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Monoclonal Antibodies

Triple Therapy for Small Cell Lung Cancer

Phase 1 & 2
Led By Jonathan W Goldman
Research Sponsored by Jonsson Comprehensive Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Eastern Cooperative Oncology Group (ECOG) performance status of =< 1
For the Phase 1b, Part 2 cohort, participants must have a tumor type for which atezolizumab is an FDA approved therapy
Screening 3 weeks
Treatment Varies
Follow Up up to 36 months
Awards & highlights
No Placebo-Only Group

Study Summary

This trial is studying the best dose of temozolomide to give with niraparib and atezolizumab to treat patients with advanced solid tumors and extensive-stage small cell lung cancer.

Who is the study for?
This trial is for adults with advanced solid tumors or extensive-stage small cell lung cancer who've responded to first-line platinum chemotherapy. They must be in good physical condition, not pregnant, willing to use contraception, and have no serious health issues or recent cancer treatments. Certain blood counts and organ functions are required.Check my eligibility
What is being tested?
The study tests the combination of temozolomide (a chemo drug), niraparib (a PARP inhibitor that blocks DNA repair in cancer cells), and atezolizumab (an immunotherapy). It aims to find the best dose and see if this mix is more effective for patients with certain advanced cancers.See study design
What are the potential side effects?
Possible side effects include fatigue, nausea, low blood counts leading to increased infection risk or bleeding problems, liver function changes, kidney function changes, allergic reactions to drugs used in treatment. Specific side effects will vary by individual.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
I am fully active or can carry out light work.
My cancer type is approved for treatment with atezolizumab by the FDA.
I can start the trial within 7 weeks after my last chemotherapy session.
I will use a condom with partners who are pregnant or can become pregnant.
I have an advanced cancer that cannot be cured, and specifically, I have extensive-stage small cell lung cancer for the Phase 2 study.
I've had a good response to platinum-based chemotherapy after 4-6 cycles.
I can take pills and have no allergies to the study drugs.
My kidney and liver tests are within normal limits.
My cancer is advanced and cannot be cured with surgery.


Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 36 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 36 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Progression-free survival (Phase II)
Recommended phase II dose of niraparib and temozolomide combination (Phase Ib)
Secondary outcome measures
Incidence of adverse events per Common Terminology Criteria for Adverse Events version 4.0
Objective response rate
Overall survival
Other outcome measures
Quality of life per Functional Assessment of Cancer Therapy - Lung questionnaire (FACT-L)

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Arm A (temozolomide, niraparib, atezolizumab)Experimental Treatment5 Interventions
Patients receive temozolomide PO QD on days 1-5 and niraparib PO QD on days 1-28. Cycles repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients also receive standard of care atezolizumab IV every 3 weeks in the absence of disease progression or unacceptable toxicity.
Group II: Arm B (atezolizumab)Active Control3 Interventions
Patients receive standard of care atezolizumab IV every 3 weeks in the absence of disease progression or unacceptable toxicity.
First Studied
Drug Approval Stage
How many patients have taken this drug
Completed Phase 4
Completed Phase 3
Completed Phase 3

Find a Location

Who is running the clinical trial?

Translational Research in OncologyOTHER
21 Previous Clinical Trials
6,603 Total Patients Enrolled
Jonsson Comprehensive Cancer CenterLead Sponsor
357 Previous Clinical Trials
25,991 Total Patients Enrolled
Translational Research in Oncology-U.SUNKNOWN
1 Previous Clinical Trials
88 Total Patients Enrolled

Media Library

Atezolizumab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT03830918 — Phase 1 & 2
Small Cell Lung Cancer Research Study Groups: Arm A (temozolomide, niraparib, atezolizumab), Arm B (atezolizumab)
Small Cell Lung Cancer Clinical Trial 2023: Atezolizumab Highlights & Side Effects. Trial Name: NCT03830918 — Phase 1 & 2
Atezolizumab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03830918 — Phase 1 & 2
Small Cell Lung Cancer Patient Testimony for trial: Trial Name: NCT03830918 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Could you provide information regarding any preexisting Quality-of-Life Assessment examinations?

"Currently, the field of Quality-of-Life Assessment has 646 clinical trials in progress; 106 of which are at Phase 3. Though Houston, Texas appears to host most studies for this area of research, there is an impressive 25,766 centres around the world conducting such assessments."

Answered by AI

What is the enrollment capacity of this clinical investigation?

"Affirmative. Clinical information hosted on clinicaltrials.gov demonstrates that this particular medical experiment is presently enrolling patients, with the initial posting date being 6th March 2019 and last edited on 2nd July 2022. 74 participants are expected to be recruited from a single centre for study participation."

Answered by AI

Are there still vacancies available for participation in this research endeavor?

"Per the information available on clinicaltrials.gov, this investigation is actively seeking participants; it was first posted in March of 2019 and its most recent update occurred on February 7th 2022."

Answered by AI

What maladies can Quality-of-Life Assessment be applied to?

"Quality-of-Life Assessment is often used to create and implement advance directives, but it may be useful for treating the symptoms of certain conditions like pharmacotherapy, small cell lung cancer (sclc), or disease progression."

Answered by AI

Is this an unprecedented research endeavor?

"Since its initial clinical trial in 2002, sponsored by Schering-Plough with 60 participants, Quality-of-Life Assessment has seen a great deal of research activity. After being approved for Phase 2 trials, 646 live studies are now conducted across 1935 cities and 76 countries."

Answered by AI

Who else is applying?

What state do they live in?
What site did they apply to?
UCLA / Jonsson Comprehensive Cancer Center
What portion of applicants met pre-screening criteria?
Met criteria
How many prior treatments have patients received?

Why did patients apply to this trial?

I 2as just diagnosed in December and have had no treatment I live in Kentucky and the small town I live in doesn't really have any really good doctors that actually care about about trying to cure or suppress the disease I'm willing to try anything to live a longer life I'm all alone and terrified and really don't know what to do.
PatientReceived no prior treatments
~11 spots leftby Jan 2025