Small Cell Lung CancerPhase 2NCT05363280
Phase 2 Study for the Patient, Who Has Diagnosed With Small Cell Lung Cancer (SCLC) or Non Small Cell Lung Cancer (NSCLC) or Renal Cell Carcinoma (RCC) and Finished the First Line Stand Treatment , Need More Treatment
A Phase 2 study testing AL8326 40 mg, AL8326 60 mg and AL8326 80 mg--stopped in people with Small Cell Lung Cancer and Renal Cell Carcinoma (RCC), run by Advenchen Pharmaceuticals, LLC. at 7 sites in 2 countries.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Small Cell Lung Cancer, Renal Cell Carcinoma (RCC), Non-Small Cell Lung
- What is being tested?
- AL8326 40 mg, AL8326 60 mg and AL8326 80 mg--stopped
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 7 sitesin 2 countries
- Study dates
- 1 Nov 2022to Dec 2028
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Major Inclusion Criteria:
- Male or female, 18 years of age or older
- ECOG performance status of 0 or 1
- Histologically or cytologically confirmed SCLC /NSCLC/RCC
- Have at least 1 lesion that meets the criteria for being measurable, as defined by RECIST 1.1
- Have a life expectancy of at least 3 months
Major Exclusion Criteria:
- Serious, non-healing wound, ulcer or bone fracture
- Major surgical procedure within 28 days or minor surgical procedure performed within 7 days prior to treatment
- Active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels
- Clinically significant cardiovascular disease including uncontrolled hypertension; myocardial infarction or unstable angina within 6 months prior to enrollment; New York Heart Association (NYHA) Grade II or greater congestive heart failure serious cardiac arrhythmia requiring medication; and Grade II or greater peripheral vascular disease
- Hemoptysis within 3 months prior to enrollment
- Concomitant treatment with strong inhibitors or inducers of CYP3A4, CYP2C9 and CYP2C19 within 14 days prior to enrollment and during the study unless there is an emergent or life-threatening medical condition that required it.
More information available upon request
Trial locations and contacts
7 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
7 sites in 2 countries
United States5 sites, 3 recruiting
- Recruiting
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Clinical Research Manager, 205-934-6454, annaburton@uabmc.edu
Aakash Desai, MD
- Completed
Northwestern University
Chicago, Illinois, 60611
- Recruiting
Cleveland Clinic
Cleveland, Ohio, 44195
Cancer Answer Line (Taussig), 216-444-7923
Lukas Delasos, MD
- Recruiting
Siteman Cancer Center, Washington University
St Louis, Missouri, 63130
314-747-7222, Patient_Care_Coordination_Center@bjc.org
800-600-3606
- Withdrawn
Cleveland Clinic Florida
Weston, Florida, 33331
Spain2 sites, 2 recruiting
- Recruiting
Hospital Universitari Vall d'Hebron
Barcelona
clinical study coordicator, • +34932746000, pedrorocha@vhio.net
Pedro Filipe Simoees Da Rocha, MD
- Recruiting
Hospital Universitario Ramón Y Cajal
Madrid
Cliical study coordinator, (+34) 91 3368831
María Eugenia Olmedo García, MD
About this study
Official title: A Phase 2 Evaluation of the Safety and Efficacy of Veonetinib (AL8326) in ≥2nd Line Small Cell Lung Cancer (SCLC), Non Small Cell Lung Cancer (NSCLC) and Renal Cell Carcinoma (RCC) Treatment
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 .
Read the detailed description
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.
- Being tested
- AL8326 40 mg, AL8326 60 mg, AL8326 80 mg--stopped
- Keywords
- Recurrent small cell lung caner, Advanced small cell lung cancer, Metastatic Small lung cancer, ≥2nd Line treatment, Non small cell lung cancer, Renal Cell Carcinoma
- Medical subject headings
- Small Cell Lung Carcinoma, Carcinoma, Renal Cell, Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AL8326 40 mgDrug
Taken AL3826 at 40mg QD orally
AL8326 60 mgDrug
Taken AL3826 at 60mg QD orally
AL8326 80 mg--stoppedDrug
Taken AL3826 at 80 mg QD orally
| Study group | Role | What they receive |
|---|---|---|
| OBD finding cohort at low dose--completed | Experimental | Subject in low dose group will receive AL8326 orally in each cycle until intolerable toxicity or disease progression or withdrawal . 6-12 subjects are in this group. Efficacy, safety and PK will be evaluated and compared within 3 different dosing group to define the final OBD. Receives: Drug: AL8326 40 mg |
| OBD finding cohort at middle dose--completed | Experimental | Subject in middle dose group will receive AL8326 orally in each cycle until intolerable toxicity or disease progression or withdrawal . 6-12 subjects are in this group. Efficacy, safety and PK will be evaluated and compared within 3 different dosing group to define the final OBD. Receives: Drug: AL8326 60 mg |
| OBD finding cohort at high dose--completed | Experimental | Subject in high dose group will receive AL8326 orally in each cycle until intolerable toxicity or disease progression or withdrawal . 6-12 subjects are in this group. Efficacy, safety and PK will be evaluated and compared within 3 different dosing group to define the final OBD. Receives: Drug: AL8326 80 mg--stopped |
| Non-Small Cell Lung(NSCLC) | Experimental | ≥2nd line NSCLC patient in 40 mg dose Receives: Drug: AL8326 40 mg |
| Renal Cell Carcinoma( RCC ) | Experimental | ≥2nd line RCC patient in 60 mg dose Receives: Drug: AL8326 60 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Optimal 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
Measured: 12 months
Objective Response Rates (ORR)
Evaluate the efficacy among 3 different dosing groups
Measured: 12 month
ORR evaluation for NSCLC and RCC
ORR evaluation for NSCLC and RCC
Measured: 24 month
Secondary outcomes (4)
Duration of response ( DOR)
DOR for SCLC OBD group plus expansion cohort, NSCLC and RCC cohortgroup;
Measured: 36 month
Progression-Free Survival (PFS)
PFS for SCLC OBD group plus expansion cohort, NSCLC and RCC cohortgroup
Measured: 36 month
Pharmacokinetic endpoints
Pharmacokinetic endpoints Maximum Plasma Concentration ( Cmax)
Measured: 24 month
Pharmacokinetic endpoint Area Under the Curve (AUC)
Measured: 24 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 May 2022
- Study start1 Nov 2022
- Primary completionDec 2027 (estimated)
- Study completionDec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Small Cell Lung CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The phase 2 study aims to find optimal biological dose (OBD) for Phase 2 expansion cohort clinical study. Patients will be randomized to a 3 different dosing daily AL8326 groups ( low. middle. high) in 1:1:1 ratio in OBD finding cohorts. ----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. A phase 2 expansion cohort will enroll SCLC--on hold NSCLC -≥2nd line treatment with up to n=15 patients in 40 mg RCC-≥2nd line treatment with up to n=15 patients in 60 mg
- Masking
- None (open label)
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Advenchen Pharmaceuticals, LLC.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Saiama Waqar, MD, Principal investigator, Washington University School of Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05363280
- Sponsor's protocol ID
- AL8326-US-001
- Status last verified
- Apr 2026
- First submitted
- 22 Apr 2022
- Last updated
- 8 May 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Evaluation of the Safety and Efficacy of Veonetinib (AL8326) in ≥2nd Line Small Cell Lung Cancer (SCLC), Non Small Cell Lung Cancer (NSCLC) and Renal Cell Carcinoma (RCC) Treatment
- ClinicalTrials.gov ID
- NCT05363280
- Acronym / sponsor ID
- AL8326-US-001
- Keywords
- Recurrent small cell lung caner, Advanced small cell lung cancer, Metastatic Small lung cancer, ≥2nd Line treatment, Non small cell lung cancer, Renal Cell Carcinoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- Advenchen Pharmaceuticals, LLC.Industry (pharma, biotech, devices)
- Study start
- 1 Nov 2022 (actual)
- Primary completion
- Dec 2027 (estimated)
- Study completion
- Dec 2028 (estimated)
- First posted
- 5 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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 .
Detailed description
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 design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 5
- Model description
- The phase 2 study aims to find optimal biological dose (OBD) for Phase 2 expansion cohort clinical study. Patients will be randomized to a 3 different dosing daily AL8326 groups ( low. middle. high) in 1:1:1 ratio in OBD finding cohorts. ----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. A phase 2 expansion cohort will enroll SCLC--on hold NSCLC -≥2nd line treatment with up to n=15 patients in 40 mg RCC-≥2nd line treatment with up to n=15 patients in 60 mg
| Arm | Type | Receives |
|---|---|---|
| OBD finding cohort at low dose--completed | Experimental | Drug: AL8326 40 mgSubject in low dose group will receive AL8326 orally in each cycle until intolerable toxicity or disease progression or withdrawal . 6-12 subjects are in this group. Efficacy, safety and PK will be evaluated and compared within 3 different dosing group to define the final OBD. |
| OBD finding cohort at middle dose--completed | Experimental | Drug: AL8326 60 mgSubject in middle dose group will receive AL8326 orally in each cycle until intolerable toxicity or disease progression or withdrawal . 6-12 subjects are in this group. Efficacy, safety and PK will be evaluated and compared within 3 different dosing group to define the final OBD. |
| OBD finding cohort at high dose--completed | Experimental | Drug: AL8326 80 mg--stoppedSubject in high dose group will receive AL8326 orally in each cycle until intolerable toxicity or disease progression or withdrawal . 6-12 subjects are in this group. Efficacy, safety and PK will be evaluated and compared within 3 different dosing group to define the final OBD. |
| Non-Small Cell Lung(NSCLC) | Experimental | Drug: AL8326 40 mg≥2nd line NSCLC patient in 40 mg dose |
| Renal Cell Carcinoma( RCC ) | Experimental | Drug: AL8326 60 mg≥2nd line RCC patient in 60 mg dose |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AL8326 40 mgTaken AL3826 at 40mg QD orally | Drug | Non-Small Cell Lung(NSCLC), OBD finding cohort at low dose--completed |
| AL8326 60 mgTaken AL3826 at 60mg QD orally | Drug | OBD finding cohort at middle dose--completed, Renal Cell Carcinoma( RCC ) |
| AL8326 80 mg--stoppedTaken AL3826 at 80 mg QD orally | Drug | OBD finding cohort at high dose--completed |
Primary outcome
Optimal biological dose ( OBD )
Time frame: 12 months
Determine the Optimal biological dose ( OBD ) via evaluation of dose limiting toxicity (DLT) events to decide the dosing using in expanded cohort
Objective Response Rates (ORR)
Time frame: 12 month
Evaluate the efficacy among 3 different dosing groups
ORR evaluation for NSCLC and RCC
Time frame: 24 month
ORR evaluation for NSCLC and RCC
4 secondary outcomes
Duration of response ( DOR)
Time frame: 36 month
Progression-Free Survival (PFS)
Time frame: 36 month
Pharmacokinetic endpoints
Time frame: 24 month
Pharmacokinetic endpoint Area Under the Curve (AUC)
Time frame: 24 month
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 May 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Saiama Waqar, MD principal investigator
Washington University School of Medicine
7 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing AL8326 40 mg, AL8326 60 mg and AL8326 80 mg--stopped in people with Small Cell Lung Cancer and Renal Cell Carcinoma (RCC), run by Advenchen Pharmaceuticals, LLC. at 7 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 8 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites in United States, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Shiying Sprinzl (805-530-1550, shiyings@advenchen.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Optimal biological dose ( OBD ) (time frame: 12 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 May 2026.