A Phase I Study of Olaparib and Low Dose Thoracic Radiotherapy for Extensive Stage Small Cell Lung Cancer
Overview
- Phase
- Phase 1
- Intervention
- Olaparib Pill 50 mg
- Conditions
- Small-cell Lung Cancer
- Sponsor
- Memorial Sloan Kettering Cancer Center
- Enrollment
- 26
- Locations
- 9
- Primary Endpoint
- Maximum tolerated dose (MTD) of olaparib in combination with low dose thoracic radiotherapy
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purpose of this study is to test the safety of a new medication, Olaparib, combined with radiation therapy for participants with small cell lung cancer.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histological documented diagnosis of SCLC confirmed by a MSKCC pathologist.
- •Documented extensive disease, defined as any tumor beyond the above limited disease definition, including ipsilateral lung metastases and malignant pleural effusion
- •Completion of induction chemotherapy with a minimum of 4 and no more than 6 cycles of a platinum agent and etoposide within 8 weeks of trial initiation.
- •No disease progression (i.e.SD or better response per treating physician descretion) at the completion of chemotherapy.
- •Age 18 years or older.
- •Intrathoracic disease should be encompassable in acceptable radiation fields per investigator clinical judgement.
- •Eastern Cooperative Oncology Group (ECOG) performance status 0-1 (Karnosfsky Performance Score (KPS) \>/= 70
- •Patients must have adequately recovered from any adverse events associated with prior immune-chemotherapy
- •Adequate organ and marrow function, including:
- •Haemoglobin \>/= 8.0 g/dL with no blood transfusion in the past 28 days.
Exclusion Criteria
- •Untreated brain metastases.
- •Pneumonitis
- •Previous radiotherapy to thorax (prior breast RT is permitted).
- •Patient is not a candidate for or declines consolidative thoracic radiotherapy.
- •Patients receiving any systemic chemotherapy or thoracic radiotherapy within 3 weeks prior to study treatment.
- •Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site).
- •Previous enrolment in the present study.
- •Exposure to an investigational product within 30 days or 5 half lives (whichever is longer) prior to start of the current study drug.
- •Any previous treatment with PARP inhibitor, including olaparib, for the treatment of small cell lung cancer
- •Resting ECG with QTc \> 470 msec on 2 or more time points within a 24 hour period or a documented family history of long QT syndrome.
Arms & Interventions
Participants with Small Cell Lung Cancer
Intervention: Olaparib Pill 50 mg
Participants with Small Cell Lung Cancer
Intervention: Olaparib Pill 100 mg
Participants with Small Cell Lung Cancer
Intervention: Olaparib Pill 150 mg
Participants with Small Cell Lung Cancer
Intervention: Olaparib Pill 200 mg
Participants with Small Cell Lung Cancer
Intervention: Olaparib Pill 250 mg
Participants with Small Cell Lung Cancer
Intervention: Olaparib Pill 300 mg
Participants with Small Cell Lung Cancer
Intervention: Radiotherapy
Outcomes
Primary Outcomes
Maximum tolerated dose (MTD) of olaparib in combination with low dose thoracic radiotherapy
Time Frame: 1 year
Safety of olaparib in combination with low dose thoracic radiotherapy by evaluating participant toxicities and adverse events
Time Frame: 1 year
For safety, all adverse events as determined by the investigator using CTCAE