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Monoclonal Antibodies

Triple Therapy for Small Cell Lung Cancer

Phase 1 & 2
Recruiting
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
Male participants must use a condom when having sex with a pregnant woman or a woman of childbearing potential
Eastern Cooperative Oncology Group (ECOG) performance status of =< 1
Must not have
Progressive or symptomatic brain metastases, leptomeningeal disease
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 36 months
Awards & highlights

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
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I will use a condom with partners who are pregnant or can become pregnant.
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I am fully active or can carry out light work.
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My cancer type is approved for treatment with atezolizumab by the FDA.
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My kidney and liver tests are within normal limits.
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My cancer is advanced and cannot be cured with surgery.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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My cancer has spread to my brain or its coverings and is getting worse.

Timeline

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)

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.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Niraparib
2018
Completed Phase 4
~1540
Atezolizumab
2017
Completed Phase 3
~5860
Temozolomide
2010
Completed Phase 3
~1930

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
365 Previous Clinical Trials
27,874 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
~5 spots leftby Jan 2025