This study is designed to explore the potential of the epigenetic agent RRx-001 to sensitize patients who previously received and now have failed a platinum based doublet regimen. RRx-001 is administered with autologous blood once weekly followed by or in combination with reintroduction of platinum-based doublet therapy.
Name: RRx-001
Type: DrugSmall Cell Lung Cancer (Arm 1) Non Small Cell Lung Cancer Neuroendocrine tumors Ovarian epithelial cancer (Arm 1)
Name: Cisplatin
Type: DrugSmall Cell Lung Cancer (Arm 1) Small Cell Lung Cancer (Arm 2) Non Small Cell Lung Cancer Neuroendocrine tumors
Name: Etoposide
Type: DrugSmall Cell Lung Cancer (Arm 1) Small Cell Lung Cancer (Arm 2) Neuroendocrine tumors Ovarian epithelial cancer (Arm 2)
Name: Carboplatin
Type: DrugSmall Cell Lung Cancer (Arm 1) Small Cell Lung Cancer (Arm 2) Non Small Cell Lung Cancer Neuroendocrine tumors Ovarian epithelial cancer (Arm 1) Ovarian epithelial cancer (Arm 2)
Name: Irinotecan
Type: DrugSmall Cell Lung Cancer (Arm 2)
Name: Vinorelbine
Type: DrugSmall Cell Lung Cancer (Arm 2) Ovarian epithelial cancer (Arm 2)
Name: Doxil
Type: DrugOvarian epithelial cancer (Arm 2)
Name: Gemcitabine
Type: DrugOvarian epithelial cancer (Arm 2)
Name: Taxane
Type: DrugOvarian epithelial cancer (Arm 2)
Name: Paclitaxel
Type: DrugNon Small Cell Lung Cancer
Name: Nab-Paclitaxel
Type: DrugNon Small Cell Lung Cancer
Name: Pemetrexed
Type: DrugNon Small Cell Lung Cancer
Description: the time from enrollment until the time of death from any cause or last follow-up. Patients will be followed clinically as outlined in the treatment schedule and will be followed off study for death.
Measure: Overall Survival Time: up to one yearDescription: The proportion of patients who achieve a reduction in the sum of target lesions by 30% following the re-administration of chemotherapy. Radiographic assessment of disease burden will be evaluated by CT and disease RR will be documented using RECIST v1.1.
Measure: Overall Response Rate (ORR) Time: 12 weeksDescription: The percentage of patients who have achieved complete response, partial response and stable disease (as per RECIST v1.1).
Measure: Disease Control Rate (DCR) Time: 12weeksDescription: the time from enrollment to the time of the first radiographic documentation of objective progression as defined by RECIST v1.1 or death from any cause.
Measure: Progression Free Survival (PFS) Time: 12 weeksAllocation: Randomized
Parallel Assignment
There is one SNP
A Phase II Study of RRx-001 in Platinum Refractory/Resistant Small Cell Carcinoma, EGFR TKI Resistant EGFR+ T790M Negative Non-Small Cell Lung Cancer, High Grade Neuroendocrine Tumors and Resistant/Refractory Ovarian Cancer Prior to Re-administration of Platinum Based Doublet Regimens (QUADRUPLE THREAT). --- T790M ---