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Amrubicin

Phase 3

Small Cell Lung Cancer | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Nov 19, 2019

Success Probability

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials4
Total Enrollment887

FDA Designations

No designations recorded

Clinical trial landscape

Amrubicin · 5 trials · 2 indications

Phase 3 1Phase 2 3Phase 1 1
NCT00547651AMR PH GL 2007 CL001 Phase 3 Trial in Patients With Small Cell Lung Cancer After Failure of First-Line ChemotherapySmall Cell Lung Cancer
COMPLETED637 Analytics
PHASE3COMPLETED
AMR PH GL 2007 CL001 Phase 3 Trial in Patients With Small Cell Lung Cancer After Failure of First-Line Chemotherapy
Small Cell Lung CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

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.
Until death from any cause
Objective tumor response rate according to RECIST
Until Disease Progression
Objective tumor response rate according to RECIST criteria measured every 2 cycles (every 6 weeks)
Until Disease Progression
Objective tumor response rate
Until Disease Progression
To characterize the pharmacokinetics of amrubicin and amrubicinol (metabolite) in plasma, whole blood, and urine in patients given amrubicin as 5 minute IV infusions at 40 mg/m2 for 3 consecutive days; data will be obtained from blood & urine samples
Cycle 1: all primary outcome measures are collected during the first 21 days.

The duration of making measurements during the first cycle is 21 days. All data relating to the primary outcome measure is collected during this time. There is an optional Extension Phase during which subjects can continue to receive additional 21-day cycles of amrubicin unless there is evidence of tumor progression or unacceptable toxicity. The duration of measurements depends on how long the subject continues on treatment.

To evaluate the potential effects on the QT/QTc interval in cancer patients when treated with 5 minute IV infusions of amrubicin 40 mg/m2 daily for 3 consecutive days; data will be obtained by ECG extraction from continuous 12-lead Holter monitoring
Cycle 1: all primary outcome measures are collected during the first 21 days.

The duration of making measurements during the first cycle is 21 days. All data relating to the primary outcome measure is collected during this time. There is an optional Extension Phase during which subjects can continue to receive additional 21-day cycles of amrubicin unless there is evidence of tumor progression or unacceptable toxicity. The duration of measurements depends on how long the subject continues on treatment.

To determine the safety and tolerability of 40 mg/m2 amrubicin given as 5 minute IV infusions for 3 consecutive days; information will be collected by adverse event monitoring and laboratory safety tests.
Cycle 1: all primary outcome measures are collected during the first 21 days.

The duration of making measurements during the first cycle is 21 days. All data relating to the primary outcome measure is collected during this time. There is an optional Extension Phase during which subjects can continue to receive additional 21-day cycles of amrubicin unless there is evidence of tumor progression or unacceptable toxicity. The duration of measurements depends on how long the subject continues on treatment.

Secondary Endpoints

To further characterize the clinical benefit of amrubicin compared with topotecan in terms of objective response rate
Until death
To further characterize the clinical benefit of amrubicin compared with topotecan in terms of progression-free survival.
Until death
To further characterize the clinical benefit of amrubicin compared with topotecan in terms of duration of response
Until death
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AmrubicinEXPERIMENTALAmrubicin
TopotecanACTIVE_COMPARATORTopotecan
1EXPERIMENTALAmrubicin 40mg/m\<2\> IV days 1, 2, 3 of each 21-day cycle until cycle 6 or no longer beneficial.
Amrubicin plus CisplatinEXPERIMENTALAmrubicin 40mg/m\<2\> IV days 1, 2, 3 plus cisplatin 60mg/m\<2\> IV day 1 of each 21-day cycle until disease progression.
Cisplatin plus etoposideACTIVE_COMPARATORCisplatin 75mg/m\<2\> IV day 1 plus etoposide 100mg/m\<2\> IV day 1 and 200mg/m\<2\> orally days 2, 3 or etoposide 100mg/m\<2\> IV days 1, 2, 3 each 21-day cycle until disease progression.
2ACTIVE_COMPARATORTopotecan 1.5mg/m\<2\> IV, days 1, 2, 3, 4, 5 of each 21-day cycle until disease progression.
Amrubicin 40mg/m^2EXPERIMENTALAmrubicin 40mg/m\^2 given as a 5 minute IV infusion on Days 1, 2 \& 3 of a 21 day cycle

Interventions

NameTypeDescription
AmrubicinDRUGAmrubicin 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
TopotecanDRUGTopotecan 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
CisplatinDRUGAmrubicin 40mg/m\<2\> IV days 1, 2, 3 plus Cisplatin 60mg/m\<2\> day 1 of each 21-day cycle until disease progression. Cisplatin 75mg/m\<2\> IV day 1 plus etoposide 100mg/m\<2\> IV day 1 and 200mg/m\<2\> orally days 2, 3 or etoposide 100mg/m\<2\> IV days 1, 2, 3 of each 21-day cycle until disease progression.
EtoposideDRUGCisplatin 75mg/m\<2\> IV day 1 plus etoposide 100mg/m\<2\> IV day 1 and 200mg/m\<2\> orally days 2, 3 or etoposide 100mg/m\<2\> IV days 1, 2, 3 of each 21-day cycle until disease progression.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites140

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 (defi...

Countries:United StatesAustraliaAustriaBelgiumBulgariaCanadaCzechiaDenmarkFranceGermanyHungaryItalyNetherlandsPolandSpainSwitzerlandUnited Kingdom
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Competitive Landscape -Non-Small Cell Lung Cancer 389 trials (matched to "Small Cell Lung Cancer")

Frequently asked questions about Amrubicin

What is Amrubicin used for?

Amrubicin is an investigational small molecule being studied for the treatment of small cell lung cancer and advanced solid tumors. Clinical trials have evaluated it in patients with small cell lung cancer who have responded to prior therapy, as well as those with refractory or progressive disease.

Who is developing Amrubicin?

Amrubicin is being developed by Bristol-Myers Squibb Company, which trades on the New York Stock Exchange under the ticker BMY. The company has sponsored multiple clinical trials of the drug in oncology.

What phase is Amrubicin in?

Amrubicin is in Phase 1 clinical development. While earlier trials have been completed, including Phase 2 and Phase 3 studies, the drug remains investigational and has not been approved by regulatory authorities.

What clinical trials is Amrubicin in?

Amrubicin has been studied in four completed trials, including NCT00319969, NCT00375193, NCT00388960, and NCT00547651. These trials enrolled a total of 887 participants and evaluated the drug in small cell lung cancer across multiple countries.

Is Amrubicin the same as topotecan?

No, Amrubicin is not the same as topotecan. One clinical trial, NCT00319969, directly compared Amrubicin with topotecan in patients with small cell lung cancer who had responded to prior therapy, indicating they are distinct treatments.

What is the mechanism of action of Amrubicin?

Amrubicin is a small molecule, but its specific molecular target has not been disclosed. Clinical development has focused on its use as a single agent and in combination with cisplatin for small cell lung cancer.