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A Study of Alisertib in Patients With Extensive Stage Small Cell Lung Cancer

Phase 2
Recruiting
Conditions
Small Cell Lung Cancer
Interventions
Registration Number
NCT06095505
Lead Sponsor
Puma Biotechnology, Inc.
Brief Summary

PUMA-ALI-4201 is a Phase 2 study evaluating alisertib monotherapy in patients with pathologically-confirmed small cell lung cancer (SCLC) following progression on or after treatment with one platinum-based chemotherapy and anti-PD-L1 immunotherapy agent. Up to one additional systemic anti-cancer therapy for SCLC is allowed, for a total of up to two prior lines of therapy. This study is intended to identify the biomarker-defined subgroup(s) that may benefit most from alisertib treatment and to evaluate the efficacy, safety, and pharmacokinetics of alisertib.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Aged ≥18 years at signing of informed consent
  • Pathologically confirmed SCLC
  • Prior treatment with one platinum-based chemotherapy and an anti-PD-L1 immunotherapy. Up to one additional systemic anti-cancer therapy for SCLC is allowed, for a total of up to two prior lines of therapy
Exclusion Criteria
  • Prior treatment with an AURKA specific-targeted or pan-Aurora-targeted agent, including alisertib in any setting

Note: There are additional inclusion and exclusion criteria. The study center will determine if you meet all of the criteria.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
AlisertibAlisertib50 mg of alisertib PO BID on days 1-7 of each 21-day cycle
Primary Outcome Measures
NameTimeMethod
Disease Control Rate (DCR) within biomarker-defined subgroupFrom date of first dose to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 36 months

Disease control rate is the proportion of patients who achieve overall tumor response (confirmed CR or PR) or SD lasting for at least 8 weeks from first dose of investigational product.

Progression Free Survival (PFS) within biomarker-defined subgroupFrom date of first dose to date of recurrence, progression or death, assessed up to 36 months

Progression Free Survival (PFS) is measured in months and based on the local tumor assessment. The time interval from the date of first dose until the first date on which recurrence, progression, or death due to any cause, is documented.

Overall Survival (OS) within biomarker-defined subgroupFrom date of first dose to death, assessed up to 36 months

Overall survival (OS) is defined as the time from date of first dose to death due to any cause, censored at the last date known alive on or prior to the data cutoff employed for the analysis, whichever was earlier.

Objective response rate (ORR) within biomarker-defined subgroupFrom date of first dose to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 36 months

Objective response rate is defined as the percentage of participants demonstrating a confirmed objective response during the study

Duration of response (DOR) within biomarker-defined subgroupFrom start date of response (after date of first dose) to first PD, assessed up to 36 months

Duration of response is measured from the time at which measurement criteria are first met for CR or PR (whichever status is recorded first) until the first date of recurrence or progressive disease (PD) or death is objectively documented.

Secondary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS) in the enrolled patient populationFrom date of first dose to date of recurrence, progression or death, assessed up to 36 months

Progression Free Survival (PFS) is measured in months and based on the local tumor assessment. The time interval from the date of first dose until the first date on which recurrence, progression, or death due to any cause, is documented.

Overall Survival (OS) in the enrolled patient populationFrom date of first dose to death, assessed up to 36 months

Overall survival (OS) is defined as the time from date of first dose to death due to any cause, censored at the last date known alive on or prior to the data cutoff employed for the analysis, whichever was earlier.

Objective response rate (ORR) in the enrolled patient populationFrom date of first dose to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 36 months

Objective response rate is defined as the percentage of participants demonstrating a confirmed objective response during the study.

Duration of response (DOR) in the enrolled patient populationFrom start date of response (after date of first dose) to first PD, assessed up to 36 months

Duration of response is measured from the time at which measurement criteria are first met for CR or PR (whichever status is recorded first) until the first date of recurrence or progressive disease (PD) or death is objectively documented.

Disease Control Rate (DCR) in the enrolled patient populationFrom date of first dose to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 36 months

Disease control rate is the proportion of patients who achieve overall tumor response (confirmed CR or PR) or SD lasting for at least 8 weeks from first dose of investigational product.

Percentage of Participants With Treatment-Emergent Adverse Events (Adverse Events and Serious Adverse Events) in the enrolled patient populationFrom date of first dose through last dose plus 28 days, assessed up to 36 months

Treatment emergent adverse events are those events reported on or after the first dose of investigational product and up to 28 days after last dose.

Trial Locations

Locations (26)

Southern Cancer Center

🇺🇸

Daphne, Alabama, United States

The Oncology Institute of Hope and Innovation

🇺🇸

Fort Lauderdale, Florida, United States

Rocky Mountain Cancer Centers

🇺🇸

Lone Tree, Colorado, United States

Georgetown Lombardi Cancer Center

🇺🇸

Washington, District of Columbia, United States

Moffitt Cancer Center

🇺🇸

Tampa, Florida, United States

Illinois Cancer Specialists

🇺🇸

Niles, Illinois, United States

University of Maryland Greenebaum Comprehensive Cancer Center

🇺🇸

Baltimore, Maryland, United States

Beth Israel Deaconess Medical Center

🇺🇸

Boston, Massachusetts, United States

Dana Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Minnesota Oncology Hematology

🇺🇸

Burnsville, Minnesota, United States

Oncology Hematology Care Clinical Trials

🇺🇸

Cincinnati, Ohio, United States

University Hospital - Cleveland Medical Center

🇺🇸

Cleveland, Ohio, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Zangmeister Cancer Center

🇺🇸

Columbus, Ohio, United States

Oncology Associates of Oregon

🇺🇸

Eugene, Oregon, United States

UPMC Hillman Cancer Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina Hollings Cancer Center

🇺🇸

Charleston, South Carolina, United States

SCRI Oncology Partners

🇺🇸

Nashville, Tennessee, United States

Texas Oncology-Baylor Charles A. Sammons Cancer Center

🇺🇸

Dallas, Texas, United States

University of Texas Southwestern Medical Center

🇺🇸

Dallas, Texas, United States

Oncology & Hematology Associates of Southwest Virginia

🇺🇸

Blacksburg, Virginia, United States

Virginia Cancer Specialists Research Institute

🇺🇸

Fairfax, Virginia, United States

Universtity of Virginia Health System

🇺🇸

Charlottesville, Virginia, United States

Northwest Cancer Specialists

🇺🇸

Vancouver, Washington, United States

Marshfield Medical Center

🇺🇸

Marshfield, Wisconsin, United States

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