This trial is a Phase II trial designed to evaluate the safety and efficacy of using oral AL8326 , a multi-targeted receptor Tyrosine Kinase Inhibitor( TKI) , to recurrent, advanced, or metastatic small cell lung cancer (SCLC) patients , Non-Small Cell Lung (NSCLC) and Renal Cell Carcinoma patients who need ≥2nd line treatment .
This study is designed for two steps: Phase 2 Optimal Biological Dose (OBD) finding and Phase 2 expansion cohort study after OBD determination. The Phase 2 study aims to find optimal biological dose (OBD) initially. Patients will be randomized to 3 different dosing groups in OBD finding cohorts. Each cohort will enroll 6-12 SCLC patients who need ≥2nd line treatment without or with brain metastasis which is controlled with no active hemorrhage. This OBD finding cohort will also evaluate the pharmacokinetic profile of AL8326. OBD patient enrollment of 40 mg (n=12) and 60 mg (N=12) have been completed, waiting data maturing, 80 mg (n=4) has been stopped due to high intolerability. 40mg and 60mg cohort group can be expanded to an additional 6-12 patients in each cohort with only sparse PK sampling requirement if OBD is not able to be determined in early 12 patients of each cohort. Non-Small Cell Lung (NSCLC) and Renal Cell Carcinoma (RCC) are added to this protocol as additional expansion cohorts.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
Taken AL3826 at 40mg QD orally
Taken AL3826 at 60mg QD orally
Taken AL3826 at 80 mg QD orally
University of Alabama at Birmingham
Birmingham, Alabama, United States
RECRUITINGCleveland Clinic Florida
Weston, Florida, United States
WITHDRAWNNorthwestern University
Chicago, Illinois, United States
COMPLETEDSiteman Cancer Center, Washington University
St Louis, Missouri, United States
RECRUITINGCleveland Clinic
Cleveland, Ohio, United States
RECRUITINGHospital Universitari Vall d'Hebron
Barcelona, Spain
RECRUITINGHospital Universitario Ramón Y Cajal
Madrid, Spain
RECRUITINGOptimal biological dose ( OBD )
Determine the Optimal biological dose ( OBD ) via evaluation of dose limiting toxicity (DLT) events to decide the dosing using in expanded cohort
Time frame: 12 months
Objective Response Rates (ORR)
Evaluate the efficacy among 3 different dosing groups
Time frame: 12 month
ORR evaluation for NSCLC and RCC
ORR evaluation for NSCLC and RCC
Time frame: 24 month
Duration of response ( DOR)
DOR for SCLC OBD group plus expansion cohort, NSCLC and RCC cohortgroup;
Time frame: 36 month
Progression-Free Survival (PFS)
PFS for SCLC OBD group plus expansion cohort, NSCLC and RCC cohortgroup
Time frame: 36 month
Pharmacokinetic endpoints
Pharmacokinetic endpoints Maximum Plasma Concentration ( Cmax)
Time frame: 24 month
Pharmacokinetic endpoint Area Under the Curve (AUC)
Time frame: 24 month
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