Trilaciclib (Cosela) – 1L SCLC

Full Efficacy & Safety Summary Table

IndicationProphylactic approach to reduce chemotherapy induced myelosuppression in 1L ES-SCLC patients (eg, prior to receiving a platinum/etoposide containing regimen or a topotecan containing regimen)
Registrational TrialFull Approval. Phase 2 (n=107) vs. EPA alone (NCT02499770)
Regimen240 mg/m2 per dose, administer 30-minute IV infusion completed within 4 hours prior to start of chemotherapy on each day chemotherapy is administered
Efficacy OutcomesReduction of Severe Neutropenia: from 49% to 2%
Reduced mean duration of Severe Neutropenia in Cycle 1: from 4 days to 0 days
Reduced Grade ¾ Anemia: from 28% to 19%
Reduced Carboplatin & Etoposide dose reduction %: from 25% to 2% (carboplatin) // from 26% to 6% (etoposide)
Safety OutcomesIncrease in Grade 3/4 ARs vs. Chemo of ≥2%:
•Hyposphatemia: +5%
•Hypokalemia: +3%
•Hyperglycemia: +2%
Total Gr ¾ Aes for Cosela + Chemo vs. Chemo only: 31% vs 19%

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