Study on Toripalimab and Tifcemalimab for Patients with Limited-Stage Small Cell Lung Cancer After Chemoradiotherapy

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What is this study about?

This clinical trial is focused on studying a type of lung cancer known as limited-stage small cell lung cancer (LS-SCLC). This is a form of cancer that affects the lungs and is typically treated with a combination of chemotherapy and radiation therapy. The study is investigating the use of two medications, Toripalimab and Tifcemalimab, as potential treatments for patients who have not experienced disease progression after receiving standard treatments.

The purpose of the study is to evaluate the effectiveness of these medications when used as a follow-up treatment, also known as consolidation therapy, to help prevent the cancer from returning or worsening. Participants in the study will receive either Toripalimab alone, a combination of Toripalimab and Tifcemalimab, or a placebo. The study is designed to compare the outcomes of these different treatment approaches.

During the study, participants will receive the medications through an intravenous (IV) infusion, which means the medicine is given directly into a vein. The study will monitor participants over a period of time to assess their overall survival and how long they remain free from cancer progression. The trial aims to provide valuable information on whether these treatments can improve outcomes for patients with LS-SCLC.

1 joining the study

Upon joining the study, the patient will be informed about the trial’s purpose and procedures. The patient must provide informed consent, agreeing to participate and comply with study requirements.

2 initial assessment

The patient will undergo an initial assessment to confirm eligibility. This includes verifying the diagnosis of limited-stage small cell lung cancer and ensuring no disease progression after previous treatments.

3 treatment allocation

The patient will be randomly assigned to one of the treatment groups. This could involve receiving either toripalimab alone, toripalimab combined with tifcemalimab, or a placebo. The treatment is administered intravenously.

4 treatment administration

The patient will receive the assigned treatment intravenously. The frequency and duration of administration will be determined by the study protocol and communicated to the patient.

5 regular monitoring

Throughout the study, the patient will undergo regular monitoring to assess health status and treatment effects. This includes physical exams, blood tests, and imaging studies.

6 follow-up assessments

The patient will participate in follow-up assessments to evaluate the treatment’s impact on overall survival and disease progression. These assessments will be conducted by a blinded independent review committee.

7 completion of study

Upon completing the study, the patient will have a final assessment to gather data on the treatment’s long-term effects. The patient will be informed about the study’s findings and any further steps if necessary.

Who Can Join the Study?

  • Must be a male or female who is at least 18 years old.
  • If you are a woman who can have children or a man with a partner who can have children, you must use a reliable form of birth control, like a birth control pill or condom, during the study and for at least 4 months after the last dose of the study medication.
  • You must agree to participate in the study, sign a consent form, and follow all study procedures.
  • You must have a confirmed diagnosis of limited-stage small cell lung cancer (LS-SCLC) that can be treated with radiation. If you have Stage I or II disease, you must not be able to have surgery or choose not to have it.
  • You must have completed a specific type of treatment called chemoradiotherapy (CRT), which includes 4 cycles of chemotherapy with drugs like carboplatin or cisplatin and etoposide, and a certain amount of radiation. You must start the study treatment within 42 days after finishing this treatment.
  • You must have shown a complete response, partial response, or stable disease after the CRT and must not have any disease progression before joining the study.
  • Prophylactic cranial irradiation (PCI), a type of radiation to the brain to prevent cancer spread, is allowed if your doctor thinks it’s necessary. It can be done before or during the study.
  • You need to provide about 5 slides of tumor tissue for analysis. If you can’t provide these samples, you may still join the study after discussing with the study team.
  • You must have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1, which means you are fully active or have some symptoms but can still do light work.
  • You must have a life expectancy of at least 12 weeks.
  • Your organs must be functioning well, which includes having enough blood cells, normal liver and kidney function, and normal blood clotting ability.

Who Cannot Join the Study?

  • Patients who have not completed chemoradiotherapy (CRT). This is a treatment that combines chemotherapy and radiation therapy.
  • Patients whose disease has progressed after receiving CRT. This means the cancer has gotten worse or spread.
  • Patients who are not within the specified age range for the study.
  • Patients who are not able to follow the study procedures or attend the required visits.
  • Patients who have other medical conditions that might interfere with the study or make it unsafe for them to participate.
  • Patients who are pregnant or breastfeeding.
  • Patients who have participated in another clinical trial recently.
  • Patients who have allergies or reactions to the study medications.
  • Patients who have a history of other cancers, unless they have been in remission for a certain period.
  • Patients who have certain infections or diseases that could affect their immune system.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Centre Hospitalier Intercommunal Creteil Creteil France
Institut Gustave Roussy Villejuif France
Azienda Ospedaliero Universitaria Careggi Florence Italy
Hospital Universitario Hm Sanchinarro Madrid Spain
CHU Grenoble Alpes La Tronche France
Comite Entreprise Paul Papin Angers France
Centre Hospitalier Universitaire De Bordeaux Bordeaux France
Medisprof S.R.L. Cluj Napoca Romania

Other Sites

Site Name City Country Status
Centre Hospitalier Universitaire Rouen Rouen France
Azienda Ospedaliero Universitaria Di Modena Modena Italy
Hospital Universitari Dexeus Grupo Quironsalud Barcelona Spain
Institute Of Oncology Prof. Dr. Ion Chiricuta Cluj-Napoca Cluj Napoca Romania
Centre De Cancerologue Du Grand Montpellier Montpellier France
Heygolpt Vnrh dqcypthu Barcelona Spain
Hghmfryh Usvwbmvhrkodj dw A Cqngup A Coruna Galicia Spain
Fgkdjiscuv Irvtb Pmoziwtujfh Sjd Mhkhik Pavia Italy
Iaapoghw Rvmyerway Pwo Lg Swtkwk Dhx Tkkujc Dbvu Aqqmvou Ieyf Syrwxo Meldola Italy
Ewgstfd Ugrumzjbmmok Mueruok Cusvgho Rjhmernvo (yezifgy Mhh Rotterdam The Netherlands
Cwidnz Hiazdwkbutd Rvfbysut Ukddjzidfziic Dp Tumpt Tours France
Hvktqice Uwksqbdvthmod Fnfxzmfbi Jojyfnj Dnxm Madrid Spain
Cezege Hgiiuudazfu Utptfjqpjccvn Dj Mmkowtvcgtd Montpellier France
Hhetzugc Cfprrgs Sna Ctkrgf Madrid Spain
Jvifb Zokfjtahxe Hasselt Belgium
Auhynoh Ohvbmupncid Uawdsqynuzypq Fcepvust Ic Da Njmhva Naples Italy
Ctsbyh Ljnz Bnopdw Lyon France
Igdpbr Itumoeal Fkltmrsbhvmza Osepbxlvawy Rome Italy
Aonybucq Zkxxcrrbjr Ktvlz Brasschaat Belgium
Cnpdhm Hsoihwxnxng Riocnzxn Diixvhjyectfmi Angers France
Fsumysasf Ptzz La Iwpedvslsdjys Brbiavuqx Dtk Hbgtfoev Uofzoizzpqnuw Lk Plv Madrid Spain
Cmrune Hmmhsxipbkh Uydegqbwpmjog Dzdlso Gbpvhcf Sdgjpqzyobzcwrpnkqhyigzvuv Namur Belgium
Aujwgzim Zfvtqbuuwj Gxtxqtnsi Kortrijk Belgium
Hoetxukv Cunband Unkvggewrdjzl Lxgadw Brrva Zaragoza Spain
Svmojwp Kxfprsxnr Mrhbviliahfk Saoiz Wwrfzogijeln I Achrigmyqfnlk Z Wyyqwthjubfphttvwgf Cbtfskv Ojpvxlvsv W Ohgkjplni Olsztyn Poland
Ilzddhxm Onpbcewwxe Veiizs Padua Italy
Caykoud Dl Opmcmpzay Sz Nuwgjzyh Stfhbs Craiova Romania
Azlijpd Oaizzjoiltclneaxifzlxwdhl Pfqefldfife Gu Rfsasryxbwhc Mszzj Dx Curgvem Catania Italy
Uiezcshwyhzkr Shspmxa Kfjgdxrxg W Briuruwkddn Bialystok Poland
Sbxqrysj Cngiuj Ccxrjttla &pdeiot Pziafccwz Dkqcmuzfrbv Bucharest Romania
Opyqjhl Smormr Timisoara Romania
Hxqoqfic Utrdnkqroapst Dqmoddqf Donostia / San Sebastian Spain
Wftewfuepkicm Cahiily Pnqhcnnlbjhl I Tjgsvkvpmhqxbue Iao Etwgpxy I Jkcgdnw Zvrznhtqa Poznan Poland
Rawkwyvth Zqliuzetrg Saxvqbkwg Arnhem The Netherlands
Itnwz Kynhnvfjs Snkdgsmrt Zwolle The Netherlands
Szl Cxsdzny Faeiqpxgg Hmbompay Rome Italy
Nlhnjakr Iprvzjeyp Ok Tenyoqdgdycx Alm Leja Dnxgeimv Warsaw Poland
Gviil Hxpuwgc Ds Cxtyhjjkh Charleroi Belgium
Hkvmpoiy Uupjivknyrswu Dc Jyid Jaen Spain
Olrtvdi Sdezux Craiova Romania
Rjfpjxvhnoki Csiyrg Cqnx Scsqpj Floresti Romania
Hdvtwgip Qwbcmnxpxlm Mwhxae Malaga Spain
Heogqori Qelrhrmymmt Slapfbm Cgvfmyc Sevilla Spain
Ehbsyloroecw Lglmpfebpakk Bxkcgt Kzcudjmxaoabnxavddf gtpjb Berlin Germany
Icyurfqmsu Oljormqsi Popmj Daj Abhdunnkp Thkvxlqidtys Bjsafkdwk Bucharest Romania

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Belgium Belgium
Not recruiting
29.01.2025
France France
Not yet recruiting
29.01.2025
Germany Germany
Not yet recruiting
29.01.2025
Italy Italy
Not recruiting
29.01.2025
Poland Poland
Not recruiting
29.01.2025
Romania Romania
Not recruiting
29.01.2025
Spain Spain
Recruiting
29.01.2025
The Netherlands The Netherlands
Recruiting
29.01.2025

Trial locations

Investigated Drugs:

Toripalimab is a medication used in this clinical trial as a consolidation therapy for patients with limited-stage small cell lung cancer. It is being tested to see if it can help improve survival rates and delay the progression of the disease after patients have received chemoradiotherapy.

Tifcemalimab (JS004/TAB004) is another medication involved in the trial. It is being combined with toripalimab to evaluate if the combination can provide better outcomes for patients with limited-stage small cell lung cancer. The study aims to determine if this combination can enhance overall survival and progression-free survival compared to other treatments.

Limited-stage small cell lung cancer (LS-SCLC) – This is a type of lung cancer characterized by the presence of small, round cancer cells that grow rapidly. It is termed “limited-stage” when the cancer is confined to one side of the chest and can be treated with a single radiation field. The disease often begins in the bronchi, which are the main airways of the lungs, and can quickly spread to nearby lymph nodes. LS-SCLC is known for its aggressive nature and rapid progression, often leading to symptoms such as coughing, chest pain, and difficulty breathing. The disease is typically diagnosed through imaging tests and biopsies, which reveal the small, oval-shaped cancer cells. As the disease progresses, it may spread to other parts of the body, including the brain, liver, and bones.

Trial ID:
2023-507097-41-01
Protocol code:
JS004-008-III-SCLC
Trial Phase:
Therapeutic confirmatory (Phase III)

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