Medical Access Program for Ifinatamab Deruxtecan in Patients with Advanced Small Cell Lung Cancer
Sponsor: Daiichi Sankyo
ClinicalTrials ID:NCT07535359
This program provides access to the drug Ifinatamab Deruxtecan for patients with extensive-stage small cell lung cancer who have already tried at least two treatments, including one platinum-based therapy, and have no other suitable treatment options.
Patient Parameters
| Parameter | Options |
|---|
Program Overview
The Medical Access Program aims to offer the drug Ifinatamab Deruxtecan (I-DXd) to patients with extensive-stage small cell lung cancer (ES-SCLC) who have undergone two or more previous treatments and have no other treatment options available. This program is designed for patients who cannot participate in a clinical trial and need access to this medication.
Description
Patients in this program can continue receiving the treatment until one of the following occurs:
- The cancer progresses.
- Side effects become unacceptable.
- The treatment's risks outweigh the benefits.
- The drug becomes available commercially and is covered by insurance.
- The patient decides to stop treatment.
- The patient withdraws consent.
- The patient becomes pregnant.
- The doctor decides to stop treatment.
- The patient passes away.
Eligibility Criteria
Inclusion Criteria
- Have at least one small cell lung cancer lesion that hasn't been treated with radiation.
- Be 18 years or older.
- Have a confirmed diagnosis of extensive-stage small cell lung cancer.
- Have previously received platinum-based chemotherapy and at least one other treatment for extensive-stage disease.
- Have tried at least two different systemic therapies.
- Show disease progression on or after the last treatment.
- Have a performance status score of 0-1, indicating good overall health.
- Have a life expectancy of at least 3 months.
- Have adequate organ and bone marrow function as per the study's requirements.
- Agree to use effective contraception during and after the program (8 months for women, 5 months for men).
- Women must have a negative pregnancy test before joining.
- Women agree not to donate eggs during and for 8 months after the program.
- Men agree not to donate sperm during and for 5 months after the program.
Exclusion Criteria
- Eligible for other treatments or clinical trials for pre-treated ES-SCLC.
- Previously treated with specific drugs targeting B7-H3, including I-DXd.
- Stopped treatment with a similar drug due to side effects.
- Did not have enough time between treatments as required by the study.
- Have untreated or symptomatic brain metastases or spinal cord issues.
- Had a stroke or similar event in the past 6 months.
- Have significant eye disease.
- Have uncontrolled heart disease.
- Have a history of lung inflammation or current lung issues.
- Have severe lung problems from other illnesses.
- Are on high-dose steroids, except for certain conditions.
- Have had a bone marrow or organ transplant.
- Have unresolved side effects from previous cancer treatments.
- Have severe allergies to the study drug or similar medications.
- Have an ongoing uncontrolled infection.
- Have active hepatitis B or C.
- Have an autoimmune disease, with some exceptions.
- Have severe or uncontrolled health issues that make participation unsafe.
- Have received a live vaccine recently.
- Are pregnant, breastfeeding, or planning to become pregnant.
- Have uncontrolled HIV infection.
- Have active hepatitis B or C, unless under control with treatment.
Locations
| FACILITY | ZIP | CITY | STATE |
|---|---|---|---|
| Central Care Cancer Center | 67401 | Salina | Kansas |
| Duke Cancer Institute | 27710 | Durham | North Carolina |
| University of Texas Southwestern Medical | 75390 | Dallas | Texas |
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