NCT04063163

Brief Summary

This is a randomized, double-blind, multicenter, phase III clinical study to compare the clinical efficacy and safety of HLX10+ Chemotherapy vs placebo+Chemotherapy in Previously Untreated Patients with Extensive Stage Small Cell Lung Cancer. Eligible subjects in this study will be randomized to Arm A or Arm B at 2:1 ratio as follows: Arm A (HLX10 arm): HLX10 + chemotherapy (Carboplatin-Etoposide) ; Arm B (placebo arm): Placebo + chemotherapy (Carboplatin-Etoposide); The three stratification factors for randomization include: PD-L1 expression level (negative, positive, not available), Brain metastasis (yes versus no), Age (≥ 65 years versus \< 65 years)

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
585

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Sep 2019

Longer than P75 for phase_3

Geographic Reach
5 countries

5 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 17, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 21, 2019

Completed
22 days until next milestone

Study Start

First participant enrolled

September 12, 2019

Completed
4.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 7, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 7, 2024

Completed
1.6 years until next milestone

Results Posted

Study results publicly available

December 9, 2025

Completed
Last Updated

December 9, 2025

Status Verified

December 1, 2025

Enrollment Period

4.7 years

First QC Date

August 17, 2019

Results QC Date

April 9, 2025

Last Update Submit

December 7, 2025

Conditions

Keywords

Extensive StageSmall Cell Lung CancerAnti-PD-1 Monoclonal Antibody

Outcome Measures

Primary Outcomes (1)

  • OS

    Overall survival (OS)

    The period from randomization through death regardless of causality (up to approximately 56 months)

Secondary Outcomes (3)

  • Progression Free Survival (PFS) Assessed by IRRC According to RECIST 1.1

    From randomization initiation to the first documentation of PD or death regardless of causality, whichever occurs first (up to approximately 56 months).

  • Objective Response Rate

    From baseline until PR or CR, whichever occurs first (up to approximately 56 months)

  • Duration of Response

    From the first documentation of response (CR or PR) through the first documentation of PD or death, whichever occurs first (up to approximately 56 months).

Study Arms (2)

A

EXPERIMENTAL

HLX 10+chemotherapy (Carboplatin-Etoposide)

Drug: HLX10Drug: carboplatin and etoposide

B

PLACEBO COMPARATOR

Placebo+chemotherapy (Carboplatin-Etoposide)

Drug: carboplatin and etoposideDrug: placebo

Interventions

HLX10DRUG

HLX10 is an innovative monoclonal antibody targeting PD-1,developed by Shanghai Henlius Biotech, Inc.

A

chemotherapeutics

AB

placebo

B

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically diagnosed with ES-SCLC (according to the Veterans Administration Lung Study Group staging system).
  • No prior systemic therapy for ES-SCLC
  • Major organs are functioning well
  • Participant must keep contraception

You may not qualify if:

  • Histologically or cytologically confirmed mixed SCLC.
  • Known history of severe allergy to any monoclonal antibody.
  • Known hypersensitivity to carboplatin or etoposide.
  • Pregnant or breastfeeding females.
  • Patients with a known history of psychotropic drug abuse or drug addiction.
  • Patients who have other factors that could lead to the early termination of this study based on the investigator's judgment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Institute for Personalized Medicine

Tbilisi, Georgia

Location

Wojew. Wielospecjalistyczne Centrum Onkologii i Traumatologi

Lodz, Poland

Location

Arkhangelsk Clinical Oncology Dispensary

Arkhangelsk, Russia

Location

Medipol Mega Hospital

Istanbul, Turkey (Türkiye)

Location

Komunalnyi zaklad Miska bahato

Dnipropetrovsk, Ukraine

Location

Related Publications (3)

  • Wang K, Shen Y, Hu C, Xu F, Wang Q, Gao Y, Zhou L. Population Pharmacokinetics and Exposure-Response Analysis of Serplulimab in Small Cell Lung Cancer Patients. Clin Transl Sci. 2025 Sep;18(9):e70322. doi: 10.1111/cts.70322.

  • Zhu Y, Liu K, Qin Q, Zhu H. Serplulimab plus chemotherapy as first-line treatment for extensive-stage small-cell lung cancer: A cost-effectiveness analysis. Front Immunol. 2023 Jan 4;13:1044678. doi: 10.3389/fimmu.2022.1044678. eCollection 2022.

  • Cheng Y, Han L, Wu L, Chen J, Sun H, Wen G, Ji Y, Dvorkin M, Shi J, Pan Z, Shi J, Wang X, Bai Y, Melkadze T, Pan Y, Min X, Viguro M, Li X, Zhao Y, Yang J, Makharadze T, Arkania E, Kang W, Wang Q, Zhu J; ASTRUM-005 Study Group. Effect of First-Line Serplulimab vs Placebo Added to Chemotherapy on Survival in Patients With Extensive-Stage Small Cell Lung Cancer: The ASTRUM-005 Randomized Clinical Trial. JAMA. 2022 Sep 27;328(12):1223-1232. doi: 10.1001/jama.2022.16464.

Related Links

MeSH Terms

Conditions

Small Cell Lung Carcinoma

Interventions

CarboplatinEtoposide

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Coordination ComplexesOrganic ChemicalsPodophyllotoxinTetrahydronaphthalenesNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPolycyclic CompoundsGlucosidesGlycosidesCarbohydrates

Results Point of Contact

Title
Fan Zhang
Organization
ShanghaiHenliusBiotech

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 17, 2019

First Posted

August 21, 2019

Study Start

September 12, 2019

Primary Completion

May 7, 2024

Study Completion

May 7, 2024

Last Updated

December 9, 2025

Results First Posted

December 9, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Locations