Clinical trial Recruiting at 70 sites Phase 2 Interventional Ages 18 and up

ABBV-706 plus atezolizumab versus standard first-line therapy for extensive-stage small cell lung cancer

Official title: A Phase 2 Randomized, Open Label, Multicenter Study to Evaluate the Optimal Dose, Safety, and Efficacy of ABBV-706 in Combination With Atezolizumab Versus Standard of Care as First-Line Treatment in Subjects With Previously Untreated Extensive Stage Small Cell Lung Cancer (ES-SCLC)

Run by AbbVie · NCT07155174 · Data updated 2026-11-12

This trial will test whether giving ABBV-706 with atezolizumab is safer or more effective than standard first-line chemo plus atezolizumab in adults with previously untreated extensive-stage small cell lung cancer.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment180 (estimated)
SponsorAbbVie
Industry-sponsored
Drugs / interventionsatezolizumab
Locations70 sites (New Haven, Connecticut and 69 other locations)
StatusRecruiting
StartedNovember 25, 2025
Main results expectedApril 2029
Study endsSeptember 2031
Registry record updatedOctober 27, 2026
Trial IDNCT07155174 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with newly diagnosed extensive-stage small cell lung cancer who have not received prior systemic therapy, have measurable disease, and have ECOG performance status 0–1 are ideal candidates.

Probably not a fit

Patients with active symptomatic brain metastases, prior treatment for limited-stage SCLC, active interstitial lung disease or pneumonitis requiring steroids, or ECOG >1 are unlikely to be eligible or to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults with previously untreated extensive-stage SCLC and ECOG 0–1 will be enrolled at multiple sites and receive either one of two IV doses of ABBV-706 with IV atezolizumab or the standard regimen of etoposide, carboplatin and atezolizumab (with optional lurbinectedin). The study includes a safety lead-in to define tolerable ABBV-706 dosing followed by an expansion phase to compare adverse events and change in disease activity across arms, targeting about 180 participants worldwide. Key eligibility requires measurable disease and brain imaging to rule out active symptomatic CNS metastases, while major exclusions include prior limited-stage therapy and active interstitial lung disease. Primary outcomes focus on safety, optimal dose selection, and change in disease activity measured by RECIST v1.1.

Why it matters

Potential benefit: If successful, the combination could produce higher tumor response rates or longer time to progression than current first-line treatment, offering a new option for patients.

How similar studies have gone: Adding atezolizumab to chemotherapy has previously improved survival in first-line ES-SCLC, but ABBV-706 is investigational and combining this type of agent with immunotherapy is a novel approach with mixed results in earlier efforts.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of histologically or cytologically confirmed extensive stage small cell lung cancer (ES-SCLC) requiring treatment with first line therapy.
* Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1 during the screening period prior to the first dose of study treatment.
* Have measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST v1.1).
* Suspected brain metastases at screening should have a computed tomography (CT)/ magnetic resonance imaging (MRI) of the brain prior to study entry.

Exclusion Criteria:

* Have received any kind of treatment for limited stage small cell lung cancer (LS-SCLC).
* Known active/symptomatic central nervous system (CNS) metastases should be excluded.
* History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, or any evidence of active ILD/pneumonitis on screening chest computed tomography (CT) scan should be excluded.
* Have any clinically significant conditions that would adversely affect the participant's participation in the study, and the subject should have a life expectancy of at least 3 months.

Where it's running

  • Yale University School of Medicine /ID# 278181
    New Haven, Connecticut, United States
    Recruiting
  • University of Florida College of Medicine /ID# 277496
    Gainesville, Florida, United States
    Recruiting
  • Ocala Oncology Center /ID# 278269
    Ocala, Florida, United States
    Recruiting
  • Moffitt Cancer Center /ID# 277573
    Tampa, Florida, United States
    Recruiting
  • Fort Wayne Medical Oncology And Hematology /ID# 277336
    Fort Wayne, Indiana, United States
    Recruiting
  • Baptist Health Lexington /ID# 277729
    Lexington, Kentucky, United States
    Recruiting
Show 44 more locations
  • Dana-Farber Cancer Institute /ID# 277732
    Boston, Massachusetts, United States
    Recruiting
  • Henry Ford Hospital - Detroit /ID# 277218
    Detroit, Michigan, United States
    Recruiting
  • Missouri Cancer Associates /ID# 278299
    Columbia, Missouri, United States
    Recruiting
  • University Hospitals Cleveland Medical Center /ID# 277556
    Cleveland, Ohio, United States
    Recruiting
  • The University of Texas MD Anderson Cancer Center /ID# 277929
    Houston, Texas, United States
    Recruiting
  • Virginia Cancer Specialists - Fairfax /ID# 278298
    Fairfax, Virginia, United States
    Recruiting
  • Grand Hopital de Charleroi - Les Viviers /ID# 276897
    Charleroi, Hainaut, Belgium
    Recruiting
  • Jessa Ziekenhuis - Campus Virga Jesse /ID# 276781
    Hasselt, Limburg, Belgium
    Recruiting
  • AZ Maria Middelares /ID# 277027
    Ghent, Oost-Vlaanderen, Belgium
    Recruiting
  • Groupe Sante CHC - Clinique du MontLegia /ID# 276783
    Liège, Belgium
    Recruiting
  • Cancer Hospital - Chinese Academy of Medical Sciences /ID# 277167
    Beijing, Beijing Municipality, China
    Recruiting
  • Henan Cancer Hospital /ID# 277059
    Zhengzhou, Henan, China
    Recruiting
  • Union Hospital Tongji Medical College /ID# 277912
    Wuhan, Hubei, China
    Recruiting
  • The First affiliated hospital of Nanchang University /ID# 277247
    Nanchang, Jiangxi, China
    Recruiting
  • Shanghai East Hospital /ID# 277111
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Shanghai Pulmonary Hospital /ID# 276960
    Shanghai, Shanghai Municipality, China
    Recruiting
  • West China Hospital of Sichuan University /ID# 277852
    Chengdu, Sichuan, China
    Recruiting
  • Lungenfachklinik Immenhausen /ID# 278005
    Immenhausen, Hesse, Germany
    Recruiting
  • Universitaetsklinikum Giessen und Marburg GmbH /ID# 277466
    Marburg, Hesse, Germany
    Recruiting
  • Evangelische Lungenklinik Berlin /ID# 277094
    Berlin, Germany
    Recruiting
  • Meir Medical Center /ID# 277292
    Kefar Sava, Central District, Israel
    Recruiting
  • Assuta Ashdod Medical Center /ID# 276661
    Ashdod, Southern District, Israel
    Recruiting
  • The Chaim Sheba Medical Center /ID# 276660
    Ramat Gan, Tel Aviv, Israel
    Recruiting
  • Rambam Health Care Campus- Haifa /ID# 276663
    Haifa, Israel
    Recruiting
  • Hadassah Medical Center-Hebrew University /ID# 276662
    Jerusalem, Israel
    Recruiting
  • IRCCS Ospedale San Raffaele /ID# 276793
    Milan, Milano, Italy
    Recruiting
  • IRCCS Istituti Fisioterapici Ospitalieri-Istituto Nazionale Tumori Regina Elena /ID# 276792
    Rome, Roma, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria San Luigi Gonzaga /ID# 276789
    Orbassano, Torino, Italy
    Recruiting
  • Fondazione Policlinico Universitario Campus Bio-Medico /ID# 277744
    Roma, Italy
    Recruiting
  • National Cancer Center Hospital East /ID# 277239
    Kashiwa-shi, Chiba, Japan
    Recruiting
  • Shizuoka Cancer Center /ID# 277243
    Sunto-gun, Shizuoka, Japan
    Recruiting
  • Tokyo Metropolitan Komagome Hospital /ID# 277335
    Bunkyo Ku, Tokyo, Japan
    Recruiting
  • National Cancer Center Hospital /ID# 277237
    Chuo-Ku, Tokyo, Japan
    Recruiting
  • Wakayama Medical University Hospital /ID# 277260
    Wakayama, Wakayama, Japan
    Recruiting
  • Wielkopolskie Centrum Pulmonologii i Torakochirurgii im. Eugenii i Janusza Zeyla /ID# 276907
    Poznan, Greater Poland Voivodeship, Poland
    Recruiting
  • Uniwersytecki Szpital Kliniczny Nr 4 w Lublinie /ID# 276910
    Lublin, Lublin Voivodeship, Poland
    Recruiting
  • Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Bada /ID# 277112
    Warsaw, Masovian Voivodeship, Poland
    Recruiting
  • University Clinical Center Serbia /ID# 277007
    Belgrade, Beograd, Serbia
    Recruiting
  • Clinical Hospital Center - Bezanijska Kosa /ID# 277013
    Belgrade, Beograd, Serbia
    Recruiting
  • University Clinical Center Nis /ID# 277180
    Niš, Nisavski Okrug, Serbia
    Recruiting
  • Institute For Pulmonary Diseases Of Vojvodina /ID# 277003
    Kamenitz, Sremski Okrug, Serbia
    Recruiting
  • University Clinical Center Kragujevac /ID# 277179
    Kragujevac, Sumadijski Okrug, Serbia
    Recruiting
  • National Cancer Center /ID# 277434
    Goyang-si, Gyeonggido, South Korea
    Recruiting
  • Chungbuk National University Hospital /ID# 277429
    Cheongju-si, North Chungcheong, South Korea
    Recruiting

+20 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.