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NCT04560972

LB-100, Carboplatin, Etoposide, and Atezolizumab for the Treatment of Untreated Extensive-Stage Small Cell Lung Cancer

Active, enrolled Phase 1 Last updated 7 April 2026
What this trial tests

Phase 1 trial testing Atezolizumab in Extensive Stage Lung Small Cell Carcinoma in 3 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
28 May 2021
Primary endpoint
27 January 2027
27 January 2027

Quick facts

Lead sponsorCity of Hope Medical Center
PhasePhase 1
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment3
Start date28 May 2021
Primary completion27 January 2027
Estimated completion27 January 2027
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

City of Hope Medical Center

Who can join

18 and older, any sex, with Extensive Stage Lung Small Cell Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This phase Ib trial studies the side effects and best dose of LB-100 when given together with carboplatin, etoposide, and atezolizumab for the treatment of untreated extensive-stage small cell lung cancer. Drugs such as carboplatin and etoposide work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Immunotherapy with monoclonal antibodies, such as atezolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. LB-100 has been shown to make anticancer drugs (chemotherapy) work better at killing cancer. LB-100 blocks a protein on the surface of cells called PP2A. Blocking this protein makes the tumor cells that express PP2A divide. This allows standard chemotherapy drugs such as carboplatin, etoposide, and atezolizumab work better at killing the tumor cells since these drugs work best at destroying cells that are dividing. Giving LB-100 in combination with standard chemotherapy drugs may work better to treat extensive-stage small cell lung cancer compared to standard chemotherapy drugs alone.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Therapeutic targeting of "undruggable" MYC.
    Llombart V, Mansour MR. · · 2022 · cited 349× · PMID 34942444 · DOI 10.1016/j.ebiom.2021.103756
  2. Targeting protein phosphatases in cancer immunotherapy and autoimmune disorders.
    Stanford SM, Bottini N. · · 2023 · cited 80× · PMID 36693907 · DOI 10.1038/s41573-022-00618-w
  3. PP2Ac Deficiency Enhances Tumor Immunogenicity by Activating STING-Type I Interferon Signaling in Glioblastoma.
    Mondal I, Das O, Sun R, Gao J, et al · · 2023 · cited 36× · PMID 37219874 · DOI 10.1158/0008-5472.can-22-3382
  4. Paradoxical Activation of Oncogenic Signaling as a Cancer Treatment Strategy.
    Dias MH, Friskes A, Wang S, Fernandes Neto JM, et al · · 2024 · cited 35× · PMID 38533987 · DOI 10.1158/2159-8290.cd-23-0216
  5. Targeting PP2A for cancer therapeutic modulation.
    Ronk H, Rosenblum JS, Kung T, Zhuang Z. · · 2022 · cited 35× · PMID 36342229 · DOI 10.20892/j.issn.2095-3941.2022.0330
  6. PP2A and cancer epigenetics: a therapeutic opportunity waiting to happen.
    Tinsley SL, Allen-Petersen BL. · · 2022 · cited 20× · PMID 35118387 · DOI 10.1093/narcan/zcac002
  7. The phosphatase inhibitor LB-100 creates neoantigens in colon cancer cells through perturbation of mRNA splicing.
    Dias MH, Liudkovska V, Montenegro Navarro J, Giebel L, et al · · 2024 · cited 15× · PMID 38600345 · DOI 10.1038/s44319-024-00128-3
  8. Protein phosphatases regulate the liver microenvironment in the development of hepatocellular carcinoma.
    Yoon JS, Lee CW. · · 2022 · cited 10× · PMID 36380016 · DOI 10.1038/s12276-022-00883-0

Verify or expand the search:

Other trials of Atezolizumab

Trials testing the same drug.

Other recruiting trials for Extensive Stage Lung Small Cell Carcinoma

Currently open trials in the same condition.

Other City of Hope Medical Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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