Clinical trial Recruiting at 18 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment530 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Drugs / interventionsNivolumab, Atezolizumab
Locations183 sites (Daphne, Alabama and 182 other locations)
StatusRecruiting
StartedFebruary 25, 2025
Main results expectedAugust 17, 2027
Study endsJuly 14, 2031
Registry record updatedNovember 10, 2026
Trial IDNCT06646276 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.