Debio 0123 in Combination With Carboplatin and Etoposide in Adult Participants With Small Cell Lung Cancer That Recurred or Progressed After Previous Standard Platinum-Based Therapy

NCT ID: NCT05815160

Last Updated: 2025-11-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-02

Study Completion Date

2026-07-31

Brief Summary

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The primary purpose of part 1 (dose escalation) of this study is to identify the recommended dose and to characterize the safety and tolerability of Debio 0123 in combination with carboplatin and etoposide.

The primary purpose of part 2 (dose expansion) of this study is to characterize the safety and tolerability of Debio 0123 at the recommended dose when administered in combination with carboplatin and etoposide.

Detailed Description

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Conditions

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Small Cell Lung Cancer Recurrent

Keywords

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Small cell lung cancer (SCLC) Recurrent Debio 0123 Carboplatin Etoposide WEE1 inhibitor WEE-1 inhibitor Platinum-based therapy Platinum-based chemotherapy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1: Dose Escalation: Debio 0123 + Etoposide + Carboplatin

Participants will receive Debio 0123 escalating doses, orally along with etoposide IV infusion and carboplatin IV infusion in 21-day cycles until disease progression or death or end of study.

Group Type EXPERIMENTAL

Debio 0123

Intervention Type DRUG

Administered as capsules.

Etoposide

Intervention Type DRUG

Administered as IV infusion.

Carboplatin

Intervention Type DRUG

Administered as IV infusion.

Part 2: Dose Expansion: Debio 0123 + Etoposide + Carboplatin

Participants will receive Debio 0123 recommended dose determined in Part 1 of the study, orally along with etoposide IV infusion and carboplatin IV infusion in 21-day cycles until disease progression or death or end of study.

Group Type EXPERIMENTAL

Debio 0123

Intervention Type DRUG

Administered as capsules.

Etoposide

Intervention Type DRUG

Administered as IV infusion.

Carboplatin

Intervention Type DRUG

Administered as IV infusion.

Interventions

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Debio 0123

Administered as capsules.

Intervention Type DRUG

Etoposide

Administered as IV infusion.

Intervention Type DRUG

Carboplatin

Administered as IV infusion.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Histologically or cytologically confirmed SCLC
2. Tumor that is not bleeding
3. Prior platinum-based chemotherapy (carboplatin and/or cisplatin)

* Part 1 (dose escalation): Recurrence or progression after a minimum of 45 days since the last dose of prior standard platinum-based therapy
* Part 2 (expansion): Recurrence or progression after a minimum of 90 days since the last dose of prior standard platinum-based therapy
4. Measurable disease per RECIST 1.1
5. Willingness and ability to undergo tumor biopsy unless an archived tumor sample is available
6. ECOG performance status of 0-1
7. Life expectancy of at least 3 months in the best judgment of the Investigator
8. Adequate bone marrow, hepatic and renal function, adequate coagulation status
9. Willingness and ability to comply with scheduled visits, study treatment plans, laboratory tests, and other study procedures.

Exclusion Criteria

1. Use of an investigational agent or medical device within 28 days prior to first dose of study treatment.
2. History of other malignancies requiring active treatment in the last 2 years prior to first dose of study treatment, except for superficial bladder cancers, ductal carcinoma in situ or other carcinomas in situ, and non-melanoma skin cancers (basal cell/squamous cell skin cancer) that have been treated with curative intent.
3. History of myocardial infarction or stroke in the last 6 months prior to first dose of study treatment, congestive heart failure greater than New York Heart Association (NYHA) class II, unstable angina pectoris, unexplained recurrent syncope, cardiac arrhythmia requiring treatment, known family history of sudden death from cardiac-related causes before the age of 50, or any cardiotoxicity experienced after previous chemotherapy.
4. Left ventricular ejection fraction (LVEF) below 55%.
5. QTcF \>450 ms, history of congenital long QT syndrome, or clinically significant conduction abnormality, or any conduction abnormality that may increase the risk of TdP.
6. Clinically significant gastrointestinal abnormality that could affect the absorption of orally administered drugs
7. Major surgery ≤4 weeks prior to first dose of study treatment or incomplete recovery from the surgical procedure at the time of the first dose of study treatment.
8. Radiographic findings showing tumor involvement with large blood vessels or poor demarcation from them with increased risk for bleeding.
9. Radiographic findings of Interstitial lung disease (ILD) that are considered clinically significant.
10. Uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage.
11. Any infection requiring the systemic use of an antibiotic or antiviral agent.
12. Known Hepatitis C virus (HCV), Hepatitis B virus (HBV), or Human Immunodeficiency Virus (HIV) infection. Participants with past infections that have been cured may be enrolled.
13. Immunization with live or live-attenuated vaccine within 28 days prior to first dose of study treatment.
14. Inability or unwillingness to swallow oral medications.
15. Anticancer treatment (including chemotherapy), monoclonal antibodies/biologics, or radiotherapy with curative intent within 28 days prior to first dose of study treatment. Palliative radiation is allowed up to 1 week prior to study treatment start.
16. Unresolved AEs or toxicities due to previous treatments \>Grade 1. Note: Participants with ≤Grade 2 alopecia or endocrinopathies controlled by replacement therapy are exceptions and may qualify for the study.
17. Hypersensitivity to Debio 0123, etoposide or carboplatin, or any of the excipients found in the formulations for Debio 0123, etoposide, or carboplatin. If a prior hypersensitivity to carboplatin has been observed but a successful desensitization was performed for the participant, he or she may be eligible for the study.
18. Prior exposure to any WEE1 inhibitor
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Debiopharm International SA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

Site Status

Roswell Park Comprehensive Cancer Center

Buffalo, New York, United States

Site Status

Hospital Universitario de A Coruna

A Coruña, , Spain

Site Status

Hospital Universitario Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Clinic Barcelona

Barcelona, , Spain

Site Status

Institut Catala D'Oncologia - Badalona

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Maranon

Madrid, , Spain

Site Status

Clinica Universidad de Navarra

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario HM Sanchinarro. START Madrid - Centro Integral Oncológico Clara Campal (CIOCC)

Madrid, , Spain

Site Status

NEXT Oncology Madrid

Madrid, , Spain

Site Status

Hospital Quironsalud Malaga

Málaga, , Spain

Site Status

Clinica Universidad de Navarra

Pamplona, , Spain

Site Status

Hospital Clinico Universitario de Valencia

Valencia, , Spain

Site Status

Countries

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United States Spain

Other Identifiers

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2024-510980-40-00

Identifier Type: CTIS

Identifier Source: secondary_id

U1111-1302-8787

Identifier Type: OTHER

Identifier Source: secondary_id

Debio 0123-SCLC-104

Identifier Type: -

Identifier Source: org_study_id