A Dose Finding and Expansion Study of RO7051790 Administered Orally in Participants With Relapsed, Extensive-Stage Disease Small Cell Lung Cancer (ED SCLC)
Small Cell Lung Cancer
About this trial
This is an interventional treatment trial for Small Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Life expectancy greater than or equal to (>=) 12 weeks
- Participants must have histologically or cytologically confirmed diagnosis of SCLC
- Participants must have recurrent or refractory disease after receiving at least one prior platinum-containing chemotherapy regimen, or standard therapy is refused or not suitable. For participants in Canada: participants should also not be suitable for treatment with topotecan hydrochloride
- Acute toxicities from any prior treatment, surgery, or radiotherapy must be National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03 Grade less than or equal to (<=) 1
- Measureable disease per RECIST v1.1 prior to administration of study medication
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Adequate bone marrow function
- Adequate renal function
- Participant must be able to swallow and retain orally administered study treatment
- Women of childbearing potential and men should agree to use an effective form of contraception and to continue its use for the duration of study treatment and for a period of time after the last dose of study treatment
Exclusion Criteria:
- Active malignancy other than SCLC within the previous 5 years
- Participants who have received radiotherapy less than 2 weeks prior to first dose of study medication
- Surgical procedure or clinically significant trauma within 2 weeks of first dose of study treatment
- Treatment with any investigational agent <=3 weeks prior to first dose of study treatment
- Participants with gastrectomy or pre-existing gastrointestinal disorders that may interfere with the proper absorption of the drug(s), as per conclusion of the clinical Investigator
- Participants medicated with anti-depressants reported to have lysine-specific histone demethylase 1A (KDM1A)/lysine (K)-specific demethylase 1A (LSD1) inhibitory activity (such as tranylcypromine or phenelzine) within 28 days of treatment start
- History of allergic reactions attributed to components of the formulated product(s)
- History of seizure disorders
- Participants with untreated central nervous system metastases, or history of previously treated disease. Participants must have stable hematological parameters, satisfying eligibility, platelet count must be stable for >=2 weeks prior to study drug administration
- Participants who have any severe and/or uncontrolled medical conditions or other conditions that could affect their participation in the study
- Participants with evidence of electrolyte imbalance
- Participants who are pregnant or breastfeeding
- Participants who refuse to potentially receive blood products and/or have a hypersensitivity to blood products
- Participants with known bone marrow disorders which may interfere with bone marrow recovery or participants with delayed recovery from prior chemoradiotherapy
- Participants with known coagulopathy, platelet disorder or history of non-drug-induced thrombocytopenia
- Hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV)-positive participants with active infection
- Use of strong Cytochrome P450 3A4 (CYP3A4) inducers while on study medication
- Participants with abnormal hepatic function
- Participants with history of clinically significant bleeding, specifically any history of intracranial hemorrhage/hemorrhagic cardiovascular accident (CVA), or participants with gastrointestinal bleeding within the 12 months prior to study entry
- Participants receiving therapeutic anti-coagulation or anti-platelet (anti-aggregant) therapies, except for therapeutic enoxaparin or low dose aspirin. Use of subcutaneous heparin prophylaxis, including low molecular weight heparin is also permitted
Sites / Locations
- University of Alabama at Birmingham
- The Ottawa Hospital Cancer Centre; Oncology
- University Health Network; Princess Margaret Hospital; Medical Oncology Dept
- Rigshospitalet; Onkologisk Klinik
- Institut Gustave Roussy
- Hospital Univ Vall d'Hebron; Servicio de Oncologia
- Hospital Universitario 12 de Octubre; Servicio de Oncologia
- Centro Integral Oncologico Clara Campal (CIOCC); Dirección Médica
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Introductory Cohort - 400 μg RO7051790
Dose Escalation - 1000 μg RO7051790
Dose Escalation - 1300 μg RO7051790
Dose Escalation - 1900 μg RO7051790
Introductory cohort to ensure participant safety, prior to the dose escalation study. 400 μg of RO7051790 was administered to two (2) participants followed by a 21-day DLT observation period.
1000 μg of RO7051790 was administered to six (6) participants once every 3 weeks (Q3W).
1300 μg of RO7051790 was administered to seven (7) participants once every 3 weeks (Q3W).
1900 μg of RO7051790 was administered to three (3) participants once every 3 weeks (Q3W).