Treatment Updates for Small Cell Lung Cancer

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Saiama N. Waqar
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For more than 40 years, platinum and etoposide induction has been used as first-line treatment for both limited-stage and extensive-stage small cell lung cancer (SCLC), with initially slow progress in the development of novel systemic therapies. However, during the past few years, newer agents have emerged to alter the therapeutic scene in SCLC. These agents include several immunotherapies, selective inhibitors of oncogenic transcription, DLL3-targeting T-cell engagers such as FDA-approved tarlatamab, and antibody–drug conjugates. Results of ongoing studies of these agents may further refine the future treatment of SCLC.

Disclosures: Dr. Waqar has disclosed receiving grant/research support to the institution from AbbVie Inc., Advenchen, AstraZeneca Pharmaceuticals LP, Elevation Oncology, Genentech, Inc., Gilead Sciences, Inc., Janssen Pharmaceuticals, Regeneron Pharmaceuticals, and Takeda Pharmaceuticals North America, Inc.; and receiving consulting/advisory board fees from AstraZeneca Pharmaceuticals LP, Boehringer Ingelheim, Daiichi Sankyo Company, Gilead Sciences, Inc., Janssen Pharmaceuticals, and Pfizer Inc.

Correspondence: Saiama N. Waqar, MD, MSCI, Washington University School of Medicine, Division of Oncology, 660 South Euclid Avenue, Mail Stop 8056-0029-11, St. Louis, MO 63110. Email: saiamawaqar@wustl.edu
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  • 1.

    Cittolin-Santos GF, Knapp B, Ganesh B, et al. The changing landscape of small cell lung cancer. Cancer 2024;130:24532461.

  • 2.

    Wagner AH, Devarakonda S, Skidmore ZL, et al. Recurrent WNT pathway alterations are frequent in relapsed small cell lung cancer. Nat Commun 2018;9:3787.

  • 3.

    Horn L, Mansfield AS, Szczęsna A, et al. First-line atezolizumab plus chemotherapy in extensive-stage small-cell lung cancer. N Engl J Med 2018;379:22202229.

  • 4.

    Paz-Ares L, Dvorkin M, Chen Y, et al. Durvalumab plus platinum-etoposide versus platinum-etoposide in first-line treatment of extensive-stage small-cell lung cancer (CASPIAN): a randomised, controlled, open-label, phase 3 trial. Lancet 2019;394:19291939.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Cheng Y, Spigel DR, Cho BC, et al. Durvalumab after chemoradiotherapy in limited-stage small-cell lung cancer. N Engl J Med 2024;391:13131327.

  • 6.

    Higgins K, Hu C, Ross HJ, et al. Concurrent chemoradiation +/- atezolizumab in limited-stage small cell lung cancer: results of NRG Oncology/Alliance LU005. Presented at 2024 ASTRO Annual Meeting; September 19–October 2, 2024; Washington, DC. Abstract LBA 02.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Ganti AKP, Loo BW Jr, Badiyan S, et al. NCCN Clinical Practice Guidelines in Oncology: Small Cell Lung Cancer. Version 4.2025. Accessed March 31, 2025. To view the most recent version, visit https://www.nccn.org

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Pietanza MC, Waqar SN, Krug LM, et al. Randomized, double-blind, phase II study of temozolomide in combination with either veliparib or placebo in patients with relapsed-sensitive or refractory small-cell lung cancer. J Clin Oncol 2018;36:23862394.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Karim NA, Miao J, Reckamp KL, et al. Phase II randomized study of maintenance atezolizumab versus atezolizumab plus talazoparib in patients with SLFN11 positive extensive-stage SCLC: S1929. J Thorac Oncol 2019;20:383394.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Paz-Ares L, Reck M, Peters S, et al. EP14.01-015 IMforte: a phase III study of lurbinectedin and atezolizumab versus atezolizumab as maintenance therapy in ES-SCLC. J Thorac Oncol 2022;17(Suppl):S532533.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Jazz Pharmaceuticals. Jazz Pharmaceuticals announces statistically significant overall survival and progression-free survival results for Zepzelca® (lurbinectedin) and atezolizumab combination in first-line maintenance therapy for extensive-stage small cell lung cancer. Accessed March 12, 2025. Available at: https://www.prnewswire.com/news-releases/jazz-pharmaceuticals-announces-statistically-significant-overall-survival-and-progression-free-survival-results-for-zepzelca-lurbinectedin-and-atezolizumab-combination-in-first-line-maintenance-therapy-for-extensive-stage-small-302275803.html

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Ahn MJ, Cho BC, Felip E, et al. Tarlatamab for patients with previously treated small-cell lung cancer. N Engl J Med 2023;389:20632075.

  • 13.

    Beltran H, Johnson ML, Jain P, et al. Updated results from a phase 1/2 study of HPN328, a tri-specific, half-life (T1/2) extended DLL3-targeting T-cell engager in patients with small cell lung cancer and other neuroendocrine cancers. Presented at 2024 ASCO Annual Meeting; May 31–June 4, 2024; Chicago, Illinois. Abstract 8090.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Rudin CM, Ahn MJ, Johnson M, et al. Ifinatamab deruxtecan in extensive-stage small cell lung cancer: interim analysis of Ideate-Lung01. Presented at 2024 World Conference on Lung Cancer; September 7–9, 2024; San Diego, California. Abstract OA04.03.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Wang J, Duan J, Wu L, et al. Efficacy and safety of HS-20093 in extensive stage small cell lung cancer in a multicenter, phase 1 study (ARTEMIS-001). Presented at 2024 World Conference on Lung Cancer; September 7–9, 2024; San Diego, California. Abstract OA04.06.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Dowlati A, Chiang AC, Cervantes A, et al. Sacituzumab govitecan as second-line treatment in patients with extensive stage small cell lung cancer. Presented at 2024 World Conference on Lung Cancer; September 7–9, 2024; San Diego, California. Abstract OA04.04.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Wang J, Wu L, Li X, et al. SHR-A1921, a TROP-2 targeted antibody-drug conjugate, in patients with advanced small-cell lung cancer. Presented at 2024 World Conference on Lung Cancer; September 7–9, 2024; San Diego, California. Abstract OA04.05.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Spira A, Dowlati A, Zhao J, et al. 5 Oral: preliminary results from a phase Ia/Ib, open-label, multicenter study of ZL-1310, a DLL3-targeted ADC, to evaluate the safety, tolerability, and pharmacokinetics in subjects with small cell lung cancer - NCT06179069. Eur J Cancer 2024;211(Suppl 1):114534.

    • PubMed
    • Search Google Scholar
    • Export Citation

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