JPRN-jRCTs071200101招募中2 期
Chemotherapy combined durvalumab with concurrent or sequential TRT in patients with ED-SCLC: an open-label, phase 2 study - SPIRAL-SMALL Study
Takayama Koichi0 个研究点目标入组 60 人开始时间: 2021年2月24日最近更新:
适应症
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 60
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- >= 20age old 至 ot applicable(—)
- 性别
- All
入选标准
- •1)Patients providing the written informed consent.
- •2)Patient with at least 20 years of age (at enrolment date).
- •3)ECOG performance status of 0 or 1
- •4)Patients with small cell lung cancer confirmed histologically or cytologically,and diagnosed as extensive-disease depending on the degree of progression.
- •5)Patients without symptomatic brain metastases. For patients with brain metastases, use of steroids and anticonvulsants for at least 1 month prior to enrolment should be stable.
- •6)Patients with no prior treatment history for extensive-disease small cell lung cancer.
- •7)Patients with at least one measurable lesion as defined in RECIST criteria version 1.1.
- •8) Patients with lung lesions suitable for irradiation.
- •9) Body weight >30 kg
- •10) Patients with life expectancy of at least 12 weeks at the time of enrolment.
- •11)The functions of major organs such as bone marrow, liver, and kidney are maintained and the following criteria are met within 2 weeks before enrolment (test on the same day of the week 2 weeks before enrolment is eligible)
- •Hemoglobin >= 9.0 g/dL
- •Absolute neutrophil count (ANC) >= 1.5 x 10^3 / microL
- •Platelet count >= 100 x 10^3 / microL
- •Serum bilirubin <=1.5 x institutional upper limit of normal (ULN).(however, <= 3 x ULN with Gilbert's syndrome)
- •AST (SGOT)/ALT (SGPT) <= 2.5 x ULN (however,<=5 x ULN with liver metastases)
- •12) In the case of women, patients who can be confirmed to be postmenopausal.
- •Moreover, in the case of premenopausal women, effective contraceptive methods are being implemented and pregnancy is negative or 28 days or more after childbirth and
- •not breastfeeding.
排除标准
- •1) Patients with known allergies, hypersensitivity, or medical contraindications to durvalumab, platinum (carboplatin or cisplatin), etoposide, or their pharmaceutical additives.
- •2) Patients receiving combination chemotherapy, investigational new drugs, biologics, or hormone therapy for the treatment of cancer.
- •3) Patients with a medical history of thoracic radiation therapy.
- •4) Patients with major surgery within 28 days prior to enrolment.
- •5) Patients with a medical history of allogeneic organ transplantation.
- •6) Patients requiring systemic treatment (systemic steroids or immunosuppressants) for autoimmune paraneoplastic syndrome (PNS), or patients with clinical symptoms suggesting worsening of PNS.
- •7) Patients with autoimmune disease or inflammatory disease, diverticulitis, systemic lupus erythematosus, sarcoidosis syndrome or Wegener's syndrome confirmed now or in the past.
- •8) Patients with infectious diseases requiring systemic treatment (administration of antibacterial drugs and antifungal drugs)
- •9) Patients with psychosis or psychiatric symptoms that may interfere with the
- •implementation of protocol treatment, and that the investigator judges as difficult to participate in the study.
- •10) Patients with clinically significant complications.
- •Serious or uncontrollable systemic disease (active infections including uncontrollable hypertension, heart disease, severe arrhythmias requiring medication, persistent watery diarrhoea, active bleeding)
- •11) Patients with obvious active interstitial lung disease.
- •12) Patients with uncontrollable diabetes mellitus.
- •13) Patients with active double cancer (simultaneous double cancer and metachronous double cancer with a disease-free period of 5 years or less).
- •14) Patients with anamnesis of meningeal dissemination.
- •15) Patients with anamnesis of active primary immunodeficiency.
- •16) Patients with active infections such as tuberculosis and hepatitis B.
- •17) Patients with a history of immunosuppressive drug use at present or within 14 days before enrolment.
- •18) Patients with administration of live attenuated vaccine within 30 days before enrolment.
- •19) Pregnant or lactating women, or fertile men or women who are unwilling to adopt effective contraception from screening to 90 days after the final dose of durvalumab.
- •20) Any other patients who are regarded as unsuitable for this study by the investigators.
研究者
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