Study of Trilaciclib and Lurbinectidin

Lung Cancer Clinical Trial

Official title:

Study of Trilaciclib and Lurbinectedin in Small Cell Lung Cancer

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05578326
• Other study ID #: LCCC2117
• Status: Recruiting
• Phase: Phase 2
• Start date: October 12, 2022
• Est. completion date: July 25, 2026

Study information

• Verified date: November 2023
• Source: UNC Lineberger Comprehensive Cancer Center
• Contact: Shamina Williams
• Phone: 919-966-4432
• Email: shamina_williams[@]med.unc.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Lung cancer is by far the leading cause of cancer death among both men and women worldwide and the second most common cancer in terms of new cases. Small cell lung cancer (SCLC) is the deadliest form of lung cancer. The standard first-line treatment is the combination of carboplatin, etoposide, and atezolizumab. While response rates for this regimen are high (roughly 60%), the duration of response is short, typically 4 months. Following progression after the 1st line treatment of SCLC, there is no consensus regarding subsequent therapy. Lurbinectedin is FDA approved and is increasingly preferred in clinical practice. Toxicity was significant, but appeared favorable compared to historic results with topotecan, leading to the adoption of this therapy for second-line SCLC. The toxicity profile was dominated by myelosuppression.

This study investigates the effect of Trilaciclib on myelosuppression rate in subjects with platinum refractory extensive stage (ES)- SCLC receiving Lurbinectedin as well as the clinical synergy of Trilaciclib and Lurbinectedin combination.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 30
• Est. completion date: July 25, 2026
• Est. primary completion date: July 25, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

In order to participate in this study, a subject must meet all of the eligibility criteria outlined below.

Inclusion Criteria:

• Written informed consent obtained to participate in the study and HIPAA authorization for release of personal health information.

• Age = 18 years at the time of consent.

• Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1

• Measurable disease according to RECIST v1.1 within 28 days prior to start of treatment.

• Previous treatment with a platinum agent, PD1 or PDL1 agent.

Exclusion Criteria:

• Active infection requiring systemic therapy.

• Pregnant or breastfeeding (NOTE: breast milk cannot be stored for future use while the mother is being treated on study).

• Treatment with any investigational drug within 4 weeks prior to start of treatment.

• A known allergy or sensitivity to either study drug or its excipients.

• Subject is receiving prohibited medications or treatments as listed in the protocol.

Related Conditions & MeSH terms

• Lung Cancer
• Lung Neoplasms
• Small Cell Lung Carcinoma
• Small-cell Lung Cancer

Intervention

Drug:
• Trilaciclib
240 mg/m2 intravenous, over 30 minutes at day 1 of each cycle
• Lurbinectedin
3.2 mg/m2, over 60 minutes at day 1 of each cycle

Locations

Country	Name	City	State
United States	Lineberger Comprehensive Cancer Center at University of North Carolina Chapel Hill	Chapel Hill	North Carolina
United States	Dartmouth Hitchcock Medical Center	Lebanon	New Hampshire

Sponsors (2)

Lead Sponsor	Collaborator
UNC Lineberger Comprehensive Cancer Center	G1 Therapeutics, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The proportion of grade 4 neutropenia	The proportion of subjects that experience grade 4 neutropenia as graded by the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0 will be determined.; CTCAE is descriptive terminology that can be used for Adverse Event (AE) grading and reporting. Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 Moderate; minimal, local, or noninvasive intervention indicated; limiting age-appropriate instrumental Activities of Daily Living (ADL). Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. Grade 4 Life-threatening consequences; urgent intervention indicated. Grade 5 Death related to AE.	Up to 21 days
Primary	The duration of grade 4 neutropenia	The median duration of subjects that experience grade 4 neutropenia as graded by the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0 will be reported.	Up to 21 days
Secondary	The mean duration of grade 4 neutropenia	The mean duration of grade 4 neutropenia in cycle 1 will be defined as the start of grade 4 neutropenia to the time of decreased grade as measured in days or censored at the time of death if a subject dies with Grade 4 neutropenia in Cycle 1.	Up to 21 days
Secondary	The number of grade 3/4 anemia, grade 3/4 thrombocytopenia, and febrile neutropenia	Toxicity will be evaluated, as the number of grade 3/4 anemia, grade 3/4 thrombocytopenia, and febrile neutropenia based on the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0 criteria, in any cycle (including cycle 1).	Up to 8 months
Secondary	Use of secondary/reactive supportive measures	To characterize use of secondary/reactive supportive measures any supportive measures such as Granulocyte colony-stimulating factor ( G-CSF) and erythropoietin stimulating agents (ESA) administration, red blood cell and platelet transfusion will be recorded.	Up to 8 months
Secondary	Dose Intensity of Chemotherapy/ Number of chemotherapy dose reductions	The dose Intensity of Chemotherapy/ Number of chemotherapy dose reductions will be defined as the ratio of the subjects who required chemotherapy dose reductions to all subjects who received study treatment.	Up to 8 months
Secondary	Dose Intensity of Chemotherapy/ Number of chemotherapy cycles	The dose Intensity of Chemotherapy/ Number of chemotherapy cycles will be defined as the median number of chemotherapy cycles among the subject who received study treatment.	Up to 8 months
Secondary	Dose Intensity of Chemotherapy/ Number of chemotherapy delays	The dose Intensity of Chemotherapy/ Number of chemotherapy delays will be defined as the median number of chemotherapy cycle delays dates among the subject who received study treatment.	Up to 8 months
Secondary	Dose Intensity of Chemotherapy/ the total chemotherapy dose	The dose Intensity of Chemotherapy/ the total chemotherapy dose will be defined as the median chemotherapy dose among the subject who received study treatment.	Up to 8 months
Secondary	Overall Response Rate (ORR)	To estimate the ORR, the proportion of subjects that respond (CR + PR) will be measured according to RESIST 1.1 will be calculated.; RECIST: Radiographic response will be measured by RECIST, Response Evaluation Criteria In Solid Tumors Criteria, indicating if the subject experienced a Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), no response or less response than Partial or Progressive; or Progressive Disease (PD), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.	Up to 5 years
Secondary	Progression-free survival (PFS)	PFS will be measured from the initiation of study therapy until progression per RECIST 1.1 or death of any cause or at last date of disease assessment if no progression is observed during the study period.	Up to 5 years
Secondary	Overall survival (OS)	OS will be measured from the initiation of therapy until death of any cause or censored at the last time known to be alive.	Up to 5 years
Secondary	The kinetics of response	The kinetics of response will be reported as tumor size over time for all patients, including the pace of progression from prior therapy.	Up to 5 years
Secondary	QOL assessments FACT-L	Scores from QOL assessments FACT-L version 4, from prior to study therapy through cycle 12 will be obtained, as described in the protocol.; The FACT-L is a lung cancer specific subscale given at baseline, after each cycle and at end of treatment. Items are rated by patients on a Likert scale from 0 to 4. Higher scores represent better QOL.	Up to 5 years
Secondary	QOL assessments FACT-An	Scores from QOL assessments FACT-An version 4, from prior to study therapy through cycle 12 will be obtained, as described in the protocol.; The FACT-An is an anemia specific subscale given at baseline, after each cycle and at end of treatment. Items are rated by patients on a Likert scale from 0 to 4. Higher scores represent better QOL.	Up to 5 years

External Links

•   University of North Carolina Lineberger Comprehensive Cancer Center Clinical Trials