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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
118
YL201 intravenous infusion will be administered on Day 1 of each 21-day cycle.
Atezolizumab intravenous infusion will be administered at a dose of 1200 mg on Day 1 of each 21-day cycle
Georgetown University Medical Center
Washington D.C., District of Columbia, United States
Nature and Frequency with Dose-Limiting Toxicities (DLTs)
Time frame: 21 days
Adverse Events
Incidence, nature, and severity of AEs graded according to the NCI CTCAE v5
Time frame: First dose of study treatment up to disease progression or death from any cause (up to approximately 6 years)
ORR
Time frame: Up to approximately 3 years
DOR
Time frame: Up to approximately 3 years
PFS
Time frame: Up to approximately 3 years
OS
Time frame: Up to approximately 3 years
AUC
Time frame: Up to approximately 3 years
CL
Time frame: Up to approximately 3 years
Vss
Time frame: Up to approximately 3 years
t1/2
Time frame: Up to approximately 3 years
Cmax
Time frame: Up to approximately 3 years
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