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Patient-Level Summary of Clinical Trial NCT02293005 A Clinical Trial Sponsored by M.D. Anderson Cancer Center Clinical Trial Identifier NCT02293005 Sponsor M.D. Anderson Cancer Center Official Title Phase II Trial of Alisertib (MLN8237) in Salvage Malignant Mesothelioma This Clinical Trial is for people with the following condition(s) Lung Cancer Mesothelioma The Purpose of this Clinical Trial (provided by the Sponsor) Objectives: Objectives The primary objective of this study is to: To assess 4-month disease control rate (DCR) in pre-treated patients with unresectable malignant pleural mesothelioma (MPM) treated with alisertib The secondary objectives of this study are to: To assess the response rate (confirmed and unconfirmed complete + partial responses) To assess the progression-free survival. To assess overall survival. To evaluate the side effects and toxicities associated with this treatment regimen. To collect archival tissue, blood, pleural effusion fluid and plasma for correlative studies. Exploratory Objectives: To collect archival or new tissue, blood and pleural effusion fluid for correlative studies. Tissue biomarkers to be evaluated include aurora kinase pathway and c-myc gene amplification. Next generation sequencing (NGS) will be conducted on adequate tumor tissue specimens. This Clinical Trial may involve the following Interventions, Drugs, or Procedures Name Type Definition Alisertib Drug A second-generation, orally bioavailable, highly National Cancer selective small molecule inhibitor of the Institute Thesaurus serine/threonine protein kinase Aurora A kinase with potential antineoplastic activity. Alisertib binds to and inhibits Aurora A kinase, which may result in disruption of the assembly of the mitotic spindle apparatus, disruption of chromosome segregation, and inhibition of cell proliferation. Aurora A kinase localizes to the spindle poles and to spindle microtubules during mitosis, and is thought to regulate spindle assembly. Aberrant expression of Aurora kinases occurs in a wide variety of cancers, including colon and breast cancers. Friday, January 13, 2017 Page 1 of 3 CONFIDENTIAL Definition Source Powered by Patient-Level Summary of Clinical Trial NCT02293005 A Clinical Trial Sponsored by M.D. Anderson Cancer Center Clinical Trial Design Design Definition Definition Source Efficacy Study A study of the relative therapeutic efficacy of treatment of a disease. Usually this is a Phase II or III study. National Cancer Institute Thesaurus Safety Study A study of the relative safety of treatment of a disease. Usually this is a Phase I or II trial. National Cancer Institute Thesaurus Single Group Study A type of clinical study in which there is only one treatment arm available to all study participants. National Cancer Institute Thesaurus Open Label Study A type of study in which both the health providers and the patients are aware of the drug or treatment being given. National Cancer Institute Glossay of Terms Treatment Study A type of study protocol designed to evaluate intervention(s) for National Cancer disease treatment. Institute Thesaurus Additional Information about this Clinical Trial See Glossary of Terms for The number of people planned to enroll in this Clinical Trial is 58 Enrollment United States Food and Drug Administration (FDA) regulated? Yes FDA-Regulated Drug Study Indicator This Clinical Trial is in Phase 2 Phase This Clinical Trial is expected to be completed by Study End Date This Clinical Trial began in May 2015 Study Start Date Glossary of Terms Keyword Definition Definition Source Enrollment The act of registration, entering in a list, catalog, group, study; also, the number of subjects enrolled. National Cancer Institute Thesaurus FDA-Regulated Drug Study Indicator An indication as to whether the study involves an FDA-regulated National Cancer drug. Institute Thesaurus Mesothelioma A benign (noncancerous) or malignant (cancerous) tumor affecting the lining of the chest or abdomen. Exposure to asbestos particles in the air increases the risk of developing malignant mesothelioma. National Cancer Institute Glossay of Terms Phase II Trial A study to test whether a new treatment has an anticancer effect (for example, whether it shrinks a tumor or improves blood test results) and whether it works against a certain type of cancer. National Cancer Institute Glossay of Terms Friday, January 13, 2017 Page 2 of 3 CONFIDENTIAL Powered by Patient-Level Summary of Clinical Trial NCT02293005 A Clinical Trial Sponsored by M.D. Anderson Cancer Center Study End Date The date on which the study concludes. National Cancer Institute Thesaurus Study Start Date The date on which a study began. National Cancer Institute Thesaurus Information about this Record ClinicalTrials.gov processed this data on January 12, 2017 Link to the current ClinicalTrials.gov record. https://clinicaltrials.gov/show/NCT02293005 Friday, January 13, 2017 Page 3 of 3 CONFIDENTIAL Powered by