Rationale and Design of a Phase II Trial of Combined Serplulimab and Chemotherapy in Patients with Histologically Transformed Small Cell Lung Cancer : a Prospective, Single-arm and Multicentre Study

Copyright © 2023. Published by Elsevier Ltd..

AIMS: Transformed small cell lung cancer (T-SCLC) is a highly aggressive clinical disease with a notably poor prognosis. It most often arises from epidermal growth factor receptor (EGFR)-mutant non-small cell lung cancer (NSCLC) following treatment. To date, no standard treatment has been established for T-SCLC. Platinum-etoposide was the most commonly used regimen, but progression-free survival remains unsatisfactory. Therefore, there is an urgent unmet need to develop novel and effective strategies for this population. Our study, a multicentre, open-label, single-arm phase II clinical trial (NCT05957510), aims to evaluate the efficacy and safety of serplulimab plus chemotherapy in untreated T-SCLC patients after histological transformation.

MATERIALS AND METHODS: In total, 36 eligible participants experiencing SCLC transformation from EGFR-mutant NSCLC will be enrolled to receive combination therapy of serplulimab, etoposide and carboplatin for four to six cycles, followed by maintenance therapy with serplulimab for up to 2 years. The primary endpoint is progression-free survival; secondary endpoints include objective response rate, overall survival and safety.

RESULTS: Enrolment started in July 2023 and is ongoing, with an estimated completion date of December 2025.

CONCLUSIONS: This study aims to provide valuable insights into the efficacy and safety of combining serplulimab with chemotherapy for treating patients with T-SCLC originating from EGFR-mutant NSCLC.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Clinical oncology (Royal College of Radiologists (Great Britain)) - 36(2024), 1 vom: 10. Jan., Seite 39-45

Sprache:

Englisch

Beteiligte Personen:

Huang, J [VerfasserIn]
Zhang, X-H [VerfasserIn]
Cai, Y [VerfasserIn]
Yang, D [VerfasserIn]
Shi, J [VerfasserIn]
Xing, P [VerfasserIn]
Xu, T [VerfasserIn]
Wu, L [VerfasserIn]
Su, W [VerfasserIn]
Xu, R [VerfasserIn]
Wei, T [VerfasserIn]
Chen, H-J [VerfasserIn]
Yang, J-J [VerfasserIn]

Links:

Volltext

Themen:

6PLQ3CP4P3
BG3F62OND5
Biomarker
Carboplatin
Clinical Trial, Phase II
EC 2.7.10.1
ErbB Receptors
Etoposide
Immune Checkpoint Inhibitors
Journal Article
Multicenter Study
Platinum-etoposide
Research Support, Non-U.S. Gov't
Serplulimab
Transformed SCLC (T-SCLC)

Anmerkungen:

Date Completed 25.12.2023

Date Revised 11.04.2024

published: Print-Electronic

ClinicalTrials.gov: NCT05957510

Citation Status MEDLINE

doi:

10.1016/j.clon.2023.11.030

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364694378