Alisertib plus paclitaxel for small cell lung cancer
Official title: A Phase 2 Study of Alisertib in Combination With Paclitaxel in Patients With Small Cell Lung Cancer
Run by Puma Biotechnology, Inc. · NCT07465757 · Data updated 2026-11-12
This study tests different doses of alisertib together with paclitaxel to see if patients with small cell lung cancer can tolerate the treatment.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Puma Biotechnology, Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy, immunotherapy |
| Locations | 11 sites (Reno, Nevada and 10 other locations) |
| Status | Recruiting |
| Started | September 17, 2026 |
| Main results expected | March 31, 2028 |
| Study ends | September 30, 2028 |
| Registry record updated | November 2, 2026 |
| Trial ID | NCT07465757 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with pathologically confirmed SCLC who have progressed after platinum-based chemotherapy and at least one PD-1/PD-L1 inhibitor, and who have measurable disease.
✕Probably not a fit
Patients whose cancer does not respond to this combination or who cannot tolerate the drug doses may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2 open-label trial in people with small cell lung cancer who have progressed after platinum-based therapy and an anti-PD-1/PD-L1 agent. The study uses cohorts to escalate alisertib from 30 mg BID in 10 patients per cohort, up to a planned maximum of 70 mg BID, with monitoring for adverse events in Cycle 1 (Days 1-21). Safety data from Cycle 1 determine whether the dose is increased for the next cohort. All participants receive alisertib in combination with paclitaxel, with ongoing assessment of toxicity by NCI CTCAE v5.0. Eligibility requires measurable disease and prior limited systemic therapy for SCLC. Enrollment is limited to sites including Reno, Paris, and Alicante.
Why it matters
Potential benefit: If successful, patients may experience manageable side effects at an effective alisertib dose when combined with paclitaxel, potentially improving disease control.
How similar studies have gone: Previous studies in aurora kinase inhibitors have shown variable safety with combination therapies, making this dose-escalation approach informative for safety and tolerability.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged ≥18 years at signing of informed consent * Pathologically confirmed SCLC * Prior treatment with one platinum-based chemotherapy and an anti-PD-1/PD-L1 immunotherapy. Up to one additional systemic anti-cancer therapy for SCLC is allowed, for a total of up to 2 prior treatment regimens * Measurable disease as defined by RECIST v1.1 Exclusion Criteria: * Prior treatment with an aurora kinase A (AURKA) specific-targeted or pan-Aurora- targeted agent, including alisertib, in any setting There are additional inclusion and exclusion criteria. The study center will determine if you meet all of the criteria.
Where it's running
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Cancer Care Specialists
Reno, Nevada, United States Recruiting -
Institut Curie Paris
Paris, France Recruiting -
Hospital General Universitario Dr. Balmis
Alicante, Spain Recruiting -
Hospital Del Mar
Barcelona, Spain Recruiting -
Hospital Quiron Dexeus
Barcelona, Spain Recruiting -
START Barcelona - HM Nou Delfos
Barcelona, Spain Recruiting
Show 5 more locations
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START Rioja - Hospital de San Pedro
Logroño, Spain Recruiting -
Hospital Regional Universitario de Malaga - General Hospital
Málaga, Spain Recruiting -
Hospital Universitario Morales Meseguer
Murcia, Spain Recruiting -
Hospital Universitario Infanta Sofía
San Sebastián de los Reyes, Spain Recruiting -
Hospital Universitario Virgen Del Rocío
Seville, Spain Recruiting
Study contacts
- Study coordinator: Puma Biotechnology, Inc. Clinical Operations Senior Director
- Email: ClinicalTrials@pumabiotechnology.com
- Phone: 424-248-6500
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.