Study of Amrubicin in Patients With Small Cell Lung Cancer Refractory or Progressive to Prior Therapy

Phase 2

Completed

• Conditions: Small Cell Lung Cancer
• Interventions: Drug: Amrubicin

• Registration Number: NCT00375193
• Lead Sponsor: Celgene

Brief Summary

The purpose of the study is to evaluate the objective tumor response rate of amrubicin when administered as second-line therapy to ED-SCLC patients who have refractory or progressive disease.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2006-09-09
• Study First Submitted QC: 2006-09-09
• Study First Posted: 2006-09-12
• Study Start: 2006-11-01
• Primary Completion: 2008-05-01
• Study Completion: 2009-03-01
• Disposition First Submitted: 2009-05-19
• Disposition First Submitted QC: 2009-09-29
• Disposition First Posted: 2009-10-01
• Status Verified: 2019-10
• Last Update Submitted: 2019-10-16
• Last Update Posted: 2019-10-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• Histological or cytological diagnosis of SCLC; extensive-disease (ED) at time of study entry

• Refractory to first-line platinum-based chemotherapy (i.e., has received one prior platinum-based chemotherapy regimen) defined as one of the following:

  • Best response to first-line chemotherapy is radiographically documented progression (refractory disease)
  • Best response to first-line chemotherapy is radiographically documented response or stable disease, with subsequent documented progression during continuing chemotherapy (resistant relapse)
  • Documented progression within 90 days of completion of first-line chemotherapy (last dose of chemotherapy), regardless of best response to treatment (resistant relapse)

• At least 18 years of age

• ECOG Performance Status of 0, 1, or 2

• Measurable disease defined by RECIST criteria

  • Measurable disease: The presence of at least one measurable lesion. If only one lesion is present, the neoplastic nature of the disease site should be confirmed by histology and/or cytology.
  • Measurable lesion: Lesions that can be accurately measured in at least one dimension with the longest diameter ≥20mm using conventional techniques or ≥10mm using spiral CT scans.

• CT (including spiral CT) scans and MRI are the preferred methods of measurement; however, chest x-rays are acceptable if the lesions are clearly defined and surrounded by aerated lung. Clinically detected lesions will only be considered measurable when they are superficial (e.g., skin nodules and palpable lymph nodes). For the case of skin lesions, documentation by color photography, including a ruler to estimate the size of the lesion is required.

• Adequate organ function including the following:

  • Adequate bone marrow reserve: absolute neutrophil (segmented and bands) count (ANC) ≥1500 cells/μL, platelet count ≥100,000 cells/μL and hemoglobin ≥9g/dL.
  • Hepatic: bilirubin ≤ 1.5 X ULN; alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3.0 X ULN.
  • Renal: serum creatinine < 2.0 mg/dL or calculated creatinine clearance >60 mL/min.
  • Cardiac: Left ventricular ejection fraction (LVEF) ≥ 50% by MUGA or echocardiography (intra-patient reassessment of LVEF should be performed via the same method throughout the study).

• Negative serum pregnancy test at the time of enrollment for women of child-bearing potential. For men and women of child-bearing potential, use of effective contraceptive methods during the study.

• Ability to understand the requirements of the study, provide written informed consent and authorization of use and disclosure of protected health information, and agree to abide by the study restrictions and to return for the required assessments.

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Exclusion Criteria

• Pregnant or nursing women
• Chest radiotherapy within the previous 28 days or other radiotherapy within the previous 14 days. Recovery from the acute toxic effects of radiation required prior to study enrollment. Measurable lesions that have been previously irradiated must be enlarging to be considered target lesions. Prior radiation therapy allowed to < 25% of the bone marrow.
• More than 1 prior chemotherapy regiment for SCLC
• Prior anthracycline treatment
• Treatment with any investigational agent within 28 days or standard chemotherapy within 21 days prior to first dose. Patients must have recovered from all acute adverse effecxts of prior therapies, excluding alopecia
• Patients with secondary primary malignancy (except in situ carcinoma of the cervix or adequately treated nonmelanomatous carcinoma of the skin or other malignancy treated at least 2 years previously with surgery and/or radiotherapy and no evidence of recurrence since that time)
• Concurrent severe or uncontrolled medical disease (i.e., active systemic infection, diabetes, hypertension, coronary artery disease, congestive heart failure) that, in the opinion of the Investigator, would compromise the safety of the patient or compromise the ability of the patient to complete the study.
• Symptomatic central nervous system metastases. Patients with asymptomatic brain metastases are allowed. The patient must be stable after radiotherapy for ≥ 2 weeks and off corticosteroids for ≥ 1 week.
• History of interstitial lung disease or pulmonary fibrosis.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
1	Amrubicin	Amrubicin 40mg/m\<2\> IV days 1, 2, 3 of each 21-day cycle until cycle 6 or no longer beneficial.

Primary Outcome Measures

Name	Time	Method
Objective tumor response rate according to RECIST	Until Disease Progression

Secondary Outcome Measures

Name	Time	Method
Progression free survival	Until death or disease progression
Duration of overall response	Until Disease Progression
Time to tumor progression	Until Disease Progression
Overall survival	Until death
Toxicity profile	Until 30 days after final dose
Incidence of cardiomyopathy	Until end of study participation
Incidence of CNS progression	Until disease progression
Pharmacokinetic parameters	Cycle 1 only

Trial Locations

Locations (46)

Texas Oncology, P.A., Sammons Cancer Center; 🇺🇸 Dallas, Texas, United States

Medical Oncology Associates; 🇺🇸 Kingston, Pennsylvania, United States

SUNY Upstate Medical Center; 🇺🇸 Syracuse, New York, United States

Mamie McFaddin Ward Cancer Center; 🇺🇸 Beaumont, Texas, United States

Free University Medical Center; 🇳🇱 Amsterdam, Netherlands

St. Joseph Oncology, Inc.; 🇺🇸 Saint Joseph, Missouri, United States

Willamette Valley Cancer Center; 🇺🇸 Eugene, Oregon, United States

Alliance Hematology Oncology, PA - Carroll County Cancer Center; 🇺🇸 Westminster, Maryland, United States

Oncology & Hematology of Central Illinois; 🇺🇸 Peoria, Illinois, United States

Texas Cancer Center at Medical City; 🇺🇸 Dallas, Texas, United States

Texas Oncology - Amarillo; 🇺🇸 Amarillo, Texas, United States

University of Tennessee Medical Center, Knoxville; 🇺🇸 Knoxville, Tennessee, United States

Texas Oncology, P.A. - Dallas; 🇺🇸 Dallas, Texas, United States

Tyler Cancer Center; 🇺🇸 Tyler, Texas, United States

Maryland Oncology Hematology, PA; 🇺🇸 Columbia, Maryland, United States

Missouri Cancer Associates; 🇺🇸 Columbia, Missouri, United States

West Texas Cancer Center; 🇺🇸 Odessa, Texas, United States

Texas Oncology Cancer Care and Research Center; 🇺🇸 Waco, Texas, United States

Texas Oncology - Wichita Falls; 🇺🇸 Wichita Falls, Texas, United States

Oncology & Hematology Associates of Southwest Virginia, Inc.; 🇺🇸 Salem, Virginia, United States

Hematology Oncology Associates; 🇺🇸 Phoenix, Arizona, United States

Central Indiana Cancer Centers - Indianapolis; 🇺🇸 Indianapolis, Indiana, United States

Minnesota Onc/Hem, PA - Minneapolis; 🇺🇸 Minneapolis, Minnesota, United States

University of MN/Division of Hematology, Oncology & Transplantation; 🇺🇸 Minneapolis, Minnesota, United States

Comprehensive Cancer Centers of Nevada; 🇺🇸 Las Vegas, Nevada, United States

Sarah Cannon; 🇺🇸 Nashville, Tennessee, United States

Puget Sound Cancer Center; 🇺🇸 Seattle, Washington, United States

New York Oncology Hematology, PC; 🇺🇸 Albany, New York, United States

John B. Amos Cancer Center; 🇺🇸 Columbus, Georgia, United States

Cancer Care & Hematology Specialists of Chicago; 🇺🇸 Niles, Illinois, United States

Ocala Oncology Center; 🇺🇸 Ocala, Florida, United States

Cancer Centers of Florida, PA; 🇺🇸 Ocoee, Florida, United States

Blessing Cancer Center; 🇺🇸 Quincy, Illinois, United States

Arch Medical Group - Arch Medical Services, Inc.; 🇺🇸 Saint Louis, Missouri, United States

Northwestern Carolina Oncology & Hematology; 🇺🇸 Hickory, North Carolina, United States

Raleigh Hematology Oncology Associates; 🇺🇸 Raleigh, North Carolina, United States

Texas Oncology, PA - Bedford; 🇺🇸 Bedford, Texas, United States

Texas Oncology, PA - Fort Worth; 🇺🇸 Fort Worth, Texas, United States

Texas Oncology, PA - Deke Slayton Cancer Center; 🇺🇸 Webster, Texas, United States

Virginia Oncology Associates - Norfolk, VA; 🇺🇸 Norfolk, Virginia, United States

Northwest Cancer Specialists - Vancouver Cancer Center; 🇺🇸 Vancouver, Washington, United States

Yakima Regional Cancer Care Center - North Star Lodge Cancer Center; 🇺🇸 Yakima, Washington, United States

Norton Healthcare - Louisville Oncology; 🇺🇸 Louisville, Kentucky, United States

West Michigan Cancer Center; 🇺🇸 Kalamazoo, Michigan, United States

Rocky Mountain Cancer Center - Sky Ridge; 🇺🇸 Lone Tree, Colorado, United States

Royal Marsden Hospital in Downs Road; 🇬🇧 Sutton, Surrey, United Kingdom