Clinical trial NCT00445198 (phase 1/phase 2, status: completed)
Conditions: small cell lung cancer, small cell lung carcinoma
ICD codes: C78.00, C78.01, C78.02, D14.30, D14.31, D14.32, C34.2, D02.20, D02.21, D02.22
Drugs: abt-263
SMILES: [H][C@@](CCN1CCOCC1)(CSC1=CC=CC=C1)NC1=C(C=C(C=C1)S(=O)(=O)NC(=O)C1=CC=C(C=C1)N1CCN(CC2=C(CCC(C)(C)C2)C2=CC=C(Cl)C=C2)CC1)S(=O)(=O)C(F)(F)F
Eligibility criteria:

        Inclusion Criteria:

          -  The subject must be >=18 years of age.(Phase 1 & 2a)

          -  Histologically and/or cytologically documented diagnosis of small cell lung cancer
             (North America & UK) or other non-hematological malignancy (North America only).(Phase
             1 only)

          -  Histologically and/or cytologically documented diagnosis of SCLC.(Phase 2a)

          -  At least one prior chemotherapy treatment regimen(s) and their disease is refractory
             or experienced progressive disease following the treatment.(Phase 1)

          -  Extensive-stage SCLC & is chemotherapy naïve(US only) has experienced progressive
             disease following at least one chemotherapy regimen or their disease is
             refractory.(Phase 2a)

          -  Brain metastases with clinically controlled neurologic symptoms, defined as surgical
             excision and/or radiation therapy followed by 21 days of stable neurologic function &
             no evidence of CNS disease progression as determined by CT or MRI within 21 days prior
             to the first dose of study drug.

          -  ECOG performance score <= 2(Ph 1) <=1(Phase 2a)

          -  Must be receiving a stable dose of Selective Serotonin Reuptake Inhibitor (SSRI)
             anti-depressants 21 days prior to 1st dose of study drug.

          -  Adequate bone marrow, renal & hepatic function per local lab reference range at
             Screening as follows:

               -  Bone marrow: Absolute Neutrophil count (ANC)>=1000/µL

               -  Platelets>= 100,000/mm3

               -  Hemoglobin>=9.0g/dL

               -  Renal function: Serum creatinine<= 2.0mg/dL or calculated creatinine
                  clearance>=50mL/min

               -  Hepatic function&enzymes: AST and ALT<=3.0 x the upper normal limit(ULN) of
                  institution's normal range

               -  Bilirubin<=1.5xULN. If Gilbert's Syndrome may have Bilirubin> 1.5 x ULN

               -  Coagulation: aPTT and PT<=1.2 x the upper limit of normal

          -  Should have archived diagnostic tissue available for assessment of Bcl-2 family
             protein expression.(Phase 2a)

          -  All female subjects not surgically sterile or postmenopausal(for at least 1 year)and
             non-vasectomized male subject must practice at least one method of birth control.

        Exclusion Criteria:

          -  Underlying or predisposing condition of bleeding or currently exhibits signs of
             bleeding.

          -  Recent history of non-chemotherapy induced thrombocytopenia associated bleeding within
             1 year prior to first dose of study drug.

          -  Active peptic ulcer disease or other potentially hemorrhagic esophagitis/gastritis.

          -  The subject has active immune thrombocytopenic purpura (ITP),active autoimmune
             hemolytic anemia (AIHA), or a history of being refractory to platelet transfusions
             (within 1 year prior to the first dose of study drug).

          -  Currently receiving or requires anticoagulation therapy or any drug or herbal
             supplements that affect platelet function, with exception of low-dose anticoagulation
             medications that are used to maintain the patency of a central intravenous catheter.

          -  Received any anti-cancer therapy including chemotherapy, immunotherapy, radiotherapy,
             hormonal (with the exception of hormones for hypothyroidism or estrogen replacement
             therapy (ERT), anti estrogen analogs, agonists required to suppress serum testosterone
             levels), or any investigational therapy within 14 days prior to the first dose of
             study drug, or has not recovered to less than a grade 2 adverse effect(s) of the
             previous therapy.

          -  Received a biologic (G-CSF, GM-CSF or erythropoietin) within 28 days prior to the
             first dose of study drug.

          -  Steroid therapy for anti-neoplastic intent within seven days prior to the first dose
             of study drug.

          -  Has consumed grapefruit or grapefruit products within 3 days prior to the first dose
             of study drug.

          -  Significant history of cardiovascular disease, renal, neurologic, psychiatric,
             endocrinologic, metabolic, immunologic, or hepatic disease that in the opinion of the
             investigator would adversely affect his/her participating in this study.

          -  Positive for HIV

          -  A history of other active malignancies within the past 3 years prior to screening,
             with the exception of:

               -  Adequately treated in situ carcinoma of the cervix uteri

               -  Basal or squamous cell carcinoma of the skin

               -  Previous malignancy confined and surgically resected with curative intent

          -  Evidence of other clinically significant uncontrolled condition(s) including, but not
             limited to:

               -  Active systemic fungal infection

               -  Diagnosis of fever and neutropenia within 1 week prior to study drug
                  administration.