Clinical trial Recruiting at 6 sites Phase 2 Interventional Ages 18 and up

Lurbinectedin plus durvalumab for extensive-stage small-cell lung cancer after initial treatment

Official title: A Phase 2, Multicenter, Open-Label, Single-Arm Study of Lurbinectedin in Combination With Durvalumab as First-line Maintenance Therapy in Participants With Extensive-Stage Small-Cell Lung Cancer Following Induction Treatment With Platinum Based Chemotherapy and Durvalumab

Run by Jazz Pharmaceuticals · NCT07459634 · Data updated 2026-11-12

This study tests whether adding durvalumab to lurbinectedin as maintenance after initial therapy helps people whose ES-SCLC has not progressed.

More Extensive-stage Small-cell Lung Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment50 (estimated)
SponsorJazz Pharmaceuticals
Industry-sponsored
Drugs / interventionsdurvalumab, chemotherapy
Locations6 sites (Los Angeles, California and 5 other locations)
StatusRecruiting
StartedOctober 12, 2026
Main results expectedAugust 4, 2029
Study endsNovember 4, 2029
Registry record updatedNovember 6, 2026
Trial IDNCT07459634 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with ES-SCLC who achieved complete response, partial response, or stable disease after 4 cycles of platinum-based chemotherapy with durvalumab during induction and who have adequate organ function.

Probably not a fit

Patients who do not respond to maintenance therapy or experience intolerable toxicity, disease progression, or contraindications to study drugs may not benefit.

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

What this trial studies

This phase 2 trial evaluates the safety and efficacy of combining lurbinectedin with durvalumab as maintenance therapy in extensive-stage small-cell lung cancer after completion of first-line platinum-based chemotherapy with durvalumab and etoposide. Eligibility requires measurable disease response or stability after 4 cycles of platinum-based therapy with at least 3 cycles of durvalumab during induction. Participants must have good performance status and organ function, and meet age-appropriate contraception and other standard safety criteria.

Why it matters

Potential benefit: If successful, the regimen could prolong disease control and delay progression for ES-SCLC patients who have benefited from initial therapy.

How similar studies have gone: Previous studies in similar maintenance approaches with immune agents have shown mixed results; this specific combination in ES-SCLC is being explored prospectively.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Participant has histologically or cytologically confirmed ES-SCLC (per Veterans Administration Lung Study Group staging system).
2. Participant has received 4 cycles of definitive platinum-based chemotherapy with at least 3 cycles of durvalumab
3. Has Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.
4. Must have a life expectancy of ≥ 12 weeks as assessed by the treating physician.
5. Adequate hematologic and end-organ function for at least 7 days prior to dosing.
6. Has a body weight \> 30 kg.
7. Adequate contraceptive precautions.

Exclusion Criteria:

1. Clinically confirmed leptomeningeal carcinomatosis.
2. Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures
3. Significant cardiovascular disease within 3 months prior to enrollment
4. History of another primary malignancy
5. Presence or history of Central Nervous System (CNS) metastases
6. History of allogeneic organ transplantation.
7. History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on the screening chest CT scan.
8. Any concurrent chemotherapy, study intervention, biologic, or hormonal therapy for cancer treatment.
9. Receipt of live attenuated vaccine within 30 days prior to the first dose of study intervention.
10. Pregnant or breastfeeding or intending to become pregnant during the study or within 6 months after the last dose of study intervention.

Where it's running

  • Valkyrie Clinical Trials, Inc.
    Los Angeles, California, United States
    Recruiting
  • Cancer Specialists of North Florida
    Jacksonville, Florida, United States
    Recruiting
  • Emory University
    Atlanta, Georgia, United States
    Recruiting
  • Baptist Health
    Lexington, Kentucky, United States
    Recruiting
  • MidAmerica Cancer Centre
    Kansas City, Missouri, United States
    Recruiting
  • Carolina Blood and Cancer Care
    Rock Hill, South Carolina, United States
    Recruiting

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.