CClinicalTrials.gg
RecruitingNCT07218146DLLEVATEUpdated Sep 14, 2026

A Study of ZL-1310 Versus Investigator's Choice of Therapy in Participants With Relapsed Small Cell Lung Cancer (DLLEVATE)

A Phase 3 interventional study of ZL-1310 and Investigator's Choice of Therapy in Small-cell Lung Cancer, sponsored by Zai Lab (Shanghai) Co., Ltd.. Recruiting at 155 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Zai Lab (Shanghai) Co., Ltd. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 10 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
480
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of ZL-1310 compared to Investigator's Choice Therapy in participants with relapsed Small Cell Lung Cancer.

02

Conditions studied

  • Small-cell Lung Cancer
03

In context

Small Cell Lung Carcinoma

1,203 studies on the registry are indexed under Small Cell Lung Carcinoma; 342 are open to participants now.

This study's planned enrollment of 480 is above the median of 56 across 1,031 interventional studies indexed under Small Cell Lung Carcinoma.

Browse Small Cell Lung Carcinoma studies →

Lead sponsor

Zai Lab (Shanghai) Co., Ltd. is the lead sponsor of 24 studies on the registry; 8 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age >/= 18 years, or considered an adult by local regulations, at the time of consent
  • Signed informed consent
  • Histologically or cytologically confirmed SCLC. Received 1L platinum-based systemic therapy and had documented disease progression during or after the most recent systemic therapy. Or received 2L tarlatamab is allowed.
  • Measurable disease according to RECIST v1.1 as assessed by the investigator.
  • Participants with a history of treated and stable or untreated and asymptomatic CNS metastases based on criteria per protocol.
  • Adequate organ and marrow function
  • Eastern Cooperative Group (ECOG) performance status of 0 or 1
  • Life expectancy of at least 3 months
  • Participants must be willing to undergo a tumor biopsy or provide archived tumor tissue sample at Screening
  • Participants must be willing and able to comply with protocol for the duration of the study

Exclusion criteria

Exclusion Criteria:

  • Received more than one line of systemic therapy for Extensive-Stage SCLC.
  • Received any prior ADC with topoisomerase 1 inhibitor payload
  • Participants with another known malignancy with exceptions defined in the protocol.
  • History or suspected ILD/pneumonitis based on criteria per protocol
  • Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses.
  • Receipt of anti-cancer treatment known to treat cancers within 3 weeks before the first dose of study treatment.
  • Prior radiotherapy before study treatment based on criteria per protocol
  • Unresolved toxicity of Grade >/= 2 from previous anti-cancer treatment, except for alopecia and skin pigmentation.
  • Known infection or active infection defined in the protocol.
  • Clinically significant active cardiovascular disease or history of arterial thromboembolic event within 6 months prior to the first dose of study treatment based on criteria per protocol.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
480 participants (estimated)

Study arms

  • Experimental
    Arm 1

    ZL-1310 as a single agent

    Drug: ZL-1310

  • Active comparator
    Arm 2

    Investigator's Choice of Therapy

    Drug: Investigator's Choice of Therapy

Interventions

  • DrugZL-1310

    ZL-1310 as a single-agent

  • DrugInvestigator's Choice of Therapy

    Topotecan or Amrubicin

06

What researchers measure

Primary outcomes

  1. Confirmed objective response rate (ORR) assessed by Blinded Independent Central Review of ZL-1310 compared to Investigator's Choice Therapy (ICT)

    Time frame: up to 30 months

  2. Overall survival of ZL-1310 compared to Investigator's Choice Therapy (ICT)

    Time frame: up to 30 months

Secondary outcomes

  1. Duration of response (DoR) assessed by BICR and by the investigator per RECIST v1.1 of ZL-1310 compared to Investigator's Choice Therapy (ICT)

    Time frame: up to 30 months

  2. Progression-free survival (PFS) assessed by BICR and by the investigator per RECIST v1.1 of ZL-1310 compared to Investigator's Choice Therapy (ICT)

    Time frame: up to 30 months

  3. Confirmed ORR assessed by the investigator per RECIST v1.1 of ZL-1310 compared to Investigator's Choice Therapy (ICT)

    Time frame: up to 30 months

  4. Time to response (TTR) assessed by BICR and by the investigator per RECIST v1.1 of ZL-1310 compared to Investigator's Choice Therapy (ICT)

    Time frame: up to 30 months

  5. Confirmed CNS response assessed by BICR per Response Assessment in Neuro-Oncology for Brain Metastases (RANO-BM) of ZL-1310 compared to Investigator's Choice Therapy (ICT)

    Time frame: up to 30 months

  6. Occurrence of treatment-emergent adverse events (TEAEs) of ZL-1310 compared to Investigator's Choice Therapy (ICT)

    Time frame: up to 30 months

  7. Changes from baseline in quality of life related parameters of ZL-1310 compared to Investigator's Choice Therapy (ICT) using EQ-5D-5L

    Time frame: up to 30 months

  8. Changes from baseline in quality of life related parameters of ZL-1310 compared to Investigator's Choice Therapy (ICT) using EORTC-QLQ-C30

    Time frame: up to 30 months

  9. Changes from baseline in quality of life related parameters of ZL-1310 compared to Investigator's Choice Therapy (ICT) using EORTC-QLQ-LC13

    Time frame: up to 30 months

07

Study locations

155 of 155 sites recruiting
  • University of California San Diego
    La Jolla, California 92093, United States
    Recruiting
  • UC Davis Comprehensive Cancer Center
    Sacramento, California 95817, United States
    Recruiting
  • University of Colorado
    Aurora, Colorado 80045, United States
    Recruiting
  • Yale Cancer Center/Clinical Trials Office
    New Haven, Connecticut 06519, United States
    Recruiting
  • Clermont Oncology Center
    Clermont, Florida 34711, United States
    Recruiting
  • Mid Florida Hematology and Oncology Center
    Orange City, Florida 32763, United States
    Recruiting
  • Cancer Centers of Bevard
    Rockledge, Florida 32955, United States
    Recruiting
  • Sarah Cannon Research Institute
    Sarasota, Florida 34232, United States
    Recruiting
  • Florida Cancer Specialists - North
    St. Petersburg, Florida 33701-4553, United States
    Recruiting
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
    Recruiting
  • Florida Cancer Specialists - East
    West Palm Beach, Florida 33401, United States
    Recruiting
  • Illinois Cancer Care
    Peoria, Illinois 61615, United States
    Recruiting
  • OSF St. Francis Medical Center
    Peoria, Illinois 61637, United States
    Recruiting
  • University of Iowa
    Iowa City, Iowa 52242, United States
    Recruiting
  • University of Iowa Mission Health Cancer + Blood
    Waukee, Iowa 50263, United States
    Recruiting
  • Norton Cancer Institute
    Louisville, Kentucky 40202, United States
    Recruiting
  • American Oncology Partners, PA - The Center for Cancer and Blood Disorders
    Bethesda, Maryland 20817, United States
    Recruiting
  • Maryland Oncology Hematology
    Silver Spring, Maryland 20904, United States
    Recruiting
  • Henry Ford Health Cancer
    Detroit, Michigan 48202, United States
    Recruiting
  • Missouri Cancer Associates
    Columbia, Missouri 65201, United States
    Recruiting
  • Mercy South
    St Louis, Missouri 63128, United States
    Recruiting
  • Stony Brook Cancer Center
    Stony Brook, New York 11794-7007, United States
    Recruiting
  • Montefiore Medical Center
    The Bronx, New York 10461, United States
    Recruiting
  • Cleveland Clinic - Akron General Medical Center
    Akron, Ohio 44302, United States
    Recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
    Recruiting
  • Cleveland Clinic - Fairview Hospital Molly Pavilion
    Cleveland, Ohio 44111, United States
    Recruiting
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
    Recruiting
  • Cleveland Clinic - Hillcrest Hospital Cancer Center
    Mayfield Heights, Ohio 44124, United States
    Recruiting
  • Consultants in Medical Oncology and Hematology
    Broomall, Pennsylvania 19008, United States
    Recruiting
  • Alliance Cancer Specialists
    Media, Pennsylvania 19063, United States
    Recruiting
  • Allegheny General Hospital
    Pittsburgh, Pennsylvania 15212, United States
    Recruiting
  • University of Pittsburgh (UPMC) Hillman Cancer Center
    Pittsburgh, Pennsylvania 15232, United States
    Recruiting
  • SCRI OP (Oncology Partners)
    Nashville, Tennessee 37203, United States
    Recruiting
  • Texas Oncology - Central South
    Austin, Texas 78745, United States
    Recruiting
  • University of Texas Southwestern Medical Center/Clinical Research Department
    Dallas, Texas 75390-9020, United States
    Recruiting
  • Texas Oncology - West Texas
    Odessa, Texas 79761, United States
    Recruiting
  • Virginia Cancer Specialists
    Fairfax, Virginia 22031, United States
    Recruiting
  • Uniklinikum Salzburg, Landeskrankenhaus, Universitatsklinik fur Innere Medizin III der PMU Department of Internal Medicine III
    Salzburg, 5020, Austria
    Recruiting
  • Universitair Ziekenhuis Antwerpen
    Edegem, 2650, Belgium
    Recruiting
  • Algemeen Ziekenhuis Sint-Lucas
    Ghent, 9000, Belgium
    Recruiting
  • AZ Maria Middelares - Campus AZ Maria Middelares
    Ghent, 9000, Belgium
    Recruiting
  • Jessa Ziekenhuis Salvador
    Hasselt, 3500, Belgium
    Recruiting
  • Universitair Ziekenhuis Brussel
    Jette, 1090, Belgium
    Recruiting
  • AZ Groeninge
    Kortrijk, 8500, Belgium
    Recruiting
  • Vivalia St Joseph
    Libramont, 6800, Belgium
    Recruiting
  • Universite Catholique de Louvain Namur, Centre Hospitalier Universitaire Dinant Godinne
    Yvoir, 5530, Belgium
    Recruiting
  • Anhui Provincial Hospital
    Hefei, Anhui 230036, China
    Recruiting
  • Fujian Cancer Hospital
    Fuzhou, Fujian 350014, China
    Recruiting
  • The First Affiliated Hospital of Xiamen University
    Xiamen, Fujian 361000, China
    Recruiting
  • Guangdong Provincial People's Hospital
    Guangzhou, Guangdong 510080, China
    Recruiting
  • Guangxi Medical University Affiliated Tumor Hospital
    Naning, Guangxi 530021, China
    Recruiting
  • Harbin Medical University Cancer Hospital
    Heilongjiang, Harbin 000000, China
    Recruiting
  • Fourth Hospital of Hebei Medical University
    Shijiazhuang, Hebei, China
    Recruiting
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan 450052, China
    Recruiting
  • Hubei Cancer Hospital
    Wuhan, Hubei 430079, China
    Recruiting
  • Hunan Cancer Hospital
    Changsha, Hunan 410031, China
    Recruiting
  • Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
    Nanjing, Jiangsu, China
    Recruiting
  • Jiangxi Cancer Hospital
    Nanchang, Jiangxi 330029, China
    Recruiting
  • Jilin Cancer Hospital
    Changchun, Jilin 130012, China
    Recruiting
  • The First Affiliated Hospital of Xi'an Jiaotong University
    Xi'an, Shaanxi 710061, China
    Recruiting
  • Shandong Cancer Hospital
    Jinan, Shandong 250117, China
    Recruiting
  • Linyi Cancer Hospital
    Linyi, Shandong 276000, China
    Recruiting
  • Shanghai Pulmonary Hospital
    Shanghai, Shanghai Municipality 200433, China
    Recruiting
  • Sichuan Cancer Hospital
    Chengdu, Sichuan 610041, China
    Recruiting
  • Zhejiang Cancer Hospital
    Hangzhou, Zhejiang 310000, China
    Recruiting
  • Taizhou Hospital of Zhejiang Province
    Taizhou, Zhejiang 318000, China
    Recruiting
  • Cancer Hospital Chinese Academy of Medical Sciences
    Beijing, 000000, China
    Recruiting
  • Beijing Cancer Hospital
    Beijing, 100142, China
    Recruiting
  • Henan cancer Hospital
    Zhengzhou, 450008, China
    Recruiting
  • Nemocnice Horovice
    Hořovice, 53002, Czechia
    Recruiting
  • Nemocnice AGEL Ostrava-Vitkovice a. s.
    Vítkovice, 74101, Czechia
    Recruiting
  • Institut Sainte Catherine
    Avignon, 84918, France
    Recruiting
  • Hospices Civils de Lyon - Hopital Louis Pradel
    Bron, 69677, France
    Recruiting
  • Centre Hospitalier Intercommunal de Creteil (CHIC) - Centre de ressources et de competences pour la mucoviscidose (C.R.C.M.)
    Créteil, 94010, France
    Recruiting
  • Centre Hospitalier - Le Mans
    Le Mans, 72037, France
    Recruiting
  • Centre Hospitalier Universitaire (CHU) De Limoges Hopital Dupuytren
    Limoges, 87042, France
    Recruiting
  • Centre de Recherche Clinique Hôpital de la Croix-Rousse
    Lyon, 69317, France
    Recruiting
  • Centre Hospitalier Regional Universitaire (CHRU) Montpellier Arnaud de Villeneuve
    Montpellier, 34295, France
    Recruiting
  • Centre Hospitalier Lyon-Sud, CHLS
    Pierre-Bénite, 69495, France
    Recruiting
  • Centre Hospitalier de Cornouaille - Hopital Laennec
    Quimper, 35033, France
    Recruiting
  • Hopital Foch
    Suresnes, 92151, France
    Recruiting
  • Centre Hospitalier Intercommunal Toulon La Seyne Sur Mer (C.H.I.T.S) - Hospital Font-Pre
    Toulon, 83000, France
    Recruiting
  • Clinique Teissier
    Valenciennes, 59300, France
    Recruiting
  • Klinikum der Johann Wolfgang Goethe-Universität
    Frankfurt am Main, Hesse 60590, Germany
    Recruiting
  • Evangelische Lungenklinik Berlin
    Berlin, 10407, Germany
    Recruiting
  • University Hospital Carl Gustav Carus
    Dresden, 01307, Germany
    Recruiting
  • Krankenhaus Martha-Maria Halle-Doelau gGmbH
    Halle, 6120, Germany
    Recruiting
  • Iatriko Diavalkaniko Thessalonikis
    Thessaloniki, 57001, Greece
    Recruiting
  • Azienda Ospedaliero Universitaria Ospedali Riuniti Umberto I
    Ancona, 60126, Italy
    Recruiting
  • FPO IRCCS Candiolo
    Candiolo, 20132, Italy
    Recruiting
  • IRCCS Istituto Romagnolo per lo studio dei Tumori "Dino Amadori"(IRST)
    Meldola, 47014, Italy
    Recruiting
  • AUSL Della Romagna - Ospedale S.Maria delle Croci
    Ravenna, 48121, Italy
    Recruiting
  • Istituti Fisioterapici Ospitalieri (IFO) - Istituto Nazionale Tumori Regina Elena (IRE) UO Oncologia Ospedali Civili di Livorno
    Roma, 00144, Italy
    Recruiting
  • Centro Ricerche Cliniche di Verona s.r.l.
    Verona, 37134, Italy
    Recruiting
  • Kyushu Medical Center
    Fukuoka, Fukuoka 810-8563, Japan
    Recruiting
  • Kyushu University Hospital
    Fukuoka, Fukuoka 812-8582, Japan
    Recruiting
  • Kurume University Hospital
    Kurume, Fukuoka 830-0011, Japan
    Recruiting
  • Hiroshima University Hospital
    Hiroshima, Hiroshima 734-8551, Japan
    Recruiting
  • Asahikawa Medical University Hospital
    Asahikawa, Hokkaido 0788510, Japan
    Recruiting
  • KKR Sapporo Medical Center
    Sapporo, Hokkaido 062-0931, Japan
    Recruiting

Showing the first 100 of 155 sites across 15 countries.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07218146
Lead sponsor
Zai Lab (Shanghai) Co., Ltd.
Collaborators
Zai Lab (US) LLC
Responsible party
Sponsor
First posted
Oct 20, 2025
Start date
Nov 30, 2025
Primary completion
Jun 30, 2028 (estimated)
Completion
Nov 30, 2028 (estimated)
Last update
Sep 14, 2026

Study contacts

ZL-1310-003 Study Team
Contact
study-ZL-1310-003@zailaboratory.com
650-360-1601

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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