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Small Cell Lung CancerPhase 1/2NCT07707895

DAREON®-36: A Study to Test Obrixtamig in Combination With ZL-1310 in People With Advanced Small Cell Lung Cancer or Other Neuroendocrine Cancers

A Phase 1/2 study testing Obrixtamig, ZL-1310 and Atezolizumab in people with Small Cell Lung Cancer and Large Cell Neuroendocrine Lung Carcinoma, run by Boehringer Ingelheim at 27 sites in 11 countries.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This study is open to adults with advanced small cell lung cancer and other neuroendocrine cancers. The study has 2 parts. The purpose of Part 1 is to find a suitable dose of a combination study treatment, obrixtamig and ZL-1310. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Obrixtamig, ZL-1310 and Atezolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
27 sitesin 11 countries
Study dates
28 Oct 2026to 26 Apr 2030
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For Part 1
  • Diagnosed with locally advanced, metastatic or relapsed cancer of the following histologies:
  • Small cell lung carcinoma (SCLC)
  • Large cell neuroendocrine lung carcinoma (LCNEC-L)
  • Extrapulmonary neuroendocrine carcinoma (epNEC) of small or large cell histology
  • Patients with tumours with mixed histologies for any above type are eligible only if the neuroendocrine carcinoma/small cell component is predominant and represents at least 50% of the overall tumour tissue
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  • Patients for whom no therapy of proven efficacy exists or who are not eligible for established treatment options. Patients must have exhausted available treatment options known to prolong survival for their disease. Previous therapies should include at least one line of platinum-based chemotherapy, unless there is a documented medical reason not to use platinum
  • For Part 2
  • Histologically or cytologically confirmed extended stage small cell lung cancer (ES-SCLC) (excluding combined histologies) using the American Joint Committee on Cancer (AJCC) tumour node metastasis staging system combined with Veterans Administration Lung Study Group (VALG)'s two stage classification scheme.
  • Patients must have received no prior systemic therapy for ES-SCLC. Participants with prior chemoradiotherapy for Limited stage small cell lung cancer (LS-SCLC) must have been treated with curative intent and had a treatment-free interval of at least 6 months after the last chemotherapy, radiotherapy, or chemoradiotherapy before diagnosis of ES-SCLC to be eligible
  • For both Part 1 and Part 2
  • Signed and dated written informed consent in accordance with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use - Good Clinical Practice (ICH-GCP) and local legislation prior to any trial-specific procedures, sampling, or analyses
  • Male or female participants ≥18 years old and at least at the legal age of consent in countries where it is greater than 18 years at the time of signature of the informed consent form (ICF)
  • Willing and able to comply with scheduled visits, treatment schedule, the planned trial assessments, laboratory tests, restrictions regarding prohibited medications, lifestyle restrictions, and other requirements related to the trial. This includes that they are able to understand and follow trial-related instructions
  • Further inclusion criteria apply.

Who cannot join

  • Serious concomitant disease or medical condition such as neurologic, psychiatric (including substance use disorder), active ulcers (gastrointestinal tract or skin) or laboratory abnormalities that may negatively impact patient safety during trial participation, affect compliance with trial requirements or invalidate assessments relevant for the investigation of the safety and preliminary efficacy of the investigational drugs
  • Patients with a diagnosis of Merkel cell carcinoma or medullary thyroid cancer
  • Presence of leptomeningeal disease and/or carcinomatous meningitis
  • Known hypersensitivity to the trial drugs or their excipients, prior severe, life-threatening hypersensitivity reaction(s) to monoclonal antibodies, or significant risk of allergic or anaphylactic reaction(s) to any of the investigated drug products according to the investigator's judgement
  • Participants who experienced severe, life-threatening immune-mediated adverse events, e.g. serious Grade 3 or higher immune-related adverse event (imAE) or infusion-related reactions, that led to permanent discontinuation while on treatment with immuno-oncology agents
  • Persistent toxicity from previous treatments that has not resolved to ≤ Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 (except for alopecia, asthenia/fatigue, amenorrhea/menstrual disorders, CTCAE Grade 2 peripheral neuropathy, and CTCAE Grade 2 endocrinopathies controlled by replacement therapy, and toxicities, which are considered irreversible but stable for at least 4 weeks, per investigator judgment)
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  • Therapy with any of the following types of treatments or drugs within the noted time intervals prior to IMP administration: At any time: treatment with delta-like ligand 3 (DLL3)-targeting therapies or received more than 30 Gy of thoracic radiotherapy.
  • Prior organ or tissue allograft
  • Further exclusion criteria apply.

Trial locations and contacts

27 sites in 11 countries. Contact the study team or a site near you to ask about taking part.

27 sites in 11 countries

Japan4 sites
  • Hokkaido Cancer Center

    Hokkaido, Sapporo, 003-0804

    Boehringer Ingelheim, 05050508862, nippon@bitrialsupport.com

  • St. Marianna University Hospital

    Kanagawa, Kawasaki, 216-8511

    Boehringer Ingelheim, 05050508862, nippon@bitrialsupport.com

  • Kansai Medical University Hospital

    Osaka, Hirakata, 573-1191

    Boehringer Ingelheim, 05050508862, nippon@bitrialsupport.com

  • Shizuoka Cancer Center

    Shizuoka, Sunto-gun, 411-8777

    Boehringer Ingelheim, 05050508862, nippon@bitrialsupport.com

Other trials in Japan

United States3 sites
  • University of Kentucky Medical Center

    Lexington, Kentucky, 40536

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

  • H. Lee Moffitt Cancer Center and Research Institute

    Tampa, Florida, 33612

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

  • MedStar Georgetown University Hospital

    Washington D.C., District of Columbia, 20007

    Boehringer Ingelheim, 833-602-2368, unitedstates@bitrialsupport.com

Other trials in United States

China3 sites
  • The Affiliated Cancer Hospital, Guangxi Medical University

    Nanning, 530021

    Boehringer Ingelheim, 4001200553, china@bitrialsupport.com

  • Shanghai Chest Hospital

    Shanghai, 200030

    Boehringer Ingelheim, 4001200553, china@bitrialsupport.com

  • Shanghai Pulmonary Hospital

    Shanghai, 200433

    Boehringer Ingelheim, 4001200553, china@bitrialsupport.com

Other trials in China

France3 sites
  • CTR Leon Berard

    Lyon, 69373

    Boehringer Ingelheim, 0805102354, france@bitrialsupport.com

  • HOP Timone

    Marseille, 13385

    Boehringer Ingelheim, 0805102354, france@bitrialsupport.com

  • Institut Gustave Roussy

    Villejuif, 94800

    Boehringer Ingelheim, 0805102354, france@bitrialsupport.com

Other trials in France

Spain3 sites
  • Hospital Duran i Reynals

    L'Hospitalet Del Llobregat, 08908

    Boehringer Ingelheim, 900876092, espana@bitrialsupport.com

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

    Boehringer Ingelheim, 900876092, espana@bitrialsupport.com

  • Hospital Clinico De Valencia (INCLIVA)

    Valencia, 46010

    Boehringer Ingelheim, 900876092, espana@bitrialsupport.com

Other trials in Spain

Australia2 sites
  • Chris Obrien Lifehouse

    Camperdown, New South Wales, 2050

    Boehringer Ingelheim, 1800271035, australia@bitrialsupport.com

  • Royal North Shore Hospital

    St Leonards, New South Wales, 2065

    Boehringer Ingelheim, 1800271035, australia@bitrialsupport.com

Other trials in Australia

Belgium2 sites
  • Universitair Ziekenhuis Antwerpen

    Edegem, 2650

    Boehringer Ingelheim, 080049616, belgique@bitrialsupport.com

  • Universitair Ziekenhuis Gent

    Ghent, 9000

    Boehringer Ingelheim, 080049616, belgique@bitrialsupport.com

Other trials in Belgium

Germany2 sites
  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, 55131

    Boehringer Ingelheim, 08007234742, deutschland@bitrialsupport.com

  • Robert Bosch Gesellschaft für medizinische Forschung mbH

    Stuttgart, 70376

    Boehringer Ingelheim, 08007234742, deutschland@bitrialsupport.com

Other trials in Germany

Poland2 sites
  • Szpital Specjalistyczny W Brzozowie Podkarpacki Osrodek Onkologiczny Im.Ks.B.Markiewicza

    Brzozów, 36-200

    Boehringer Ingelheim, 008001218830, polska@bitrialsupport.com

  • Lower Silesian Oncology Centre

    Wroclaw, 53439

    Boehringer Ingelheim, 008001218830, polska@bitrialsupport.com

Other trials in Poland

United Kingdom2 sites
  • Leicester Royal Infirmary

    Leicester, LE1 5WW

    Boehringer Ingelheim, 08000514022, unitedkingdom@bitrialsupport.com

  • Freeman Hospital

    Newcastle upon Tyne, NE7 7DN

    Boehringer Ingelheim, 08000514022, unitedkingdom@bitrialsupport.com

Other trials in United Kingdom

Netherlands1 site
  • Amsterdam UMC Locatie VUMC

    Amsterdam, 1081HV

    Boehringer Ingelheim, 08000204613, nederland@bitrialsupport.com

Other trials in Netherlands

About this study

Official title: A Phase Ib/II, Open-label, Safety and Tolerability Trial of Obrixtamig in Combination With ZL-1310 in Patients With Poorly Differentiated NEC

This study is open to adults with advanced small cell lung cancer and other neuroendocrine cancers. The study has 2 parts. The purpose of Part 1 is to find a suitable dose of a combination study treatment, obrixtamig and ZL-1310. The purpose of Part 2 is to see how obrixtamig and ZL-1310 is tolerated when given with another medicine called a checkpoint inhibitor. Another purpose is to check whether the study treatment can stop the cancer from growing and keep it stable. Obrixtamig and ZL-1310 are being developed to help the immune system fight cancer.

In Part 1, participants get obrixtamig and ZL-1310. In Part 2, participants get obrixtamig and ZL-1310 with a checkpoint inhibitor. Part 2 is only open to people with advanced small cell lung cancer. All study treatments are given as infusions into a vein.

The study does not have a fixed duration. Participants can receive study treatment for up to 2 years if they benefit from treatment and can tolerate it. Participants visit the study site regularly, with some overnight stays required. During this time, doctors regularly check for health problems that could be caused by the study treatment. They also monitor the size of the tumour(s) and take laboratory tests.

Being tested
Obrixtamig, ZL-1310, Atezolizumab
Medical subject headings
Small Cell Lung Carcinoma

What participants receive

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

  • ObrixtamigDrug

    Obrixtamig

  • ZL-1310Drug

    ZL-1310

  • AtezolizumabDrug

    Atezolizumab

Study groups in NCT07707895
Study groupRoleWhat they receive
Part 1: obrixtamig + ZL-1310 (dosing regimen 1)ExperimentalNot described
Receives: Drug: Obrixtamig; Drug: ZL-1310
Part 1: obrixtamig + ZL-1310 (dosing regimen 2)ExperimentalNot described
Receives: Drug: Obrixtamig; Drug: ZL-1310
Part 2: obrixtamig + ZL-1310 + atezolizumabExperimentalNot described
Receives: Drug: Obrixtamig; Drug: ZL-1310; Drug: Atezolizumab

What is being measured

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

  1. Part 1: The occurrence of dose limiting toxicities (DLTs) during the DLT evaluation period

    Measured: 6 weeks from the first administration of study medication.

  2. Part 2: The occurrence of treatment-emergent adverse events (AEs) leading to trial medication discontinuation or dose modification

    Measured: Up to 24 months.

  3. Part 2: PFS rate at 6 months

    Progression-free survival (PFS) is defined as the time from first investigational medicinal product (IMP) administration until the earliest date of disease progression according to Response Evaluation Criteria In Solid Tumours (RECIST 1.1) based on investigator assessments or death from any cause, whichever occurs first.

    Measured: At 6 months.

Secondary outcomes (8)
  1. Part 1 and Part 2: Occurrence of treatment-emergent DLTs

    Measured: Up to 24 months.

  2. Part 1 and Part 2: Occurrence of treatment-emergent adverse event of special interest (AESIs)

    Measured: Up to 24 months.

  3. Part 1 and Part 2: Occurrence of treatment-emergent AEs CTCAE Grade ≥3

    AEs CTCAE = Adverse events Common Terminology Criteria for Adverse Events

    Measured: Up to 24 months.

  4. Part 1 and Part 2: Objective response (OR)

    OR is defined as a best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST 1.1 (based on investigator assessments) from the first IMP administration until the earliest date of disease progression, death, last evaluable tumour assessment before the start of the next line of anti-cancer treatment, loss to follow-up, or withdrawal of consent.

    Measured: Up to 24 months.

  5. Part 1 and Part 2: Duration of response (DoR)

    DoR is defined as the time from the first documented objective response (OR) according to RECIST 1.1 until the earliest date of disease progression or death among patients with confirmed objective response based on investigator assessments.

    Measured: Up to 24 months.

  6. Part 1 and Part 2: Disease control (DC)

    DC is defined as best overall response of complete response (CR) or partial response (PR) or stable disease (SD) where best overall response is defined according to RECIST version 1.1 based on investigator assessments from the first IMP administration until the earliest date of disease progression, death or last evaluable tumour assessment before start of the next line of anti-cancer treatment, loss to follow-up or withdrawal of consent.

    Measured: Up to 24 months.

  7. Part 1: Progression-free survival (PFS)

    PFS is defined as the time from first IMP administration until the earliest date of disease progression according to RECIST 1.1 based on investigator assessments or death from any cause, whichever occurs first.

    Measured: Up to 24 months.

  8. Part 2: Occurrence of DLTs during the DLT evaluation period

    Measured: 6 weeks from the first administration of study medication.

Timeline

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

  1. First posted16 Jul 2026
  2. Study start28 Oct 2026 (estimated)
  3. Primary completion26 Apr 2030 (estimated)
  4. Study completion26 Apr 2030 (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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07707895
Sponsor's protocol ID
1438-0036
Other IDs
U1111-1334-0148, 2026-525634-27
Status last verified
Oct 2026
First submitted
13 Jul 2026
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization). For more details refer to: https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Obrixtamig, ZL-1310 and Atezolizumab in people with Small Cell Lung Cancer and Large Cell Neuroendocrine Lung Carcinoma, run by Boehringer Ingelheim at 27 sites in 11 countries.

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 15 inclusion and 9 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: opening soon, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in Japan, United States, China, France, Spain and 6 more countries. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Boehringer Ingelheim (1-800-243-0127, clintriage.rdg@boehringer-ingelheim.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1: The occurrence of dose limiting toxicities (DLTs) during the DLT evaluation period (time frame: 6 weeks from the first administration of study medication.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 27 Oct 2026.

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