Comparing two treatments for extensive-stage small cell lung cancer
Official title: A Randomized, Double Blind, Multicenter Phase 3 Trial of BMS-986489 (Atigotatug+Nivolumab Fixed Dose Combination) in Combination With Carboplatin Plus Etoposide vs Atezolizumab in Combination With Carboplatin Plus Etoposide as First-Line Therapy in Participants With Extensive-Stage Small Cell Lung Cancer (TIGOS).
Run by Bristol-Myers Squibb · NCT06646276 · Data updated 2026-11-12
This study is testing a new treatment combination for extensive-stage small cell lung cancer to see if it works better and is safer than the standard treatment.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 530 (estimated) |
| Sponsor | Bristol-Myers Squibb Industry-sponsored |
| Drugs / interventions | Nivolumab, Atezolizumab |
| Locations | 183 sites (Daphne, Alabama and 182 other locations) |
| Status | Recruiting |
| Started | February 25, 2025 |
| Main results expected | August 17, 2027 |
| Study ends | July 14, 2031 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT06646276 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are individuals diagnosed with extensive-stage small cell lung cancer who are in good health and can perform normal activities with minimal assistance.
✕Probably not a fit
Patients who have previously received treatment for extensive-stage small cell lung cancer or have certain health conditions may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to compare the efficacy and safety of a new treatment combination, BMS-986489 (which includes BMS-986012 and Nivolumab), with the standard treatment of Atezolizumab combined with Carboplatin and Etoposide for patients with extensive-stage small cell lung cancer. Participants will receive one of the two treatment regimens as their first-line therapy. The study will evaluate how well each treatment works and its safety profile in this patient population.
Why it matters
Potential benefit: If successful, this study could provide a more effective treatment option for patients with extensive-stage small cell lung cancer.
How similar studies have gone: Other studies have shown promising results with similar immunotherapy approaches, indicating potential for success in this novel combination.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria * Participants must have diagnosis of Extensive-Stage Small Cell Lung Cancer (ES-SCLC). * Participants must be Healthy enough to do their normal activities with little or no help based on the ECOG performance scale. * Participants must have at least one tumor that can be measured using special imaging techniques like a CT scan or MRI at a site other than the brain and nervous system Exclusion Criteria * Participants have already received certain types of treatment for extensive stage small cell lung cancer * Participants have certain health conditions, like spread of small cell lung cancer to the brain that are causing symptoms, certain lung diseases, heart diseases, infections, autoimmune diseases, other cancers, or a type of nerve damage called peripheral sensory neuropathy * Other protocol-defined Inclusion/Exclusion criteria apply.
Where it's running
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Southern Cancer Center, PC
Daphne, Alabama, United States Recruiting -
Florida Cancer Specialists - South
Fort Myers, Florida, United States Recruiting -
Mid Florida Hematology and Oncology Center
Orange City, Florida, United States Recruiting -
Florida Cancer Specialists - North
St. Petersburg, Florida, United States Recruiting -
Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital
Marietta, Georgia, United States Recruiting -
Illinois Cancer Care
Peoria, Illinois, United States Recruiting
Show 44 more locations
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University of New Mexico Comprehensive Cancer Center
Albuquerque, New Mexico, United States Recruiting -
Duke Cancer Institute
Durham, North Carolina, United States Recruiting -
Sanford Medical Center
Bismarck, North Dakota, United States Recruiting -
Sanford Fargo Medical Center
Fargo, North Dakota, United States Recruiting -
Oncology Hematology Care
Cincinnati, Ohio, United States Recruiting -
Sanford Cancer Center
Sioux Falls, South Dakota, United States Recruiting -
SCRI Oncology Partners
Nashville, Tennessee, United States Recruiting -
Texas Oncology - Central/South Texas
Austin, Texas, United States Recruiting -
Texas Oncology - Northeast Texas
Tyler, Texas, United States Recruiting -
Oncology & Hematology Associates of Southwest Virginia, Inc.
Roanoke, Virginia, United States Recruiting -
Swedish Cancer Institute - Edmonds
Edmonds, Washington, United States Recruiting -
Swedish Medical Center
Seattle, Washington, United States Recruiting -
Local Institution - 0283
Hot Springs, Arkansas, United States Completed -
Local Institution - 0037
Minneapolis, Minnesota, United States Withdrawn -
Local Institution - 0079
Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina Completed -
Local Institution - 0077
Abb, Buenos Aires F.D., Argentina Completed -
Local Institution - 0100
Buenos Aires, Buenos Aires F.D., Argentina Withdrawn -
Local Institution - 0080
Caba, Buenos Aires F.D., Argentina Active not recruiting -
Local Institution - 0094
Río Cuarto, Córdoba Province, Argentina Active not recruiting -
Local Institution - 0202
Campbelltown, New South Wales, Australia Active not recruiting -
Local Institution - 0106
Penrith, New South Wales, Australia Active not recruiting -
Local Institution - 0105
Brisbane, Queensland, Australia Active not recruiting -
Local Institution - 0190
Ballarat Central, Victoria, Australia Completed -
Local Institution - 0175
Murdoch, Western Australia, Australia Active not recruiting -
Local Institution - 0253
Graz, Styria, Austria Active not recruiting -
Local Institution - 0251
Wels, Upper Austria, Austria Completed -
Local Institution - 0252
Linz, Austria Active not recruiting -
Local Institution - 0255
Rankweil, Austria Active not recruiting -
Local Institution - 0198
Brussels, Bruxelles-Capitale, Région de, Belgium Active not recruiting -
Local Institution - 0091
Ghent, Oost-Vlaanderen, Belgium Active not recruiting -
Local Institution - 0187
Sint-Niklaas, Oost-Vlaanderen, Belgium Active not recruiting -
Local Institution - 0092
Liège, Belgium Active not recruiting -
Local Institution - 0166
Fortaleza, Ceará, Brazil Active not recruiting -
Local Institution - 0165
Porto Alegre, Rio Grande do Sul, Brazil Active not recruiting -
Local Institution - 0169
Porto Alegre, Rio Grande do Sul, Brazil Active not recruiting -
Local Institution - 0170
Santa Cruz do Sul, Rio Grande do Sul, Brazil Completed -
Local Institution - 0163
Itajaí, Santa Catarina, Brazil Active not recruiting -
Local Institution - 0178
Barretos, São Paulo, Brazil Active not recruiting -
Local Institution - 0111
São Paulo, São Paulo, Brazil Active not recruiting -
Local Institution - 0289
Edmonton, Alberta, Canada Active not recruiting -
Local Institution - 0290
Chicoutimi, Quebec, Canada Active not recruiting -
Local Institution - 0288
Québec, Quebec, Canada Active not recruiting -
Local Institution - 0287
Rimouski, Quebec, Canada Completed -
Local Institution - 0086
Santiago, Santiago Metropolitan, Chile Active not recruiting
+133 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
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Other studies for the same condition or treatment. Recruiting studies are listed first.
-
BL-M14D1 with Atezolizumab for extensive-stage small cell lung cancer
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-
Testing valemetostat with atezolizumab for lung cancer treatment
This study is testing a new combination of medications, valemetostat and atezolizumab, to see if it can safely help people with extensive-stage small cell lung cancer who have had some success with earlier treatments.
-
Investigating BNT327 with chemotherapy for untreated small-cell lung cancer
This study is testing whether a new treatment called BNT327, combined with standard chemotherapy, can help people with untreated extensive-stage small-cell lung cancer feel better compared to another treatment option.
-
Evaluating a new treatment for extensive stage-small cell lung cancer
This study is testing a new treatment combining ifinatamab deruxtecan and atezolizumab, with or without carboplatin, to see if it can help people with extensive stage-small cell lung cancer feel better and improve their treatment results.
-
Combining Bevacizumab with Chemoimmunotherapy for Advanced Lung Cancer with Liver Metastases
This study is testing whether adding a drug called bevacizumab to a combination of chemotherapy and another treatment can help people with advanced lung cancer that has spread to the liver live longer and feel better.
-
QLC5508 plus QL2107 vs tislelizumab plus platinum chemotherapy as first treatment for extensive-stage small cell lung cancer
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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.