NCT07407933

Brief Summary

This is a phase Ib/II, multicenter, open-label study of YL201 combined with atezolizumab. The study will include 2 parts. Part 1 of the study is a dose escalation in participants with previously untreated ES-SCLC to determine the safety and tolerability of YL201 in combination with fixed dose of atezolizumab. The planned dose levels of YL201 are 1.2 mg/kg, 1.6 mg/kg and 2.0 mg/kg. Part 2 consists of a dose optimization stage followed by a dose expansion stage. During the dose optimization stage, participants will be randomized 1:1:1 to receive either YL201 at 1.2 mg/kg,1.6 mg/kg or 2.0 mg/kg Q3W in combination with fixed dose of atezolizumab. The decision to initiate the dose expansion stage in Part 2 and choose one or two of the YL201 dose level(s) will be based on the review of safety, PK, and efficacy from the dose optimization stage. Treatment will continue until disease progression, unacceptable toxicity, or withdraw of consent.

Trial Health

83
On Track

Trial Health Score

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

Enrollment
118

participants targeted

Target at P75+ for phase_1

Timeline
31mo left

Started Mar 2026

Typical duration for phase_1

Geographic Reach
7 countries

22 active sites

Status
recruiting

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

Study Progress12%
Mar 2026Feb 2029

First Submitted

Initial submission to the registry

February 6, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

February 12, 2026

Completed
2 months until next milestone

Study Start

First participant enrolled

March 31, 2026

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2028

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2029

Last Updated

June 15, 2026

Status Verified

June 1, 2026

Enrollment Period

2.6 years

First QC Date

February 6, 2026

Last Update Submit

June 11, 2026

Conditions

Keywords

Small cell lung cancer, Antibody drug conjugate, YL201, atezolizumab

Outcome Measures

Primary Outcomes (2)

  • Nature and Frequency with Dose-Limiting Toxicities (DLTs)

    21 days

  • Adverse Events

    Incidence, nature, and severity of AEs graded according to the NCI CTCAE v5

    First dose of study treatment up to disease progression or death from any cause (up to approximately 6 years)

Secondary Outcomes (9)

  • ORR

    Up to approximately 3 years

  • DOR

    Up to approximately 3 years

  • PFS

    Up to approximately 3 years

  • OS

    Up to approximately 3 years

  • AUC

    Up to approximately 3 years

  • +4 more secondary outcomes

Study Arms (3)

YL201 1.2mg/kg in combination with atezolizumab 1200mg Q3W

EXPERIMENTAL
Drug: YL201Drug: Atezolizumab

YL201 1.6mg/kg in combination with atezolizumab 1200mg Q3W

EXPERIMENTAL
Drug: YL201Drug: Atezolizumab

YL201 2.0mg/kg in combination with atezolizumab 1200mg Q3W

EXPERIMENTAL
Drug: YL201Drug: Atezolizumab

Interventions

YL201DRUG

YL201 intravenous infusion will be administered on Day 1 of each 21-day cycle.

YL201 1.2mg/kg in combination with atezolizumab 1200mg Q3WYL201 1.6mg/kg in combination with atezolizumab 1200mg Q3WYL201 2.0mg/kg in combination with atezolizumab 1200mg Q3W

Atezolizumab intravenous infusion will be administered at a dose of 1200 mg on Day 1 of each 21-day cycle

YL201 1.2mg/kg in combination with atezolizumab 1200mg Q3WYL201 1.6mg/kg in combination with atezolizumab 1200mg Q3WYL201 2.0mg/kg in combination with atezolizumab 1200mg Q3W

Eligibility Criteria

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

You may qualify if:

  • years of age or older. 2. Histologically or cytologically confirmed diagnosis of ES-SCLC 3. Eastern Cooperative Oncology Group performance status of 0 or 1 4. Adequate hematologic and end-organ function

You may not qualify if:

  • No prior systemic anti-cancer treatment for ES-SCLC
  • No prior treatment targeting B7H3 or topoisomerase I inhibitor
  • No clinically active brain metastases or spinal cord compression
  • No current or history of interstitial lung disease (ILD)/ pneumonitis
  • No clinically significant cardiovascular disease (eg, New York Heart Association class II to IV congestive heart failure)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (22)

Site 1001

Washington D.C., District of Columbia, 20057, United States

NOT YET RECRUITING

Site 1004

Louisville, Kentucky, 40202, United States

RECRUITING

Site 1005

Houston, Texas, 77030, United States

RECRUITING

Site 1002

Fairfax, Virginia, 22031, United States

RECRUITING

Site 1201

Namur, 5000, Belgium

RECRUITING

Site 1703

Meldola, 47014, Italy

RECRUITING

Site 1702

Ravenna, 48121, Italy

RECRUITING

Site 1802

Otwock, 05-400, Poland

RECRUITING

Site 1804

Poznan, 60-569, Poland

RECRUITING

Site 1801

Przemyśl, 37-700, Poland

RECRUITING

Site 1901

Craiova, 109, Romania

RECRUITING

Site 2013

Badajoz, 06080, Spain

RECRUITING

Site 2014

Barcelona, 08017, Spain

RECRUITING

Site 2003

Barcelona, 08023, Spain

RECRUITING

Site 2002

Madrid, 28034, Spain

RECRUITING

Site 2005

Madrid, 28040, Spain

RECRUITING

Site 2004

Madrid, 28223, Spain

RECRUITING

Site 2011

Madrid, 28850, Spain

RECRUITING

Site 2010

Manresa, 08242, Spain

RECRUITING

Site 2009

Valencia, 46010, Spain

RECRUITING

Site 2015

Valencia, 46026, Spain

RECRUITING

Site 2201

London, W12 0HS, United Kingdom

RECRUITING

MeSH Terms

Conditions

Thoracic NeoplasmsLung DiseasesSmall Cell Lung Carcinoma

Interventions

atezolizumab

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsRespiratory Tract DiseasesCarcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract Neoplasms

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 6, 2026

First Posted

February 12, 2026

Study Start

March 31, 2026

Primary Completion (Estimated)

November 1, 2028

Study Completion (Estimated)

February 1, 2029

Last Updated

June 15, 2026

Record last verified: 2026-06

Data Sharing

IPD Sharing
Will not share

Locations