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OncoMatch/Clinical Trials/NCT06663098

Atezolizumab and Rechallenge Chemotherapy in Relapsed Patients With Extensive-stage Small Cell Lung Cancer (ES-SCLC).

Is NCT06663098 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Atezolizumab and Carboplatin for extensive stage small cell lung cancer (es-sclc).

Phase 2RecruitingGruppo Oncologico Italiano di Ricerca ClinicaNCT06663098Data as of May 2026

Treatment: Atezolizumab · Carboplatin · EtoposideThe goal of this clinical trial is to learn if a combination of atezolizumab and standard chemotherapy works to treat sensitive Extensive-stage Small Cell Lung Cancer, progressing after first-line of treatment. The main questions it aims to answer are: * Does combination of atezolizumab and standard chemotherapy increase overall survival? * What medical problems do participants have when taking combination of atezolizumab and standard chemotherapy? Participants will: * take atezolizumab and standard chemotherapy every 3 weeks for 4 cycles and than atezolizumab every 3 weeks up to 18 cycles. * visit the clinic once every 3 weeks for checkups and tests * perform Radiological assessments after 6 weeks and then every 12 weeks to determine response to treatment.

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Extracted eligibility criteria

Cancer type

Small Cell Lung Cancer

Disease stage

Required: Stage IV (SCLC)

Extensive-stage Small Cell Lung Cancer

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Max 1 prior line
Min 1 prior line

Must have received: platinum-based chemotherapy — first-line

Disease progression at least 60 days after the completion of first-line chemotherapy consisting of at least 4 cycles of platinum-etoposide plus either atezolizumab or durvalumab and have not received any other treatment (except for immunotherapy as maintenance treatment)

Must have received: anti-PD-L1 therapy (atezolizumab, durvalumab) — first-line

first-line chemotherapy consisting of at least 4 cycles of platinum-etoposide plus either atezolizumab or durvalumab

Cannot have received: chemotherapy other than platinum-etoposide

First-line chemotherapy other than platinum-etoposide

Cannot have received: more than 1 line of prior treatment

More than 1 line of prior treatment for ES-SCLC

Lab requirements

Blood counts

ANC ≥1500/mm3; Platelet count ≥ 100 x 10^9/L (≥100,000/μL) without transfusion; Hemoglobin ≥ 90 g/L (≥ 9 g/dL); patients may be transfused to meet this criterion

Kidney function

Creatinine < 1.5x ULN or estimated creatinine clearance ≥ 30 mL/min (Cockcroft-Gault) for patients with creatinine above institutional limits

Liver function

Total bilirubin < 1.5x ULN; ALT or AST < 2.5x ULN (< 5x if due to liver metastases)

Normal baseline laboratory values as specified below: * Absolute neutrophil count (ANC) ≥1500/mm3 * Platelet count ≥ 100 x 109/L (≥100,000/μL) without transfusion * Hemoglobin ≥ 90 g/L (≥ 9 g/dL); patients may be transfused to meet this criterion. * Total bilirubin < 1.5x the institutional upper limit of normal (ULN) * Serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) < 2.5x the institutional ULN (< 5x if liver function test elevations are due to liver metastases) * Creatinine < 1.5x institutional ULN or estimated creatinine clearance using the Cockcroft-Gault formula ≥ 30 mL/minute for patients with creatinine levels above institutional limits

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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