The aurora kinases (A, B, and C) have a key role in mitosis. Alisertib is an investigational, oral, selective inhibitor of aurora kinase A. This study recorded clinical activity exceeding the prespecified criterion for further research in the breast cancer and small-cell lung cancer cohorts. The data also indicate that single-agent alisertib has a generally manageable toxicity profile at the recommended phase II dose. The researchers suggest these findings warrant future studies of alisertib as a single agent or in combination.