SAR240550 in Combination With Gemcitabine/Cisplatin in Non-small Cell Lung Cancer

Inclusion criteria:

* Stage IV disease (including stage IIIB with pleural effusion) with no prior systemic therapy. Adjuvant therapy is allowed if ended more than 1 year before inclusion in the study.
* Histologically confirmed squamous cell bronchogenic carcinoma OR non squamous cell carcinoma.
* Patients with previous radiotherapy as definitive therapy for locally advanced non-small cell lung cancer are eligible, as long as the selected measurable lesions are outside the original radiation therapy port. Radiation therapy must have been completed \>4 weeks prior to study entry.
* Palliative radiotherapy must have been completed \> 2 weeks prior to study entry. Irradiated lesions may not serve as measurable lesions.
* At least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
* Adequate bone marrow reserve.
* Adequate liver and renal function.
* Women of childbearing potential must have a negative serum or urine pregnancy test performed within 7 days prior to start of treatment.

Exclusion criteria:

* Prior treatment with gemcitabine, platinum salts or any PARP inhibitor class compound.
* Past or current history of neoplasm other than the entry diagnosis, with the exception of treated non-melanoma skin cancer or carcinoma in-situ of the cervix, or other cancers cured by local therapy alone and with an expected disease-free survival of \> or = 5 years.
* Major medical conditions that might affect study participation e.g. cardiac disease, uncontrolled infection (\>Grade 2).
* Presence of active brain metastases.
* A major surgical procedure, open biopsy, or significant traumatic injury within 28 days of beginning treatment, or anticipation of the need for major surgery during the course of the study.
* Any history of medical or psychiatric condition or laboratory abnormality that, in the opinion of the investigator, may increase the risks associated with the study participation or administration of the investigational products, or that may interfere with the interpretation of the results
* Grade 2 or higher ear and labyrinth disorders.
* Known or suspected allergy/hypersensitivity to any agent given in the course of this trial.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.