Small Cell Lung Carcinoma
Conditions
Brief summary
The purpose of this study is to determine the maximum tolerated dose (MTD) of BMS-833923 administered in combination with carboplatin and etoposide followed by BMS-833923 alone in subjects with extensive-stage Small Cell Lung Cancer (SCLC).
Interventions
Capsule, Oral, starting dose 30 mg, once daily, continuous
Vial, Intravenous (IV), dose to yield 5 mg/mL - min, once every 21 days, 1 day per cycle up to 4 cycles
Vial, Intravenous (IV), 100 mg/m²/dose, days 1, 2, & 3 of each 21 day cycle, 3 days per cycle for up to 4 cycles
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically or cytologically confirmed small cell lung cancer, without prior chemotherapy treatment * Men and Women at least 18 years old * Eastern Cooperative Oncology Group (ECOG) status 0-2
Exclusion criteria
* Significant cardiovascular disease * Prior treatment of small cell lung cancer is not permitted, except for palliative radiation to a limited field excluding the chest (e.g. for painful metastasis). * Symptomatic brain metastases * Women pregnant or breastfeeding * Women of childbearing potential (WOCBP) unwilling/unable to use acceptable method to avoid pregnancy * Uncontrolled medical disorder or active infection * Concurrent therapy with any other investigational product
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Use NCI CTCAE to establish the MTD, DLT(s) and safety profile of BMS-833923 administered alone and in combination with carboplatin and etoposide | 28 days | * NCI - National Cancer Institute * CTCAE - Common Terminology Criteria for Adverse Events * MTD - Maximum tolerated dose * DLT - Dose limiting toxicity |
Secondary
| Measure | Time frame |
|---|---|
| Pharmacokinetic parameters of BMS-833923 alone and in combination with carboplatin and etoposide: Maximum observed plasma concentration (Cmax) | Day 1 and 15 of first three 21-day cycles |
| Pharmacokinetic parameters of BMS-833923 alone and in combination with carboplatin and etoposide: Time of maximum observed plasma concentration (Tmax) | Day 1 and 15 of first three 21-day cycles |
| Pharmacokinetic parameters of BMS-833923 alone and in combination with carboplatin and etoposide: Area under the concentration-time curve in one dosing interval AUC(TAU) | Day 1 and 15 of first three 21-day cycles |
| Tumor assessments by computed tomography (CT) [as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1] | Every 6 weeks until disease progression |
| Pharmacodynamic effect (change from baseline) of BMS-833923 on Hedgehog pathway activation as measured by Glioma-associated oncogene -1 (GLI-1) expression | At baseline and after 1 week |
Countries
Australia, Canada, France, Ireland, United States