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

Primary Purpose

Small Cell Lung Cancer

Status
Not yet recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Alisertib
Sponsored by
Puma Biotechnology, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Small Cell Lung Cancer focused on measuring Alisertib, SCLC

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Aged ≥18 years at signing of informed consent Pathologically confirmed ES-SCLC Progression on or after first-line platinum-based chemotherapy. Patients must have also received a prior anti-PDL-1 immunotherapy agent 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.

Sites / Locations

  • Cleveland Clinic

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Alisertib

Arm Description

50 mg of alisertib PO BID on days 1-7 of each 21-day cycle

Outcomes

Primary Outcome Measures

Objective response rate (ORR) within biomarker-defined subgroup
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 subgroup
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) within biomarker-defined subgroup
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 subgroup
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 subgroup
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.

Secondary Outcome Measures

Objective response rate (ORR) in the enrolled patient population
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 population
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 population
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) in the enrolled patient population
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 population
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.
Percentage of Participants With Treatment-Emergent Adverse Events (Adverse Events and Serious Adverse Events) in the enrolled patient population
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.

Full Information

First Posted
September 27, 2023
Last Updated
October 18, 2023
Sponsor
Puma Biotechnology, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT06095505
Brief Title
A Study of Alisertib in Patients With Extensive Stage Small Cell Lung Cancer
Official Title
A Phase 2 Study of Alisertib in Patients With Extensive Stage Small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
December 31, 2023 (Anticipated)
Primary Completion Date
July 31, 2025 (Anticipated)
Study Completion Date
January 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Puma Biotechnology, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
PUMA-ALI-4201 is a Phase 2 study evaluating alisertib in patients with pathologically-confirmed extensive-stage small cell lung cancer (ES-SCLC) following progression on or after first-line treatment with platinum-based chemotherapy along with an anti-PDL-1 immunotherapy agent. This study is intended to evaluate the efficacy, safety, and pharmacokinetics of alisertib and to identify the biomarker-defined subgroup(s) that may benefit most from alisertib treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Small Cell Lung Cancer
Keywords
Alisertib, SCLC

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Alisertib
Arm Type
Experimental
Arm Description
50 mg of alisertib PO BID on days 1-7 of each 21-day cycle
Intervention Type
Drug
Intervention Name(s)
Alisertib
Other Intervention Name(s)
PB-8237, MLN8237
Intervention Description
Alisertib enteric-coated tablets
Primary Outcome Measure Information:
Title
Objective response rate (ORR) within biomarker-defined subgroup
Description
Objective response rate is defined as the percentage of participants demonstrating a confirmed objective response during the study
Time Frame
From date of first dose to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 36 months
Title
Duration of response (DOR) within biomarker-defined subgroup
Description
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.
Time Frame
From start date of response (after date of first dose) to first PD, assessed up to 36 months
Title
Disease Control Rate (DCR) within biomarker-defined subgroup
Description
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.
Time Frame
From date of first dose to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 36 months
Title
Progression Free Survival (PFS) within biomarker-defined subgroup
Description
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.
Time Frame
From date of first dose to date of recurrence, progression or death, assessed up to 36 months
Title
Overall Survival (OS) within biomarker-defined subgroup
Description
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.
Time Frame
From date of first dose to death, assessed up to 36 months
Secondary Outcome Measure Information:
Title
Objective response rate (ORR) in the enrolled patient population
Description
Objective response rate is defined as the percentage of participants demonstrating a confirmed objective response during the study.
Time Frame
From date of first dose to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 36 months
Title
Duration of response (DOR) in the enrolled patient population
Description
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.
Time Frame
From start date of response (after date of first dose) to first PD, assessed up to 36 months
Title
Disease Control Rate (DCR) in the enrolled patient population
Description
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.
Time Frame
From date of first dose to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 36 months
Title
Progression Free Survival (PFS) in the enrolled patient population
Description
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.
Time Frame
From date of first dose to date of recurrence, progression or death, assessed up to 36 months
Title
Overall Survival (OS) in the enrolled patient population
Description
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.
Time Frame
From date of first dose to death, assessed up to 36 months
Title
Percentage of Participants With Treatment-Emergent Adverse Events (Adverse Events and Serious Adverse Events) in the enrolled patient population
Description
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.
Time Frame
From date of first dose through last dose plus 28 days, assessed up to 36 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged ≥18 years at signing of informed consent Pathologically confirmed ES-SCLC Progression on or after first-line platinum-based chemotherapy. Patients must have also received a prior anti-PDL-1 immunotherapy agent 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.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Puma Biotechnology, Inc. Clinical Operations Senior Director
Phone
(424) 248-6500
Email
ClinicalTrials@pumabiotechnology.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chief Scientific Officer
Organizational Affiliation
Puma Biotechnology, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Puma Biotechnology is committed to sharing clinical trial data and information to help physicians and patients make informed treatment decisions, and to help qualified researchers advance scientific knowledge. In accordance with legal and regulatory requirements, Puma publishes study protocol information and clinical study results on clinical trial registries, including ClinicalTrials.gov and EU Clinical Trials Register. Puma also publishes information about clinical studies in peer-reviewed scientific journals and shares data in scientific meetings. Puma commits to safeguarding confidentiality and patient privacy throughout the clinical trial data and information sharing process. Any patient-level data will be anonymized to protect personally identifiable information. Qualified researchers and study participants may submit requests for other study documentation and clinical trial data to clinicaltrials@pumabiotechnology.com for consideration.
IPD Sharing Time Frame
Clinical study documents and clinical trial data may be requested by qualified researchers and study participants for studies that have been completed for at least 18 months, and for which the indication of the drug has been approved in the US and/or EU, as applicable. Requests will be accepted for up to 24 months after the criteria described in this section are met.
IPD Sharing Access Criteria
Requestors must provide organizational contact information; a detailed research plan, including outcomes; timeline for completion of the research; qualifications of the research team; funding source; and potential conflicts of interest. Puma will not provide access to patient-level data if there is a reasonable likelihood that individual patients could be identified, or in cases where confidentiality or consent provisions prohibit transfer of data or information to third parties. Additionally, Puma will not disclose information that jeopardizes intellectual property rights or divulges confidential commercial information.
IPD Sharing URL
https://pumabiotechnology.com/data_sharing_policy.html

Learn more about this trial

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

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