Small Cell Lung Cancer Clinical Trials (April 2026): Find SCLC Trials
Last updated: April 19, 2026
Current Clinical Trial Landscape
Active research areas in 2026:
- Tarlatamab (DLL3×CD3 bispecific) — FDA-approved 2L, now testing in 1L combination (DeLLphi-304: OS 13.6 vs 8.3 months)
- Lurbinectedin + atezolizumab maintenance after induction (IMforte: 46% lower progression risk)
- DLL3-targeted ADCs and next-gen bispecifics
- Bispecific ADCs (iza-bren + serplulimab: 88.3% ORR at ELCC 2026)
- Consolidation immunotherapy after chemoradiation for limited-stage
Standard of care: Limited-stage: concurrent chemoRT (cisplatin/etoposide + RT) ± PCI. Extensive-stage: platinum/etoposide + atezolizumab or durvalumab (first-line). Second-line: tarlatamab (DLL3-targeting), lurbinectedin, or topotecan.
Recruiting Trials by Treatment Setting
Limited-Stage SCLC
Chemoradiation is standard. Trials test immunotherapy additions and adjuvant strategies:
- Consolidation/adjuvant immunotherapy:
- NCT06117774 - Tarlatamab after chemoradiation in limited-stage SCLC (Phase 3)
- NCT04267848 - Immunotherapy added to usual chemo+RT for LS-SCLC (Phase 3)
- NCT04402788 - RT added to atezolizumab maintenance after chemo in LS-SCLC (Phase 3)
- Adjuvant after surgery:
- NCT06498635 - Immunotherapy after surgery for pathologic CR in SCLC (Phase 3)
- NCT06931717 - Adjuvant cemiplimab after surgery for SCLC (Phase 3)
Extensive-Stage SCLC — First-Line
Platinum/etoposide + IO is standard. Trials test new combos and additions:
- Tarlatamab combinations:
- NCT07005128 - Tarlatamab + durvalumab + carboplatin + etoposide vs durvalumab + carbo/etop (Phase 3)
- Novel IO combinations:
- NCT06712316 - BNT327 + chemo + atezolizumab or durvalumab for ES-SCLC (Phase 3)
- NCT06312137 - Pembrolizumab ± sacituzumab tirumotecan (ADC) for ES-SCLC (Phase 3)
- NCT06096844 - Chemo + IO vs IO alone for older adults with ES-SCLC (Phase 3)
Extensive-Stage — Second-Line and Beyond
After first-line failure, tarlatamab and lurbinectedin are established. Novel DLL3-targeted agents and ADCs are in trials:
- DLL3-targeting:
- NCT07005102 - Telisotuzumab vedotin (DLL3 ADC) for previously treated SCLC (Phase 3)
- Other novel agents:
- NCT06452277 - Sevabertinib vs topotecan in previously treated SCLC (Phase 3)
- NCT06745908 - N-803 + tislelizumab + docetaxel vs docetaxel alone (Phase 3)
Brain Metastases
Brain mets are common in SCLC. Trials testing focused approaches:
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- NCT05317858 - Blood-brain barrier opening using focused ultrasound + standard treatment (Phase 3)
Showing selected notable trials. View all recruiting SCLC interventional trials on ClinicalTrials.gov.
Frequently Asked Questions
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There are hundreds of recruiting interventional trials for SCLC including tarlatamab (DLL3 bispecific), lurbinectedin combinations, checkpoint immunotherapy with chemo, DLL3-targeted ADCs, and consolidation immunotherapy after chemoradiation.
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