration. Inhaled or topical steroids ad adrenal replacement dosed \> 10 mg daily prednisone equivalents are permitted in the absence of active autoimmune disease. * Hypersensitivity to any of the components of the formulation of etoposide or etoposide phosphate * Hypersensitivity to carboplatin or other platinum-containing compounds or to mannitol * History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins * Known hypersensitivity to Chinese hamster ovary cell products or other recombinant human antibodies * Legal incapacity or limited legal capacity * Pregnant or lactating women
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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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Beverly Hills Cancer Center
Beverly Hills, California, 90211, United States
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Blue Ridge Cancer Care
Blacksburg, Virginia, 24060, United States
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CHU Caen De La Côte De Nacre
Caen, 14033, France
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Centre Oscar Lambret
Lille, 59020, France
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Chernivtsi Regional Clinical Oncology Center
Chernivtsi, 58013, Ukraine
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Complex Oncology Center - Burgas
Burgas, 8000, Bulgaria
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Daugavpils Regional Hospital, Department of Oncology
Daugavpils, LV-5417, Latvia
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Dnipropetrovsk City Multispecialty Clinical Hospital #4
Dnipro, 49102, Ukraine
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East Tallinn Central Hospital Ltd., Clinic of Internal Medicine, Center for Oncology
Tallinn, 11312, Estonia
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Fort Belvoir Community Hospital
Fort Belvoir, Virginia, 22060, United States
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Gibbs Cancer Center
Spartanburg, South Carolina, 29303, United States
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H. Donostia, Hospital Donostia- Servicio de Oncología
San Sebastián, 20014, Spain
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H.U. Quirón Dexeus, Hospital Universitario
Barcelona, 08028, Spain
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Horizon Oncology Center
Lafayette, Indiana, 47905, United States
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Hospital 12 de Octubre
Madrid, 28041, Spain
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Hospital Arnau de Vilanova
Valencia, 46015, Spain
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Hospital Clinic de Barcelona- Servicio de Oncología Médica
Barcelona, 08036, Spain
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Hospital Clínico
San Carlos, Madrid, 28040, Spain
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Hospital Teresa Herrera
A Coruña, La Coruña, 15006, Spain
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Hospital Universitario Ntra. Sra. de Valme
Seville, 41014, Spain
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Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222, Spain
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Hospital Universitario Ramón y Cajal
Madrid, 28034, Spain
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Hospital Universitario Son Espases
Palma, Balearic Islands, 07120, Spain
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Joliet Oncology-Hematology Associates
Joliet, Illinois, 60435, United States
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Loma Linda University
Loma Linda, California, 92350, United States
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Lviv State Regional Treatment and Diagnostics Oncology Center
Lviv, 79031, Ukraine
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Millennium Oncology
Houston, Texas, 77090, United States
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Multiprofile Hospital for Active Treatment "Serdika"
Sofia, 1303, Bulgaria
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Multiprofile Hospital for Active Treatment "Serdika", Sofia
Sofia, 1303, Bulgaria
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Northern Westchester Hospital
Mount Kisco, New York, 10549, United States
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Northside Hospital - Georgia Cancer Specialists
Atlanta, Georgia, 30341, United States
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Ochsner Clinic Foundation
New Orleans, Louisiana, 70121, United States
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Oklahoma University - Peggy and Charles Stephenson Cancer Center
Oklahoma City, Oklahoma, 73117, United States
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Pauls Stradiņš Clinical University Hospital, Oncology Clinic
Riga, LV-1002, Latvia
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Piedmont Cancer Institute
Atlanta, Georgia, 30318, United States
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Redwood Regional Medical Group (RRMG) - Fountain Grove
Santa Rosa, California, 95403, United States
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Singing River Health System
Whittier, California, 90603, United States
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St. Jude Heritage Healthcare
Fullerton, California, 92835, United States
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St. Louis Cancer Care, LLP, North County
Bridgeton, Missouri, 63044, United States
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Summit Medical Group, P.A.
Morristown, New Jersey, 07962, United States
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The Alvin J. Siteman Cancer Center - Center for Advanced Med
St Louis, Missouri, 63110-1094, United States
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Trinity Health - Trinity CancerCare Center
Minot, North Dakota, 58701, United States
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UCLA Medical Center - Santa Monica Hematology And Oncology
Santa Monica, California, 90404, United States
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Valley Cancer Associates
Harlingen, Texas, 78550, United States
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Virginia Cancer Specialists
Arlington, Virginia, 22031, United States
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