Pazopanib in Patients With Relapsed or Refractory Small Cell Lung Cancer
Condition: Small Cell Lung Cancer; Lung Cancer; SCLC
MeSH terms: Lung Neoplasms; Small Cell Lung Carcinoma
Intervention: Pazopanib
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 33.0
Sex: All
Minimum age: 18 Years
Healthy volunteers: No
Keywords: pazopanib

Summary:

      Pazopanib is a drug that inhibits proteins thought to be important for new blood vessel
      formation. This drug has been used in other cancer research studies and information from
      those studies suggests that pazopanib may help block proteins that are important for the
      growth, invasion, and spread of cancer cells.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Diagnosis of small cell neuroendocrine carcinoma based on either histology or cytology
             with radiologically-confirmed progressive disease.

          -  Participants should have received first-line chemotherapy and may have had up to two
             prior chemotherapy regimens. Radiation therapy may have been part of the permitted
             prior therapy.

          -  Participants with brain metastases will be allowed if they have been treated with
             surgery and/or radiation therapy more than 21 days prior, are asymptomatic, and are
             stable for at least one week off steroids.

          -  18 years of age or older

          -  ECOG Performance status of 0, 1 or 2

          -  Ability to swallow and retain oral medication

          -  Disease must be measurable according to RECIST 1.1

          -  Adequate organ function as defined in the protocol

        Exclusion Criteria:

          -  Prior malignancy except for participants that have been disease-free for 3 years or
             with a history of completely resected non-melanomatous skin carcinoma or successfully
             treated in situ carcinoma

          -  History or clinical evidence of central nervous system metastases or leptomeningeal
             carcinomatosis except for individuals who have previously-treated CNS metastases, are
             asymptomatic, and have had no requirement for steroids or anti-seizure medication for
             one week prior to first dose of study drug.

          -  Clinically significant gastrointestinal abnormalities

          -  Presence of uncontrolled infection

          -  Prolongation of corrected QT interval (QTc) > 480msecs

          -  History of any one or more of the following cardiovascular conditions within the past
             6 months: cardiac angioplasty or stenting; myocardial infarction; unstable angina;
             symptomatic peripheral vascular disease; Class III or IV congestive heart failure

          -  Poorly controlled hypertension

          -  History of cerebrovascular accident including transient ischemic attack, pulmonary
             embolism or insufficiently treated deep venous thrombosis within the past 6 months

          -  Prior major surgery or trauma within 28 days prior to first dose of study drug and/or
             presence of any non-healing wound, fracture or ulcer

          -  Evidence of active bleeding or bleeding diathesis

          -  Hemoptysis in excess of 2.5mL within 6 weeks of first dose of study drug

          -  Any serious and/or unstable pre-existing medical, psychiatric, or other condition that
             could interfere with subject's safety, provision of informed consent, or compliance to
             study procedures

          -  Use of any prohibited medication within the timeframes listed in the protocol

          -  Use of an investigational agent, including an investigational anti-cancer agent,
             within 28 days or 5 half-lives, whichever is longer, prior to the first dose of study
             drug

          -  Prior use of an investigational or licensed drug that targets VEGF or VEGF receptors

          -  Is now undergoing and/or has undergone in the 14 days immediately prior to first dose
             of study drug, any cancer therapy

          -  Any ongoing toxicity from prior anti-cancer therapy that is > Grade 1 and/or that is
             progressing in severity

          -  Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs
             chemically related to pazopanib