Clinical Trial of Lurbinectedin (PM01183)/Doxorubicin Versus CAV or Topotecan as Treatment in Patients With Small-Cell Lung Cancer (ATLANTIS)
Small-cell Lung Cancer
About this trial
This is an interventional treatment trial for Small-cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Voluntary written informed consent
- Adult patients ≥ 18 years
- Histologically or cytologically confirmed diagnosis of limited or extensive stage SCLC which failed one prior platinum-containing regimen and with a chemotherapy-free interval (CTFI, time from the last dose of first-line chemotherapy to the occurrence of progressive disease) ≥ 30 days. Small-cell carcinoma of unknown primary site with or without neuroendocrine features confirmed in histology test(s) performed on metastatic lesion(s) are eligible, if Ki-67/MIB-1 is expressed in >50% of tumor cells.
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) ≤ 2.
- Adequate hematological, renal, metabolic and hepatic function within 7-10 days prior to randomization
- At least three weeks since last prior anticancer treatment and adequate recovery from prior treatment toxicity
- Prior radiotherapy (RT): At least four weeks since completion of whole-brain irradiation, at least two weeks since completion of prophylactic cranial irradiation, and to any other site.
- Evidence of non-childbearing status for women of childbearing potential (WOCBP). WOCBP must agree to use a highly effective contraceptive measure up to six weeks after treatment discontinuation. Fertile male patients with WOCBP partners should use condoms during treatment and for four months following the last investigational medicinal product dose.
Exclusion Criteria:
- More than one prior chemotherapy-containing line(re-challenge with the same initial regimen is not allowed)
- Patients who never received platinum-containing regimen for Small-cell Lung Cancer (SCLC)
- Prior treatment with PM01183, topotecan or anthracyclines.
- Limited-stage patients who are candidates for local or regional therapy
- Impending need for palliative RT or surgery for pathological fractures and/or for medullary compression within four weeks prior to randomization.
- Symptomatic or progressing or steroid requiring Central Nervous System (CNS) involvement disease at least four weeks prior to randomization
Concomitant diseases/conditions:
Angina, myocardial infarction, congestive heart failure or clinically significant valvular heart disease, arrhythmia, immunodeficiency (including known HIV seropositive), ongoing or treatment-requiring chronic liver disease, active infection, oxygen requirement within two weeks prior to randomization, diffuse interstitial lung disease (ILD) or pulmonary fibrosis, second invasive malignancy treated with chemotherapy and/or radiotherapy, invasive fungal infections requiring systemic treatment within 12 weeks of randomization.
- Pregnant or breast feeding women
Sites / Locations
- Alabama Oncology
- Ironwood Physicians P.C. dba Ironwood Cancer & Research Centers
- St Jude Hospital Yorba Linda dba St Joseph Heritage Healthcare
- Loma Linda University Medica! Center
- Innovative Clinical Research Institute (ICRI)
- Boca Raton Regional Hospital Lynn Cancer Institute
- Holy Cross Hospital - Michael and Dianne Bienes Comprehensive Cancer Center
- H. Lee Moffitt Cancer Center & Research Institute
- Joliet Oncology-Hematology Associates, Ltd.
- Healthcare Research Network III, LLC
- Carle Cancer Center
- Norton Cancer Institute
- Montgomery Cancer Center
- East Jefferson Hematology-Oncology Metairie Physicians Services, Inc
- Anne Arundel Medical Center Oncology and Hematology
- Massachusetts General Hospital
- QUEST Research Institute
- Comprehensive Cancer Centers of Nevada
- Dartmouth-Hitchcock Medical Center/Mary Hitchcock Memorial Hospital
- Summit Medical Group, P.A.
- FirstHealth Outpatient Cancer Center
- Gabrail Cancer Center Research
- Oklahoma Cancer Specialists and Research Institute, LLC
- Associates in Hematology and Oncology, P.C.
- The Center for Cancer and Blood Disorders
- Tyler Hematology-Oncology PA
- Medical Oncology Associates PS (dba Summit Cancer Centers)
- MultiCare Institute for Research & Innovation
- Froedtert Hospital & the Medical College of Wisconsin
- Instituto Médico Especializado Alexander Fleming
- Centro para la Atención Integral del Paciente Oncológico (CAIPO)
- Instituto Oncológico de Córdoba (IONC)
- CORI - Centro Oncológico Riojano Integral
- ISIS Centro Especializado de Luce S.A.
- Universitätsklinik für Innere Medizin III der PMU
- Medizinische Universität Wien / AKH Wien, Universitätsklinik für Innere Medizin I, Abteilung für klinische Onkologie
- AZ Maria Middelares
- Clinique André Renard
- CHR de la citadelle
- CHU de Liege - Sart Tilman
- CHU Ambroise Paré
- AZ Delta Campus Wilgenstraat
- Nucleo de Oncologia da Bahia
- lOP- Instituto de oncologia do paraná
- Coordenação de Pesquisa Clínica / Instituto Nacional de Câncer
- Instituto COl de Pesquisa, Educação e Gestão
- Associação Hospital de Caridade de Ijuí
- lrmandade da Santa Casa de Misericórdia de Porto Alegre
- Hospital São Lucas da PUCRS
- Hospital de clínicas de Porto alegre
- Fundação PlO XII - Hospital de Câncer de Barretos
- lnstituto de Ensino e Pesquisa Säo Lucas - IEP Säo Lucas
- Multiprofile Hospital for Active Treatment - Uni Hospital, Panagyurishte
- Multiprofile Hospital for Active Treatment of Women Health - "Nadezhda", Sofia; Clinic of Medical Oncology
- University Multiprofile Hospital for Active Treatment "Sv. Ivan Rilski", Sofia
- Acibadem City Clinic University Multiprofile Hospital for Active Treatment. EOOD, Sofia; Clinic of Medical Oncology
- Southlake Regional Health Centre - Stronach Regional Cancer Centre
- R.S. Mc Laughlin Durham Regional Cancer Centre, Lakeridge Health
- Centre intégré de santé et de services sociaux de la Montérégie Centre
- Biron (Clinique René Laennec)
- Montreal Oncology Research Inc.
- McGill University Health Centre
- Vitkovicka nemocnice, a.s., Plicni oddeleni
- Krajska zdravotni a.s. Masarykova nemocnice o.z.
- Institut Bergonié
- Centre François Baclesse
- Centre Hospitalier Intercommunal de Créteil
- Centre Hospitalier Lyon Sud - Service de Pneumologie
- Hôpital Nord - Service Oncologie Multidisciplinaire et Innovations Thérapeutiques
- Centre Antoine Lacassagne
- CHU de Rennes Hôpital Pontchaillou
- Central Clinic of Bad Berka
- Vivantes Klinikum am Urban, Hämatologie und Onkologie
- Evangelische Lungenklinik Berlin
- Uniklinik Freiburg, Hämatologie, Onkologie & Stammzellransplantation
- Asklepios-Fachkliniken München Gauting
- Center for Pneumology and Thoracic Surgery
- Thoraxklinik Heidelberg GmbH
- Lungenklinik Hemer
- VIDIA Christliche Kliniken Karlsruhe
- Katholisches Klinikum Koblenz-Montabaur, Marienhof Koblenz
- Onkologische Schwerpunktpraxis Leer-Emden
- Klinik Löwenstein gGmbH, Med. Klinik II Onkologie
- Uniklinikum Mannheim, TTZ, Medizinische Fakultät Mannheim
- Johannes Wesling Klinikum Minden, Klinik für Hämatologie, Onkologie und Palliativmedizin
- University of Munich LMU, Dpt. of Medicine V
- Städtisches Krankenhaus München Neuperlach
- Klinikum Bogenhausen, Städt. Klinikum München GmbH, Klinik für Pneumologie und Pneumologische Onkologie
- Klinikum Nürnberg Nord - Pneumologische Onkologie
- Universitätsklinikum Ulm - Klinik für Innere Medizin II, Pneumologie
- Medizinische Klinik I
- University General Hospital of Heraklion - General Hospital "Venizeleio"
- General Hospital of Chest Diseases of Athens "Sotiria"
- General Oncology Hospital of Kifissia "Agioi Anargiroi", 2nd Internal Medicine-Oncology Clinic
- General Hospital of Thessaloniki "G. Papanikolaou", Pulmonary Clinic, Aristotle University of Thessaloniki
- Országos Korányi TBC és Pulmonológiai Intézet, 6. Pulmonológia és Bronchologia
- Országos Korányi TBC és Pulmonológiai lntézet, 14. Pulmonológia
- Veszprém Megyei Tüdögyógyintézet, 3. Pulmonológiai Osztály
- Mátrai Gyógyintézet, Bronchológia
- Miskolci Semmelweis Kórház és Egyetemi Oktatókórház, Pulmonológiai Osztály
- Fejér Megyei Szent György Egyetemi Oktató Kórház, I. Pulmonológiai Osztály
- Markusovszky Egyetemi Oktatókórház, Pulmonológiai Osztály
- Szent Borbála Kórház, Pulmonológiai osztály
- Zala Megyei Kórház, Pulmonologia
- ASST Grande Ospedale Metropolitano Niguarda
- IRCCS CROB (Istituto di Ricovero e Cura a Carattere Scientifico)
- Centro di Riferimento Oncologico di Aviano
- Azienda Ospedaliero - Universitaria "Policlinico - Vittorio Emanuele" - Presidio G. Rodolico
- AOU Maggiore della Carità - SC Oncologia
- Istituto Oncologico Veneto
- lRCCS-Arcispedale Santa Maria Nuova
- Policlinico Universitario Campus Bio-Medico
- ASST della Valtellina e dell' Alto Lario P.O. Di Sondrio
- Ain Wazein Hospital
- American University of Beirut Medical Center
- Hotel Dieu de France
- Centre Hospitalier Universitaire Notre Dame de Secours
- Hammoud Hospital University Medical Center
- The Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital
- Spaarne Gasthuis
- MUMC
- Maxima Medisch Centrum
- Bialostockie Centrum Onkologii im. Marii Sklodowskiej-Curie; Oddzial Onkologii Klinicznej im. dr Ewy Pileckiej z pododdzialem
- Szpitale Pomorskie Sp. z o.o., Oddzial Onkologii Klinicznej, Oddzial Onkologii i Radioterapii
- Mazowieckie Centrum Leczenia Chorób Pluc i Gruźlicy Oddzial III Chorób Pluc z Pododdzialem Onkologicznym
- Szpital Kliniczny Przemienienia Pańskiego Uniwersytetu Medycznego im. K.Marcinkowskiego w Poznaniu, Oddzial Chemioterapii
- Centro Clínico Champalimaud - Fundação Champalimaud
- Centro Hospitalar Lisboa Norte, EPE- Hospital Pulido Valente
- Centro Hospitalar do Porto, EPE - Hospital de Santo António
- Hospital CUF Porto
- Instituto Português de Oncologia do Porto Francisco Gentil, EPE
- Centro Hospitalar de São João, EPE
- SC Centrul de Oncologie Sf. Nectarie SRL, Departament Oncologie Medícala
- Spitalul Clinic Judetean de Urgenta "Sf. Apostol Andrei"
- SC Oncolab SRL
- Spitalul Judetean de Urgenta "Dr. Constantin Opris", Sectia Oncologie Medicala
- Institutul Oncologic "Prof. Dr. Ion Chiricuta" Cluj-Napoca, Departament Oncologie Medicala
- Institutul Oncologic "Prof. Dr. lon Chiricuta" Cluj-Napoca, Dcpartamentul Oncologie Medicala
- Institutul Oncologic "Prof. Dr. lon Chiricuta" Cluj-Napoca, Sectia Oncologic Medicala
- Hospital Universitari Germans Trias i Pujol ICO
- Corporació Sanitaria Parc Taulí-Hospital de Sabadell
- Hospital Universitario Puerta de Hierro Majadahonda
- Hospital Universitari Vall d' Hebron
- Hospital Universitario Reina Sofia
- MD Anderson Cancer Center Madrid
- Hospital Universitario Ramón y Cajal
- Hospital Universitario Clínico San Carlos
- Hospital Universitario Fundación Jiménez Díaz
- Hospital Universitario 12 de Octubre
- Hospital Regional Universitario de Malaga
- Complejo hospitalario regional virgen rocío
- Hospital General Universitario de Valencia
- Hospital Universitario La Fe de Valencia
- Hospital Universitario Miguel Servet
- The Christie NHS Fundation Trust
- The Clatterbridge Cancer Centre NHS Foundation Trust
- Bristol Cancer Institute, UHB NHS Foundation Trust
- University College London Hospitals NHS Foundation Trust
- Sarah Cannon Research Institute UK
- Worcestershire Acute Hospitals NHS Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Active Comparator
Experimental Arm
Control Arm 1
Control Arm 2
Lurbinectedin (PM01183) / Doxorubicin
CAV (Cyclophosphamide (CTX), Doxorubicin (DOX) and Vincristine (VCR))
Topotecan