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CompletedNCT00547651Updated Nov 6, 2019

AMR PH GL 2007 CL001 Phase 3 Trial in Patients With Small Cell Lung Cancer After Failure of First-Line Chemotherapy

A Phase 3 interventional study of Amrubicin and Topotecan in Small Cell Lung Cancer, sponsored by Celgene. Completed at 140 sites in 17 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-11-06.

Sponsored by Celgene · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
637
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study drug (Amrubicin) is believed to work by stopping the tumor cells in your body from growing. The purpose of this study is to evaluate the effect of amrubicin compared to topotecan in the treatment of small cell lung cancer.

Read the detailed description

Small cell lung cancer represents approximately 13% of the cancers of the lung and presents as extensive stage disease in 60% to 70% of patients. Sites of metastases include bone (35%), liver (25%), bone marrow (20%), brain (10%), extrathoracic lymph nodes (5%), and subcutaneous masses (5%). Small-cell lung cancer has prominent markers of neuroendocrine differentiation.

The staging classification for SCLC is the 2-stage Veterans Administration Lung Study Group system that categorizes patients as having limited or extensive disease. Limited stage SCLC is disease confined to 1 hemithorax with or without adjacent mediastinal and/or supraclavicular lymph node involvement, but without a pleural effusion. This extent of disease can be included in a tolerable radiation field. Extensive-disease SCLC is any disease beyond the definition of limited-stage disease.

There are few proven treatment options for SCLC patients who fail first-line chemotherapy. New treatment strategies must be evaluated. The need to discover active agents with better toxicity profiles continues to be of great importance. Amrubicin may be an effective treatment for this population.

02

Conditions studied

  • Small Cell Lung Cancer

Keywords

  • Small Cell Lung Cancer
  • Lung Cancer
  • Limited Disease Sensitive Small Cell Lung Cancer
  • Extensive Disease Sensitive Small Cell Lung Cancer
  • Limited Disease Refractory Small Cell Lung Cancer
  • Extensive Disease Refractory Small Cell Lung Cancer
  • Refractory Small Cell Lung Cancer
  • Sensitive Small Cell Lung Cancer
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 637 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Celgene is the lead sponsor of 419 studies on the registry; 13 are open to participants now.

Of its 100 completed or terminated interventional studies of FDA-regulated products, 29 (29%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histological or cytological diagnosis of SCLC at study entry according to the International Association for the Study of Lung Cancer (IASLC) histopathologic classification. Mixed or combined subtypes according to the IASLC are not allowed;
  • SCLC that is either sensitive (defined as a response including stable disease to first-line platinum-based chemotherapy, with subsequent progression >/= 90 days after completing first-line chemotherapy) or refractory (defined as best response to first-line platinum-based chemotherapy or progression \< 90 days after completing first-line chemotherapy);
  • Extensive or limited disease; patients with limited disease who are candidates for local or regional salvage radiation therapy must have been offered such treatment prior to participation in this study;
  • Radiographically documented progression after first-line treatment with platinum-based chemotherapy;
  • No more than 1 prior chemotherapy regimen;
  • At least 18 years of age;
  • ECOG performance status of 0 - 1

Exclusion criteria

Exclusion Criteria:

  • Chest radiotherapy with curative intent to the primary disease complex \</= 28 days prior to first dose; CNS radiotherapy \</= 21 days prior to first dose; radiotherapy to all other areas \</= 7 days prior to first dose;
  • Prior anthracycline, topotecan, or irinotecan treatment.
  • Prior anthracycline or topotecan treatment.
  • Patients with know history of seropositive human immunodeficiency virus (HIV) or patients who are receiving immunosuppressive medications that would increase the risk of serious neutropenic complications
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
637 participants (actual)

Study arms

  • Experimental
    Amrubicin

    Amrubicin

    Drug: Amrubicin

  • Active comparator
    Topotecan

    Topotecan

    Drug: Topotecan

Interventions

  • DrugAmrubicin

    Amrubicin for injection is supplied as 50-mg vials. Patients will receive 40 mg/m2 amrubicin as a 5-minute infusion once daily for 3 consecutive days starting on Day 1 of a 21-day course

    Also known as: amrubidin hydrochloride, Calsed, CNF3140

  • DrugTopotecan

    Topotecan for injection is supplied as 4-mg vials. Patients will receive 1.5 mg/m2 as a 30-minute infusion once daily for 5 consecutive days starting on Day 1 of a 21-day course

    Also known as: Topotecan hydrochloride, Hycamtin

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What researchers measure

Primary outcomes

  1. The primary objective is to demonstrate superiority in overall survival of amrubicin compared with topotecan hydrochloride in patients with small cell lung cancer (SCLC) after failure of first-line chemotherapy.

    Time frame: Until death from any cause

Secondary outcomes

  1. To further characterize the clinical benefit of amrubicin compared with topotecan in terms of objective response rate

    Time frame: Until death

  2. To further characterize the clinical benefit of amrubicin compared with topotecan in terms of progression-free survival.

    Time frame: Until death

  3. To further characterize the clinical benefit of amrubicin compared with topotecan in terms of duration of response

    Time frame: Until death

  4. To further characterize the clinical benefit of amrubicin compared with topotecan in terms of time to tumor progression

    Time frame: Until death

  5. To further characterize the clinical benefit of amrubicin compared with topotecan in terms of safety

    Time frame: Until death

  6. To further characterize the clinical benefit of amrubicin compared with topotecan in terms of quality of life

    Time frame: Until death

07

Study locations

140 sites
  • Northwest Alabama Cancer Center
    Muscle Shoals, Alabama 35661, United States
  • Arizona Oncology Associates
    Tucson, Arizona 85704, United States
  • Little Rock Hematology Oncology Associates
    Little Rock, Arkansas 72205, United States
  • Cancer Care Associates of Fresno Medical Group, Inc.
    Fresno, California 93720, United States
  • Cedars-Sinai Outpatient Cancer Center
    Los Angeles, California 90048, United States
  • University of Colorado Health Science Centre
    Aurora, Colorado 80045, United States
  • Rocky Mountain Cancer Center - Midtown (Main)
    Denver, Colorado 80218, United States
  • Advanced Medical Specialties
    Miami, Florida 33176, United States
  • Ocala Oncology Center
    Ocala, Florida 34474, United States
  • Cancer Centers of Florida, P.A.
    Ocoee, Florida 34761, United States
  • Florida Oncology Associates
    Orange Park, Florida 32073, United States
  • Sacred Heart Medical Oncology
    Pensacola, Florida 32504, United States
  • Medical Oncology Associates of Augusta
    Augusta, Georgia 30809, United States
  • Joliet Oncology-Hematology Associates, Ltd.
    Joliet, Illinois 60435, United States
  • Cancer & Hematology Specialists of Chicago (Main)
    Niles, Illinois 60714, United States
  • Illinois Cancer Care
    Peoria, Illinois 61615, United States
  • Cancer Care at Blessing Hospital
    Quincy, Illinois 62301, United States
  • Central Indiana Cancer Centers
    Indianapolis, Indiana 46227, United States
  • Hope Center
    Terre Haute, Indiana 47802, United States
  • Kansas City Cancer Center (Main)
    Overland Park, Kansas 66210, United States
  • Cancer Center of Kansas
    Wichita, Kansas 67214, United States
  • Jayne Gurtler MD, Laura Brizn MD, Angelo Russo MD, and Janet Burroff MD, APMC
    Metairie, Louisiana 70006, United States
  • Tulane University Health Sciences Center
    New Orleans, Louisiana 70112, United States
  • Maine Center for Cancer Medicine and Blood Disorders
    Scarborough, Maine 04074, United States
  • Sinai Hospital of Baltimore, Inc.
    Baltimore, Maryland 21215, United States
  • Center for Cancer and Blood Disorders
    Bethesda, Maryland 20817, United States
  • Alliance Hematology Oncology, P.A. (Main)
    Westminster, Maryland 21157, United States
  • Kalamazoo Hematology and Oncology
    Kalamazoo, Michigan 49048, United States
  • Michigan Hematology & Oncology Institute
    Southgate, Michigan 48195, United States
  • University of Minnesota Medical Center, Cancer Center
    Minneapolis, Minnesota 55455, United States
  • Missouri Cancer Associates
    Columbia, Missouri 65201, United States
  • St. Joseph Oncology, Inc.
    Saint Joseph, Missouri 64507, United States
  • Comprehensive Care Centers of Nevada (Main)
    Las Vegas, Nevada 89169, United States
  • New York Oncology Hematology, P.C.
    Latham, New York 12110-0610, United States
  • SUNY Upstate Medical University - Regional Oncology Center
    Syracuse, New York 13210, United States
  • Lineberger Comprehensive Cancer Center
    Chapel Hill, North Carolina 27599, United States
  • Regional Cancer Care
    Durham, North Carolina 27704, United States
  • Cancer Centers of North Carolina (Main)
    Raleigh, North Carolina 27607, United States
  • Piedmont Hematology Oncology Associates
    Winston-Salem, North Carolina 27103, United States
  • Gabrail Cancer Center
    Canton, Ohio 44718, United States
  • Greater Dayton Cancer Center (Main)
    Kettering, Ohio 45409, United States
  • Cancer Care Associates
    Oklahoma City, Oklahoma 73112, United States
  • Cancer Care Associates
    Tulsa, Oklahoma 74136, United States
  • Willamette Valley Cancer Center (Main)
    Eugene, Oregon 97401-8122, United States
  • Medical Oncology Associates
    Kingston, Pennsylvania 18704, United States
  • Thomas Jefferson Memorial Hospital
    Philadelphia, Pennsylvania 19107, United States
  • UPMC Cancer Pavilion
    Pittsburgh, Pennsylvania 15232, United States
  • Cancer Centers of the Carolinas (Main)
    Greenville, South Carolina 29615, United States
  • The Sarah Cannon Research Institute/TN Oncology
    Nashville, Tennessee 37203, United States
  • Texas Oncology, P.A.
    Amarillo, Texas 79106, United States
  • Coastal Bend Cancer Center
    Corpus Christi, Texas 78463, United States
  • Texas Cancer Center at Medical City (Main)
    Dallas, Texas 75230-2510, United States
  • Texas Oncology, P.A. (Main)
    Dallas, Texas 75246, United States
  • West Texas Cancer Center-Texas Oncology
    Odessa, Texas 79761, United States
  • Texas Oncology, P.A.
    Webster, Texas 77598-4420, United States
  • Texoma Cancer Center
    Wichita Falls, Texas 76310, United States
  • Fairfax Northern Virginia Hematology/Oncology
    Fairfax, Virginia 22031, United States
  • Virginia Oncology Associates
    Norfolk, Virginia 23502, United States
  • Blue Ridge Cancer Care
    Roanoke, Virginia 24019, United States
  • Northwest Cancer Specialists - Vancouver (Main)
    Vancouver, Washington 98684, United States
  • Marshfield Clinic
    Marshfield, Wisconsin 54449, United States
  • Royal North Shore Hospital
    St. Leonards, New South Wales 2065, Australia
  • New South Wales Southern Medical Day Care Centre
    Wollongong, New South Wales 2500, Australia
  • The Princess Alexandra Hospital, Dept of Respiratory Medicine
    Woolloongabba, Queensland, Australia
  • Flinders Medical Centre
    Bedford Park, South Australia 5042, Australia
  • The Queen Elizabeth Hospital
    Woodville South, SA 5011, Australia
  • Allgemeines Krankenhaus der Stadt Linz, Abteilung fur Atem und Lungenkrankheiten
    Linz, 4020, Austria
  • Klinikum Weis-Grieskirchen GmbH
    Wels, 4600, Austria
  • Allegemeines Krankenhaus Wien, Univ. Klinik fur Innere, Medizin I
    Wien, 1090, Austria
  • Krankenhaus Hietzing, 5 Med. Abteilung mit Onkologie
    Wien, 1130, Austria
  • UZ Brussel, Medical Oncology and Hematology
    Brussel, 1090, Belgium
  • Centre Hospitalier Notre-Dame et Reine Fabiola
    Charleroi, 6000, Belgium
  • Universitair Ziekenhuis Antwerpen, Dept. Respiratory Diseases
    Edegem, 2650, Belgium
  • UZ Gasthuisberg, UZ Leuven
    Leuven, 3000, Belgium
  • C.H.U. Sart-Tilman
    Liege, 4000, Belgium
  • III-rd Internal Department, District Dispensary for Oncology diseases with stationary(DDOncDIU)
    Plovdiv, 4004, Bulgaria
  • DDOncDIU Sofia District
    Sofia, 1233, Bulgaria
  • MHAT "Tsaritsa Yoanna"
    Sofia, 1504, Bulgaria
  • University Multiprofile Hospital for Active Treatment "Sveta Marina"
    Varna, 9010, Bulgaria
  • Fraser Valley Cancer Centre-Surrey Memorial Hospital
    Surrey, British Columbia, Canada
  • London Regional Cancer Centre
    London, Ontario, Canada
  • Princess Margaret Hospital
    Toronto, Ontario, Canada
  • Humber River Regional Hospital
    Weston, Ontario, Canada
  • Royal Victoria Hospital
    Montreal, Quebec H3A 1A1, Canada
  • Fakultni Nemocnice Ostrava
    Ostrava-Poruba, Czechia
  • Faculty Hospital Motol
    Praha 5, 15006, Czechia
  • Fakultní Thomayerova nemocnice s poliklinikou
    Praha, 140 59, Czechia
  • Masarykova nemocnice v Ústí nad Labem
    Ústí nad Labem, 401 13, Czechia
  • Rikshospitalet, Finsen Center
    Copenhagen, 2100, Denmark
  • Herlev Hospital, Onkologisk afdeling R
    Herlev, 2730, Denmark
  • Odense Universitetshospital,Onkologisk afdeling R
    Odense C, 5000, Denmark
  • Centre François Baclesse
    Caen Cedex 5, 14076, France
  • Hôpital de la Croix-Rousse
    Lyon Cedex 04, 69317, France
  • CHU Montpellier - Unité de Cancérologie Thoracique
    Montpellier Cedex, 34295, France
  • Institut Gustave Roussy
    Villejuif, 94805, France
  • Zentralklinik Bad Berka GmbH
    Bad Berka, Germany
  • Charité Universitätsmedizin Berlin
    Berlin, 12200, Germany
  • Universitätsklinikum Essen Innere Klinik und Poliklinik
    Essen, 45122, Germany
  • Asklepios Fachkliniken Muenchen Gauting
    Gauting, 82131, Germany
  • Krankenhaus Grosshansdorf, Zentrum fur Pneumologie und Thoraxchirurgie
    Grosshansdorf, 22927, Germany

Showing the first 100 of 140 sites across 17 countries.

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References and documents

Publications

  • von Pawel J, Jotte R, Spigel DR, O'Brien ME, Socinski MA, Mezger J, Steins M, Bosquee L, Bubis J, Nackaerts K, Trigo JM, Clingan P, Schutte W, Lorigan P, Reck M, Domine M, Shepherd FA, Li S, Renschler MF. Randomized phase III trial of amrubicin versus topotecan as second-line treatment for patients with small-cell lung cancer. J Clin Oncol. 2014 Dec 10;32(35):4012-9. doi: 10.1200/JCO.2013.54.5392. Epub 2014 Nov 10. PubMed 25385727 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00547651
Lead sponsor
Celgene
Responsible party
Sponsor
First posted
Oct 22, 2007
Start date
Sep 1, 2007
Primary completion
May 1, 2011
Completion
May 1, 2011
Last update
Nov 6, 2019

Study contacts

Markus Renschler, M.D.
study director · Celgene Corporation

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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