Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT04429087

A Study to Test Different Doses of Obrixtamig in Patients With Small Cell Lung Cancer and Other Neuroendocrine Tumours That Are Positive for DLL3

Led by Boehringer Ingelheim · Updated on 2026-05-12

300

Participants Needed

12

Research Sites

341 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study is open to adults with small cell lung cancer and other neuroendocrine cancers that are positive for the tumour marker delta-like 3 (DLL3). The study is in people with advanced cancer for whom previous treatment was not successful or no standard treatment exists. The purpose of this study is to find out the highest dose of obrixtamig and the best treatment schedule that people can tolerate. Obrixtamig is an antibody-like molecule (DLL3/CD3 bispecific) that may help the immune system fight cancer. In this study, obrixtamig is given to people for the first time. Interim clinical data are available for obrixtamig. Participants get obrixtamig either weekly or once every 3 weeks. If there is benefit for the participants and if they can tolerate it, the treatment is given for a maximum of 3 years. During this time, participants visit the study site about 20 times depending on the response to the treatment. Doctors record any unwanted effects and regularly check the general health of the participants.

CONDITIONS

Official Title

A Study to Test Different Doses of Obrixtamig in Patients With Small Cell Lung Cancer and Other Neuroendocrine Tumours That Are Positive for DLL3

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent before any study procedures
  • Diagnosis of locally advanced or metastatic cancer of the following types: small cell lung carcinoma, large cell neuroendocrine lung carcinoma, neuroendocrine carcinoma or small cell carcinoma of any origin
  • Tumor tests positive for DLL3 expression verified by central pathology
  • Mixed tumors eligible if neuroendocrine/small cell component is predominant and at least 50% of tumor tissue
  • For back-fill groups, agreement to provide mandatory pre-treatment and on-treatment fresh tumor biopsies
  • Failed or not eligible for standard treatments including at least one chemotherapy line with platinum for small cell carcinoma
  • Eastern Cooperative Oncology Group performance status of 0 or 1
  • At least one measurable tumor lesion outside the central nervous system
  • Patients with brain metastases eligible if radiotherapy or surgery completed at least 2 weeks before treatment, off steroids for at least 7 days, and stable or no anti-epileptic drugs for malignant CNS disease
  • Adequate liver, bone marrow, and kidney function
Not Eligible

You will not qualify if you...

  • Prior treatment with T cell Engager or cell therapies targeting DLL3
  • Anticoagulant treatment that cannot be safely stopped if medically needed
  • Ongoing toxicities from previous treatments not resolved to mild or better except specific controlled conditions
  • Diagnosis of immunodeficiency or recent systemic steroid or immunosuppressive therapy within 7 days before first dose
  • Anti-cancer therapy within 3 weeks or 5 half-lives prior to first dose
  • Extensive field radiotherapy including whole brain irradiation within 2 weeks before first dose
  • Other active cancers that could interfere with prognosis or treatment
  • Major surgery within 28 days before first dose
  • Pregnant, breastfeeding, or planning pregnancy during or shortly after study
  • Infection requiring systemic antimicrobial treatment within 7 days before first dose or clinical signs of infection within 48 hours prior to dosing
  • Additional exclusion criteria apply

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

Winship Cancer Institute

Atlanta, Georgia, United States, 30322

Actively Recruiting

2

University of Maryland School of Medicine

Baltimore, Maryland, United States, 21201

Actively Recruiting

3

Washington University School of Medicine

St Louis, Missouri, United States, 63108

Actively Recruiting

4

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States, 15232

Completed

5

Universitätsklinikum Köln (AöR)

Cologne, Germany, 50937

Completed

6

Technische Universität Dresden

Dresden, Germany, 01307

Actively Recruiting

7

Universitätsklinikum Würzburg AÖR

Würzburg, Germany, 97078

Actively Recruiting

8

National Cancer Center Hospital East

Chiba, Kashiwa, Japan, 277-8577

Actively Recruiting

9

Hospital del Mar

Barcelona, Spain, 08003

Actively Recruiting

10

Hospital Universitari Vall d'Hebron

Barcelona, Spain, 08035

Actively Recruiting

11

Clínica Universidad de Navarra

Pamplona, Spain, 31008

Actively Recruiting

12

Hospital Clinico Universitario de Valencia

Valencia, Spain, 46010

Actively Recruiting

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Research Team

B

Boehringer Ingelheim

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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