A Phase 1/2, Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics (PK), Recommended Phase 2 Dose (RP2D), and Efficacy of Lurbinectedin Monotherapy in Pediatric Participants With Previously Treated Solid Tumors Followed by Expansion to Assess Efficacy and Safety in Pediatric and Young Adult Participants With Relapsed/Refractory Ewing Sarcoma.

Status: Recruiting
Location: See all (15) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This study is conducted in two phases. The phase 1 portion of the study evaluates the safety, tolerability, pharmacokinetics (PK), recommended phase 2 dose (RP2D), and effectiveness of lurbinectedin monotherapy in pediatric participants with previously treated solid tumors. This is followed by the phase 2 portion, to further assess the effectiveness and safety in pediatric and young adult participants with recurrent/refractory Ewing sarcoma.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 2
Maximum Age: 30
Healthy Volunteers: f
View:

∙ Age

• Participant must meet the following age requirements at the time the informed consent form (ICF) (and assent form, if applicable) is signed:

‣ Phase 1 Part 1: participants must be ≥ 2 to \< 18 years of age.

⁃ Phase 2: participants must be ≥ 2 to ≤ 30 years of age.

∙ Type of Participant and Disease Characteristics

• Participant has a confirmed solid tumor

• The participant has a Lansky/Karnofsky performance status score of ≥ 50%.

• The participant has adequate liver function, evidenced by the following laboratory values:

‣ Aspartate aminotransferase (AST), alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN).

⁃ Total bilirubin ≤ 1.5 × institutional ULN (with the exception of participants with Gilbert's syndrome who must have bilirubin \< 3 × institutional ULN).

• The participant has adequate bone marrow function, evidenced by the following:

‣ Absolute neutrophil count (ANC) ≥ 1.0 × 109/L (independent of growth factor support within 1 week of screening laboratories).

• Platelets ≥ 100 × 109/L (without platelet transfusion within previous 7 days of screening laboratories).

‣ Hemoglobin ≥ 8 g/dL (note: may have been transfused).

• The participant has an adequate renal function:

‣ Calculated creatinine clearance (use Cockcroft-Gault formula for participants ≥ 18 years; Schwartz equation for participants \< 18 years) ≥ 60 mL/min.

• The participant has an adequate cardiac function:

‣ Left ventricular ejection fraction or shortening fraction per institutional norm ≥ institutional lower level of normal.

• The participant has creatine phosphokinase ≤ 2.5 × institutional ULN.

∙ Weight

• The participant has body weight ≥ 15 kg.

∙ Sex and Contraceptive/Barrier Requirements

∙ Male participants:

∙ Male participants are eligible to participate if they agree to the following during the study intervention period and for at least 4 months after the last dose of study intervention:

• Refrain from donating sperm.

∙ PLUS, either:

• Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent.

∙ OR

• Must agree to use contraception/barrier as detailed below:

‣ Agree to use a male condom with female partner and use of an additional highly effective contraceptive method with a failure rate of \< 1% per year when having sexual intercourse with a Woman of childbearing potential (WOCBP) who is not currently pregnant.

⁃ Note: male participants who are azoospermic (vasectomized or due to a medical cause) are still required to follow the protocol-specified contraception/barrier criteria.

∙ Female participants:

∙ A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies:

• Is a Woman of nonchildbearing potential (WONCBP). OR

• Is a WOCBP and using an acceptable contraceptive method during the study intervention period (at least 7 months after the last dose of study intervention). The investigator should evaluate the potential for contraceptive method failure (eg, noncompliance, recently initiated) in relationship to the first dose of study intervention.

• A WOCBP must have a negative highly sensitive pregnancy test (urine or serum as required by local regulations) within 7 days before the first dose of study intervention.

‣ If a urine test cannot be confirmed as negative (eg, an ambiguous result), a serum pregnancy test is required. In such cases, the participant must be excluded from participation if the serum pregnancy result is positive.

• Additional requirements for pregnancy testing during and after study intervention.

• The investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy.

∙ Informed Consent

• Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.

Locations
United States
California
Children's Hospital Los Angeles
RECRUITING
Los Angeles
Stanford Children's Health
RECRUITING
Palo Alto
Washington, D.c.
Childrens National Hospital Michigan
RECRUITING
Washington
Florida
Johns Hopkins All Children's Hospital
RECRUITING
Saint Petersburg
Georgia
Arthur M. Blank Hospital Children's Healthcare of Atlanta
RECRUITING
Atlanta
Maryland
Johns Hopkins University
RECRUITING
Baltimore
Michigan
Corewell Health
RECRUITING
Grand Rapids
New York
Memorial Sloan Kettering
RECRUITING
New York
Ohio
Cincinnati Children's Hospital Medical Center
RECRUITING
Cincinnati
Nationwide Childrens
RECRUITING
Columbus
Pennsylvania
Children's Hospital of Philadelphia
RECRUITING
Philadelphia
Tennessee
St. Jude Children's Research Hospital
RECRUITING
Memphis
Texas
UT Southwestern in Texas
RECRUITING
Dallas
MD Anderson Cancer Center
RECRUITING
Houston
Other Locations
Canada
The Hospital for Sick Children
RECRUITING
Toronto
Contact Information
Primary
Clinical Trial Disclosure & Transparency
ClinicalTrialDisclosure@JazzPharma.com
215-832-3750
Time Frame
Start Date: 2023-05-23
Estimated Completion Date: 2027-06-01
Participants
Target number of participants: 60
Treatments
Experimental: Phase 1 Part 1: Dose Selection
Pediatric participants ≥ 2 to \< 18 years of age with previously treated solid tumors of any histology at 5 dose levels to determine the RP2D, followed by a safety expansion cohort.~Participants aged ≥ 6 to \< 18 years will be enrolled at the starting dose of 3.2 mg/m\^2 lurbinectedin. After the drug is deemed safe based safety and PK data from the older participants, participants aged ≥ 2 to \< 6 years are enrolled at the same starting dose. After this, the study opens to all participants (aged ≥ 2 to \< 18 years) for all dose levels.~Upon completion of the cohort at all dose levels, participants may be eligible to enroll in a safety expansion cohort.
Experimental: Phase 1 Part 2: RP2D
Participants aged ≥ 2 to ≤ 30 years with recurrent/refractory Ewing sarcoma at the RP2D to assess safety and efficacy signals.
Experimental: Phase 2
If a signal of efficacy is observed in Phase 1 Part 2, additional participants aged ≥ 2 to ≤ 30 years with recurrent/refractory Ewing sarcoma will be enrolled. Phase 2 will further assess the safety and efficacy of lurbinectedin monotherapy.
Sponsors
Leads: Jazz Pharmaceuticals

This content was sourced from clinicaltrials.gov

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