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Relapsed Small Cell Lung CancerPhase 1/2Relapsed SCLCNCT06681220

Biomarker Directed Trial of Temozolomide and Stenoparib in Relapsed SCLC

A Phase 1/2 study testing Stenoparib/Temozolomide and Lurbinectedin in people with Relapsed Small Cell Lung Cancer and Recurrent Small Cell Lung Cancer, run by VA Office of Research and Development at 11 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Randomized phase 2, multicenter, biomarker directed clinical trial with a safety lead-in to assess the efficacy of Stenoparib plus Temozolomide (TMZ) in relapsed Small Cell Lung Cancer patients. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Stenoparib/Temozolomide and Lurbinectedin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
166 participants
Where
11 sitesUnited States
Study dates
23 Feb 2026to 31 Dec 2030
Phase
Phase 1/2
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

Who may be able to join

  • Age 18 years or older at the time of consent.
  • Histological or cytological diagnosis of extensive-stage small cell lung cancer.
  • Patients must have received one prior line of systemic therapy.
  • Patients must have received first-line therapy with Carboplatin and Etoposide.
  • If patient is re-treated with Carboplatin and Etoposide at least 6 months or more after first regimen, this will still be considered one line of
  • treatment and they will qualify for this trial.
Show all 21Show fewer
  • Patients could have received immunotherapy in combination with the chemotherapy regimen.
  • Patients who have received Tarlatamab as second line treatment are allowed.
  • ECOG Performance status 0-2.
  • Measurable disease as per RECIST v1.1 (NOTE: Previously irradiated lesions are eligible as a target lesion only if there is documented progression of the lesion after irradiation).
  • Adequate bone marrow, liver, and renal function, as assessed by the following laboratory requirements:
  • ANC 1.5
  • Platelets 100 × 109/L
  • Hemoglobin 9 g/dL or 5.6 mmol/L
  • Aspartate transaminase and alanine transaminase 2.5 × upper limit of normal (ULN), <5× in patients with known liver metastases
  • Serum total bilirubin 1.5 × ULN, 1.5-3.0 × ULN may be included appropriate starting dose adjustment to 200 mg daily.
  • Creatinine <1.5 × ULN or estimated glomerular filtration rate (GFR) 50 ml/min by Cockcroft-Gault. Depending on scenario, GFR 30-49 can be --permissible.
  • Women of child-bearing potential must not be pregnant or breastfeeding and must have a negative pregnancy test within 72 hours of cycle 1 Day 1.
  • Male and female subjects of child-bearing potential must agree to use a double-barrier method of birth control from the screening visit through 180 days after the last dose of study drug.
  • Male subjects of child-bearing potential must agree to use a double-barrier method of birth control including use a male condom (and should also be advised of the benefit for a female partner to use a highly effective method of contraception as a condom may break or leak) and must agree to refrain from donating sperm from screening visit through at least 90 days after the last dose of study drug.
  • Previously treated or asymptomatic brain metastases are allowed.

Who cannot join

  • Unstable or clinically significant concurrent medical condition, psychiatric illness or social situation that would, in the opinion of the investigator, jeopardize the safety of a subject and/or their compliance with the protocol.
  • Clinically significant acute infection requiring systemic antibacterial, antifungal, or antiviral therapy. (Suppressive therapy for chronic infections allowed, for example: Subjects with HIV/AIDS with adequate antiviral therapy to control viral load would be allowed. Subjects with viral hepatitis with controlled viral load would be allowed while on suppressive antiviral therapy.)
  • Prior exposure to lurbinectedin, TMZ or stenoparib.
  • Pregnant or breastfeeding.
  • Clinical significant cardiovascular disease (ie active)
  • Subject with known hypersensitivity to Stenoparib components
  • Subject with known history of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) are excluded.
  • Subject with QTc interval 470 for females, or 450 for males per electrocardiogram (EKG) at screening.

Trial locations and contacts

11 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Shadia Jalal, MD contact

(317) 274-5500

Shadia.Jalal@va.gov

11 sites in 1 country

United States11 sites, 11 recruiting
  • VA Ann Arbor Healthcare System, Ann Arbor, MI

    Ann Arbor, Michigan, 48105-2303

    Nithya Ramnath,, MD, 734-845-5800, nithya.ramnath@va.gov

    Kelsey Bollin, BSN, (734) 8453966, Kelsey.Bollin@va.gov

    Not yet recruiting
  • Jesse Brown VA Medical Center, Chicago, IL

    Chicago, Illinois, 60612

    Larry Feldman, MD, 312-569-5385, lawrence.feldman@va.gov

    Alicia Hulbert, MD, 3124138878, alicia.hulbert@va.gov

    Not yet recruiting
  • Michael E. DeBakey VA Medical Center, Houston, TX

    Houston, Texas, 77030-4211

    Daniel Shin, MD, 310-478-3711, Daniel.Shin@va.gov

    Recruiting
  • Richard L. Roudebush VA Medical Center, Indianapolis, IN

    Indianapolis, Indiana, 46202-2884

    Shadia Jalal, MD, 317-274-5500, Shadia.Jalal@va.gov

    Aleksandra Radovanovich, RN, (317) 988-3338, aleksandra.radovanovich@va.gov

    Recruiting
  • Robley Rex VA Medical Center, Louisville, KY

    Louisville, Kentucky, 40206-1433

    Fred Hendler, MD, 502-287-4000, Fred.Hendler@va.gov

    Denise Zellars, MHA, 5022875222, Denise.Zellars@va.gov

    Not yet recruiting
  • Minneapolis VA Health Care System, Minneapolis, MN

    Minneapolis, Minnesota, 55417-2309

    Mark Klein, MD, 612-467-4682, Mark.Klein2@va.gov

    Jasmeen Chauhan, BA, 6124674682, Jasmeen.Chauhan@va.gov

    Not yet recruiting
  • Omaha VA Nebraska-Western Iowa Health Care System, Omaha, NE

    Omaha, Nebraska, 68105-1850

    Apar Ganti, MD, 402-346-8800, aparkishor.ganti@va.gov

    Anna Kellogg, MS, 4029954143, anna.kellogg@va.gov

    Not yet recruiting
  • VA Palo Alto Health Care System, Palo Alto, CA

    Palo Alto, California, 94304-1207

    Millie Das, MD, 650-493-5000 ext. 66133, Millie.Das@va.gov

    Niko Del Mar, RA, 6504935000 ext. 65610, niko.delmar@va.gov

    Recruiting
  • Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA

    Philadelphia, Pennsylvania, 19104-4551

    Kyle Robinson, MD, 215-823-5800, Kyle.Robinson2@va.gov

    Kelly Puchalski, BSN, 2158235800 ext. 202333, Kelly.Puchalski@va.gov

    Recruiting
  • VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA

    Pittsburgh, Pennsylvania, 15240

    James Herman, MD, 412-360-3909, James.Herman@va.gov

    Cheryl Dutka, RA, 4123602372, Cheryl.Dutka@va.gov

    Recruiting
  • Salisbury W.G. (Bill) Hefner VA Medical Center, Salisbury, NC

    Salisbury, North Carolina, 28144

    Jimmy Ruiz, MD, 704-638-9000, Jimmy.Ruiz@va.gov

    Travis Gallimore, RC, (704) 6389000 ext. 14419, Travis.Gallimore@va.gov

    Recruiting

Other trials in United States

About this study

Randomized phase 2, multicenter, biomarker directed clinical trial with a safety lead-in to assess the efficacy of Stenoparib plus Temozolomide (TMZ) in relapsed Small Cell Lung Cancer patients. Participants will receive either a combination of oral Stenoparib at the highest tolerated dose with oral Temozolomide 40mg daily or standard of care Lurbinectedin for 21-day cycles. The Dose limiting toxicity period will be 1 cycle of 21 days. This study will explore if the biomarkers the investigators test predict sensitivity to the combination of Stenoparib plus TMZ and therefore leads to a better treatment response. There are two potential tests of biomarkers that can predict who would benefit from the oral combination of Stenoparib with Temozolomide (TMZ), but they have not been evaluated. This study will test for this sensitivity using a biomarker (found in the blood that may be related to how a person reacts to a drug). The study will include 9 participants for the safety evaluation of the Stenoparib+TMZ group and 5 participants for the standard of care Lurbinectedin safety group. We will first determine safety dose for the experiment arm which, will include 3 groups with 3 participants in each group. Three doses of Stenoparib will be evaluated for toxicity. The initial starting dose of Stenoparib will be 200mg po QD. Once the maximum tolerated dose has been determined, participants will be assigned to one of the two groups in the phase 2 portion. Group 1 will be patients that test negative for the biomarker and will receive treatment with Lurbinectedin as per standard of care guidelines. Group 2 will be patients that test positive for the biomarker that will be randomly assigned to either the combination of Stenoparib plus Temozolomide (TMZ) or Lurbinectedin.

Read the detailed description

Randomized phase 2, multicenter, biomarker directed clinical trial with a safety lead-in to assess the efficacy of Stenoparib plus Temozolomide (TMZ) in relapsed Small Cell Lung Cancer patients. Participants will receive either a combination of oral Stenoparib at the highest tolerated dose with oral Temozolomide 40mg daily or standard of care Lurbinectedin for 21-day cycles. The Dose limiting toxicity period will be 1 cycle of 21 days. This study will explore if the biomarkers the investigators test predict sensitivity to the combination of Stenoparib plus TMZ and therefore leads to a better treatment response. There are two potential tests of biomarkers that can predict who would benefit from the oral combination of Stenoparib with Temozolomide (TMZ), but they have not been evaluated. This study will test for this sensitivity using a biomarker (found in the blood that may be related to how a person reacts to a drug). The study will include 9 participants for the safety evaluation of the Stenoparib+TMZ group and 5 participants for the standard of care Lurbinectedin safety group. We will first determine safety dose for the experiment arm which, will include 3 groups with 3 participants in each group. Three doses of Stenoparib will be evaluated for toxicity. The initial starting dose of Stenoparib will be 200mg po QD. Once the maximum tolerated dose has been determined, participants will be assigned to one of the two groups in the phase 2 portion. Group 1 will be patients that test negative for the biomarker and will receive treatment with Lurbinectedin as per standard of care guidelines. Group 2 will be patients that test positive for the biomarker that will be randomly assigned to either the combination of Stenoparib plus Temozolomide (TMZ) or Lurbinectedin.

Being tested
Stenoparib/Temozolomide, Lurbinectedin
Keywords
Phase 2, Small Cell Lung Cancer, Biomarker
Medical subject headings
Small Cell Lung Carcinoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Stenoparib/TemozolomideCombination product

    Also called Stenoparib/TEMODAR

    Stenoparib at the recommended phase 2 dose +Temozolomide 40mg/day daily will be given in combination x21 days each cycle

  • LurbinectedinDrug

    Also called Zepzelca

    Lurbinectedin 3.2mg/m2 one-hour intravenous (IV) infusion x 21 days each cycle

  • Stenoparib/TemozolomideCombination product

    Also called Stenoparib/TEMODAR

    Patients will be assigned to one of three doses of Stenoparib (200mg po qd, 200mg po BID, and 200mg in am and 400mg in pm). The initial starting dose will be the 200 mg po QD orally daily for 21 days.

Study groups in NCT06681220
Study groupRoleWhat they receive
Study Drug CombinationExperimentalBiomarker positive patients will be randomized 2:1 to study drug (Stenoparib at the recommended phase 2 dose +TMZ 40mg/day daily) or (Standard of Care) Lurbinectedin 3.2mg/m2 one-hour intravenous (IV) infusion each cycle x21 days until disease progression or intolerable toxicity
Receives: Combination Product: Stenoparib/Temozolomide
Standard of CareActive comparatorLurbinectedin 3.2mg/m2 one-hour intravenous (IV) infusion each cycle x21 days until disease progression or intolerable toxicity
Receives: Drug: Lurbinectedin
Biomarker Negative Standard of CareActive comparatorLurbinectedin 3.2mg/m2 one-hour intravenous (IV) infusion each cycle x21 days until disease progression or intolerable toxicity
Receives: Drug: Lurbinectedin
Safety lead-inExperimentalBiomarker positive patients will be assigned to one of three doses of Stenoparib (200mg po qd, 200mg po BID, and 200mg in am and 400mg in pm). The initial starting dose will be the 200 mg po QD orally daily for 21 days.
Receives: Combination Product: Stenoparib/Temozolomide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS)

    According to response evaluation criteria in solid tumors RECIST 1.1(imaging criteria or progression or patient death).

    Measured: Through study completion up to 2 years.

  2. Recommended Phase 2 dose

    Defined as the recommended dose of Stenoparib for phase 2

    Measured: Through end of cycle 1 (21 days)

Secondary outcomes (5)
  1. Disease control rate (DCR)

    Defined as Complete Response (CR) + Partial Response (PR) + Stable Disease (SD) per RECIST 1.1.

    Measured: Through study completion up to 2 years.

  2. Overall Survival (OS)

    Will be measured from Day 1 of treatment until death from any cause.

    Measured: Through study completion up to 2 years.

  3. Overall response rate (ORR)

    Defined as complete response (CR) + partial response (PR) per RECIST 1.1 criteria.

    Measured: Through study completion up to 2 years.

  4. Treatment Toxicities

    As defined by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0.

    Measured: Through study completion up to 2 years.

  5. Progression Free Survival (PFS)

    Compare PFS between biomarker positive and biomarker negative patient receiving Lurbinectedin.

    Measured: Through study completion up to 2 years.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Nov 2024
  2. Study start23 Feb 2026
  3. Primary completion31 Dec 2029 (estimated)
  4. Study completion31 Dec 2030 (estimated)

Resources

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
The study will include 9 participants for the safety evaluation of the Stenoparib+TMZ group and 5 participants for the standard of care Lurbinectedin safety group. We will first determine safety dose for the experiment arm which, will include 3 groups with 3 participants in each group. Three doses of Stenoparib will be evaluated for toxicity. The initial starting dose of Stenoparib will be 200mg po QD. Once the maximum tolerated dose has been determined, participants will be assigned to one of the two groups in the phase 2 portion. Participants will receive either a combination of oral Stenoparib at the highest tolerated dose with oral Temozolomide 40mg daily or standard of care Lurbinectin for 21-day cycles.
Masking
None (open label)
Enrolment
166 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06681220
Sponsor's protocol ID
SPLP-002-24S
Other IDs
14094144/CX002801-01A1
Acronym
Relapsed SCLC
Status last verified
Mar 2026
First submitted
6 Nov 2024
Last updated
11 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Stenoparib/Temozolomide and Lurbinectedin in people with Relapsed Small Cell Lung Cancer and Recurrent Small Cell Lung Cancer, run by VA Office of Research and Development at 11 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 21 inclusion and 8 exclusion criteria. 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 11 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 Shadia Jalal, MD ((317) 274-5500, Shadia.Jalal@va.gov), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression Free Survival (PFS) (time frame: Through study completion up to 2 years.). The study lists 2 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 11 Mar 2026.

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