ME-344 Given in Combination With Hycamtin® in Patients With Solid Tumors

Inclusion Criteria:

- Histologic or cytologic confirmed locally advanced or metastatic small cell lung
cancer, ovarian cancer, or cervical cancer (Part 1); small cell lung cancer and
ovarian cancer (Part 2)

- Patients with ovarian and small cell lung cancer must have failed initial therapy

- Patients with carcinoma of the cervix must have advanced disease not amenable to
curative surgery and/or radiation therapy

- Patients may not have received more than 4 prior regimens of therapy

- Patients may not previously have received irinotecan, topotecan or other topoisomerase
I inhibitor

- ECOG Performance status 0-1 (Appendix B)

- A minimum life expectancy of 12 weeks

- Adequate bone marrow, hepatic and renal function as evidenced by:

- Absolute neutrophil count (ANC) > 1.5 x 109/L

- Platelet count > 100 x 109/L

- Hemoglobin > 9.0 g/dL

- Serum bilirubin < 1.5 x ULN

- AST/ALT (SGOT/SGPT) < 2.5 x ULN for the reference laboratory or < 5 x --ULN in
the presence of liver metastases

- Serum creatinine < 1.5 x ULN or creatinine clearance ≥ 60 mL/min as measured by
institutional standards

- At least 21 days must have elapsed prior to Day 1 Cycle 1, since any radiotherapy,
immunotherapy or following major surgery; any surgical incision should be completely
healed. At least 14 days must have elapsed prior to Day 1 Cycle 1 since "limited
palliative radiotherapy", defined as a course of therapy encompassing <25% total bone
marrow volume and not exceeding 30 GY.

Exclusion Criteria:

- Patients with tumor involvement of the Central Nervous System (CNS). SCLC patients
with previously treated CNS lesions must have stable CNS disease for at least 4 weeks

- Patients with uncontrolled infection or systemic disease

- Patients with clinically significant cardiac disease not well controlled with
medication (e.g., congestive heart failure, symptomatic coronary artery disease e.g.
angina, and cardiac arrhythmias) or myocardial infarction within the last 12 months

- Patients who have toxicity from last prior therapy that has not recovered to at least
Grade 1, with the exception of Grade 2 alopecia

- Patients who have had any chemotherapy regimens, biologic, or targeted therapies
within the 2 weeks prior to Cycle 1 Day 1

- Patients with any neuropathy > Grade 1

- Patients with known hypersensitivity to any components of ME-344 or topotecan study
drug product

- Patients with known human immunodeficiency virus (HIV) or Hepatitis B or C (active,
previously treated or both)

- Patients with a history of solid organ transplantation

- Patients with presence of concurrent or active malignant disease (other than disease
under study) within the last 12 months with the exception of adequately treated
in-situ carcinomas, basal or squamous cell carcinoma, or non-melanomatous skin cancer.

Patients with any psychiatric disorder or social or geographic situation that would
preclude study participation