On January 8, 2021, Shenzhen Chipscreen Biosciences Co., Ltd. submitted its pivotal phase III clinical trial application (IND) of national class I innovative drug Chiauranib to NMPA, for the treatment of Small Cell Lung Cancer (SCLC) as a single agent for the patients after 2nd-line systemic chemotherapy and recurrence afterwards. The submission has been accepted by the Center of Drug Evaluation of the NMPA. The population of SCLC patients account for about 15-20% of all lung cancer patients. Comparing to Non-Small Cell Lung Cancer(NSCLC), it is still not clear about tumor driving gene in the development of SCLC, and thus it is lacking of targeted therapeutic treatment for this life threaten disease. For the moment, the main clinical treatment methods of SCLC are radiotherapy and chemotherapy, which may only have short-term effect, and the disease is easy to relapse. The current efficacy of treatments to SCLC is far behind that of NSCLC. There is an urgent need for innovative drugs to treat SCLC. Chiauranib has a new chemical structure which is under global patent protection. The compound is independently designed and developed by Chipscreen Biosciences. It is a highly-selective Aurora B, CSF1R, VEGFR/PDGFR/c-Kit inhibitor, which exerts a comprehensive anti-tumor effect by simultaneously inhibiting tumor angiogenesis, inhibiting tumor cell mitosis and regulating tumor microenvironment. Chiauranib has shown pharmacological activity superior to that of other similar drugs in animal studies. In the meantime, it has an excellent safety profile despites being a multi-target kinase inhibitor. Chiauranib as a single agent therapy inhibits the overactive Aurora B pathway existed in and related to molecular mechanism of SCLC, which is an important feature of Chiauranib distinct to other antiangiogenic drugs. In the previous clinical trials, compared with the historical control data, the monotherapy of Chiauranib has achieved promising results in the treatment of SCLC patients who have failed other multi-line therapies. As an innovative drug with obvious clinical advantages among the treatments of SCLC, on December 25 2020, Chiauranib has been designated as a "Breakthrough Treatment" by CDE for the indications of SCLC. The accepted IND submission is a pivotal phase III, randomized controlled, double-blind, multicenter study, which aims to confirm the efficacy and safety of Chiauranib monotherapy to treat SCLC after 2nd-line systemic chemotherapy and recurrence afterwards. Professor Shi Yuankai from the Cancer Hospital of Chinese Academy of Medical Sciences is the leading principle investigator of the trial.