A Study to Test How Well Different Doses of Obrixtamig (BI 764532) in Combination With Ezabenlimab Are Tolerated by People With Small Cell Lung Cancer and Other Neuroendocrine Tumours That Are Positive for DLL3

Exclusion Criteria

• •5. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
• •6. At least one evaluable lesion outside of Central Nervous System (CNS) as defined per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
• •7. Subjects with brain metastases are eligible provided they meet the following criteria:
• •* radiotherapy or surgery for brain metastases was completed at least 2 weeks or 4 weeks respectively, prior to the first administration of obrixtamig
• •* patient is off steroids for at least 7 days (physiologic doses of steroids are permitted), and the patient is off anti-epileptic drugs for at least 7 days or on stable doses of anti-epileptic drugs for malignant CNS disease.
• •8. Male or female patients. Women of childbearing potential (WOCBP)1 and men able to father a child must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly.These methods must be used during the study and for at least 3 months after the last dose of obrixtamig. A list of contraception methods meeting these criteria is provided in the patient information.
• •1. Previous treatment with T-cell-engager (TcE) or cell therapies targeting DLL3. Other DLL3 targeting agents (like RovaT) are allowed only if DLL3 positivity is documented after completion of treatment with DLL3 targeting agent in post-treatment biopsy.
• •2. Previous or concomitant malignancies other than the one treated in this trial within the last 2 years except:
• •* effectively treated non-melanoma skin cancers
• •* effectively treated carcinoma in situ of the cervix
• •* effectively treated ductal carcinoma in situ
• •* other effectively treated malignancy that is considered cured by local treatment
• •3. Major injuries and/or surgery or bone fracture within 28 days of first dose obrixtamig, or planned surgical procedures
• •4. Known leptomeningeal disease or spinal cord compression due to metastatic disease
• •5. Anticoagulant treatment that cannot be safely interrupted based on opinion of the investigator if medically needed
• •7. Severe acute respiratory syndrome coronavirus 2 (SARS COV2) infection within 2 weeks prior to study entry (confirmed via Polymerase chain reaction (PCR) test or other applicable test as per local requirements) or suspected SARS-CoV-2 infection as per physician assessment, or close contact (within 1 week) with an individual with confirmed SARS-CoV-2 infection
• •8. Any of the following known laboratory evidence of hepatitis virus infection:
• •* Positive results of hepatitis B surface (HBs) antigen
• •* Presence of hepatitis B core (HBc) antibody together with hepatitis B virus (HBV)-Deoxyribonucleic Acid (DNA)