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Extensive Small Cell Lung CancerPhase 3NCT04234607

A Study of TQB2450 or Placebo Combined With Anlotinib, Etoposide and Carboplatin Versus Etoposide and Carboplatin in Subjects With Extensive Small Cell Lung Cancer (ETER701)

A Phase 3 study testing TQB2450, Anlotinib and Etoposide in people with Extensive Small Cell Lung Cancer, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 26 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

A randomized, double-blind, controlled, multicenter phase III study of TQB2450 or placebo combined with Anlotinib, etoposide and carboplatin versus Etoposide and Carboplatin in subjects with extensive small cell lung cancer. The primary outcome measures include PFS and OS. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Extensive Small Cell Lung Cancer
What is being tested?
TQB2450, Anlotinib and Etoposide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
738 participants
Where
26 sitesChina
Study dates
Jan 2020to Dec 2022
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. Pathologically confirmed extensive small cell Lung cancer; 2. Has not received systematic treatment for extensive small cell lung cancer; 3. Has received radiotherapy and chemotherapy for limited stage SCLC must have received radical treatment, and has at least 6 months of no treatment interval from the last treatment to the diagnosis of extensive SCLC; 4. Has measurable lesion based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1; 5. 18 and 75 years old; Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, life expectancy≥ 12 weeks; 6. Adequate organ system function; 7. Male or female subjects should agree to use an adequate method of contraception starting with the first dose of study therapy through 6 months after the last dose of study (such as intrauterine devices , contraceptives or condoms) ; No pregnant or breastfeeding women, and a negative pregnancy test are received within 7 days before the randomization; 8. Understood and signed an informed consent form.

Who cannot join

  • 1. Has prior therapy with anlotinib, anti-programmed cell death (PD)-1, anti-PD-L1 or other immunotherapy against PD-1/PD-L1; 2. Has central nervous system metastasis and/or cancerous meningitis; 3. Has diagnosed and/or treated additional malignancy within 5 years prior to randomization. Exceptions include cured basal cell carcinoma of skin and carcinoma in situ of cervix; 4. Has multiple factors affecting oral medication, such as inability to swallow, post-gastrointestinal resection, chronic diarrhea and intestinal obstruction, etc; 5. Has uncontrollable pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures; 6. Has spinal cord compression which was not cured or relieved through surgery and/or radiotherapy, or diagnosed spinal cord compression after treatment showed no clinical evidence of disease stabilization prior to randomization ≥1 week; 7. Imaging (CT or MRI) shows that tumor invades large blood vessels or the boundary with blood vessels is unclear; 8. Within 2 months prior to initial administration, subjects with evidence or history of bleeding tendency, regardless of severity; A history of hemoptysis (defined as blood bright red or 1/2 teaspoon) or an unhealed wound, ulcer, or fracture in the 2 weeks prior to initial administration; 9. Has adverse events caused by previous therapy except alopecia that did not recover to ≤ grade 1; 10.Has major surgical procedure、biopsy or obvious traumatic injury within 28 days before randomization; 11. Has arterial or venous thromboembolic events occurred within 6 months, such as cerebrovascular accident including transient ischemic attack, deep vein thrombosis and pulmonary embolism; 12.Has drug abuse history that unable to abstain from or mental disorders; 13. Has any severe and/or uncontrolled disease; 14. Has vaccinated with vaccines or attenuated vaccines within 4 weeks prior to first administration.; 15. Severe hypersensitivity occurs after administration of other monoclonal antibodies; 16. Active autoimmune diseases requiring systemic treatment occurred within 2 years prior to first administration ; 17. Immunosuppressive therapy with immunosuppressive agents or systemic or absorbable local hormones (dosage > 10 mg/day prednisone or other therapeutic hormones) is required for the purpose of immunosuppression, and is still in use for 2 weeks after the first administration; 18. Has participated in other anticancer drug clinical trials within 4 weeks; 19. According to the judgement of the researchers, there are other factors that may lead to the termination of the study.

Trial locations and contacts

26 sites in 1 country.

Ying Cheng, doctor contact

0431-85873390

jl.cheng@163.com

26 sites in 1 country

China26 sites
  • Beijing chest hospital,capital medical university

    Beijing, Beijing Municipality, 101149

    Baolan Li, doctor

    Baolan Li

  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu, Anhui, 233000

    Junbin Wang, 0552-3074480, bbmcwjb@163.com

    Junbin Wang

  • Jilin Cancer Hospital

    Changchun, Jilin, 130000

    Ying Cheng, Doctor, 0431-85873390, jl.cheng@163.com

    Ying Cheng

  • Hunan Cancer Hospital

    Changsha, Hunan, 410006

    Jianhua Chen, 0731-89762220, cjh_1000@163.com

    Jianhua Chen

  • The Second Hospital of Dalian Medical University

    Dalian, Liaoning, 116027

    Yang Zhang, 0411-84671291, zydl@medmail.com.cn

    Yang Zhang

  • Fujian Medical University Union Hospital

    Fuzhou, Fujian, 350001

    Jinhuo Lai, 0591-86218442, ljh2252@hotmail.com

    Jinhuo Lai

  • Fujian Provincial Cancer Hospital

    Fuzhou, Fujian, 350011

    Wu Zhuang, 0591-62002062, zhuangwu2008@126.com

    Wu Zhuang

  • The First Affiliated Hospital of Guangzhou Medical University

    Guangzhou, Guangdong, 510120

    Jianxing He, 020-83062807, hejx@vip.163.com

    Jianxing He

  • The Fiest Affiliated Hospital of Guanghzou University of Chinese Medicine

    Guangzhou, Guangdong, 510405

    Lizhu Lin, 020-36596356, lizhulin903@21cn.com

    Lizhu Lin

  • Guizhou Provincial people's Hospital

    Guiyang, Guizhou, 550002

    Xianwei Ye, 0851-8560232, yxw1205@163.com

    Xianwei Ye

  • The Second Affiliated Hospital of Hainan Medical University

    Haikou, Hainan, 570100

    Haifeng Lin, 0898-66809162, 13322060949@163.com

    Haifeng Lin

  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 150000

    Yan Yu, 0451-86298303, gpyuyan@163.com

    Yan Yu

  • Anhui chest hospital

    Hefei, Anhui, 230001

    Haohui Fang, Bachelor, 0551-63615328, fanghh88@163.com

    Haohui Fang

  • AnHui Provincial Hospital

    Hefei, Anhui, 230001

  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230001

    Kangsheng Gu, Doctor, 0551-62923093, 13805692145@153.com

    Kangsheng Gu

  • The Second Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230001

    Hui Zhao, 0551-65997169, zhaohuichenxi@126.com

    Hui Zhao

  • Jinzhou Central Hospital

    Jinzhou, Hubei, 434020

    Yanhua Xu, 0716-8881888, xuyanhua339@126.com

    Yanhua Xu

  • Lanzhou University Second Hospital

    Lanzhou, Gansu, 730030

    Yixin Wan, 0931-8942347, 101937415@qq.com

    Yixin Wan

  • Gansu Provincial Cancer Hospital

    Lanzhou, Gansu, 730050

    Shihong Wei, 0931-2302833, weishihong100@163.com

    Shihong Wei

  • The First People's Hospital of Lianyungang

    Lianyungang, Jiangsu, 222000

    Jiashu Li, 025-85605031, ljssm1118@sina.com

    Jiashu Li

  • Guangxi Medical University Affiliated Tumor Hospital

    Nanning, Guangxi, 530000

    Qitao Yu, 0771-12580, yqt178@163.com

    Qitao Yu

  • Peking University Shenzhen Hospital

    Shenzhen, Guangdong, 518036

    Shubin Wang, 0755-83923333-2501, Wangshubin2013@163.com

    Shubin Wang

  • Shijiazhuang First Hospital

    Shijiazhuang, Hebei, 050011

    Yan Zhang, 0311-86907259, 13315978336@163.com

    Yan Zhang

  • Hebei Chest Hospital

    Shijiazhuang, Hebei, 050048

    Min Zhao, 0311-86911008, z-mxk1067@126.com

    Min Zhao

  • Affiliated Hospital of Guangdong Medical University

    Zhanjiang, Guangdong, 524000

    Hualin Chen, 0759-2387458, 3549509@qq.com

    Hualin Chen

  • Henan Cancer Hospital

    Zhengzhou, Henan, 450008

    Qiming Wang, 0371-65588421, qimingwang1006@126.com

    Qiming Wang

Other trials in China

About this study

Official title: A Randomized, Double-blind, Controlled, Multicenter Phase III Study of TQB2450 or Placebo Combined With Anlotinib, Etoposide and Carboplatin Versus Etoposide and Carboplatin in Subjects With Extensive Small Cell Lung Cancer

A randomized, double-blind, controlled, multicenter phase III study of TQB2450 or placebo combined with Anlotinib, etoposide and carboplatin versus Etoposide and Carboplatin in subjects with extensive small cell lung cancer. The primary outcome measures include PFS and OS. Extended stage Small Cell Lung Cancer (SCLC) patients will be registered, after signing the informed consent, and then centrally randomized 1:1:1 to the experimental arms and the control arm.

Being tested
TQB2450, Anlotinib, Etoposide, Carboplatin, TQB2450(blank)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TQB2450Drug

    TQB2450 is a humanized monoclonal antibody targeting programmed death ligand-1 (PD-L1), which prevents PD-L1 from binding to PD-1 and B7.1 receptors on T cell surface, restores T cell activity, thus enhancing immune response and has potential to treat various types of tumors.

  • AnlotinibDrug

    a multi-target receptor tyrosine kinase inhibitor

  • EtoposideDrug

    Etoposide is a cell cycle-specific antitumor drug

  • CarboplatinDrug

    Carboplatin is cell cycle nonspecific antitumor drug

  • TQB2450(blank)Drug

    Subjects administrated TQB2450 (blank) intravenously (IV) on Day 1 of each 21-day

  • Anlotinib(blank)Drug

    Subjects administrated anlotinib (blank) in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21)

Study groups in NCT04234607
Study groupRoleWhat they receive
TQB2450+Anlotinib+ etoposide + carboplatinExperimentalInduced stage:TQB2450 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle plus Anlotinib capsules 12 mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21) +Etoposide (100mg/m2 IV continuously on Day 1, 2 and 3)+Carboplatin(AUC 5 mg/mL/min IV on Day 1( maximum dosage: 800 mg)) maintenance stage:TQB2450 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle plus Anlotinib capsules 12 mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21)
Receives: Drug: TQB2450; Drug: Anlotinib; Drug: Etoposide; Drug: Carboplatin
TQB2450(blank)+Anlotinib+ etoposide + carboplatinExperimentalInduced stage:TQB2450 (blank) 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle plus Anlotinib capsules 12 mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21) +Etoposide (100mg/m2 IV continuously on Day 1,2 and 3)+ Carboplatin(AUC 5 mg/mL/min IV on Day 1( maximum dosage: 800 mg)) maintenance stage:TQB2450 (blank) 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle plus Anlotinib capsules 12 mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21)
Receives: Drug: Anlotinib; Drug: Etoposide; Drug: Carboplatin; Drug: TQB2450(blank)
TQB2450(blank)+Anlotinib(blank)+ etoposide + carboplatinActive comparatorInduced stage:TQB2450 (blank) 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle plus Anlotinib (blank) capsules 12 mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21) +Etoposide (100mg/m2 IV continuously on Day 1,2 and 3)+Carboplatin(AUC 5 mg/mL/min IV on Day 1( maximum dosage: 800 mg)) maintenance stage:TQB2450 (blank) 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle plus Anlotinib capsules (blank) 12 mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21)
Receives: Drug: Etoposide; Drug: Carboplatin; Drug: TQB2450(blank); Drug: Anlotinib(blank)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression free survival (PFS)

    PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause.

    Measured: up to 12 months

  2. Overall survival (OS)

    OS defined as the time from randomization to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive.

    Measured: up to 24 months

Secondary outcomes (7)
  1. Overall response rate (ORR)

    Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR) .

    Measured: up to 12 months

  2. Disease control rate (DCR)

    Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR) and Stable Disease (SD).

    Measured: up to 12 months

  3. Duration of response(DOR)

    For participants who demonstrate CR or PR, DOR is defined as the time from first documented evidence of CR or PR until disease progression or death due to any cause, whichever occurs first.

    Measured: up to 12 months

  4. PFS rate of 6 and 12 months progression-free survival

    PFS rate of progression-free survival at 6 and 12 months: the percentage of subjects who did not develop disease progression or die of any cause at 6 and 12 months after randomization.

    Measured: up to 12 months

  5. OS rate of 12 and 18 months total survival

    Total survival OS rate at 12 and 18 months: the proportion of subjects who died of any cause at 12 and 18 months after randomization.

    Measured: up to 12 months

  6. Quality of life score

    Measured: up to 12 months

  7. Incidence and severity of adverse events (AE) and serious adverse events (SAE)

    Security Index

    Measured: up to 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jan 2020
  2. Study startJan 2020 (estimated)
  3. Primary completionDec 2022 (estimated)
  4. Study completionDec 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
738 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04234607
Sponsor's protocol ID
TQB2450-Ⅲ-04
Status last verified
Aug 2019
First submitted
16 Jan 2020
Last updated
22 Jan 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Cheng Y, Chen J, Zhang W, Xie C, Hu Q, Zhou N, Huang C, Wei S, Sun H, Li X, Yu Y, Lai J, Yang H, Fang H, Chen H, Zhang P, Gu K, Wang Q, Shi J, Yi T, Xu X, Ye X, Wang D, Xie C, Liu C, Zheng Y, Lin D, Zhuang W, Lu P, Yu G, Li J, Gu Y, Li B, Wu R, Jiang O, Wang Z, Wu G, Lin H, Zhong D, Xu Y, Shu Y, Wu D, Chen X, Wang J, Wang M, Yang R. Benmelstobart, anlotinib and chemotherapy in extensive-stage small-cell lung cancer: a randomized phase 3 trial. Nat Med. 2024 Oct;30(10):2967-2976. doi: 10.1038/s41591-024-03132-1. Epub 2024 Jul 11.

    PubMed 38992123

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing TQB2450, Anlotinib and Etoposide in people with Extensive Small Cell Lung Cancer, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 26 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 22 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Ying Cheng, doctor (0431-85873390, jl.cheng@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression free survival (PFS) (time frame: up to 12 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04234607, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jan 2020.

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