Clinical Trial of Lurbinectedin (PM01183)/Doxorubicin Versus CAV or Topotecan as Treatment in Patients With Small-Cell Lung Cancer
ATLANTIS
Phase III Randomized Clinical Trial of Lurbinectedin (PM01183)/Doxorubicin Versus Cyclophosphamide, Doxorubicin and Vincristine (CAV) or Topotecan as Treatment in Patients With Small-Cell Lung Cancer (SCLC) Who Failed One Prior Platinum-containing Line (ATLANTIS)
1 other identifier
interventional
613
20 countries
160
Brief Summary
Phase III randomized clinical trial of lurbinectedin (PM01183)/doxorubicin (DOX) versus cyclophosphamide (CTX), doxorubicin (DOX) and vincristine (VCR) (CAV) or topotecan as treatment in patients with small-cell lung cancer (SCLC) who failed one prior platinum-containing line.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Aug 2016
Typical duration for phase_3
160 active sites
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
First Submitted
Initial submission to the registry
September 24, 2015
CompletedFirst Posted
Study publicly available on registry
October 2, 2015
CompletedStudy Start
First participant enrolled
August 30, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 24, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
February 24, 2020
CompletedResults Posted
Study results publicly available
October 28, 2021
CompletedOctober 28, 2021
August 1, 2021
3.5 years
September 24, 2015
August 6, 2021
September 29, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Overall Survival (OS)
Overall survival (OS) will be calculated from the date of randomization to the date of death (death event) or last contact(in this case, survival will be censored on that date).
Every three months up to death or study termination, a period of approximately 3.5 years
Secondary Outcomes (29)
Difference in Overall Survival Between Lurbinectedin/Doxorubicin (DOX) and CAV in Patients With CAV as Best Investigator's Choice: Overall Survival Rate at 12 Months
At 12 months
Difference in Overall Survival Between Lurbinectedin/DOX and CAV in Patients With CAV as Best Investigator's Choice: Overall Survival Rate at 18 Months
At 18 months
Difference in Overall Survival Between Lurbinectedin/DOX and CAV in Patients With CAV as Best Investigator's Choice: Overall Survival Rate at 24 Months
At 24 months
Progression-free Survival (PFS) by Independent Review Committee
Every six weeks up to progression disease, a period of approximately 3.5 years
Progression-free Survival Rate at 6 Months by Independent Review Committee
At 6 months
- +24 more secondary outcomes
Study Arms (3)
Experimental Arm
EXPERIMENTALLurbinectedin (PM01183) / Doxorubicin
Control Arm 1
ACTIVE COMPARATORCAV (Cyclophosphamide (CTX), Doxorubicin (DOX) and Vincristine (VCR))
Control Arm 2
ACTIVE COMPARATORTopotecan
Interventions
Eligibility Criteria
You may qualify if:
- Voluntary written informed consent
- Adult patients ≥ 18 years
- Histologically or cytologically confirmed diagnosis of limited or extensive stage SCLC which failed one prior platinum-containing regimen and with a chemotherapy-free interval (CTFI, time from the last dose of first-line chemotherapy to the occurrence of progressive disease) ≥ 30 days. Small-cell carcinoma of unknown primary site with or without neuroendocrine features confirmed in histology test(s) performed on metastatic lesion(s) are eligible, if Ki-67/MIB-1 is expressed in \>50% of tumor cells.
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) ≤ 2.
- Adequate hematological, renal, metabolic and hepatic function within 7-10 days prior to randomization
- At least three weeks since last prior anticancer treatment and adequate recovery from prior treatment toxicity
- Prior radiotherapy (RT): At least four weeks since completion of whole-brain irradiation, at least two weeks since completion of prophylactic cranial irradiation, and to any other site.
- Evidence of non-childbearing status for women of childbearing potential (WOCBP). WOCBP must agree to use a highly effective contraceptive measure up to six weeks after treatment discontinuation. Fertile male patients with WOCBP partners should use condoms during treatment and for four months following the last investigational medicinal product dose.
You may not qualify if:
- More than one prior chemotherapy-containing line(re-challenge with the same initial regimen is not allowed)
- Patients who never received platinum-containing regimen for Small-cell Lung Cancer (SCLC)
- Prior treatment with PM01183, topotecan or anthracyclines.
- Limited-stage patients who are candidates for local or regional therapy
- Impending need for palliative RT or surgery for pathological fractures and/or for medullary compression within four weeks prior to randomization.
- Symptomatic or progressing or steroid requiring Central Nervous System (CNS) involvement disease at least four weeks prior to randomization
- Concomitant diseases/conditions:
- Angina, myocardial infarction, congestive heart failure or clinically significant valvular heart disease, arrhythmia, immunodeficiency (including known HIV seropositive), ongoing or treatment-requiring chronic liver disease, active infection, oxygen requirement within two weeks prior to randomization, diffuse interstitial lung disease (ILD) or pulmonary fibrosis, second invasive malignancy treated with chemotherapy and/or radiotherapy, invasive fungal infections requiring systemic treatment within 12 weeks of randomization.
- Pregnant or breast feeding women
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- PharmaMarlead
Study Sites (160)
Alabama Oncology
Birmingham, Alabama, 35243, United States
Ironwood Physicians P.C. dba Ironwood Cancer & Research Centers
Chandler, Arizona, 85224, United States
St Jude Hospital Yorba Linda dba St Joseph Heritage Healthcare
Fullerton, California, 92835, United States
Loma Linda University Medica! Center
Loma Linda, California, 92354, United States
Innovative Clinical Research Institute (ICRI)
Whittier, California, 90603, United States
Boca Raton Regional Hospital Lynn Cancer Institute
Boca Raton, Florida, 33486, United States
Holy Cross Hospital - Michael and Dianne Bienes Comprehensive Cancer Center
Fort Lauderdale, Florida, 33308, United States
H. Lee Moffitt Cancer Center & Research Institute
Tampa, Florida, 33612, United States
Joliet Oncology-Hematology Associates, Ltd.
Joliet, Illinois, 60435, United States
Healthcare Research Network III, LLC
Tinley Park, Illinois, 60487, United States
Carle Cancer Center
Urbana, Illinois, 61801, United States
Norton Cancer Institute
Louisville, Kentucky, 40202, United States
Montgomery Cancer Center
Mount Sterling, Kentucky, 40353, United States
East Jefferson Hematology-Oncology Metairie Physicians Services, Inc
Metairie, Louisiana, 70006, United States
Anne Arundel Medical Center Oncology and Hematology
Annapolis, Maryland, 21401, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
QUEST Research Institute
Royal Oak, Michigan, 48073, United States
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169, United States
Dartmouth-Hitchcock Medical Center/Mary Hitchcock Memorial Hospital
Lebanon, New Hampshire, 03756, United States
Summit Medical Group, P.A.
Florham Park, New Jersey, 07932, United States
FirstHealth Outpatient Cancer Center
Pinehurst, North Carolina, 28374, United States
Gabrail Cancer Center Research
Canton, Ohio, 44718, United States
Oklahoma Cancer Specialists and Research Institute, LLC
Tulsa, Oklahoma, 74146, United States
Associates in Hematology and Oncology, P.C.
Upland, Pennsylvania, 19013, United States
The Center for Cancer and Blood Disorders
Fort Worth, Texas, 76104, United States
Tyler Hematology-Oncology PA
Tyler, Texas, 75701, United States
Medical Oncology Associates PS (dba Summit Cancer Centers)
Spokane, Washington, 99208, United States
MultiCare Institute for Research & Innovation
Tacoma, Washington, 98405, United States
Froedtert Hospital & the Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
Instituto Médico Especializado Alexander Fleming
C.a.b.a., Buenos Aires, C1426ANZ, Argentina
Centro para la Atención Integral del Paciente Oncológico (CAIPO)
San Miguel de Tucumán, Tucumán Province, T4000GTB, Argentina
Instituto Oncológico de Córdoba (IONC)
Córdoba, X5000HLX, Argentina
CORI - Centro Oncológico Riojano Integral
La Rioja, F5300COE, Argentina
ISIS Centro Especializado de Luce S.A.
Santa Fe, S3000FFU, Argentina
Universitätsklinik für Innere Medizin III der PMU
Salzburg, 5020, Austria
Medizinische Universität Wien / AKH Wien, Universitätsklinik für Innere Medizin I, Abteilung für klinische Onkologie
Vienna, 1090, Austria
AZ Maria Middelares
Ghent, 9000, Belgium
Clinique André Renard
Herstal, 4040, Belgium
CHR de la citadelle
Liège, 4000, Belgium
CHU de Liege - Sart Tilman
Liège, 4000, Belgium
CHU Ambroise Paré
Mons, 7000, Belgium
AZ Delta Campus Wilgenstraat
Roeselare, 8800, Belgium
Nucleo de Oncologia da Bahia
Salvador, Estado de Bahia, 40170-110, Brazil
lOP- Instituto de oncologia do paraná
Curitiba, Paraná, 80530-010, Brazil
Coordenação de Pesquisa Clínica / Instituto Nacional de Câncer
Rio de Janeiro, Rio de Janeiro, 20231-092, Brazil
Instituto COl de Pesquisa, Educação e Gestão
Rio de Janeiro, Rio de Janeiro, 22793-080, Brazil
Associação Hospital de Caridade de Ijuí
Ijuí, Rio Grande do Sul, 98700-000, Brazil
lrmandade da Santa Casa de Misericórdia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90020-090, Brazil
Hospital São Lucas da PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
Hospital de clínicas de Porto alegre
Pôrto Alegre, Rio Grande do Sul, 90.035-903, Brazil
Fundação PlO XII - Hospital de Câncer de Barretos
Barretos, São Paulo, 14784-400, Brazil
lnstituto de Ensino e Pesquisa Säo Lucas - IEP Säo Lucas
São Paulo, São Paulo, 01236-030, Brazil
Multiprofile Hospital for Active Treatment - Uni Hospital, Panagyurishte
Panagyurishte, 4500, Bulgaria
Multiprofile Hospital for Active Treatment of Women Health - "Nadezhda", Sofia; Clinic of Medical Oncology
Sofia, 1330, Bulgaria
University Multiprofile Hospital for Active Treatment "Sv. Ivan Rilski", Sofia
Sofia, 1431, Bulgaria
Acibadem City Clinic University Multiprofile Hospital for Active Treatment. EOOD, Sofia; Clinic of Medical Oncology
Sofia, 1784, Bulgaria
Southlake Regional Health Centre - Stronach Regional Cancer Centre
Newmarket, Ontario, L3Y 2P9, Canada
R.S. Mc Laughlin Durham Regional Cancer Centre, Lakeridge Health
Oshawa, Ontario, L1G 2B9, Canada
Centre intégré de santé et de services sociaux de la Montérégie Centre
Greenfield Park, Quebec, J4V 2H1, Canada
Montreal Oncology Research Inc.
Montreal, Quebec, H1M 1B1, Canada
McGill University Health Centre
Montreal, Quebec, H4A 3J1, Canada
Biron (Clinique René Laennec)
Mount Royal, Quebec, H3P 3H5, Canada
Vitkovicka nemocnice, a.s., Plicni oddeleni
Ostrava, 703 84, Czechia
Krajska zdravotni a.s. Masarykova nemocnice o.z.
Ústí nad Labem, 401 13, Czechia
Institut Bergonié
Bordeaux, 33076, France
Centre François Baclesse
Caen, 14076, France
Centre Hospitalier Intercommunal de Créteil
Créteil, 94010, France
Centre Hospitalier Lyon Sud - Service de Pneumologie
Lyon, 69310, France
Hôpital Nord - Service Oncologie Multidisciplinaire et Innovations Thérapeutiques
Marseille, 13915, France
Centre Antoine Lacassagne
Nice, 06189, France
CHU de Rennes Hôpital Pontchaillou
Rennes, 35033, France
Central Clinic of Bad Berka
Bad Berka, 99437, Germany
Vivantes Klinikum am Urban, Hämatologie und Onkologie
Berlin, 10967, Germany
Evangelische Lungenklinik Berlin
Berlin, 13125, Germany
Uniklinik Freiburg, Hämatologie, Onkologie & Stammzellransplantation
Freiburg im Breisgau, 79106, Germany
Asklepios-Fachkliniken München Gauting
Gauting, 82131, Germany
Center for Pneumology and Thoracic Surgery
Gerlingen, 70839, Germany
Thoraxklinik Heidelberg GmbH
Heidelberg, 69126, Germany
Lungenklinik Hemer
Hemer, 58675, Germany
VIDIA Christliche Kliniken Karlsruhe
Karlsruhe, 76137, Germany
Katholisches Klinikum Koblenz-Montabaur, Marienhof Koblenz
Koblenz, 56073, Germany
Onkologische Schwerpunktpraxis Leer-Emden
Leer, 26789, Germany
Klinik Löwenstein gGmbH, Med. Klinik II Onkologie
Löwenstein, 74245, Germany
Uniklinikum Mannheim, TTZ, Medizinische Fakultät Mannheim
Mannheim, 68167, Germany
Johannes Wesling Klinikum Minden, Klinik für Hämatologie, Onkologie und Palliativmedizin
Minden, 32429, Germany
University of Munich LMU, Dpt. of Medicine V
München, 80336, Germany
Städtisches Krankenhaus München Neuperlach
München, 81737, Germany
Klinikum Bogenhausen, Städt. Klinikum München GmbH, Klinik für Pneumologie und Pneumologische Onkologie
München, 81925, Germany
Klinikum Nürnberg Nord - Pneumologische Onkologie
Nuremberg, 90419, Germany
Universitätsklinikum Ulm - Klinik für Innere Medizin II, Pneumologie
Ulm, 89081, Germany
Medizinische Klinik I
Wuppertal, 42283, Germany
University General Hospital of Heraklion - General Hospital "Venizeleio"
Heraklion, Crete, 71110, Greece
General Hospital of Chest Diseases of Athens "Sotiria"
Athens, 11527, Greece
General Oncology Hospital of Kifissia "Agioi Anargiroi", 2nd Internal Medicine-Oncology Clinic
Athens, 14564, Greece
General Hospital of Thessaloniki "G. Papanikolaou", Pulmonary Clinic, Aristotle University of Thessaloniki
Thessaloniki, 57010, Greece
Országos Korányi TBC és Pulmonológiai Intézet, 6. Pulmonológia és Bronchologia
Budapest, 1121, Hungary
Országos Korányi TBC és Pulmonológiai lntézet, 14. Pulmonológia
Budapest, 1121, Hungary
Veszprém Megyei Tüdögyógyintézet, 3. Pulmonológiai Osztály
Farkasgyepű, 8582, Hungary
Mátrai Gyógyintézet, Bronchológia
Mátraháza, 3233, Hungary
Miskolci Semmelweis Kórház és Egyetemi Oktatókórház, Pulmonológiai Osztály
Miskolc, 3529, Hungary
Fejér Megyei Szent György Egyetemi Oktató Kórház, I. Pulmonológiai Osztály
Székesfehérvár, 8000, Hungary
Markusovszky Egyetemi Oktatókórház, Pulmonológiai Osztály
Szombathely, 9700, Hungary
Szent Borbála Kórház, Pulmonológiai osztály
Tatabánya, 2800, Hungary
Zala Megyei Kórház, Pulmonologia
Zalaegerszeg, 8900, Hungary
ASST Grande Ospedale Metropolitano Niguarda
Milan, MI, 20162, Italy
IRCCS CROB (Istituto di Ricovero e Cura a Carattere Scientifico)
Rionero in Vulture, PZ, 85028, Italy
Centro di Riferimento Oncologico di Aviano
Aviano, 33081, Italy
Azienda Ospedaliero - Universitaria "Policlinico - Vittorio Emanuele" - Presidio G. Rodolico
Catania, 95123, Italy
AOU Maggiore della Carità - SC Oncologia
Novara, 28100, Italy
Istituto Oncologico Veneto
Padua, 35128, Italy
lRCCS-Arcispedale Santa Maria Nuova
Reggio Emilia, 42123, Italy
Policlinico Universitario Campus Bio-Medico
Roma, 00128, Italy
ASST della Valtellina e dell' Alto Lario P.O. Di Sondrio
Sondrio, 23100, Italy
Ain Wazein Hospital
Ain Wazein, El Chouf, Lebanon
American University of Beirut Medical Center
Beirut, Lebanon
Hotel Dieu de France
Beirut, Lebanon
Centre Hospitalier Universitaire Notre Dame de Secours
Byblos, Lebanon
Hammoud Hospital University Medical Center
Sidon, Lebanon
The Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital
Amsterdam, 1066 CX, Netherlands
Spaarne Gasthuis
Hoofddorp, 2134 TM, Netherlands
MUMC
Maastricht, 6229 HX, Netherlands
Maxima Medisch Centrum
Veldhoven, 5504 DB, Netherlands
Bialostockie Centrum Onkologii im. Marii Sklodowskiej-Curie; Oddzial Onkologii Klinicznej im. dr Ewy Pileckiej z pododdzialem
Bialystok, 15-027, Poland
Szpitale Pomorskie Sp. z o.o., Oddzial Onkologii Klinicznej, Oddzial Onkologii i Radioterapii
Gdynia, 81-519, Poland
Mazowieckie Centrum Leczenia Chorób Pluc i Gruźlicy Oddzial III Chorób Pluc z Pododdzialem Onkologicznym
Otwock, 05-400, Poland
Szpital Kliniczny Przemienienia Pańskiego Uniwersytetu Medycznego im. K.Marcinkowskiego w Poznaniu, Oddzial Chemioterapii
Poznan, 60-569, Poland
Centro Clínico Champalimaud - Fundação Champalimaud
Lisbon, 1400-038, Portugal
Centro Hospitalar Lisboa Norte, EPE- Hospital Pulido Valente
Lisbon, 1769-001, Portugal
Centro Hospitalar do Porto, EPE - Hospital de Santo António
Porto, 4099-001, Portugal
Hospital CUF Porto
Porto, 4100-180, Portugal
Instituto Português de Oncologia do Porto Francisco Gentil, EPE
Porto, 4200-072, Portugal
Centro Hospitalar de São João, EPE
Porto, 4200-319, Portugal
SC Centrul de Oncologie Sf. Nectarie SRL, Departament Oncologie Medícala
Craiova, Dolj, 200347, Romania
Spitalul Clinic Judetean de Urgenta "Sf. Apostol Andrei"
Constanța, Judet Constanta, 900591, Romania
SC Oncolab SRL
Craiova, Judet Dolj, 200385, Romania
Spitalul Judetean de Urgenta "Dr. Constantin Opris", Sectia Oncologie Medicala
Baia Mare, Maramureş, 430031, Romania
Institutul Oncologic "Prof. Dr. Ion Chiricuta" Cluj-Napoca, Departament Oncologie Medicala
Cluj-Napoca, 400015, Romania
Institutul Oncologic "Prof. Dr. lon Chiricuta" Cluj-Napoca, Dcpartamentul Oncologie Medicala
Cluj-Napoca, 400015, Romania
Institutul Oncologic "Prof. Dr. lon Chiricuta" Cluj-Napoca, Sectia Oncologic Medicala
Cluj-Napoca, 400015, Romania
Hospital Universitari Germans Trias i Pujol ICO
Badalona, Barcelona, 08916, Spain
Corporació Sanitaria Parc Taulí-Hospital de Sabadell
Sabadell, Barcelona, 08208, Spain
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222, Spain
Hospital Universitari Vall d' Hebron
Barcelona, 08035, Spain
Hospital Universitario Reina Sofia
Córdoba, 14004, Spain
MD Anderson Cancer Center Madrid
Madrid, 28033, Spain
Hospital Universitario Ramón y Cajal
Madrid, 28034, Spain
Hospital Universitario Clínico San Carlos
Madrid, 28040, Spain
Hospital Universitario Fundación Jiménez Díaz
Madrid, 28040, Spain
Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
Hospital Regional Universitario de Malaga
Málaga, 29010, Spain
Complejo hospitalario regional virgen rocío
Seville, 41013, Spain
Hospital General Universitario de Valencia
Valencia, 46014, Spain
Hospital Universitario La Fe de Valencia
Valencia, 46026, Spain
Hospital Universitario Miguel Servet
Zaragoza, 50009, Spain
The Christie NHS Fundation Trust
Manchester, Greater Manchester, M20 4BX, United Kingdom
The Clatterbridge Cancer Centre NHS Foundation Trust
Bebington, Wirral, CH63 4JY, United Kingdom
Bristol Cancer Institute, UHB NHS Foundation Trust
Bristol, BS2 8ED, United Kingdom
University College London Hospitals NHS Foundation Trust
London, NW1 2PG, United Kingdom
Sarah Cannon Research Institute UK
London, W1G 6AD, United Kingdom
Worcestershire Acute Hospitals NHS Trust
Worcester, WR5 1DO, United Kingdom
Related Publications (1)
Aix SP, Ciuleanu TE, Navarro A, Cousin S, Bonanno L, Smit EF, Chiappori A, Olmedo ME, Horvath I, Grohe C, Farago AF, Lopez-Vilarino JA, Cullell-Young M, Nieto A, Vasco N, Gomez J, Kahatt C, Zeaiter A, Carcereny E, Roubec J, Syrigos K, Lo G, Barneto I, Pope A, Sanchez A, Kattan J, Zarogoulidis K, Waller CF, Bischoff H, Juan-Vidal O, Reinmuth N, Domine M, Paz-Ares L. Combination lurbinectedin and doxorubicin versus physician's choice of chemotherapy in patients with relapsed small-cell lung cancer (ATLANTIS): a multicentre, randomised, open-label, phase 3 trial. Lancet Respir Med. 2023 Jan;11(1):74-86. doi: 10.1016/S2213-2600(22)00309-5. Epub 2022 Oct 14.
PMID: 36252599DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Developtment, Department of PharmaMar´s Oncology., Business Unit.
- Organization
- Pharma Mar S.A.
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 24, 2015
First Posted
October 2, 2015
Study Start
August 30, 2016
Primary Completion
February 24, 2020
Study Completion
February 24, 2020
Last Updated
October 28, 2021
Results First Posted
October 28, 2021
Record last verified: 2021-08