E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Small cell lung carcinoma (SCLC) (North America or UK) and other non-hematological malignancies (North America only). |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 8.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10041067 |
E.1.2 | Term | Small cell lung cancer |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Phase 1: - safety assessment - dose limiting toxicity 9DLT) determination - maximum tolerated dose (MTD) determination - pharmacokinetic profile evaluation Phase 2: - safety assessment at the recommended Phase 2 dose (RPTD) - preliminary efficacy assessment |
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E.2.2 | Secondary objectives of the trial | |
E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Title: Diagnostic Tissue Sub-study Objective: to develop a test from tissue biopsy which identifies patients most likely to respond to the study drug ABT-263.
Immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) will be performed on tissue slides from archived, diagnostic, formalin fixed, paraffin embedded (FFPE) tissue blocks from patients who consent.
Title: Genetic sub-study Objective: to identify genetic reasons for patients with small cell lung cancer and if they would benefit from taking ABT-263.
One 4ml of blood sample for DNA isolation will be collected at screening from each subject that consents.
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E.3 | Principal inclusion criteria |
Phase 1 1. The subject must be ≥ 18 years of age. 2. The subject must have histologically documented diagnosis of small cell lung cancer (North America and UK) or other non-hematological malignancy (North America only) measurable by CT or MRI as defined by RECIST. Target lesion(s) may not have received radiation therapy. 3. The subject has received at least 1 prior chemotherapy treatment regimen(s) and their disease is refractory or the subject has experienced progressive disease following the treatment. 4. Subjects with brain metastases must have clinically controlled neurologic symptoms, defined as surgical excision and/or radiation therapy followed by 21 days of stable neurologic function and no evidence of CNS disease progression as determined by CT or MRI within 21 days prior to the first dose of study drug. 5. The subject has an Eastern Cooperative Oncology Group performance score of ≤ 2. 6. Subjects receiving Selective Serotonin Reuptake Inhibitor (SSRI) anti-depressants (e.g., Prozac) must be receiving a stable dose for at least 21 days prior to the first dose of study drug. 7. Subject must have adequate bone marrow, renal and hepatic function per local laboratory reference range at Screening (see protocol). 8. Female subjects must be surgically sterile, postmenopausal (for at least one year), or have negative results for a pregnancy test (see protocol for details of pregancy test) 9. All female subjects not surgically sterile or postmenopausal (for at least one year) and non-vasectomized male subjects must practice suitable method(s) of birth control (as defined in the protocol). 10. The subject, or legal representative, must voluntarily sign and date an informed consent, apprpved by an Independent Ethics Committee (IEC)/Institutional Review Board (IRB), prior to the initiation of any screening or study-specific procedures. 11. In the Investigator's opinion, the subject's life expectancy is at least 30 days.
Phase 2a:
Criteria 1,4,6,7,8,9, 10, 11 for phase 1, plus criteria (numbered as they appear in the protocol): 2. The subject must have histologically documented diagnosis of small cell lung cancer (SCLC). 3. The subject has extensive-stage SCLC and is chemotherapy naïve (US only) or the subject has experienced progressive disease following at least one chemotherapy regimen or their disease is refractory. 5. Subjects with brain metastases must have clinically controlled neurologic symptoms, defined as surgical excision and/or radiation therapy followed by 21 days of stable neurologic function and no evidence of CNS disease progression as determined by CT or MRI within 21 days prior to the first dose of study drug. 12. The subject, or legal representative, must voluntarily sign and date an informed consent, approved by an Independent Ethics Committee (IEC)/Institutional Review Board (IRB), prior to the initiation of any screening or study-specific procedures. 13. In the investigator's opinion, the subject's life expectancy is at least 30 days.
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E.4 | Principal exclusion criteria |
Phases 1 & 2a
1. The subject has an underlying, predisposing condition of bleeding or currently exhibits signs of bleeding. The subject has a recent history of non-chemotherapy induced thrombocytopenia-associated bleeding within one year prior to first dose of study drug. 2. The subject has active peptic ulcer disease or other potentially hemorrhagic esophagitis/gastritis. 3. The subject has a history of platelet autoantibodies or autoimmune phenomena including immune thrombocytopenic purpura (ITP) or autoimmune hemolytic anemia (AIHA). 4. Subject is currently receiving or requires anticoagulation therapy or any drugs or herbal supplements that affect platelet function, with the exception of low-dose anticoagulation medications that are used to maintain the patency of a central intravenous catheter. 5. The subject has received any anti-cancer therapy including chemotherapy, immunotherapy, radiotherapy, hormonal (with the exception of hormones for hypothyroidism or estrogen replacement therapy (ERT), biologic (with the exception of colony stimulating factors [G-CSF, GM-CSF] or erythropoietin), or any investigational therapy within 14 days prior to the first dose of study drug, or has not recovered to less than a grade 2 clinically significant adverse effect(s)/toxicity(s) of the previous therapy. 6. The subject has consumed grapefruit or grapefruit products within 3 days prior to the first dose of study drug. 7. The subject has a significant history of cardiovascular disease (e.g., MI, thrombotic or thromboembolic event in the last 6 months), renal, neurologic, psychiatric, endocrinologic, metabolic, immunologic, or hepatic disease that in the opinion of the investigator would adversely affect his/her participating in this study. Questions regarding inclusion of individual subjects should be directed to the Abbott Medical Monitor or designee. 8. A female subject is pregnant or breast-feeding. 9. The subject has tested positive for HIV (due to potential drug-drug interactions between anti-retroviral medications and ABT-263, as well as anticipated ABT-263 mechanism based lymphopenia that may potentially increase the risk of opportunistic infections and potential drug-drug interactions with certain anti-infective agents). 10. The subject has previous or current malignancies at other sites, with the exception of: ● adequately treated in situ carcinoma of the cervix uteri; ● basal or squamous cell carcinoma of the skin; ● previous nonpulmonary malignancy (e.g., localized prostate cancer) confined and surgically resected with no evidence of disease within three years. 11. The subject exhibits evidence of other clinically significant uncontrolled condition(s) including, but not limited to: ● active systemic fungal infection; ● diagnosis of fever and neutropenia within one week prior to study drug administration. 12. Subject has received aspirin within seven days prior to the first dose of study drug. 13. The subject has received steroid therapy within seven days prior to the first dose of study drug with the exception of inhaled steroids for asthma, topical steroids, or replacement/stress corticosteroids. |
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E.5 End points |
E.5.1 | Primary end point(s) |
As this is Phase 1/2a study, there is no primary endpoint. The objectives of the Phase 1 study include: ● Safety assessment ● Dose limiting toxicity (DLT) determination ● Maximum tolerated dose (MTD) determination ● Pharmacokinetic profile evaluation
The objectives of the Phase 2a study include: ● Safety assessment at the recommended Phase 2 dose (RPTD) ● Preliminary efficacy assessment
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | Yes |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |