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临床试验/EUCTR2016-001256-22-HU
EUCTR2016-001256-22-HU进行中(未招募)1 期

A Phase 2 Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Determine the Safety and Efficacy of GL-0817 (with Cyclophosphamide) for the Prevention of Recurrence in HLA-A2+ Patients with High-Risk Squamous Cell Carcinoma of the Oral Cavity

Gliknik Inc0 个研究点目标入组 228 人开始时间: 2016年11月21日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
Gliknik Inc
入组人数
228

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1.Age = 18 years
  • 2.Histologic diagnosis of squamous cell carcinoma of the oral cavity including the lip, floor of mouth, anterior 2/3 of tongue, alveolus and gingiva, buccal mucosa, hard palate and retromolar trigone
  • 3.Patients must have undergone primary gross total resection (no re-resected patients are allowed) with fulfillment of at least 1 of the following histologic criteria for high-risk disease:
  • Histologic involvement of 2 or more regional lymph nodes
  • Any lymph node with histologic extracapsular extension (ECS)
  • Close (<3mm) or positive surgical margins on microscopic evaluation with no gross residual tumor
  • 4.No evidence of locoregional disease or distant metastases at screening. Subjects must have negative scans (CT, CT-PET or MRI) for locoregional recurrence, brain or lung metastases. A negative biopsy will be mandated in patients with a positive scan. Other evaluations should be performed as clinically indicated.
  • 5.No history of distant metastases.
  • 6.Tumor tissue from surgery or biopsy must be available to determine MAGE-A3 expression for correlative studies.
  • 7.Following surgery, the patient must have received external beam radiotherapy (58-66 Gy in 2 Gy fractions, 5 days per week) with concomitant cisplatin starting within 8 weeks of surgery. A brief delay in the initiation of radiotherapy following 8 weeks post-surgery due to administrative reasons (e.g., start of RT on Mondays) may be permitted by the Medical Monitor. The cumulative dose of cisplatin the subject received must be = 150 mg/m2. Protocol therapy must be initiated within a period of 4-8 weeks (28-56 days) following the end of RT.
  • 8.The patient is, in the investigator’s opinion, adequately recovered from the effects of surgery and chemoradiotherapy to participate in this study.
  • 9.Blood HLA-A2 phenotype
  • 10.ECOG Performance Status = 1
  • 11.Laboratory values obtained = 14 days prior to randomization:
  • Absolute neutrophil count (ANC) = 1500/µL (without intervention, e.g., G-CSF)
  • Platelets = 75,000/µL (without intervention, e.g., transfusion)
  • Hemoglobin = 8.0 g/dl (Note: The use of transfusion or other intervention to achieve Hgb =8.0 g/dl is acceptable).
  • Alkaline phosphatase = 2.5 x upper limit of normal (ULN)
  • AST and ALT = 2 x ULN
  • Creatinine < 2 x ULN
  • Bilirubin < 1.5x ULN (except for patients with Gilbert’s disease, for whom the upper acceptable limit of serum bilirubin is 3mg/dL)
  • 12.A female subject is eligible to enter the study if she is:
  • not pregnant or nursing; Female participants must not breastfeed during the study and for a period of 30 days following the last dose.
  • of non-childbearing potential (i.e., women who had a hysterectomy, are postmenopausal which is defined as 1 year without menses, have both ovaries surgically removed or have current documented tubal ligation); or
  • of childbearing potential (i.e., women with functional ovaries and no documented impairment of oviductal or uterine function that would cause sterility). This category includes women with oligomenorrhea [even severe], women who are perimenopausal or have just begun to menstruate. These women must have a negative serum pregnancy test at screening, and agree to one of the following:
  • -complete abstinence from intercourse from 2 weeks prior to administration of the 1st dose of study agent and 6 months after the last dose of study agent; or
  • -consistent and correct use of 1 of the following highly effective methods of birth

排除标准

  • 1.Known HIV or hepatitis B/C infection (testing not required). Subjects who are hepatitis C antibody positive may be enrolled if they are confirmed to have a negative viral load at screening.
  • 2.Subjects with active autoimmune disease or a history of autoimmune disease requiring systemic steroids or other immunosuppressive treatment.
  • 3.Subjects who have used systemic corticosteroids or other immunosuppressants for any condition within 14 days of randomization. Inhaled or topical steroids are permitted.
  • 4.Any medical condition which would, in the investigator’s opinion, compromise the patient’s ability to mount an immune response, renders the patient a poor candidate for this trial or could confound the results of the study
  • 5.Major surgery or traumatic injury within 28 days of randomization
  • 6.Prior splenectomy or organ allograft
  • 7.Any other prior, concurrent or planned chemotherapy, immunotherapy, radiotherapy, device, or investigational therapy for this cancer other than those specified in this study.
  • 8.History of other malignancy (i.e., excluding disease under study) within 3 years of randomization. Exceptions include: adequately-treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix or breast, or adequately treated non-metastatic prostate cancer.
  • 9.Known hypersensitivity to GM-CSF, yeast-derived products or any component of the GM-CSF drug product (e.g., mannitol) or poly-ICLC (e.g., carboxymethylcellulose).
  • 10.Known hypersensitivity to cyclophosphamide, its metabolites or any other components, or known urinary outflow obstruction.

研究者

发起方
Gliknik Inc

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