ClinicalTrials.gg
Active, not recruitingNCT07145333Drug-SNPUpdated Oct 8, 2026

Pharmacogenomics ANDA SNP Clinical Study - Topotecan and Single Nucleotide Polymorphisms

A Phase 2/3 interventional study of Topotecan - usual and Topotecan - study in SCLC, sponsored by Han Xu, M.D., Ph.D., FAPCR, Medical Director, IRB Chair. Active, not recruiting at 1 site in United States. Open to participants aged 24 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by Han Xu, M.D., Ph.D., FAPCR, Medical Director, IRB Chair · Phase 2/3, Interventional, and Health services research

Updated Oct 8, 2026Start date movedPrimary completion moved+2 moreGo to Updates ↓

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Phase
Phase 2/3
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
24 Years to 64 Years
Sex
All
01

Study summary

Explore the relationship between drug target topoisomerase I gene single nucleotide polymorphisms and Topotecan therapeutic-effects in patients with small cell lung cancer, based on Oxford precisely sequencing drug targets' genes.

Explore the relationship between drug target CYP4503A4 gene single nucleotide polymorphisms and Topotecan side-effects in patients with small cell lung cancer, based on Oxford precisely sequencing drug targets' genes.

Read the detailed description

The usual approach group, after lung tissue biopsy, 300 double blind random group separated SCLC patients currently used the Chemotherapy on Topotecan capsule, it will try to look for the relationship between the Topotecan therapeutic efficacy and the Topoisomerase I SNP Genotyping, and the relationship between the Topotecan therapeutic safety and the CYP4503A4 SNP Genotyping, based on Oxford precisely sequencing drug targets' genes.

The study approach group, after lung tissue biopsy, 300 double blind random group separated SCLC patients currently used the Chemotherapy on China Import Topotecan Capsule, it will try to look for the relationship between the Topotecan therapeutic efficacy and the Topoisomerase I SNP Genotyping, and the relationship between the Topotecan therapeutic safety and the CYP4503A4 SNP Genotyping, based on Oxford precisely sequencing drug targets' genes.

  1. Detect drug target whole gene precision sequence of everyone patient for all 600 recruited double blind SCLC patients.
  2. Mutually compare everyone patient drug target whole gene precision sequence for a total of 600 recruited double blind SCLC patients.
  3. Calculate drug target gene SNPs in all 600 recruited double blind SCLC patients.
  4. Correlate everyone patient drug target gene SNP to everyone patient drug efficacy.
  5. Correlate everyone patient drug target gene SNP to everyone patient drug safety.
  6. Mutually compare the usual approach group SNPs (300 double blind random group separated SCLC patients) with the study approach group SNPs (300 double blind random group separated SCLC patients).
  7. Confirm the relationship between drug target gene SNPs and drug efficacy.
  8. Confirm the relationship between drug target gene SNPs and drug safety.
02

Conditions studied

  • SCLC

Keywords

  • SNP
  • Topotecan
  • TOPO
  • CYP
  • Genotype
03

In context

Lead sponsor

Han Xu, M.D., Ph.D., FAPCR, Medical Director, IRB Chair is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
24 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

  • Select 600 Small Cell Lung Cancer Patients who are suitable for lung tissue
  • Dosage Duration at least 45 days
  • The usual approach group - Recruit 300 double blind random group separated SCLC patients currently used the Chemotherapy on Topotecan Capsule after lung tissue biopsy, like as the usual approach group.
  • The study approach group - Recruit 300 double blind random group separated SCLC patients currently used the Chemotherapy on China Import Topotecan Capsule after lung tissue biopsy, like as the study approach group.

Inclusion criteria

Inclusion Criteria:

  • 1. Clinical diagnosis of Small Cell Lung Cancer (SCLC)
  • 2. Clinical lung tissue biopsy diagnosis of SCLC
  • 3. Suitable for enough lung tissue biopsy of SCLC
  • 4. Random and double blind
  • 5.
  • 6. Adequate organ functions
  • 7. Adequate performance status
  • 8. Age 24 years old and over
  • 9. Sign an form
  • 10. Receive blood-drawing

Exclusion criteria

Exclusion Criteria:

  • 1. Pneumonectomy
  • 2. Treatment with other anti-cancer therapies and cannot be stopped currently
  • 3. Pregnancy
  • 4. Breast-feeding
  • 5. The patients with other serious intercurrent illness or infectious diseases
  • 6. Have more than one different kind of cancer at the same time
  • 7. Serious Allergy to Drugs
  • 8. Clot or Bleed Tendency
  • 9. Serious Risks or Serious Adverse Events of the drug product
  • 10. The prohibition of drug products
  • 11. Have no therapeutic effects
  • 12. Follow up to the most current label
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
600 participants (estimated)

Study arms

  • Experimental
    Topotecan - usual

    * Topotecan Capsule * Chemotherapy * Topotecan Capsule * Usual Approach Group

    Drug: Topotecan - usual

  • Experimental
    Topotecan - study

    * China Import Topotecan Capsule * Chemotherapy * China Import Topotecan Capsule * Study Approach Group

    Drug: Topotecan - study

Interventions

  • DrugTopotecan - usual

    Topotecan Capsule

    Also known as: Usual Topotecan Capsule Chemotherapy

  • DrugTopotecan - study

    China Import Topotecan Capsule

    Also known as: Study Topotecan Capsule Chemotherapy

06

What researchers measure

Primary outcomes

  1. Find Topotecan Drug Targets' SNP Genotypes which are effectiveness-associated, and which are risk-associated.

    1. Recruit 300 double blind random group separated SCLC patients currently used the Chemotherapy on Topotecan Capsule after lung tissue biopsy, like as the usual approach group. 2. Recruit 300 double blind random group separated SCLC patients currently used the Chemotherapy on China Import Topotecan Capsule after lung tissue biopsy, like as the study approach group. 3. Assay above every SCLC patient-specific Topotecan drug target (Topoisomerase I) SNP genotype in his or her WBC cell whole genome DNA with Oxford precisely sequencing. 4. Assay above every SCLC patient-specific Topotecan drug target (CYP4503A4) SNP genotype in his or her WBC cell whole genome DNA with Oxford precisely sequencing.

    Time frame: Duration up to 14 weeks

07

Study locations

1 site
  • Medicine Invention Design Incorporation
    Rockville, Maryland 20853, United States
08

References and documents

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Oct 2026 (actual). Primary completion is estimated for Dec 2026, 2 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 8, 2026: start Aug 2025 → Oct 2026, primary completion Sep 2026 → Dec 2026 and completion Oct 2026 → Jun 2027.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Aug 14, 2025
First posted
Aug 28, 2025
StartActual
Oct 5, 2026was Aug 2025
Primary completionEst.
Dec 18, 2026was Sep 2026
CompletionEst.
Jun 28, 2027was Oct 2026
Last update
Oct 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Start date
Aug 12, 2025→Oct 5, 2026
Oct 8, 2026
Primary completion
Sep 18, 2026→Dec 18, 2026
Oct 8, 2026
Study completion
Oct 28, 2026→Jun 28, 2027
Oct 8, 2026
Sponsor
Han Xu, M.D., Ph.D., FAPCR, Sponsor-Investigator, IRB Chair→Han Xu, M.D., Ph.D., FAPCR, Medical Director, IRB Chair
Oct 8, 2026
Show all 1 update
  1. Oct 8, 2026
    Start date Aug 12, 2025→Oct 5, 2026
    Primary completion Sep 18, 2026→Dec 18, 2026
    Study completion Oct 28, 2026→Jun 28, 2027
    Sponsor Han Xu, M.D., Ph.D., FAPCR, Sponsor-Investigator, IRB Chair→Han Xu, M.D., Ph.D., FAPCR, Medical Director, IRB Chair
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07145333
Lead sponsor
Han Xu, M.D., Ph.D., FAPCR, Medical Director, IRB Chair
Collaborators
UnitedHealthcare
Responsible party
Han Xu, M.D., Ph.D., FAPCR, Medical Director, IRB Chair (M.D., Ph.D., FAPCR, Sponsor-Investigator, Medical Director, IORG Director, Medical Monitor, Safety Officer, IRB Chair, Medicine Invention Design, Inc) — Sponsor-investigator
First posted
Aug 28, 2025
Start date
Oct 5, 2026
Primary completion
Dec 18, 2026 (estimated)
Completion
Jun 28, 2027 (estimated)
Last update
Oct 8, 2026

Study contacts

HAN XU, MD/PhD/FAPCR
study chair · Medicine Invention Design, Inc. - IRB00009424 - IORG0007849
HAN XU, MD/PhD/FAPCR
study director · Medicine Invention Design, Inc. - IORG0007849 - NPI-1023387701
HAN ID XU, MD/PhD/FAPCR
principal investigator · Medicine Invention Design, Inc. - IORG0007849 - NPI-1023387701

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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