Trial Outcomes & Findings for Study to Evaluate the Effect of Bosentan on the Pharmacokinetics of Lurbinectedin in Patients With Advanced Solid Tumors (NCT NCT05072106)

NCT ID: NCT05072106

Last Updated: 2025-09-16

Results Overview

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

11 participants

Primary outcome timeframe

Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Results posted on

2025-09-16

Participant Flow

11 patients were included/treated at 2 sites: 7 in Sequence 1 (TR: Test-Reference; bosentan+lurbinectedin in Cycle 1) and 4 in Sequence 2 (RT: Reference-Test; bosentan+lurbinectedin in Cycle 2). Patients participated between 14 Jan 2021 and 22 Dec 2021. The 1st dose of the 1st cycle was given on 25 Jan 2021 and the last dose of the last cycle on 25 Nov 2021

Participant milestones

Participant milestones
Measure
Sequence 1 (TR: Test-Reference)
Patients received two consecutive cycles of lurbinectedin, the first one with bosentan co-administration and the second one lurbinectedin alone, followed by a third cycle with lurbinectedin alone (this last was optional for patients with clinical benefit).
Sequence 2 (RT: Refence-Test)
Patients received two consecutive cycles of lurbinectedin, the first one lurbinectedin alone and the second one with bosentan co-administration, followed by a third cycle with lurbinectedin alone (this last was optional for patients with clinical benefit)
Overall Study
STARTED
7
4
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
7
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence 1 (TR: Test-Reference)
Patients received two consecutive cycles of lurbinectedin, the first one with bosentan co-administration and the second one lurbinectedin alone, followed by a third cycle with lurbinectedin alone (this last was optional for patients with clinical benefit).
Sequence 2 (RT: Refence-Test)
Patients received two consecutive cycles of lurbinectedin, the first one lurbinectedin alone and the second one with bosentan co-administration, followed by a third cycle with lurbinectedin alone (this last was optional for patients with clinical benefit)
Overall Study
Progressive disease
3
3
Overall Study
Compassionate use
3
1
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Study to Evaluate the Effect of Bosentan on the Pharmacokinetics of Lurbinectedin in Patients With Advanced Solid Tumors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence 1 (TR: Test-Reference)
n=7 Participants
Patients received two consecutive cycles of lurbinectedin, the first one with bosentan co-administration and the second one lurbinectedin alone, followed by a third cycle with lurbinectedin alone (this last was optional for patients with clinical benefit).
Sequence 2 (RT: Refence-Test)
n=4 Participants
Patients received two consecutive cycles of lurbinectedin, the first one lurbinectedin alone and the second one with bosentan co-administration, followed by a third cycle with lurbinectedin alone (this last was optional for patients with clinical benefit)
Total
n=11 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Age, Continuous
67 years
n=5 Participants
60 years
n=7 Participants
63 years
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race/Ethnicity, Customized
White
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Weight
66.4 kg
n=5 Participants
72.4 kg
n=7 Participants
66.4 kg
n=5 Participants
Height
163 cm
n=5 Participants
174.5 cm
n=7 Participants
168 cm
n=5 Participants
Body Surface Area
1.7 square metre
n=5 Participants
1.9 square metre
n=7 Participants
1.7 square metre
n=5 Participants
ECOG PS
PS 0
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
ECOG PS
PS 1
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Stage at diagnosis
Early
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Stage at diagnosis
Locally advanced
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Stage at diagnosis
Metastatic
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Primary tumor site
Lung
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Primary tumor site
Ovarian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Primary tumor site
Breast
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Primary tumor site
Cervical
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Primary tumor site
Colon
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Primary tumor site
Gall bladder
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Primary tumor site
Mesothelioma
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Primary tumor site
Neuroendocrine tumor
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Number of disease sites at baseline
3 sites
n=5 Participants
6 sites
n=7 Participants
3 sites
n=5 Participants
Time from diagnosis to first infusion
47.7 months
n=5 Participants
13.7 months
n=7 Participants
47.3 months
n=5 Participants
Prior surgery
7 Participants
n=5 Participants
2 Participants
n=7 Participants
9 Participants
n=5 Participants
Prior radiotherapy
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Number of prior Anticancer Therapy lines
5 lines
n=5 Participants
2.5 lines
n=7 Participants
4 lines
n=5 Participants
Number of prior chemotherapy lines
3 lines
n=5 Participants
2.5 lines
n=7 Participants
3 lines
n=5 Participants

PRIMARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for Pharmacokinetic (PK) assessments due to lack of treatment at Cycle 2

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Maximum Observed Plasma Concentration (Cmax) of Total Lurbinectedin: Alone and in Combination With Bosentan.
20.71 μg/L/mg
Geometric Coefficient of Variation 54.81
21.39 μg/L/mg
Geometric Coefficient of Variation 49.56

PRIMARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Area Under the Plasma Concentration-time Profile From Time Zero to Extrapolated Infinity (AUC0-∞) of Total Lurbinectedin: Alone and in Combination With Bosentan
58.83 μg·h/L/mg
Geometric Coefficient of Variation 75.83
73.71 μg·h/L/mg
Geometric Coefficient of Variation 86.93

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Area Under the Plasma Concentration-time Profile From Time Zero to Last Quantifiable Concentration (AUC0-t) of Total Lurbinectedin: Alone and in Combination With Bosentan
56.33 μg·h/L/mg
Geometric Coefficient of Variation 76.47
71.13 μg·h/L/mg
Geometric Coefficient of Variation 84.97

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Plasma Clearance (CL) of Total Lurbinectedin: Alone and in Combination With Bosentan
17.00 L/h
Geometric Coefficient of Variation 75.83
13.57 L/h
Geometric Coefficient of Variation 86.93

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Plasma Volume of Distribution at Steady-state (Vss) of Total Lurbinectedin: Alone and in Combination With Bosentan
412.94 L
Geometric Coefficient of Variation 78.11
386.69 L
Geometric Coefficient of Variation 65.5

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Terminal Elimination Half-life (t1/2) in Plasma of Total Lurbinectedin: Alone and in Combination With Bosentan
35.51 h
Geometric Coefficient of Variation 61.54
33.84 h
Geometric Coefficient of Variation 35.26

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2 and two patients were excluded due to extremely high unbound fraction values

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=6 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=6 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Maximum Observed Plasma Concentration (Cmax) of Unbound Lurbinectedin: Alone and in Combination With Bosentan
0.0324 μg/L/mg
Geometric Coefficient of Variation 51.77
0.0332 μg/L/mg
Geometric Coefficient of Variation 19.18

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2 and two patients were excluded due to extremely high unbound fraction values

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=6 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=6 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Area Under the Plasma Concentration-time Profile From Time Zero to Extrapolated Infinity (AUC0-∞) of Unbound Lurbinectedin: Alone and in Combination With Bosentan
0.095 μg·h/L/mg
Geometric Coefficient of Variation 73.04
0.114 μg·h/L/mg
Geometric Coefficient of Variation 61.09

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2 and two patients were excluded due to extremely high unbound fraction values

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=6 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=6 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Area Under the Plasma Concentration-time Profile From Time Zero to Last Quantifiable Concentration (AUC0-t) of Unbound Plasma Lurbinectedin: Alone and in Combination With Bosentan
0.0907 μg·h/L/mg
Geometric Coefficient of Variation 72.73
0.1099 μg·h/L/mg
Geometric Coefficient of Variation 58.24

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2 and two patients were excluded due to extremely high unbound fraction values

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=6 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=6 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Plasma Clearance (CL) of Unbound Lurbinectedin: Alone and in Combination With Bosentan
10530.93 L/h
Geometric Coefficient of Variation 73.04
8773.36 L/h
Geometric Coefficient of Variation 61.09

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2 and two patients were excluded due to extremely high unbound fraction values

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=6 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=6 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Plasma Volume of Distribution at Steady-state (Vss) of Unbound Lurbinectedin: Alone and in Combination With Bosentan
266905.87 L
Geometric Coefficient of Variation 73.09
241282.16 L
Geometric Coefficient of Variation 23.18

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7, 25, 49, 97 and 169 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2 and two patients were excluded due to extremely high unbound fraction values

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=6 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=6 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Terminal Elimination Half-life (t1/2) in Plasma of Unbound Lurbinectedin: Alone and in Combination With Bosentan
37.41 h
Geometric Coefficient of Variation 73.98
32.33 h
Geometric Coefficient of Variation 39.36

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7 and 25 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2. For 1 patient all PK samples for M1 in lurbinectedin alone cycle were below the limit of quantification

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=7 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Maximum Observed Plasma Concentration (Cmax) of Total Lurbinectedin Metabolite M1: Alone and in Combination With Bosentan
0.3849 μg/L/mg
Geometric Coefficient of Variation 92.13
0.268 μg/L/mg
Geometric Coefficient of Variation 78.43

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7 and 25 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2. For 1 patient all PK samples for M1 in lurbinectedin alone cycle were below the limit of quantification

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=7 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Area Under the Plasma Concentration-time Profile From Time Zero to Last Quantifiable Concentration (AUC0-t) of Total Lurbinectedin Metabolite M1: Alone and in Combination With Bosentan
0.728 μg·h/L/mg
Geometric Coefficient of Variation 236.22
0.6916 μg·h/L/mg
Geometric Coefficient of Variation 114.55

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7 and 25 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Maximum Observed Plasma Concentration (Cmax) of Total Lurbinectedin Metabolite M4: Alone and in Combination With Bosentan
0.5617 μg/L/mg
Geometric Coefficient of Variation 103.28
0.5528 μg/L/mg
Geometric Coefficient of Variation 101.15

SECONDARY outcome

Timeframe: Preinfusion, 0.917, 1.5, 2, 3, 5, 7 and 25 hours post lurbinectedin infusion start on Day 1 of Cycle 1 or Cycle 2 (each cycle is 21 days)

Population: Three treated patients were not evaluable for PK assessments due to lack of treatment at Cycle 2

Pharmacokinetic analyses will be evaluated in plasma by standard non-compartmental methods, or population methods, if necessary.

Outcome measures

Outcome measures
Measure
Bosentan Co-administration Cycle
n=8 Participants
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 Participants
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Dose-normalized Area Under the Plasma Concentration-time Profile From Time Zero to Last Quantifiable Concentration (AUC0-t) of Total Lurbinectedin Metabolite M4: Alone and in Combination With Bosentan
0.9962 μg·h/L/mg
Geometric Coefficient of Variation 267.9
1.382 μg·h/L/mg
Geometric Coefficient of Variation 390.96

Adverse Events

Bosentan Co-administration Cycle

Serious events: 3 serious events
Other events: 7 other events
Deaths: 1 deaths

Single Agent Lurbinectedin Cycle

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Bosentan Co-administration Cycle
n=11 participants at risk
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 participants at risk
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Nervous system disorders
Monoparesis
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Gastrointestinal disorders
Oesophagitis
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Product Issues
Thrombosis in device
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Infections and infestations
Bacteraemia
0.00%
0/11 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
12.5%
1/8 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first

Other adverse events

Other adverse events
Measure
Bosentan Co-administration Cycle
n=11 participants at risk
* Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion). * Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1 in first three patients. Dose for remaining five patients will depend on PK and safety outcomes in first three patients. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Bosentan: Bosentan: 125 mg (one film-coated tablet of 125 mg) orally (p.o.) twice daily in the morning and in the evening during the prior five consecutive days before the day of lurbinectedin infusion (Day 1), and once daily on Day 1 (before lurbinectedin infusion).
Single Agent Lurbinectedin Cycle
n=8 participants at risk
3.2 mg/m² as a 1-hour i.v. infusion on Day 1. Lurbinectedin: 3.2 mg/m² as a 1-hour i.v. infusion on Day 1.
Vascular disorders
Hot flush
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Vascular disorders
Venous thrombosis
0.00%
0/11 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
12.5%
1/8 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Investigations
Weight decreased
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Respiratory, thoracic and mediastinal disorders
Cough
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Respiratory, thoracic and mediastinal disorders
Dyspnoea
18.2%
2/11 • Number of events 2 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Blood and lymphatic system disorders
Anaemia
18.2%
2/11 • Number of events 2 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Blood and lymphatic system disorders
Neutropenia
0.00%
0/11 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
25.0%
2/8 • Number of events 2 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Blood and lymphatic system disorders
Thrombocytopenia
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Nervous system disorders
Paraesthesia
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Nervous system disorders
Monoparesis
9.1%
1/11 • Number of events 2 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
General disorders
Fatigue
45.5%
5/11 • Number of events 7 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
General disorders
Oedema peripheral
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
General disorders
Pain
0.00%
0/11 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
12.5%
1/8 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Gastrointestinal disorders
Constipation
9.1%
1/11 • Number of events 2 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Gastrointestinal disorders
Diarrhoea
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
12.5%
1/8 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Gastrointestinal disorders
Dyspepsia
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Gastrointestinal disorders
Gastritis
9.1%
1/11 • Number of events 2 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Gastrointestinal disorders
Nausea
18.2%
2/11 • Number of events 3 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
12.5%
1/8 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Gastrointestinal disorders
Vomiting
18.2%
2/11 • Number of events 2 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Musculoskeletal and connective tissue disorders
Back pain
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Musculoskeletal and connective tissue disorders
Bone pain
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Infections and infestations
Pneumonia
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
Infections and infestations
Upper respiratory tract infection
9.1%
1/11 • Number of events 1 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first
0.00%
0/8 • From 14 January 2021 to 18 January 2022 (1 year). Adverse events will be monitored from first administration date to the end of the follow-up period which corresponds to the visit of the end of treatment (EOT), calculated as 31 days (±10 days) after the last lurbinectedin infusion or until the patient starts a new antitumor therapy or until the date of death, whichever occurs first

Additional Information

Clinical Developtment, Department of PharmaMar's Oncology, Business Unit,

Pharma Mar S.A.

Phone: 0034918466000

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days from the time submitted to the sponsor for review.
  • Publication restrictions are in place

Restriction type: OTHER