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临床试验/NL-OMON54331
NL-OMON54331招募中2 期

A Randomized, Open-label Phase 2 Clinical Trial of BMS-986012 in Combination with Carboplatin, Etoposide, and Nivolumab as First-line Therapy in Extensive-stage Small Cell Lung Cancer - CA001-050

Bristol-Myers Squibb0 个研究点目标入组 16 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
16

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
18 至 99(—)

入选标准

  • 1. Participants must have histologically or cytologically documented Extensive
  • Stage Small Cell Lung Cancer (ES SCLC). Participants must present with
  • extensive stage IV disease based on the American Joint Committee on Cancer, 7th
  • edition guidelines. The following grades will be considered: T any, N any, M1a,
  • or M1b, or T3-4 due to multiple lung nodules that are too extensive or tumour
  • or nodal volume that is too large to be encompassed in a tolerable radiation
  • plan. 2. a. Archived tumor specimens, in the form of blocks or sectioned
  • slides, are mandatory for all participants except those participating in the
  • separate PET tracer sub-study for whom the archived tumor specimen is optional.
  • b. Participants taking part in the separate PET tracer sub-study must provide a
  • fresh tumor biopsy from any disease site (primary or metastatic). Mandatory
  • minimum of 3 cores to be processed as 2 fresh frozen and the rest as formalin
  • fixed paraffin embedded. Refer to Section 9.8.1 and the Laboratory Manual for
  • further details on procedures for collecting fresh tumor samples. Note: if
  • during the attempt to collect the tumor biopsy there are safety issues and a
  • sample may not be obtained or is not suitable for the study per protocol
  • requirements, the participant may still be allowed to enter in the study after
  • consultation with BMS Medical Monitor. 3. Eastern Cooperative Oncology Group
  • (ECOG) Performance Score (PS) 0 or 1. 4. Participants must have at least 1
  • measurable lesion, measured by computed tomography (CT) or magnetic resonance
  • imaging (MRI). This will be evaluated per Response Evaluation Criteria in Solid
  • Tumours version 1.1 (RECIST v1.1) criteria. 5. Participants must be suitable to
  • receive a platinum-based chemotherapy regimen as per locally approved drug
  • labels and institutional guidelines. 6. Adequate hematologic and end organ
  • function as defined below: a. Absolute neutrophil count >= 1,500/mm3 (stable off
  • any growth factor within 2 weeks of the first study drug administration) b.
  • Platelets >= 100,000/mm3 (transfusion to achieve this level is not permitted
  • within 2 weeks of the first study drug administration) c. Hemoglobin >= 9 g/dL
  • (transfusion to achieve this level is not permitted within 2 weeks of the first
  • study drug administration) d. White blood cells >= 2000/mm3 e. Total bilirubin <=
  • 1.5 x upper limit of normal (ULN) f. Aspartate aminotransferase (AST; serum
  • glutamic-oxaloacetic transaminase) and alanine aminotransferase (ALT; serum
  • glutamic-pyruvic transaminase) <= 3 x ULN g. Serum creatinine <= 1.5 x ULN or
  • calculated creatinine clearance > 50 mL/min (using the Cockcroft-Gault formula)
  • 7. Males and Females aged 18 years or older a. Women who are not of
  • childbearing potential are exempt from contraceptive requirements b. Women
  • participants must have documented proof that they are not of childbearing
  • potential c. Women of Childbearing Potential (WOCBP) must have a negative
  • highly sensitive urine or serum pregnancy test (minimum sensitivity 25 IU/L or
  • equivalent units of human chorionic gonadotropin (HCG) within 24 hours prior to
  • the start of study treatment). An extension up to 72 hours prior to the start
  • of study treatment is permissible in situations where results cannot be
  • obtained within the standard 24-hour window. d. WOCBP must agree to follow
  • instructions f

排除标准

  • 1. Medical Conditions a. Women who are pregnant or breastfeeding. b. Any
  • significant acute or chronic medical illness that would interfere with study
  • treatment or follow-up c. Inability to undergo venepuncture and/or tolerate
  • venous access. d. Any other sound medical, psychiatric, and/or social reason as
  • determined by the investigator e. Participants with symptomatic brain or other
  • central nervous system (CNS) metastases. Participants are eligible if brain or
  • other CNS metastases are asymptomatic and do not require immediate treatment or
  • have been adequately treated. They must have neurologically returned to
  • baseline (except for residual signs or symptoms related to the CNS treatment)
  • for at least 2 weeks prior to randomization. In addition, participants must be
  • either off corticosteroids or on a stable or decreasing dose of <= 10 mg daily
  • prednisone (or equivalent) for at least 2 weeks prior to randomization. f.
  • Paraneoplastic autoimmune syndrome requiring systemic treatment. g. History of
  • idiopathic pulmonary fibrosis, drug-induced pneumonitis, idiopathic
  • pneumonitis, organizing pneumonia, or evidence of active pneumonitis on
  • screening chest CT scan. History of radiation pneumonitis is permitted. h.
  • Grade >= 2 peripheral sensory neuropathy at study entry. i. Participant has
  • uncontrolled or active systemic fungal, bacterial, viral, or other infection
  • despite appropriate anti-infective treatment, within 7 days prior to the first
  • dose of study drug. j. Known human immunodeficiency virus (HIV) positive with
  • an acquired immunodeficiency syndrome (AIDS)-defining opportunistic infection
  • within the past year or a current CD4 count < 350 cells/uL. Participants with
  • known HIV are eligible if: i.) They have received antiretroviral therapy (ART)
  • for at least 4 weeks prior to randomisation as clinically indicated while
  • enrolled on study ii.) They continue on ART as clinically indicated while
  • enrolled on study iii.) CD4 counts and viral load are monitored as per standard
  • of care by a local health care provider. NOTE: Testing for HIV must be
  • performed at sites where mandated locally. HIV-positive participants must be
  • excluded where mandated locally (see Appendix 8). k. Significant uncontrolled
  • cardiovascular disease, including, but not limited to, any of the following:
  • i.) Uncontrolled hypertension, which is defined as systolic blood pressure >
  • 160 mm Hg or diastolic blood pressure > 100 mm Hg, despite optimal medical
  • management. ii.) Active coronary artery disease, including unstable or newly
  • diagnosed angina within 3 months of study enrollment. iii.) Myocardial
  • infarction in the past 6 months. iv.) History of congenital long QT syndrome.
  • v.) History of clinically significant arrhythmias, such as ventricular
  • tachycardia, ventricular fibrillation, or Torsade de pointes. vi.)Uncontrolled
  • heart failure, defined as Class 3 or 4 by New York Heart Association functional
  • classification. vii.) History or current diagnosis of myocarditis. l.
  • Participants with an active, known or suspected autoimmune disease or
  • inflammatory disorder. Participants with type I diabetes mellitus,
  • hypothyroidism only requiring hormone replacement, skin disorders (such as
  • vitiligo, psoriasis, or alopecia) not requiring systemic treatment, or
  • conditions not expected to recur in the absence of an external trig

研究者

发起方
Bristol-Myers Squibb

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