About this trial
The primary objective of this single arm study is to estimate the progression free survival of previously-untreated patients with extensive stage small cell lung cancer. Patients will receive initial chemo-immunotherapy followed by maintenance therapy with durvalumab and oral ceralasertib.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Written informed consent and HIPAA authorization for release of personal health information. NOTE: HIPAA authorization may be included in the informed consent or obtained separately.
Age >= 18 years at the time of consent.
ECOG Performance Status of 0-1 within 14 days prior to registration (Appendix A of Protocol).
Histological or cytological confirmed small cell lung carcinoma
Disqualifiers
Prior systemic therapy for extensive stage or recurrent SCLC
Patients with recurrent SCLC, who received chemotherapy or definitive chest radiation in the past for limited-stage SCLC.
Clinically significant active infection requiring systemic therapy
Pregnant or breastfeeding (NOTE: breast milk cannot be stored for future use while the mother is being treated on study).
Trial design
Single group
Treatments tested in this trial
Cisplatin
DrugCisplatin
Carboplatin
DrugCarboplatin
Etoposide
DrugEtoposide
Durvalumab
DrugDurvalumab
Ceralasertib
DrugCeralasertib
Treatment groups
Trial outcomes
Primary outcomes
Progression Free Survival (PFS)
Progression free survival (PFS) is defined as the time from the initiation of treatment (C1D1) to the time when the criteria for disease progression is met as defined by RECIST v1.1 OR death due to any cause. The PFS is subject to right censoring due to loss to follow-up or at the end of study duration.
Secondary outcomes
Time to disease progression
Time to disease progression: Will be measured from C1D1 of treatment until the criteria for disease progression is met as defined by RECIST 1.1
Time to CNS Progression
Time to CNS progression: Will be measured from C1D1 of treatment until the criteria for disease progression is met in the CNS (intracranial) by RECIST 1.1 criteria. Patients with CNS -only progression or those with concurrent CNS and systemic progression will be included in this analysis.
Time to Systemic Progression
Time to Systemic progression: Will be measured from C1D1 of treatment until the criteria for systemic disease (extracranial) progression is met by RECIST 1.1. Patients with systemic-only or those with concurrent CNS and systemic progression will be included in this analysis.
Progression free survival for maintenance therapy
Progression free survival for maintenance therapy: Will be measured from C5D1 of first maintenance therapy until the criteria for disease progression is met as defined by RECIST 1.1
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Muhammad Furqan
Lead sponsor
Big Ten Cancer Research Consortium
Sponsor institution
AstraZeneca
Collaborator