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PARP Inhibitor

Talazoparib + Temozolomide for Small Cell Lung Cancer

Phase 2
Recruiting
Led By Jonathan Goldman, MD
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
Cytologically or histologically confirmed small cell lung cancer (SCLC) with extensive-stage disease
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 1 year
Awards & highlights

Study Summary

This trial is studying talazoparib and temozolomide to treat extensive-stage small cell lung cancer.

Who is the study for?
This trial is for adults with extensive-stage small cell lung cancer that has returned after initial chemotherapy. Participants must be able to swallow pills, not have used PARP inhibitors or temozolomide before, and agree to contraception. They should not have other cancers within the last 2 years (with some exceptions) or conditions affecting study participation.Check my eligibility
What is being tested?
The effectiveness of talazoparib combined with low-dose temozolomide is being tested in participants with relapsed or refractory extensive-stage small cell lung cancer. Talazoparib may prevent tumor cells from repairing DNA, while temozolomide aims to stop their growth.See study design
What are the potential side effects?
Potential side effects include blood disorders like anemia and neutropenia, fatigue, nausea, vomiting, hair loss (alopecia), constipation or diarrhea. There might also be risks related to DNA repair inhibition such as secondary cancers.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am fully active or can carry out light work.
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My lung cancer is confirmed to be extensive-stage small cell type.
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I can provide a tissue sample for testing.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 1 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Objective response rate defined as the proportion of participants with a confirmed complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIS)T 1.1
Secondary outcome measures
Duration of response (CR or PR) per RECIST 1.1
Overall survival
PFS assessed by RECIST 1.1
+3 more

Side effects data

From 2018 Phase 1 & 2 trial • 40 Patients • NCT02116777
89%
Anemia
78%
Alkaline phosphatase increased
78%
Nausea
78%
White blood cell decreased
67%
Fatigue
67%
Lymphocyte count decreased
56%
Aspartate aminotransferase increased
56%
Hypermagnesemia
56%
Headache
56%
Neutrophil count decreased
56%
Platelet count decreased
56%
Pain in extremity
44%
Constipation
44%
Hypoalbuminemia
44%
Non-cardiac chest pain
44%
Hyponatremia
33%
Creatinine increased
33%
Hypocalcemia
33%
Anorexia
33%
Back pain
33%
Diarrhea
33%
Alanine aminotransferase increased
33%
Alopecia
33%
Blood bilirubin increased
33%
Dizziness
33%
Fever
33%
Hyperglycemia
33%
Pain
33%
Proteinuria
33%
Sinus tachycardia
33%
Vomiting
22%
Hypokalemia
22%
Cough
22%
Abdominal pain
22%
Dyspnea
22%
Hypercalcemia
22%
Hypernatremia
22%
Hypophosphatemia
22%
Hypotension
22%
Hypoxia
22%
Nasal congestion
22%
Neck pain
11%
Weight loss
11%
Periorbital infection
11%
Bone pain
11%
Allergic reaction
11%
Tumor pain
11%
Febrile neutropenia
11%
Eye disorders - Other, LEFT ORBITAL RECONSTRUCTION
11%
Edema limbs
11%
Irregular menstruation
11%
Dysgeusia
11%
Hemoglobin increased
11%
Musculoskeletal and connective tissue disorder - Other, LARGE OCCIPITAL SKULL DEFECT
11%
Skin and subcutaneous tissue disorders - Other, ERYTHEMA
11%
Urinary urgency
11%
Renal and urinary disorders - Other, BLADDER PAIN
11%
Anxiety
11%
Avascular necrosis
11%
Depression
11%
Hypomagnesemia
11%
Respiratory, thoracic and mediastinal disorders - Other, OBSTRUCTIVE SLEEP APNEA
11%
Edema face
11%
Hematuria
11%
Lymphocyte count increased
11%
Activated partial thromboplastin time prolonged
11%
Cardiac disorders - Other, NON RESTRICTIVE CARDIOMYOPATHY
11%
Cystitis noninfective
11%
Epistaxis
11%
Gait disturbance
11%
Gastroesophageal reflux disease
11%
Hypertension
11%
Infections and infestations - Other, SHINGLES ZOSTER
11%
Insomnia
11%
Investigations - Other, BICARBONATE DECREASED
11%
Investigations - Other, BICARBONATE INCREASED
11%
Investigations - Other, BICARBONATE LOW
11%
Metabolism and nutrition disorders - Other, CHLORIDE LEVEL
11%
Mucosal infection
11%
Muscle weakness right-sided
11%
Pericardial effusion
11%
Pleural effusion
11%
Rash acneiform
11%
Respiratory, thoracic and mediastinal disorders - Other, ASTHMA
11%
Skin hyperpigmentation
11%
Skin ulceration
11%
Stomach pain
11%
Thromboembolic event
11%
Tinnitus
11%
Urinary retention
11%
Obesity
100%
80%
60%
40%
20%
0%
Study treatment Arm
600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day
600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day
600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day
400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day
600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day
600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day
400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (temozolomide, talazoparib)Experimental Treatment2 Interventions
Participants receive temozolomide PO on days 1-5 and talazoparib PO QD on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Talazoparib
2021
Completed Phase 2
~2770
Temozolomide
2010
Completed Phase 3
~1930

Find a Location

Who is running the clinical trial?

Translational Research in OncologyOTHER
21 Previous Clinical Trials
6,649 Total Patients Enrolled
PfizerIndustry Sponsor
4,570 Previous Clinical Trials
10,915,983 Total Patients Enrolled
Jonsson Comprehensive Cancer CenterLead Sponsor
360 Previous Clinical Trials
27,684 Total Patients Enrolled

Media Library

Talazoparib (PARP Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03672773 — Phase 2
Small Cell Lung Cancer Research Study Groups: Treatment (temozolomide, talazoparib)
Small Cell Lung Cancer Clinical Trial 2023: Talazoparib Highlights & Side Effects. Trial Name: NCT03672773 — Phase 2
Talazoparib (PARP Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03672773 — Phase 2

Frequently Asked Questions

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

Is this clinical experiment currently accessible to participants?

"As indicated on clinicaltrials.gov, this particular medical trial has ceased recruiting participants. It was initially posted on October 31st 2018 and the latest update is dated February 7th 2022. Despite this, there are still 4110 other studies actively looking for volunteers to participate in their investigations."

Answered by AI

Has the FDA endorsed Talazoparib as a viable therapeutic option?

"According to our internal evaluation, talazoparib's safety was rank a 2 since this is a Phase 2 trial. This implies that there is only limited evidence of its security but no data demonstrating its efficiency."

Answered by AI

How widely dispersed are the research centers conducting this experiment across the state?

"Patients can enroll in this research trial at locations such as the Cancer Center of Kansas in Wichita, Kansas, St. Joseph Heritage Healthcare in Fullerton, Indiana or Ft. Wayne Medical Oncology and Hematology Inc., located in Fort Wayne, Florida among other sites."

Answered by AI

What is the current enrollment size for this research project?

"At the present moment, this trial is not recruiting any new patients. It was posted on October 31st 2018 and last edited on February 7th 2022. However, there are currently 3849 trials enrolling participants with carcinoma and 261 studies involving Talazoparib that have open enrolment."

Answered by AI

What indications are commonly treated with Talazoparib?

"Talazoparib is a viable treatment option for patients with nitrosourea resistant, advanced mycosis fungoides and those who have already completed advance directives."

Answered by AI

To what extent have there been other experiments involving Talazoparib?

"Currently, 261 clinical trials are running for Talazoparib. Of those studies, 27 have advanced to Phase 3. Despite the majority of these research projects being based in Seoul and Songpa, there is a total of 7056 locations conducting them worldwide."

Answered by AI

Has a similar endeavor been undertaken before this one?

"Talazoparib has had a long history with clinical trials, beginning in 2002. Initially sponsored by Schering-Plough, the Phase 1 trial included 60 patients and was successful enough to prompt further research into this medication. Nowadays there are 261 active studies utilizing Talazoparib occurring in 1280 cities across 45 nations."

Answered by AI
~2 spots leftby Oct 2024