AK112 consolidation therapy for limited-stage small cell lung cancer after concurrent chemoradiation
Official title: A Multicenter, Randomized, Double-blind, Phase III Clinical Study of Comparing the Efficacy and Safety of AK112 (PD-1/VEGF Bispecific Antibody) Versus Placebo as Consolidation Treatment for Patients With Limited Stage Small-Cell Lung Cancer Who Have Not Progressed Following Concurrent Chemoradiation Therapy
Run by Akeso · NCT07010263 · Data updated 2026-11-12
This trial will test whether the experimental antibody AK112 (ivonescimab) given after successful concurrent chemoradiation can help prevent recurrence in adults with limited-stage small cell lung cancer.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 560 (estimated) |
| Sponsor | Akeso Industry-sponsored |
| Drugs / interventions | prednisone |
| Locations | 53 sites (Beijing, Beijing Municipality and 52 other locations) |
| Status | Recruiting |
| Started | June 13, 2025 |
| Main results expected | December 31, 2028 |
| Study ends | July 31, 2029 |
| Registry record updated | March 5, 2026 |
| Trial ID | NCT07010263 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with histologically confirmed limited-stage small cell lung cancer who completed concurrent chemoradiotherapy without progression, have ECOG 0–1, adequate organ function, and agree to required contraception and testing are ideal candidates.
✕Probably not a fit
Patients who have already progressed after chemoradiation, have metastatic disease, poor performance status (ECOG >1), or cannot comply with study visits are unlikely 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
This randomized, double-blind phase III trial will assign patients who have not progressed after concurrent chemoradiation to receive either AK112 (ivonescimab) or placebo as consolidation therapy. Participants will be treated and followed at participating centers for safety and signs of disease recurrence. The study will compare time to progression and safety outcomes between the AK112 and placebo groups. The goal is to determine whether adding AK112 after chemoradiation can extend the period without cancer progression while maintaining an acceptable safety profile.
Why it matters
Potential benefit: If successful, AK112 could prolong the time without disease progression and possibly improve survival for patients with limited-stage small cell lung cancer after chemoradiation.
How similar studies have gone: Immune checkpoint inhibitors have shown benefit in extensive-stage SCLC, but using consolidation immunotherapy specifically in limited-stage SCLC is less tested and clinical data are currently limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Inclusion Criteria: 1. The subjects voluntarily participated in the study with full informed consent and signed written informed consent form. 2. Aged ≥18 years on day fo signing the informed consent. 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. 4. Life expectancy ≥ 3 months 5. Histologically or cytologically confirmed small cell lung cancer. 6. Documented limited-stage SCLC (Stage I-III SCLC \[T any, N any, M0\] according to the American Joint Committee on Cancer Staging Manual \[AJCC Cancer Staging Manual, 8th Edition\] or the Veterans Administration Lung Study Group (VALG) stage. 7. Have Received concurrent chemoradiotherapy regimen as defined in protocol and have not progressed following concurrent chemoradiotherapy. 8. Adequate organ function. 9. Women of childbearing potential must have a negative serum pregnancy test within 7 days prior to the first dose and agree to take effective contraception measures during the study drug administration and within 120 days after the last dose. Exclusion Criteria: 1. Histologically or cytological confirmed the presence of mixed small cell lung cancer or non-small cell lung cancer components. 2. Toxicities from previous anti-tumor treatments have not resolved to grade 0 or 1 based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v5.0), or to the levels specified in inclusion/exclusion criteria, except for alopecia. 3. Symptoms or signs of primary disease deterioration that the investigator judges clinically unacceptable, such as cachexia. 4. Presence of pleural effusion, pericardial effusion, or ascites, which was clinically symptomatic or requiring frequent drainage. 5. History of active malignant tumors within the previous 5 years. 6. Received major surgery within 28 days prior to the first dose of study drug, or expected to undergo major surgery during the study period within 28 days after the first dose of study drug. 7. Uncontrolled comorbidities, including but not limited to decompensated cirrhosis, nephrotic syndrome, uncontrolled metabolic disorders, severe active peptic ulcer disease or gastritis, and other related diseases.. 8. Have serious neurological or mental illnesses, including dementia and epileptic seizures. 9. Pregnant or lactating women. 10. Have cardiovascular or cerebrovascular diseases or risk factors. 11. Prior treatments with systemic non-specific immunomodulatory therapy (such as interleukin, interferon, thymosin, etc.) within 2 weeks before the first administration of the study drugs. Prior treatment with Chinese herbal medicine or traditional Chinese patent medicines with anti-tumor indications within 1 weeks before the first administration of the study drugs. 12. Prior treatments targeting immune mechanisms, including, but not limited to, immune checkpoint inhibitors, immune checkpoint agonists, immune cell therapy. 13. Prior treatments with anti-angiogenic therapy. 14. Subjects requiring systemic treatment with corticosteroids (\>10mg/day prednisone or equivalent dose) or other immunosuppressive drugs within 14 days prior to the first dose of study drug. 15. Known history of severe hypersensitivity reactions to other monoclonal antibodies or with a known history of allergy or hypersensitivity reactions to any of study drugs or their components. 16. Active autoimmune diseases that require systemic treatment within 2 years prior to the study, or autoimmune diseases that the investigator judges to be potentially recurrent or require planned treatment. 17. Known interstitial lung disease or non infectious pneumonia, which currently has symptoms or requires systemic corticosteroid treatment in the past,or investigator juges may affect the toxicity assessment or management related to the study treatment. 18. Known severe infection within 4 weeks prior to the first dose of study drug. Known active tuberculosis. Known active syphilis infection. Known history of immunodeficiency or positive HIV test results. 19. .Known history of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation. 20. Active hepatitis B or active hepatitis C. 21. Received a live vaccine within 30 days prior to the first dose of study drug, or planning to receive a live vaccine during the study period.
Where it's running
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Beijing Cancer Hospital
Beijing, Beijing Municipality, China Recruiting -
The First Medical Center of Chinese PLA General Hospital
Beijing, Beijing Municipality, China Recruiting -
Beijing Chest Hospital
Beijing, Beijing Municipality, China Recruiting -
Beijing Luhe Hospital, Capital Medical University
Beijing, Beijing Municipality, China Recruiting -
Cancer Hospital, Chinese Academy of Medical Sciences
Beijin, Beijin, China Recruiting -
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, China Recruiting
Show 44 more locations
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Fujian Cancer Hospital
Fuzhou, Fujian, China Recruiting -
PLA No. 900 Hospital of the Joint Support Force
Fuzhou, Fujian, China Recruiting -
Longyan First Hospital
Longyan, Fujian, China Recruiting -
Zhangzhou Municipal Hospital of Fujian Province
Zhangzhou, Fujian, China Recruiting -
Gansu Provincial Cancer Hospital
Lanzhou, Gansu, China Recruiting -
Jiangmen Central Hospital
Jiangmen, Guangdong, China Recruiting -
Liuzhou People's Hospital
Liuzhou, Guangxi, China Recruiting -
Affiliated Cancer Hospital of Guangxi Medical University
Nanning, Guangxi, China Recruiting -
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China Recruiting -
Guangdong Provincial People's Hospital
Guangzhou, Guangzhou, China Recruiting -
Guizhou Provincial People's Hospital
Guiyang, Guizhou, China Recruiting -
The Second Affiliated Hospital of Zunyi Medical University
Zunyi, Guizhou, China Recruiting -
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, China Recruiting -
Tangshan People's Hospital
Tangshan, Hebei, China Recruiting -
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, China Recruiting -
The Second Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, China Recruiting -
Anyang Cancer Hospital
Anyang, Henan, China Recruiting -
The First Affiliated Hospital of Xinxiang Medical University
Xinxiang, Henan, China Recruiting -
Henan Cancer Hospital
Zhengzhou, Henan, China Recruiting -
Jingzhou First People's Hospital
Jingzhou, Hubei, China Recruiting -
Hunan Cancer Hospital
Changsha, Hunan, China Recruiting -
Hunan Cancer Hospital
Changsha, Hunan, China Recruiting -
The First Affiliated Hospital of South China University
Hengyang, Hunan, China Recruiting -
General Hospital of the PLA Eastern Theater Command
Nanjing, Jiangsu, China Recruiting -
Jiangsu Cancer Hospital
Nanjing, Jiangsu, China Recruiting -
Xuzhou Municipal Hospital
Xuzhou, Jiangsu, China Recruiting -
The First Affiliated Hospital of Gannan Medical University
Gannan, Jiangxi, China Recruiting -
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, China Recruiting -
Jilin Cancer Hospital
Changchun, Jilin, China Recruiting -
The First Hospital of China Medical University
Shenyang, Liaoning, China Recruiting -
Ningxia Medical University General Hospital
Yinchuan, Ningxia, China Recruiting -
Shandong Provincial Hospital
Jinan, Shandong, China Recruiting -
Shandong Cancer Hospital
Jinan, Shandong, China Recruiting -
Linyi Cancer Hospital
Linyi, Shandong, China Recruiting -
Linyi People's Hospital
Linyi, Shandong, China Recruiting -
Qingdao Central Hospital of Health and Rehabilitation Sciences University
Qingdao, Shandong, China Recruiting -
Zaozhuang Municipal Hospital
Zaozhuang, Shandong, China Recruiting -
Weifang No.2 People's Hospital
Weifang, Shangdong, China Recruiting -
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China Recruiting -
Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, China Recruiting -
Shanxi Cancer Hospital
Taiyuan, Shanxi, China Recruiting -
Tangdu Hospital, The Fourth Military Medical University
Xi’an, Shanxi, China Recruiting -
Mianyang Central Hospital
Mianyang, Sichuan, China Recruiting -
Tianjin Cancer Hospital
Tianjin, Tianjin Municipality, China Recruiting
+3 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Zhifang Yao, M.D.
- Email: clinicaltrials@akesobio.com
- Phone: +86-0760-89873999
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.