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There are 435 active trials for advanced/metastatic small cell lung cancer.
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HealthScout AI summary: Untreated extensive-stage small cell lung cancer (including stable treated or asymptomatic brain mets; ECOG 0–2) receives durvalumab plus platinum–etoposide with added monalizumab, an investigational anti-NKG2A antibody that augments NK and CD8 T-cell activity, followed by durvalumab/monalizumab maintenance. Prior systemic therapy is not allowed except up to one recent cycle of platinum ± durvalumab.
ClinicalTrials.gov ID: NCT05903092
HealthScout AI summary: Single-arm study of oral alisertib, a selective Aurora A kinase inhibitor, as monotherapy for adults with ES-SCLC who progressed after platinum plus anti–PD-L1 (≤2 prior lines total). Patients receive alisertib 50–60 mg BID on days 1–7 of 21-day cycles; efficacy will be assessed overall and in predefined biomarker subgroups.
ClinicalTrials.gov ID: NCT06095505
HealthScout AI summary: Untreated adults with extensive-stage SCLC (measurable extracranial disease, good performance status) are randomized to carboplatin/etoposide plus a fixed-dose of BMS-986489 (BMS-986012, an afucosylated anti–fucosyl-GM1 IgG1 enhancing ADCC/CDC/ADCP, combined with the PD-1 inhibitor nivolumab) versus standard carboplatin/etoposide plus the PD-L1 inhibitor atezolizumab. Primary endpoint is overall survival, with key exclusions including prior ES-SCLC therapy, unstable CNS disease, significant cardiopulmonary disease, active autoimmune disease requiring immunosuppression, and significant neuropathy.
ClinicalTrials.gov ID: NCT06646276
HealthScout AI summary: Adults with newly diagnosed metastatic non-squamous NSCLC (ECOG 0–1) lacking actionable driver mutations receive pembrolizumab+pemetrexed+carboplatin with either visugromab or placebo; PD-L1 ≥50% allowed only when CPI monotherapy isn’t appropriate. Visugromab is a humanized anti–GDF-15 monoclonal antibody intended to enhance T-cell trafficking and overcome PD-(L)1 resistance.
ClinicalTrials.gov ID: NCT07098988
HealthScout AI summary: Adults with locally advanced/metastatic EGFR-mutant NSCLC who progressed on first-line osimertinib via acquired EGFR C797S (including patients with stable brain mets) receive oral WSD0922-FU BID. WSD0922-FU is a brain-penetrant, reversible, non-ATP-competitive EGFR inhibitor designed to target sensitizing EGFR mutations and EGFRm/C797S with relative selectivity over wild-type EGFR.
ClinicalTrials.gov ID: NCT06868485
HealthScout AI summary: Adults with treatment‑naive, advanced/metastatic nonsquamous NSCLC harboring KRAS G12C are randomized to MK‑1084 (a selective covalent KRAS G12C inhibitor) plus subcutaneous pembrolizumab with berahyaluronidase alfa versus subcutaneous pembrolizumab with berahyaluronidase alfa plus pemetrexed and platinum chemotherapy. Primary analysis focuses on PFS (BICR) in PD‑L1 TPS ≥1%, with key secondary endpoints including PFS/OS in all-comers and response outcomes.
ClinicalTrials.gov ID: NCT07190248
HealthScout AI summary: Untreated adults with advanced/metastatic non-squamous NSCLC harboring KRAS G12C (ECOG 0–1) are randomized to divarasib (selective, irreversible KRAS G12C inhibitor) plus pembrolizumab versus standard pembrolizumab plus platinum/pemetrexed. Excludes other actionable drivers, prior KRAS/IO therapy, and active CNS disease; endpoints include PFS and OS.
ClinicalTrials.gov ID: NCT06793215
HealthScout AI summary: Adults with PD-L1–positive (≥1%) unresectable stage IIIB/IIIC or metastatic NSCLC who have progressed after PD-(L)1 therapy and platinum chemotherapy (and after appropriate targeted therapy for actionable alterations) are randomized to PF-08046054 (SGN-PDL1V), a PD-L1–targeted antibody–drug conjugate delivering the microtubule toxin MMAE, versus docetaxel. Excludes neuroendocrine histology, active CNS disease requiring >10 mg prednisone equivalent, leptomeningeal disease, prior MMAE agents, or prior docetaxel.
ClinicalTrials.gov ID: NCT07144280
HealthScout AI summary: Adults with advanced/metastatic NSCLC harboring an STK11 mutation (ECOG 0–2) receive oral JBI-802, a first-in-class dual LSD1/HDAC6 inhibitor targeting the CoREST complex, either as monotherapy or combined with pembrolizumab. Key exclusions include unstable CNS disease, significant cardiac comorbidities, active infections, QTcF >480 ms, recent therapy, and strong CYP3A/CYP2D6 modulators.
ClinicalTrials.gov ID: NCT07207395
HealthScout AI summary: Adults with metastatic NSCLC (ECOG 0–1) harboring homozygous MTAP deletion/MTAP loss are randomized to pembrolizumab plus platinum-doublet chemotherapy with or without BMS-986504, an oral selective MTA-cooperative PRMT5 inhibitor exploiting MTAP-deletion synthetic lethality. Nonsquamous patients with targetable first-line drivers are excluded; standard pemetrexed- or taxane-based platinum regimens are used by histology.
ClinicalTrials.gov ID: NCT07063745