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NCT Number: NCT07625644

BL-M14D1 Plus Atezolizumab vs Standard of Care in First-Line Extensive-Stage Small Cell Lung Cancer (BrenDeLL-Lung01)

The objective of the study is to evaluate the efficacy and safety of BL-M14D1 in combination with Atezolizumab compared to Standard-of-Care Therapy in adult participants with previously untreated extensive-stage small cell lung cancer (ES-SCLC).

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Key information

About this study

This study is a Global Phase 3, open-label, multicenter study designed to evaluate the efficacy and safety of BL-M14D1 in combination with atezolizumab compared with standard-of-care therapy in adult participants with previously untreated extensive-stage small cell lung cancer (ES-SCLC). Standard-of-care therapy consists of carboplatin plus etoposide chemotherapy and atezolizumab, followed by maintenance treatment with atezolizumab with or without lurbinectedin.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Histologically or cytologically confirmed first-line (1L), extensive-stage (ES) small cell lung cancer (SCLC)
  • Must be eligible to receive a platinum-based chemotherapy regimen in combination with an anti-PD-L1 inhibitor.
  • At least one measurable lesion based on RECIST v1.1 per investigator assessment.
  • An Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 to 1.
  • Adequate organ function

Exclusion criteria

  • Received any kind of platinum or etoposide treatment for limited stage (LS) SCLC within 6 months prior to enrollment.
  • Participants who have received prior topoisomerase inhibitor-based ADC therapy.
  • Participants with history of severe heart disease
  • Participants with active autoimmune diseases and inflammatory diseases,
  • Participants with other prior or concurrent malignancies except for basal cell carcinoma of the skin, squamous cell carcinoma of the skin and/or carcinoma in situ after adequate resection, or other malignancy treated with curative intent with a disease-free interval of at least 3 years
  • Other protocol-defined inclusion/exclusion criteria apply.

Treatment and study plan

BL-M14D1 and Atezolizumab

Drug

BL-M14D1 administered in combination with atezolizumab. BL-M14D1 will be given intravenously at the protocol-specified dose and schedule. Atezolizumab will be administered intravenously according to the approved dosing regimen.

Other names: BL-M14D1, Atezolizumab

Carboplatin+ Etoposide + Atezolizumab followed by Atezolizumab and Lurbinectedin

Drug

Carboplatin and etoposide will be administered intravenously in combination with atezolizumab for induction therapy, followed by maintenance treatment with atezolizumab with or without lurbinectedin per protocol.

Other names: Etoposide, Atezolizumab, Lurbinectedin, Carboplatin

Primary outcomes

  1. Progression-Free Survival (PFS) per Blinded Independent Central Review (BICR)

    Time frame: Up to approximately 2 years

    Progression-free survival (PFS) is defined as the time from randomization to the first documented disease progression, as assessed by blinded independent central review (BICR) according to RECIST v1.1, or death from any cause, whichever occurs first.

Secondary outcomes

  1. Overall Survival (OS)

    Time frame: Up to approximately 2 years

    Overall survival (OS) is defined as the time from randomization to death from any cause.

  2. Participants with Serious Adverse Events (SAEs)

    Time frame: Up to approximately 5 years

    Measuring the number of participants with serious adverse events (SAEs)

  3. Participants with treatment-emergent adverse events (TEAEs)

    Time frame: Up to approximately 5 years

    Measuring the number of participants with Treatment-emergent adverse events (TEAEs) leading to discontinuation

  4. Evaluate the safety of BL-M14D1 in combination with atezolizumab

    Time frame: Up to approximately 5 years

    Death

  5. Participants with abnormal lab results

    Time frame: Up to approximately 5 years

    Measure number of participants with abnormal laboratory results

  6. To compare and quantify the impact of BL-M14D1 in combination with atezolizumab on participants' quality of life and functional status

    Time frame: Up to 5 years

    Participant Reported Outcome (PRO) using 2 European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires (QLQ)

  7. Overall Response Rate (ORR)

    Time frame: Up to 5 years

    To assess the clinical efficacy of BL-M14D1 as measured by ORR using RECIST criteria v 1.1 per BICR and investigator

  8. Disease Control Rate (DCR)

    Time frame: Up to 5 years

    To assess the clinical efficacy of BL-M14D1 as measured by DCR using RECIST criteria v 1.1 per BICR and investigator

  9. Duration Of Response (DOR)

    Time frame: Up to 5 years

    To assess the clinical efficacy of BL-M14D1 as measured by DOR using RECIST criteria v 1.1 per BICR and investigator or death from any cause, whichever occur first

  10. Time To Response (TTR)

    Time frame: Up to 5 years

    To assess the clinical efficacy of BL-M14D1 as measured by TTR using RECIST criteria v 1.1 per BICR and investigator

  11. Progression Free Survival (PFS)

    Time frame: Up to 5 years

    To assess the clinical efficacy of BL-M14D1 as measured by PFS using RECIST criteria v 1.1 by investigator or death from any cause, whichever occurs first

Study contacts

Contact information is provided by the study sponsor or research team.

Beth Metzheiser

CONTACT

[email protected]

425-453-6841

Sponsors and collaborators

Lead sponsor

SystImmune Inc.

Industry

Registry information

Official study title

A Phase 3 Open-Label, Randomized Controlled Trial of BL-M14D1 and Atezolizumab vs. Standard-of-Care Therapy in Patients With First-Line Extensive-Stage Small Cell Lung Cancer

Important dates

Study start
2026
Primary completion
2030
Study completion
2031
First posted
Jun 4, 2026
Registry last updated
Jul 16, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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