This clinical trial is focused on studying a type of lung cancer known as Extensive-Stage Small Cell Lung Cancer (ES-SCLC). The study aims to compare two different treatment combinations to see which one helps patients live longer. One group of participants will receive a combination of BMS-986489 (a fixed dose combination of BMS-986012 and nivolumab) along with chemotherapy drugs carboplatin and etoposide. The other group will receive atezolizumab with the same chemotherapy drugs.
The purpose of this study is to determine if the combination of BMS-986489 with chemotherapy is more effective than atezolizumab with chemotherapy in treating ES-SCLC. Participants will be randomly assigned to one of the two treatment groups. The study will monitor how long participants live after starting the treatment, as well as other factors like how long it takes for symptoms to worsen, the safety of the treatments, and how well the tumors respond to the treatments.
Throughout the study, participants will receive their treatments through an intravenous (IV) infusion, which means the medicine will be given directly into a vein. The study will continue until the estimated end date in 2031, with the goal of providing valuable information on the effectiveness and safety of these treatment combinations for people with ES-SCLC.



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