A Phase 2 Study Comparing TAS-102 Versus Topotecan or Amrubicin to Treat Small Cell Lung Cancer Following Platinum-Based Chemotherapy

Phase 2

Terminated

• Conditions: Small Cell Lung Cancer (SCLC)
• Interventions: Drug: TAS-102; Drug: Amrubicin (Japan); Drug: Topotecan (Japan/Europe)

• Registration Number: NCT01904253
• Lead Sponsor: Taiho Oncology, Inc.

Brief Summary

The purpose of this trial is to compare the effects of TAS-102 with either amrubicin or topotecan (drugs used in Small Cell Lung Cancer) on lung cancer to find out the effects on survival, how much time may pass without disease progression, and the safety of TAS-102.

Detailed Description

This is a multicenter, open-label, two-arm, randomized Phase 2 study of TAS-102 versus Investigator's choice of therapy in patients requiring second-line chemotherapy for SCLC refractory or sensitive to first-line platinum-based chemotherapy. Investigator's choice of therapy is defined as second-line chemotherapy with IV topotecan (Europe/Japan) or IV amrubicin (Japan). Patients will be stratified by response to first-line platinum-based chemotherapy (sensitive vs refractory). Sensitive patients are defined as patients who did not progress within 90 days after the last dose, and refractory patients are defined as patients who never responded or who responded but had radiologic progression \< 90 days after the last dose.

Study Timeline

• Study Start: 2013-07
• Study First Submitted: 2013-07-12
• Study First Submitted QC: 2013-07-17
• Study First Posted: 2013-07-22
• Primary Completion: 2014-06
• Study Completion: 2014-06
• Status Verified: 2014-07
• Last Update Submitted: 2024-06-25
• Last Update Posted: 2024-06-27

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 18

Inclusion Criteria

1. Has provided written informed consent
2. Is ≥18 years of age for patients enrolled in Europe; or ≥20 years of age for patients enrolled in Japan
3. Has definitive histologically or cytologically confirmed SCLC (limited or extensive disease)
4. Has progressed or had recurrence within 30 days prior to randomization
5. Has at least one measurable lesion, as defined by RECIST criteria version 1.1
6. ECOG performance status of 0, 1, or 2
7. Is able to take medications orally
8. Has adequate organ function (bone marrow, kidney and liver)
9. Women of childbearing potential must have a negative pregnancy test and must agree to adequate birth control if conception is possible. Males must agree to adequate birth control.

Exclusion Criteria

1. Has cerebral metastases (unless metastases have been treated and controlled, metastases have been stable for at least 2-months post-intervention, and patient is not receiving corticosteroid treatment)
2. Certain serious illnesses or medical condition(s)
3. Has had certain other recent treatment e.g. major surgery, anticancer therapy, extended field radiation, received investigational agent, within the specified time frames prior to study drug administration
4. Has received TAS-102
5. Has unresolved toxicity of greater than or equal to CTCAE Grade 2 attributed to any prior therapies
6. Is a pregnant or lactating female

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
TAS-102	TAS-102	-
Investigator Choice of Amrubicin or Topotecan	Amrubicin (Japan)	Investigator Choice of Amrubicin (Japan only) or Topotecan (Europe and Japan)
Investigator Choice of Amrubicin or Topotecan	Topotecan (Japan/Europe)	Investigator Choice of Amrubicin (Japan only) or Topotecan (Europe and Japan)

Primary Outcome Measures

Name	Time	Method
Progression-free survival	Every 6 weeks from the start of study treatment (Day 1, Cycle 1). Tumor assessments will be performed until radiologic progression develops or the start of new anticancer treatment.	Tumor assessments will be performed using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 every 6 weeks during study treatment, and every 8 weeks after treatment is completed. Tumor assessments will be performed from Day 1, Cycle 1 until radiologic progression develops or the start of new anticancer treatment, for up to 12 months after the last patient is randomized or until the target number of events (deaths) is met.

Secondary Outcome Measures

Name	Time	Method
Overall survival	Survival status will be collected at 8-week intervals until death, for up to 12 months after the first dose of study medication for the last patient randomized or until the target number of events (deaths) is met, whichever is later.
Safety monitoring including adverse events, vital signs, and laboratory assessments	Through 30 days following last administration of study medication or until initiation of new anticancer treatment	Standard safety monitoring will be performed and adverse events will be graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03

Trial Locations

Locations (23)

Klinikum Mannheim GmbH Universitaetsklinikum; 🇩🇪 Mannheim, Baden-Württemberg, Germany

Lungenklinik Heckeshorn- HELIOS Kliniken GmbH; 🇩🇪 Berlin, Germany

LungenClinic Grosshansdorf; 🇩🇪 Grosshansdorf, Germany

Klinikum Koeln-Merheim; 🇩🇪 Koplin, Germany

St. Hildegardis-Krankenhaus- Katholisches Klinikum Mainz; 🇩🇪 Mainz, Germany

LMU-Campus Innenstadt; 🇩🇪 Muenchen, Germany

Azienda Ospedaliero-Universitaria S. Luigi Gonzaga; 🇮🇹 Orbassano, Turin, Italy

IRCCS Centro di Riferimento Oncologico di Aviano, Divisione Oncologia Medica A; 🇮🇹 Aviano, Italy

Istituto Tumori Giovanni Paolo II IRCCS Ospedale Oncologico Bari; 🇮🇹 Bari, Italy

Azienda Ospedaliera Univ. Policlinico Gaspare Rodolico; 🇮🇹 Catania, Italy

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