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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Jazz Pharmaceuticals Industry-sponsored |
| Drugs / interventions | durvalumab, chemotherapy |
| Locations | 6 sites (Los Angeles, California and 5 other locations) |
| Status | Recruiting |
| Started | October 12, 2026 |
| Main results expected | August 4, 2029 |
| Study ends | November 4, 2029 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07459634 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
- Study coordinator: Clinical Trial Disclosure & Transparency
- Email: ClinicalTrialDisclosure@JazzPharma.com
- Phone: 215-832-3750
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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.