Study of Sacituzumab Govitecan Versus Standard of Care in Participants With Previously Treated Extensive Stage Small Cell Lung Cancer

Sponsor: Gilead Sciences

Sponsor score: 60

ClinicalTrials ID:NCT06801834

This study evaluates sacituzumab govitecan versus standard care in ES-SCLC patients. Eligible participants must have confirmed SCLC, ECOG status 0-1, measurable disease, and prior platinum-based chemotherapy. Interventions include sacituzumab govitecan, topotecan, and amrubicin (Japan only), all administered intravenously. The study focuses on objective response rate and overall survival.

Patient Parameters

Program Overview

The goal of this clinical study is to learn more about the study drug sacituzumab govitecan (SG; Trodelvy®; GS-0132; IMMU 132), versus standard of care (SOC) in participants with previously treated extensive stage small cell lung cancer (ES-SCLC).

The primary objectives of this study are to compare the effect of SG to SOC on objective response rate (ORR) as assessed by blinded independent central review (BICR) according to the Response Evaluation Criteria in Solid Tumors and to compare the effect of SG to SOC on overall survival (OS).

Eligibility Criteria

Inclusion Criteria

  • Histologically confirmed diagnosis of SCLC.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
  • Measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) as assessed by investigator per RECIST v1.1 criteria.
  • Documentation of radiological disease progression after 1 prior line of platinum-containing chemotherapy (defined as at least 2 cycles of treatment) with or without therapy directed against programmed cell death protein 1 (PD-1) or programmed cell death ligand 1 (PD-L1; PD-1 and PD-L1 are hereafter referred to as PD-(L)1) for ES-SCLC.

Key

Exclusion Criteria

  • Chemotherapy-free interval (CTFI) time from the last dose of first-line platinum-containing chemotherapy to the occurrence of progressive disease) < 30 days (independent of the immunotherapy maintenance).
  • Received any prior treatment with irinotecan, topotecan, SG, SN-38, exatecan derivatives, and similar agents targeting topoisomerase I.
  • Untreated central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they have stable CNS disease (ie, without evidence of progression) for at least 4 weeks prior to enrollment and all neurologic symptoms have returned to baseline, have no evidence of new or enlarging brain metastases, and are taking ≤ 10 mg/day of prednisone or its equivalent.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Locations

FACILITYZIPCITYSTATE
Hope and Healing Cancer Services60521HinsdaleIllinois
Taylor Cancer Research Foundation43617ToledoOhio
Spoknwrd Clinical Trials Inc.18045EastonPennsylvania
The University of Texas Health Science Center at Tyler75708TylerTexas

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