A Phase 2 interventional study of Lurbinectedin in Advanced Solid Tumor, Metastatic Solid Tumor and Urothelial Cancer, sponsored by Jazz Pharmaceuticals. Terminated at 17 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-28.
Sponsored by Jazz Pharmaceuticals · Phase 2, Interventional, and Treatment
This is an open-label, multicenter, phase 2 study of lurbinectedin monotherapy in participants with advanced (metastatic and/or unresectable) solid tumors.
This phase 2, multicenter, open-label study is designed to assess the safety and efficacy of lurbinectedin monotherapy in 3 cohorts of participants with high-unmet medical need: advanced (metastatic and/or unresectable) urothelial cancer (UC), poorly differentiated neuroendocrine carcinomas (PD-NEC), and a homologous recombination deficient-positive malignancies agnostic cohort.
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Browse Neoplasms studies →Jazz Pharmaceuticals is the lead sponsor of 167 studies on the registry; 20 are open to participants now.
Of its 39 completed or terminated interventional studies of FDA-regulated products, 28 (72%) have results posted.
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Have advanced (metastatic/unresectable) cancers in one of the following:
Exclusion Criteria:
Participants with advanced (metastatic and/or unresectable) urothelial carcinoma who have progressed on platinum-containing regimen (prior therapies may include but are not limited to immune checkpoint inhibitor, enformumab vendotin, or sacituzumab govitecan) will receive Lurbinectedin 3.2 mg/m\^2 intravenous (IV) on Day 1 of every 3 weeks (Q3W) cycle until confirmed disease progression, withdrawal of participant consent, participant lost to follow-up, unacceptable toxicity, or the study or individual cohort may be terminated by the sponsor for lack of efficacy signal or any other reason.
Drug: Lurbinectedin
Participants with advanced (metastatic and/or unresectable) poorly differentiated neuroendocrine carcinomas who received at least 1 prior line of therapy will receive Lurbinectedin 3.2 mg/m\^2 intravenous (IV) on Day 1 of every 3 weeks (Q3W) cycle until confirmed disease progression, withdrawal of participant consent, participant lost to follow-up, unacceptable toxicity, or the study or individual cohort may be terminated by the sponsor for lack of efficacy signal or any other reason.
Drug: Lurbinectedin
Participants with advanced (metastatic and/or unresectable) endometrial, biliary tract, urothelial, breast (TNBC or HR+HER2- breast cancer), pancreas, gastric, or esophageal solid tumors with preidentified germline and/or somatic pathogenic mutation and received at least 1 prior line of therapy will receive Lurbinectedin 3.2 mg/m\^2 intravenous (IV) on Day 1 of every 3 weeks (Q3W) cycle until confirmed disease progression, withdrawal of participant consent, participant lost to follow-up, unacceptable toxicity, or the study or individual cohort may be terminated by the sponsor for lack of efficacy signal or any other reason.
Drug: Lurbinectedin
Lurbinectedin 3.2 mg/m\^2 intravenous (IV) every 3 weeks (Q3W)
Investigator-Assessed Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1
The ORR is defined as the proportion of participants whose best overall response (BOR) is investigator-assessed confirmed complete response (CR) or partial response (PR) using the RECIST v1.1 criteria. BOR is defined as the best response recorded between the date of first dose and the date of objectively documented progression per RECIST v1.1, or the date of subsequent anticancer therapy, death due to any cause, loss to follow-up, or study discontinuation, whichever occurs first.
Time frame: Baseline to disease progression or death, up to 36 weeks.
Investigator-Assessed Progression Free Survival (PFS) as Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1
PFS is defined as the time from the first dosing date to the date of first documented disease progression or death due to any cause, whichever occurs first.
Time frame: Baseline to disease progression or death, up to 36 weeks
Investigator-Assessed Time-To-Response (TTR) as Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1
TTR is defined as the time from the first dosing date to the date of the first confirmed response (complete response \[CR\] or partial response \[PR\]), as assessed by the investigators.
Time frame: Baseline to disease progression or death, up to 36 weeks
Investigator-Assessed Duration of Response (DOR) as Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1
DOR is defined as the time from the first confirmed response (complete response \[CR\] or partial response \[PR\]) to the date of the first documented tumor progression as determined using RECIST v1.1 criteria or death due to any cause, whichever occurs first
Time frame: Baseline to disease progression or death, up to 36 weeks
Investigator-assessed Disease Control Rate (DCR) as Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1
DCR is defined as the proportion of participants whose best overall response (BOR) is confirmed complete response (CR), or partial response (PR), or stable disease (SD) using the RECIST v1.1 criteria.
Time frame: Baseline to disease progression or death, up to 36 weeks.
Overall Survival (OS) in Participants Treated With Lurbinectedin
OS is defined as the time from the first dosing date to the date of death from any cause. A participant who has not died will be censored at the last known alive date
Time frame: Baseline and every 3 months, up to 16 months
A total of 47 participants who met all eligibility criteria were enrolled and received treatment were included
| Milestone | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort |
|---|---|---|---|
| Started | 15 | 12 | 20 |
| Completed | 0 | 0 | 0 |
| Not completed | 15 | 12 | 20 |
| Withdrew: Withdrawal by subject | 3 | 0 | 4 |
| Withdrew: Death | 9 | 3 | 5 |
| Withdrew: Study terminated by sponsor | 0 | 1 | 2 |
| Withdrew: Progressive disease | 1 | 4 | 3 |
| Withdrew: Sponsor decision- no further os follow up required | 2 | 4 | 6 |
The ORR is defined as the proportion of participants whose best overall response (BOR) is investigator-assessed confirmed complete response (CR) or partial response (PR) using the RECIST v1.1 criteria. BOR is defined as the best response recorded between the date of first dose and the date of objectively documented progression per RECIST v1.1, or the date of subsequent anticancer therapy, death due to any cause, loss to follow-up, or study discontinuation, whichever occurs first.
| Participants | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort |
|---|---|---|---|
| Investigator-Assessed Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1 | 0 | 2 | 1 |
PFS is defined as the time from the first dosing date to the date of first documented disease progression or death due to any cause, whichever occurs first.
| months | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort |
|---|---|---|---|
| Investigator-Assessed Progression Free Survival (PFS) as Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1 | 1.46 (0.89 to 3.32) | 2.07 (1.18 to 2.89) | 1.38 (1.35 to 2.79) |
TTR is defined as the time from the first dosing date to the date of the first confirmed response (complete response \[CR\] or partial response \[PR\]), as assessed by the investigators.
| months | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort |
|---|---|---|---|
| Investigator-Assessed Time-To-Response (TTR) as Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1 | — | 2.76 (2.7 to 2.8) | 1.31 |
DOR is defined as the time from the first confirmed response (complete response \[CR\] or partial response \[PR\]) to the date of the first documented tumor progression as determined using RECIST v1.1 criteria or death due to any cause, whichever occurs first
| months | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort |
|---|---|---|---|
| Investigator-Assessed Duration of Response (DOR) as Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1 | — | 5.67 (2.8 to 8.6) | 2.79 |
DCR is defined as the proportion of participants whose best overall response (BOR) is confirmed complete response (CR), or partial response (PR), or stable disease (SD) using the RECIST v1.1 criteria.
| Participants | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort |
|---|---|---|---|
| Investigator-assessed Disease Control Rate (DCR) as Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1 | 4 | 5 | 7 |
OS is defined as the time from the first dosing date to the date of death from any cause. A participant who has not died will be censored at the last known alive date
| months | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort |
|---|---|---|---|
| Overall Survival (OS) in Participants Treated With Lurbinectedin | 4.99 (0.92 to 14.52) | NA (2.66 to NA) | NA (2.89 to NA) |
Collected over Adverse events were collected from the start of dosing of study drug up until 30 days after last study dose, up to approximately 10 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Urothelial Cancer (UC) Cohort | 9/15 (60%) | 9/15 (60%) | 15/15 (100%) |
| Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | 3/12 (25%) | 3/12 (25%) | 12/12 (100%) |
| Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort | 5/20 (25%) | 8/20 (40%) | 19/20 (95%) |
| Event | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort |
|---|---|---|---|
| FatigueGeneral disorders | 0/15 | 0/12 | 2/20 |
| Neutrophil count decreasedInvestigations | 1/15 | 0/12 | 2/20 |
| Acute kidney injuryRenal and urinary disorders | 0/15 | 0/12 | 2/20 |
| Cardiac ArrestCardiac disorders | 0/15 | 1/12 | 0/20 |
| Mouth haemorrhageGastrointestinal disorders | 0/15 | 1/12 | 0/20 |
| PneumoniaInfections and infestations | 0/15 | 1/12 | 0/20 |
| Cerebrovascular accidentNervous system disorders | 0/15 | 1/12 | 0/20 |
| NauseaGastrointestinal disorders | 1/15 | 0/12 | 0/20 |
| VomitingGastrointestinal disorders | 1/15 | 0/12 | 0/20 |
| Chest painGeneral disorders | 1/15 | 0/12 | 0/20 |
| Event | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort |
|---|---|---|---|
| AnaemiaBlood and lymphatic system disorders | 9/15 | 2/12 | 2/20 |
| ConstipationGastrointestinal disorders | 2/15 | 6/12 | 4/20 |
| NauseaGastrointestinal disorders | 4/15 | 6/12 | 9/20 |
| FatigueGeneral disorders | 6/15 | 6/12 | 8/20 |
| Platelet count decreasedInvestigations | 7/15 | 1/12 | 6/20 |
| Neutrophil count decreasedInvestigations | 6/15 | 1/12 | 3/20 |
| VomitingGastrointestinal disorders | 4/15 | 2/12 | 7/20 |
| DiarrhoeaGastrointestinal disorders | 2/15 | 4/12 | 3/20 |
| Alanine aminotransferase increasedInvestigations | 3/15 | 4/12 | 5/20 |
| Blood alkaline phosphatase increasedInvestigations | 5/15 | 4/12 | 2/20 |
The baseline demographic characteristics were assessed in the Safety Analysis Set.
| Age, Categorical(Participants) | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort | Total |
|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 7 | 5 | 11 | 23 |
| >=65 years | 8 | 7 | 9 | 24 |
| Sex: Female, Male(Participants) | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort | Total |
|---|---|---|---|---|
| Female | 1 | 5 | 12 | 18 |
| Male | 14 | 7 | 8 | 29 |
| Ethnicity (NIH/OMB)(Participants) | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort | Total |
|---|---|---|---|---|
| Hispanic or Latino | 0 | 2 | 1 | 3 |
| Not Hispanic or Latino | 15 | 9 | 18 | 42 |
| Unknown or Not Reported | 0 | 1 | 1 | 2 |
| Race (NIH/OMB)(Participants) | Urothelial Cancer (UC) Cohort | Poorly Differentiated Neuroendocrine Carcinomas (PD-NEC) Cohort | Homologous Recombination Deficient-Positive Malignancies Agnostic (HRD) Cohort | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 1 | 1 | 0 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 1 | 2 | 1 | 4 |
| White | 11 | 8 | 17 | 36 |
| More than one race | 1 | 0 | 0 | 1 |
| Unknown or Not Reported | 1 | 1 | 2 | 4 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — In accordance with ICMJE requirements, Jazz Pharmaceuticals may provide qualified external researchers access to individual participant data (IPD) and clinical trial data that underlie the results of this trial upon request. Qualified researchers can submit a request on https://www.jazzpharma.com/science/clinical-trial-data-sharing/ as outlined. Jazz Pharmaceuticals reserves the right not to consider a request. For inquiries about Jazz's data sharing policy contact clinicaldatasharing@jazzpharma.com.
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