Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT05623319

Pembrolizumab and Olaparib Treatment of Extensive Small Cell Lung Cancer (ES-SCLC)

Led by Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS · Updated on 2025-06-24

60

Participants Needed

12

Research Sites

222 weeks

Total Duration

On this page

Sponsors

I

Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS

Lead Sponsor

M

Merck Sharp & Dohme LLC

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is an open-label, single arm, phase 2 trial enrolling patients with untreated Extensive-Stage Small-Cell Lung Cancer (ES SCLC), with a strong translational attitude.

CONDITIONS

Official Title

Pembrolizumab and Olaparib Treatment of Extensive Small Cell Lung Cancer (ES-SCLC)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Provide written informed consent for the trial.
  • Male or female aged 18 years or older at the time of consent.
  • Confirmed diagnosis of extensive-stage small-cell lung cancer (Stage IV).
  • Ability to provide a tissue sample from a recent biopsy within 6 weeks prior to study entry.
  • No prior systemic treatment for extensive-stage small-cell lung cancer.
  • Patients with prior chemo-radiotherapy for limited-stage SCLC must have a treatment-free interval of at least 6 months.
  • Patients requiring thoracic radiotherapy can enroll if radiotherapy starts no earlier than 15 days after experimental treatment begins.
  • Presence of target lesions measurable by RECIST 1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Patients with paraneoplastic syndromes allowed if autoimmune origin is excluded.
  • Life expectancy of at least 12 weeks.
  • Ability to swallow medication.
  • Ability to comply with study procedures.
  • Adequate organ function confirmed by tests within 10 days prior to registration.
  • Negative HIV test at screening.
  • Negative total hepatitis B core antibody test or negative hepatitis B virus DNA test if positive.
  • Negative hepatitis C virus antibody test or negative HCV RNA test if positive.
  • Male patients must use condoms during treatment and for 3 months after last dose when having sex with pregnant women or women of childbearing potential, and female partners should use effective contraception.
  • Female patients must not be pregnant or breastfeeding and either not be of childbearing potential or agree to contraception during treatment and for 120 days after last dose.
Not Eligible

You will not qualify if you...

  • Known active central nervous system metastases or carcinomatous meningitis, unless previously treated and stable for at least 4 weeks without steroids.
  • Active or recent (within 2 years) autoimmune disease or immune deficiency requiring systemic treatment, with some exceptions for controlled hypothyroidism, type 1 diabetes, and certain mild skin conditions.
  • History of lung diseases like idiopathic pulmonary fibrosis or pneumonitis, or active pneumonitis on screening.
  • Radiotherapy within 2 weeks before starting study treatment.
  • Live vaccines within 30 days before starting treatment.
  • Uncontrolled cardiac conditions or significant cardiovascular disease within 3 months prior to treatment.
  • Major surgery within 4 weeks before starting treatment or planned during the study.
  • History of other malignancies within 3 years, except certain low-risk cancers.
  • History or current pneumonitis requiring steroids.
  • Active infections needing systemic therapy.
  • Known active tuberculosis.
  • Use of investigational therapy within 28 days before starting treatment.
  • Prior treatment with agents targeting certain immune receptors or PARP inhibitors.
  • Use of strong or moderate CYP3A inhibitors or inducers without appropriate washout periods.
  • Severe allergies to pembrolizumab, olaparib, carboplatin, etoposide, or related substances.
  • Psychiatric or substance abuse disorders interfering with study participation.
  • Pregnant, breastfeeding, or planning to conceive or father children during the study and for 120 days after last dose.
  • History of allogenic tissue or solid organ transplant.
  • Positive pregnancy test within 72 hours prior to registration for women of childbearing potential.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 12 locations

1

UO Oncologia Medica, IRST IRCCS

Meldola, Forlì Cesena, Italy, 47014

Actively Recruiting

2

Ospedale San Gerardo - ASST Monza

Monza, Monza E Brianza, Italy, 20900

Actively Recruiting

3

Azienda Ospedaliera Ospedali Riuniti Marche Nord

Pesaro, Pesaro Urbino, Italy, 61121

Actively Recruiting

4

IRCCS Istituto Tumori Giovanni Paolo II

Bari, Italy, 70124

Actively Recruiting

5

UO Oncologia, IRCCS Ospedale Sant'Orsola, AUSL Bologna

Bologna, Italy, 40138

Actively Recruiting

6

IRCCS Istituto Nazionale Tumori Fondazione "G. Pascale"

Naples, Italy, 80131

Actively Recruiting

7

Istituto Oncologico Veneto IRCCS

Padova, Italy, 35128

Actively Recruiting

8

Azienda USL della Romagna - Osp. Santa Maria delle Croci

Ravenna, Italy, 48121

Active, Not Recruiting

9

A.O. Arcispedale S. Maria Nuova IRCCS di Reggio Emilia

Reggio Emilia, Italy

Actively Recruiting

10

Azienda USL della Romagna - Osp. "Infermi" di Rimini

Rimini, Italy, 47923

Active, Not Recruiting

11

Istituti Fisioterapici Ospitalieri - IFO -Ospedale Regina Elena

Roma, Italy, 00128

Actively Recruiting

12

ASST dei Sette Laghi - Osp. di Circolo e Fondazione Macchi

Varese, Italy, 21100

Active, Not Recruiting

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Research Team

O

Oriana Nanni

CONTACT

B

Bernadette Vertogen

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Pembrolizumab and Olaparib Treatment of Extensive Small Cell Lung Cancer (ES-SCLC) | DecenTrialz