New hope for tough lung cancer: targeted drug ZL-1310 enters final testing
NCT ID NCT07218146
First seen Jun 27, 2026 · Last updated Sep 15, 2026 · Updated 9 times
Summary
This Phase 3 trial tests ZL-1310, a drug that delivers chemotherapy directly to cancer cells, in people with small cell lung cancer that has returned after initial treatment. About 480 participants will receive either ZL-1310 or one of three standard treatments. The study aims to see if ZL-1310 shrinks tumors more effectively and helps people live longer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ZL-1310 (a targeted antibody-drug conjugate)
- What this could lead to
- If successful, ZL-1310 could offer a more effective treatment option for people with relapsed small cell lung cancer, potentially improving response rates and survival.
- What could go wrong
- This is an early Phase 3 trial, so results are not yet known. The drug may not work better than existing therapies, and side effects could be significant.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 480 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Nov 2028
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: * Age \>/= 18 years, or considered an adult by local regulations, at the time of consent * Signed informed consent * Histologically or cytologically confirmed SCLC. Received 1L platinum-based systemic therapy and had documented disease progression during or after the most recent systemic therapy. Or received 2L tarlatamab is allowed. * Measurable disease according to RECIST v1.1 as assessed by the investigator. * Participants with a history of treated and stable or untreated and asymptomatic CNS metastases based on criteria per protocol. * Adequate organ and marrow function * Eastern Cooperative Group (ECOG) performance status of 0 or 1 * Life expectancy of at least 3 months * Participants must be willing to undergo a tumor biopsy or provide archived tumor tissue sample at Screening * Participants must be willing and able to comply with protocol for the duration of the study Exclusion Criteria: * Received more than one line of systemic therapy for Extensive-Stage SCLC. * Received any prior ADC with topoisomerase 1 inhibitor payload * Participants with another known malignancy with exceptions defined in the protocol. * History or suspected ILD/pneumonitis based on criteria per protocol * Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses. * Receipt of anti-cancer treatment known to treat cancers within 3 weeks before the first dose of study treatment. * Prior radiotherapy before study treatment based on criteria per protocol * Unresolved toxicity of Grade \>/= 2 from previous anti-cancer treatment, except for alopecia and skin pigmentation. * Known infection or active infection defined in the protocol. * Clinically significant active cardiovascular disease or history of arterial thromboembolic event within 6 months prior to the first dose of study treatment based on criteria per protocol.
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Get notified about this study
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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
155 sites in 15 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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AUSL Della Romagna - Ospedale S.Maria delle Croci
RECRUITINGRavenna, 48121, Italy
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AZ Groeninge
RECRUITINGKortrijk, 8500, Belgium
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AZ Maria Middelares - Campus AZ Maria Middelares
RECRUITINGGhent, 9000, Belgium
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Addenbrooke's Hospital - Cambridge University Hospitals NHS Foundation Trust
RECRUITINGCambridge, Cambridgeshire, CB2 0QQ, United Kingdom
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Algemeen Ziekenhuis Sint-Lucas
RECRUITINGGhent, 9000, Belgium
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Allegheny General Hospital
RECRUITINGPittsburgh, Pennsylvania, 15212, United States
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Alliance Cancer Specialists
RECRUITINGMedia, Pennsylvania, 19063, United States
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American Oncology Partners, PA - The Center for Cancer and Blood Disorders
RECRUITINGBethesda, Maryland, 20817, United States
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Amphia Ziekenhuis
RECRUITINGBreda, 4818 CK, Netherlands
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Anhui Provincial Hospital
RECRUITINGHefei, Anhui, 230036, China
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Ankara Bilkent City Hospital
RECRUITINGAnkara, Ankara, 6800, Turkey (Türkiye)
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Asahikawa Medical University Hospital
RECRUITINGAsahikawa, Hokkaido, 0788510, Japan
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Azienda Ospedaliero Universitaria Ospedali Riuniti Umberto I
RECRUITINGAncona, 60126, Italy
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Baskent University Adana Turgut Noyan Application and Research Center Kisla Health Campus
RECRUITINGAdana, Adana, 1230, Turkey (Türkiye)
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Beijing Cancer Hospital
RECRUITINGBeijing, 100142, China
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Cancer Centers of Bevard
RECRUITINGRockledge, Florida, 32955, United States
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Cancer Hospital Chinese Academy of Medical Sciences
RECRUITINGBeijing, 000000, China
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Centre Hospitalier - Le Mans
RECRUITINGLe Mans, 72037, France
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Centre Hospitalier Intercommunal Toulon La Seyne Sur Mer (C.H.I.T.S) - Hospital Font-Pre
RECRUITINGToulon, 83000, France
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Centre Hospitalier Intercommunal de Creteil (CHIC) - Centre de ressources et de competences pour la mucoviscidose (C.R.C.M.)
RECRUITINGCréteil, 94010, France
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Centre Hospitalier Lyon-Sud, CHLS
RECRUITINGPierre-Bénite, 69495, France
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Centre Hospitalier Regional Universitaire (CHRU) Montpellier Arnaud de Villeneuve
RECRUITINGMontpellier, 34295, France
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Centre Hospitalier Universitaire (CHU) De Limoges Hopital Dupuytren
RECRUITINGLimoges, 87042, France
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Centre Hospitalier de Cornouaille - Hopital Laennec
RECRUITINGQuimper, 35033, France
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Centre de Recherche Clinique Hôpital de la Croix-Rousse
RECRUITINGLyon, 69317, France
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Centro Ricerche Cliniche di Verona s.r.l.
RECRUITINGVerona, 37134, Italy
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Clermont Oncology Center
RECRUITINGClermont, Florida, 34711, United States
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Cleveland Clinic - Akron General Medical Center
RECRUITINGAkron, Ohio, 44302, United States
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Cleveland Clinic - Fairview Hospital Molly Pavilion
RECRUITINGCleveland, Ohio, 44111, United States
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Cleveland Clinic - Hillcrest Hospital Cancer Center
RECRUITINGMayfield Heights, Ohio, 44124, United States
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Clinica Universidad de Navarra - Madrid
RECRUITINGMadrid, 31008, Spain
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Clinique Teissier
RECRUITINGValenciennes, 59300, France
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Consultants in Medical Oncology and Hematology
RECRUITINGBroomall, Pennsylvania, 19008, United States
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Dokkyo Medical University Hospital
RECRUITINGShimosuga, Tochigi, 321-0293, Japan
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Dokkyo Medical University Saitama Medical Center
RECRUITINGKoshigaya, Saitama, 343-8555, Japan
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Evangelische Lungenklinik Berlin
RECRUITINGBerlin, 10407, Germany
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FPO IRCCS Candiolo
RECRUITINGCandiolo, 20132, Italy
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Florida Cancer Specialists - East
RECRUITINGWest Palm Beach, Florida, 33401, United States
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Florida Cancer Specialists - North
RECRUITINGSt. Petersburg, Florida, 33701-4553, United States
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Fourth Hospital of Hebei Medical University
RECRUITINGShijiazhuang, Hebei, China
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Fujian Cancer Hospital
RECRUITINGFuzhou, Fujian, 350014, China
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Fundación Instituto Valenciano de Oncología
RECRUITINGValencia, Valencia, 46009, Spain
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Guangdong Provincial People's Hospital
RECRUITINGGuangzhou, Guangdong, 510080, China
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Guangxi Medical University Affiliated Tumor Hospital
RECRUITINGNaning, Guangxi, 530021, China
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Harbin Medical University Cancer Hospital
RECRUITINGHeilongjiang, Harbin, 000000, China
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Henan cancer Hospital
RECRUITINGZhengzhou, 450008, China
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Henry Ford Health Cancer
RECRUITINGDetroit, Michigan, 48202, United States
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Hiroshima University Hospital
RECRUITINGHiroshima, Hiroshima, 734-8551, Japan
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Hopital Foch
RECRUITINGSuresnes, 92151, France
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Hospices Civils de Lyon - Hopital Louis Pradel
RECRUITINGBron, 69677, France
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Hospital Clinic de Barcelona (Hospital Clinic i Provincial)
RECRUITINGBarcelona, 8036, Spain
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Hospital General Universitario de Elche
RECRUITINGElche, 3203, Spain
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Hospital Quironsalud Malaga
RECRUITINGMálaga, 29010, Spain
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Hospital Universitari Sant Joan De Reus, S.A
RECRUITINGReus, 43204, Spain
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Hospital Universitario La Paz
RECRUITINGMadrid, 28046, Spain
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Hospital Universitario Ramon y Cajal
RECRUITINGMadrid, 28034, Spain
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Hospital Universitario Virgen Macarena / Clinical Research Department
RECRUITINGSeville, 41009, Spain
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Hospital Universitario Virgen del Rocio
RECRUITINGSeville, 41013, Spain
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Hospital Universitario de Jerez
RECRUITINGJerez de la Frontera, 11404, Spain
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Hubei Cancer Hospital
RECRUITINGWuhan, Hubei, 430079, China
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Hunan Cancer Hospital
RECRUITINGChangsha, Hunan, 410031, China
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IRCCS Istituto Romagnolo per lo studio dei Tumori "Dino Amadori"(IRST)
RECRUITINGMeldola, 47014, Italy
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Iatriko Diavalkaniko Thessalonikis
RECRUITINGThessaloniki, 57001, Greece
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Illinois Cancer Care
RECRUITINGPeoria, Illinois, 61615, United States
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Institut Catala d'Oncologia GIRONA
RECRUITINGGirona, 17007, Spain
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Institut Sainte Catherine
RECRUITINGAvignon, 84918, France
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Instytut MSF Sp. z o.o.
RECRUITINGLodz, 90302, Poland
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Istanbul Medeniyet University Medical Faculty
RECRUITINGKadıköy, Istanbul, 34720, Turkey (Türkiye)
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Istanbul University Cerrahpasa Faculty of Medicine Hospital
RECRUITINGFatih, Istanbul, 34098, Turkey (Türkiye)
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Istituti Fisioterapici Ospitalieri (IFO) - Istituto Nazionale Tumori Regina Elena (IRE) UO Oncologia Ospedali Civili di Livorno
RECRUITINGRoma, 00144, Italy
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Izumi City General Hospital
RECRUITINGIzumi, Osaka, 594-0073, Japan
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Jessa Ziekenhuis Salvador
RECRUITINGHasselt, 3500, Belgium
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Jiangxi Cancer Hospital
RECRUITINGNanchang, Jiangxi, 330029, China
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Jilin Cancer Hospital
RECRUITINGChangchun, Jilin, 130012, China
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KKR Sapporo Medical Center
RECRUITINGSapporo, Hokkaido, 062-0931, Japan
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Kanagawa Cancer Center
RECRUITINGYokohama, Kanagawa, 241-8515, Japan
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Kansai Medical University Hospital
RECRUITINGHirakata, Osaka, 573-1191, Japan
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Kinki Chuo Chest Medical Center
RECRUITINGSakai, Osaka, 591-8555, Japan
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Klinikum der Johann Wolfgang Goethe-Universität
RECRUITINGFrankfurt am Main, Hesse, 60590, Germany
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Komagome Hospital
RECRUITINGBunkyō-Ku, Tokyo, 113-8677, Japan
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Krankenhaus Martha-Maria Halle-Doelau gGmbH
RECRUITINGHalle, 6120, Germany
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Kurume University Hospital
RECRUITINGKurume, Fukuoka, 830-0011, Japan
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Kyushu Medical Center
RECRUITINGFukuoka, Fukuoka, 810-8563, Japan
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Kyushu University Hospital
RECRUITINGFukuoka, Fukuoka, 812-8582, Japan
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Linyi Cancer Hospital
RECRUITINGLinyi, Shandong, 276000, China
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Liv Hospital Ankara
RECRUITINGAnkara, 6680, Turkey (Türkiye)
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Maryland Oncology Hematology
RECRUITINGSilver Spring, Maryland, 20904, United States
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Med-Polonia Sp. z o.o.
RECRUITINGPoznan, 60693, Poland
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Medical Park Florya Hospital
RECRUITINGIstanbul, 34295, Turkey (Türkiye)
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Medical Park Seyhan Hospital
RECRUITINGAdana, 1060, Turkey (Türkiye)
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Memorial Ankara Hospital
RECRUITINGÇankaya, Ankara, 6520, Turkey (Türkiye)
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Mercy South
RECRUITINGSt Louis, Missouri, 63128, United States
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Mid Florida Hematology and Oncology Center
RECRUITINGOrange City, Florida, 32763, United States
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Missouri Cancer Associates
RECRUITINGColumbia, Missouri, 65201, United States
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Moffitt Cancer Center
RECRUITINGTampa, Florida, 33612, United States
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Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10461, United States
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Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
RECRUITINGNanjing, Jiangsu, China
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Nara Medical University Hospital
RECRUITINGKashihara, Nara, 634-8522, Japan
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National Center for Global Health and Medicine
RECRUITINGShinjuku-Ku, Tokyo, 162-8655, Japan
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National Hospital Organization Nagasaki Medical Center
RECRUITINGŌmura, Nagasaki, 8568562, Japan
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Nemocnice AGEL Ostrava-Vitkovice a. s.
RECRUITINGVítkovice, 74101, Czechia
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Nemocnice Horovice
RECRUITINGHořovice, 53002, Czechia
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New Cross Hospital
RECRUITINGWolverhampton, WV100QP, United Kingdom
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Nippon Medical School Hospital
RECRUITINGBunkyō-Ku, Tokyo, 113-8603, Japan
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Norton Cancer Institute
RECRUITINGLouisville, Kentucky, 40202, United States
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Nottingham University Hospitals NHS Trust - Nottingham City Hospital
RECRUITINGNottingham, NG5 1PB, United Kingdom
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OSF St. Francis Medical Center
RECRUITINGPeoria, Illinois, 61637, United States
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Osaka International Cancer Institute
RECRUITINGOsaka, Osaka, 541-8567, Japan
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Pratia S.A. , Pratia Poznan
RECRUITINGPoznan, 60-192, Poland
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Royal Marsden Hospital (RMH) - Royal Marsden NHS Foundation Trust
RECRUITINGChelsea, London, SW3 6JJ, United Kingdom
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Royal Marsden Hospital (Sutton) - Royal Marsden NHS Foundation Trus
RECRUITINGSutton, London, SM2 5PT, United Kingdom
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Royal Stoke University Hospital - University Hospitals of North Midlands NHS Trust
RECRUITINGStoke-on-Trent, Staffordshire, ST4 6QG, United Kingdom
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SCRI OP (Oncology Partners)
RECRUITINGNashville, Tennessee, 37203, United States
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Sakarya University - Faculty of Medicine
RECRUITINGAdapazarı, Sakarya, 54290, Turkey (Türkiye)
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Sarah Cannon Research Institute
RECRUITINGSarasota, Florida, 34232, United States
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Sarah Cannon Research Institute
RECRUITINGLondon, Greater London, W1G 6AD, United Kingdom
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Sendai Kousei Hospital
RECRUITINGSendai, Miyagi, 981-0914, Japan
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Shandong Cancer Hospital
RECRUITINGJinan, Shandong, 250117, China
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Shanghai Pulmonary Hospital
RECRUITINGShanghai, Shanghai Municipality, 200433, China
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Shinshu University Hospital
RECRUITINGMatsumoto, Nagano, 390-8621, Japan
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Shizuoka Cancer Center
RECRUITINGShizuoka, Sunto-gun, 411-8777, Japan
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Sichuan Cancer Hospital
RECRUITINGChengdu, Sichuan, 610041, China
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Stony Brook Cancer Center
RECRUITINGStony Brook, New York, 11794-7007, United States
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Taizhou Hospital of Zhejiang Province
RECRUITINGTaizhou, Zhejiang, 318000, China
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Tergooi Ziekenhuizen
RECRUITINGHilversum, 1261 AN, Netherlands
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Texas Oncology - Central South
RECRUITINGAustin, Texas, 78745, United States
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Texas Oncology - West Texas
RECRUITINGOdessa, Texas, 79761, United States
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The Cancer Institute Hospital of JFCR
RECRUITINGKoto-Ku, Tokyo, 135-8550, Japan
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The First Affiliated Hospital of Xi'an Jiaotong University
RECRUITINGXi'an, Shaanxi, 710061, China
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The First Affiliated Hospital of Xiamen University
RECRUITINGXiamen, Fujian, 361000, China
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The First Affiliated Hospital of Zhengzhou University
RECRUITINGZhengzhou, Henan, 450052, China
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UC Davis Comprehensive Cancer Center
RECRUITINGSacramento, California, 95817, United States
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UOMI Cancer Center-Clinica Tres Torres
RECRUITINGBarcelona, 8017, Spain
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Uniklinikum Salzburg, Landeskrankenhaus, Universitatsklinik fur Innere Medizin III der PMU Department of Internal Medicine III
RECRUITINGSalzburg, 5020, Austria
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Universidad de Navarra - Clínica Universidad de Navarra (CUN)
RECRUITINGPamplona, 31008, Spain
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Universitair Ziekenhuis Antwerpen
RECRUITINGEdegem, 2650, Belgium
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Universitair Ziekenhuis Brussel
RECRUITINGJette, 1090, Belgium
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Universite Catholique de Louvain Namur, Centre Hospitalier Universitaire Dinant Godinne
RECRUITINGYvoir, 5530, Belgium
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University Hospital Carl Gustav Carus
RECRUITINGDresden, 01307, Germany
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University Hospitals Cleveland Medical Center
RECRUITINGCleveland, Ohio, 44106, United States
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University of California San Diego
RECRUITINGLa Jolla, California, 92093, United States
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University of Colorado
RECRUITINGAurora, Colorado, 80045, United States
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University of Iowa
RECRUITINGIowa City, Iowa, 52242, United States
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University of Iowa Mission Health Cancer + Blood
RECRUITINGWaukee, Iowa, 50263, United States
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University of Pittsburgh (UPMC) Hillman Cancer Center
RECRUITINGPittsburgh, Pennsylvania, 15232, United States
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University of Texas Southwestern Medical Center/Clinical Research Department
RECRUITINGDallas, Texas, 75390-9020, United States
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Virginia Cancer Specialists
RECRUITINGFairfax, Virginia, 22031, United States
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Vivalia St Joseph
RECRUITINGLibramont, 6800, Belgium
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Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu
RECRUITINGPrzemyśl, 37700, Poland
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Wojskowy Instytut Medyczny
RECRUITINGWarsaw, 04141, Poland
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Wojskowy Instytut Medyczny,Centralny Szpital Kliniczny Ministerstwa Obronty Narodowej
RECRUITINGSiedlce, 08-110, Poland
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Yale Cancer Center/Clinical Trials Office
RECRUITINGNew Haven, Connecticut, 06519, United States
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Yeditepe University Hospital
RECRUITINGIstanbul, 34755, Turkey (Türkiye)
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Zhejiang Cancer Hospital
RECRUITINGHangzhou, Zhejiang, 310000, China
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