NCT00544674

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as PR-104, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. PURPOSE: This phase II trial is studying how well PR-104 works in treating patients with previously untreated or relapsed small cell lung cancer (SCLC).

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
5

participants targeted

Target at below P25 for phase_2 lung-cancer

Timeline
Completed

Started Aug 2007

Shorter than P25 for phase_2 lung-cancer

Geographic Reach
1 country

18 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2007

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

October 13, 2007

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 16, 2007

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2008

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2009

Completed
2.5 years until next milestone

Results Posted

Study results publicly available

July 7, 2011

Completed
Last Updated

December 10, 2012

Status Verified

December 1, 2012

Enrollment Period

11 months

First QC Date

October 13, 2007

Results QC Date

June 13, 2011

Last Update Submit

December 6, 2012

Conditions

Keywords

extensive stage small cell lung cancerlimited stage small cell lung cancerrecurrent small cell lung cancer

Outcome Measures

Primary Outcomes (2)

  • Response Rate (Complete or Partial)

    From registration until disease progression/recurrence

  • Safety and Tolerability: the Number of Subjects Experiencing a Serious Adverse Events

    The number of participants with at least one Serious Adverse Event was measured.

    30 days following the last administration of study treatment

Secondary Outcomes (4)

  • Survival

    Every 3 months for 2 years after discontinuation

  • Progression-free Survival

    Tumor measurements and assessments based on Response Evaluation Criteria In Solid Tumors (RECIST) criteria were performed 6 weeks after first dose and as dictated by subject's malignancy

  • Time to Progression

    From registration of the first subject until radiological progression or recurrence whichever came first

  • Pharmacokinetics

    Days 1 and 2 of Cycles 1 and 4

Study Arms (1)

PR104

EXPERIMENTAL

PR104 will be administered once every 21 days by IV

Drug: PR104Other: F-18-fluoromisonidazole

Interventions

PR104DRUG

administered at a dose of 1100 mg/m\^2 by intravenous infusion over 1 hour and repeated every three weeks

Also known as: PR-104
PR104

administered intravenously prior to PET scan

Also known as: FMISO
PR104

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed small cell lung cancer (SCLC)
  • If patient is treatment-naive, then they must have extensive disease
  • If patients are not treatment-naive, then they must be classified as sensitive-relapse with either extensive disease or limited disease
  • Sensitive-relapse defined as disease that responded to first-line chemotherapy and relapsed more than 90 days following the last dose of first-line chemotherapy
  • Limited disease SCLC defined as disease confined to the hemithorax of origin, mediastinum, and/or ipsilateral supraclavicular lymph nodes, which could be encompassed within a tolerable radiotherapy port
  • Extensive disease defined as disease that does not fit the definition of limited disease as defined above
  • Measurable or evaluable disease

You may not qualify if:

  • Active central nervous system (CNS) metastases, defined as metastases to the CNS (symptomatic or non-symptomatic) that requires immediate treatment or that are likely to require treatment in the following 6 weeks
  • Medical conditions requiring urgent intervention, including any of the following:
  • Superior vena cava syndrome
  • Lobar obstruction
  • Spinal cord compression
  • Liver metastases involving greater than one-third of the liver
  • PATIENT CHARACTERISTICS:
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
  • Absolute neutrophil count ≥ 1,500/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Hemoglobin ≥ 9 g/dL (no red blood cell transfusions allowed)
  • Serum bilirubin ≤ 1.5 x upper limit of normal (ULN)
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 5 x ULN (if liver metastases are present) or ≤ 2 x ULN (if liver metastases are absent)
  • Serum creatinine ≤ 1.5 x ULN
  • Not pregnant or nursing
  • +19 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Arizona Clinical Research Center, Incorporated

Tucson, Arizona, 85715, United States

Location

Tower Cancer Research Foundation

Beverly Hills, California, 90211, United States

Location

California Cancer Care, Incorporated - Greenbrae

Greenbrae, California, 94904-2007, United States

Location

Pacific Shores Medical Group - Long Beach

Long Beach, California, 90813, United States

Location

Stanford Cancer Center

Stanford, California, 94305-5824, United States

Location

Front Range Cancer Specialists

Fort Collins, Colorado, 80524-4038, United States

Location

University of Florida Health Science Center - Jacksonville

Jacksonville, Florida, 32209, United States

Location

Joliet Oncology-Hematology Associates, Limited - West

Joliet, Illinois, 60435, United States

Location

Welborn Clinic

Evansville, Indiana, 47713, United States

Location

James Graham Brown Cancer Center at University of Louisville

Louisville, Kentucky, 40202, United States

Location

Kentuckiana Cancer Institute, PLLC

Louisville, Kentucky, 40202, United States

Location

Purchase Cancer Group - Paducah

Paducah, Kentucky, 42001, United States

Location

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, 48201-1379, United States

Location

Cancer and Blood Specialists of Nevada - Henderson

Henderson, Nevada, 89074, United States

Location

Gabrail Cancer Center - Canton Office

Canton, Ohio, 44718, United States

Location

Charles M. Barrett Cancer Center at University Hospital

Cincinnati, Ohio, 45219, United States

Location

Good Samaritan Hospital Cancer Treatment Center

Cincinnati, Ohio, 45220, United States

Location

Peninsula Cancer Institute - Newport News Office

Newport News, Virginia, 23601, United States

Location

MeSH Terms

Conditions

Lung NeoplasmsSmall Cell Lung Carcinoma

Interventions

PR-104fluoromisonidazole

Condition Hierarchy (Ancestors)

Respiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesCarcinoma, BronchogenicBronchial Neoplasms

Limitations and Caveats

Decision to close study early based on new data showing that PR104A could also be activated under oxic conditions in tumors that express high levels of AKR1C3. SCLC does not express meaningful levels of the enzyme aldo keto reductase 1C3 (AKR1C3).

Results Point of Contact

Title
Director of Clinical Development
Organization
Proacta, Inc.

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 13, 2007

First Posted

October 16, 2007

Study Start

August 1, 2007

Primary Completion

July 1, 2008

Study Completion

January 1, 2009

Last Updated

December 10, 2012

Results First Posted

July 7, 2011

Record last verified: 2012-12

Locations