Clinical Trial of Lurbinectedin (PM01183) in Selected Advanced Solid Tumors

NCT ID: NCT02454972

Last Updated: 2023-03-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

345 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-25

Study Completion Date

2020-09-18

Brief Summary

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Multicenter, open-label, exploratory, phase II clinical trial to evaluate the efficacy and safety of PM01183 in previously treated patients with advanced solid tumors

Detailed Description

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Patients with relapsed small cell lung cancer (SCLC), head and neck carcinoma (H\&N), neuroendocrine tumors (NETs), biliary tract carcinoma, endometrial carcinoma, BRCA 1/2-associated metastatic breast carcinoma, carcinoma of unknown primary site, germ cell tumors (GCTs), and Ewing's family of tumors (EFTs) will be enrolled in nine different cohorts. Up to 25 evaluable patients are planned to be enrolled in each cohort (50 in the endometrial carcinoma and 100 in the SCLC cohort).

Conditions

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Advanced Solid Tumors

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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lurbinectedin (PM01183)

lurbinectedin (PM01183) 4 mg vials of powder for concentrate for solution for infusion

Group Type EXPERIMENTAL

lurbinectedin (PM01183)

Intervention Type DRUG

Interventions

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lurbinectedin (PM01183)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years.
* Voluntary signed informed consent (IC)
* Pathologically proven diagnosis of any of the following malignancies:

* Small cell lung cancer (SCLC).
* Head and neck carcinoma (H\&N). Salivary glands tumors are excluded.
* Neuroendocrine tumors (NETs), grade 2 and grade 3 according to World Health Organization classification.
* Biliary tract carcinoma.
* Endometrial carcinoma.
* BRCA 1/2- associated metastatic breast carcinoma
* Carcinoma of unknown primary site.
* Germ cell tumor (GCTs), excluding immature teratoma, or teratoma with malignant transformation.
* Ewing's family of tumors (EFTs)
* Prior treatment. Patients must have received:

* SCLC, endometrial carcinoma: one prior chemotherapy-containing line.
* H\&N, NETs, biliary tract, CUP: one or two prior chemotherapy-containing lines
* GCTs: no limit of prior therapy
* EFTs: no more than two prior chemotherapy-containing lines in the metastatic/recurrent setting.
* BRCA 1/2-associated metastatic breast carcinoma: at least one but no more than three prior chemotherapy-containing lines.
* Performance status ≤ 2 \[Eastern Cooperative Oncology Group (ECOG)\]
* Adequate major organ function
* At least three weeks since the last chemotherapy
* Women of childbearing potential must have pregnancy excluded by appropriate testing before study entry

Exclusion Criteria

* Prior treatment with PM01183 or trabectedin
* Prior or concurrent malignant disease unless in complete remission for more than five years
* Known central nervous system (CNS) involvement
* Relevant diseases or clinical situations which may increase the patient's risk
* Pregnant or breastfeeding women and fertile patients (men and women) who are not using an effective method of contraception
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PharmaMar

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sarcoma Oncology Research Center, LLC

Santa Monica, California, United States

Site Status

University of Colorado Cancer Center

Aurora, Colorado, United States

Site Status

Massachussets General Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Centre

Boston, Massachusetts, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Institute for Drug Development, Cancer Therapy & Research Center at University of Texas Health Science Center

San Antonio, Texas, United States

Site Status

Institut Jules Bordet

Brussels, , Belgium

Site Status

Hôpital Cochin

Paris, , France

Site Status

Institut Claudius Regaud

Toulouse, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Charité Universitätsmedizin Berlin - Campus Benjamin Franklin - Comprehensive Cancer Center

Berlin, , Germany

Site Status

Charité - Universitätsmedizin Berlin

Berlin, , Germany

Site Status

Istituto Clinico Humanitas

Rozzano, Milan, Italy

Site Status

Istituto Ortopedico Rizzoli

Bologna, , Italy

Site Status

lstituto Europeo di Oncologia

Milan, , Italy

Site Status

ASST Monza - Ospedale San Gerardo di Monza Struttura Complessa di Oncologia Medica

Monza, , Italy

Site Status

AUSL Romagna - Ospedale Santa Maria delle Croci

Ravenna, , Italy

Site Status

Complexo Hospitalario Universitario de Santiago

Santiago de Compostela, A Coruña, Spain

Site Status

Hopsital Universitario Donostia - Donostia Unibertsitate Ospitalea

San Sebastián, Guipúzcoa, Spain

Site Status

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, Madrid, Spain

Site Status

Complejo Hospitalario De Navarra

Pamplona, Navarre, Spain

Site Status

Hospital Universitario Álvaro Cunqueiro

Vigo, Pontevedra, Spain

Site Status

Hospital Universitario Central de Asturias

Oviedo, Principality of Asturias, Spain

Site Status

Hospital de Basurto

Bilbao, Vizcaya, Spain

Site Status

Complexo Hospitalario Universitario A Coruña

A Coruña, , Spain

Site Status

Hospital Universitari Vall D' Hebron

Barcelona, , Spain

Site Status

Complejo Hospitalario Regional Reina Sofía

Córdoba, , Spain

Site Status

Hospital Universitario Virgen de las Nieves

Granada, , Spain

Site Status

Hospital Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Universitario Fundación Jiménez Díaz

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario Madrid Sanchinarro

Madrid, , Spain

Site Status

Complejo Hospitalario de Especialidades Virgen de la Victoria

Málaga, , Spain

Site Status

Hospital Universitari i Polotècnic la Fe

Valencia, , Spain

Site Status

Hospital Universitario Miguel Servet

Zaragoza, , Spain

Site Status

Skane University Hospital

Lund, , Sweden

Site Status

Centre Hospitalier Universitaire Vaudois

Lausanne, Canton of Vaud, Switzerland

Site Status

Istituto Oncologico della Svizzera Italiana (IOSI)

Bellinzona, , Switzerland

Site Status

UCL Cancer Institute

London, , United Kingdom

Site Status

Countries

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United States Belgium France Germany Italy Spain Sweden Switzerland United Kingdom

References

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Kristeleit R, Leary A, Delord JP, Moreno V, Oaknin A, Castellano D, Shappiro GI, Fernandez C, Kahatt C, Alfaro V, Siguero M, Rueda D, Zeaiter A, Awada A, Santaballa A, Zaman K, Sehouli J, Subbiah V. Lurbinectedin in patients with pretreated endometrial cancer: results from a phase 2 basket clinical trial and exploratory translational study. Invest New Drugs. 2023 Oct;41(5):677-687. doi: 10.1007/s10637-023-01383-2. Epub 2023 Aug 9.

Reference Type DERIVED
PMID: 37556023 (View on PubMed)

Boni V, Pistilli B, Brana I, Shapiro GI, Trigo J, Moreno V, Castellano D, Fernandez C, Kahatt C, Alfaro V, Siguero M, Zeaiter A, Longo F, Zaman K, Anton A, Paredes A, Huidobro G, Subbiah V. Lurbinectedin, a selective inhibitor of oncogenic transcription, in patients with pretreated germline BRCA1/2 metastatic breast cancer: results from a phase II basket study. ESMO Open. 2022 Oct;7(5):100571. doi: 10.1016/j.esmoop.2022.100571. Epub 2022 Aug 28.

Reference Type DERIVED
PMID: 36037567 (View on PubMed)

Longo-Munoz F, Castellano D, Alexandre J, Chawla SP, Fernandez C, Kahatt C, Alfaro V, Siguero M, Zeaiter A, Moreno V, Sanz-Garcia E, Awada A, Santaballa A, Subbiah V. Lurbinectedin in patients with pretreated neuroendocrine tumours: Results from a phase II basket study. Eur J Cancer. 2022 Sep;172:340-348. doi: 10.1016/j.ejca.2022.06.024. Epub 2022 Jul 10.

Reference Type DERIVED
PMID: 35830841 (View on PubMed)

Subbiah V, Brana I, Longhi A, Boni V, Delord JP, Awada A, Boudou-Rouquette P, Sarantopoulos J, Shapiro GI, Elias A, Ratan R, Fernandez C, Kahatt C, Cullell-Young M, Siguero M, Zeaiter A, Chawla SP. Antitumor Activity of Lurbinectedin, a Selective Inhibitor of Oncogene Transcription, in Patients with Relapsed Ewing Sarcoma: Results of a Basket Phase II Study. Clin Cancer Res. 2022 Jul 1;28(13):2762-2770. doi: 10.1158/1078-0432.CCR-22-0696.

Reference Type DERIVED
PMID: 35486638 (View on PubMed)

Fernandez-Teruel C, Fudio S, Lubomirov R. Integrated exposure-response analysis of efficacy and safety of lurbinectedin to support the dose regimen in small-cell lung cancer. Cancer Chemother Pharmacol. 2022 May;89(5):585-594. doi: 10.1007/s00280-021-04366-3. Epub 2021 Nov 5.

Reference Type DERIVED
PMID: 34739582 (View on PubMed)

Subbiah V, Paz-Ares L, Besse B, Moreno V, Peters S, Sala MA, Lopez-Vilarino JA, Fernandez C, Kahatt C, Alfaro V, Siguero M, Zeaiter A, Zaman K, Lopez R, Ponce S, Boni V, Arrondeau J, Delord JP, Martinez M, Wannesson L, Anton A, Valdivia J, Awada A, Kristeleit R, Olmedo ME, Rubio MJ, Sarantopoulos J, Chawla SP, Mosquera-Martinez J, D' Arcangelo M, Santoro A, Villalobos VM, Sands J, Trigo J. Antitumor activity of lurbinectedin in second-line small cell lung cancer patients who are candidates for re-challenge with the first-line treatment. Lung Cancer. 2020 Dec;150:90-96. doi: 10.1016/j.lungcan.2020.10.003. Epub 2020 Oct 10.

Reference Type DERIVED
PMID: 33096421 (View on PubMed)

Trigo J, Subbiah V, Besse B, Moreno V, Lopez R, Sala MA, Peters S, Ponce S, Fernandez C, Alfaro V, Gomez J, Kahatt C, Zeaiter A, Zaman K, Boni V, Arrondeau J, Martinez M, Delord JP, Awada A, Kristeleit R, Olmedo ME, Wannesson L, Valdivia J, Rubio MJ, Anton A, Sarantopoulos J, Chawla SP, Mosquera-Martinez J, D'Arcangelo M, Santoro A, Villalobos VM, Sands J, Paz-Ares L. Lurbinectedin as second-line treatment for patients with small-cell lung cancer: a single-arm, open-label, phase 2 basket trial. Lancet Oncol. 2020 May;21(5):645-654. doi: 10.1016/S1470-2045(20)30068-1. Epub 2020 Mar 27.

Reference Type DERIVED
PMID: 32224306 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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PM1183-B-005-14

Identifier Type: -

Identifier Source: org_study_id

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