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临床试验/EUCTR2019-002184-97-FR
EUCTR2019-002184-97-FR进行中(未招募)1 期

A phase II study assessing safety and efficacy of Cabozantinib for advanced or metastatic cervical carcinoma after platinum treatment failure - CABOCOL-01

Centre François Baclesse0 个研究点目标入组 57 人开始时间: 2019年10月18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
入组人数
57

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
Female

入选标准

  • -Female 18 years of age or older
  • -Histologically confirmed recurrent unresectable or metastatic cervix carcinoma
  • -Patient may have received at least one prior chemotherapy regimen of platinum-based chemotherapy for recurrence or metastatic disease. Cisplatin given in combination with radiation for a localized disease does not count as a prior chemotherapy. Prior treatment for advanced/metastatic disease with bevacizumab is allowed. Prior treatments with immune checkpoint inhibitors are allowed.
  • -ECOG performance status 0-2
  • -Measurable disease per RECIST 1.1
  • -The subject must have recovered to baseline or CTCAE v.5.04.0 (Common Terminology Criteria for Adverse Events, version 54.0) = Grade 1 from clinical toxicities related to any prior treatments, i.e chemotherapy or pelvis radiation unless AE(s) are clinically non-significant (for example alopecia)
  • -Adequate organ and marrow function, defined as follows, based upon laboratory tests performed within 7 days before randomizationinclusion:
  • oAbsolute neutrophil count (ANC) = 1000/mm3 (= 1.0 GI/L)
  • oPlatelets = 100,000/mm3 (= 100 GI/L)
  • oHemoglobin = 10 g/dL (= 100 g/L) (red blood cell transfusion is allowed)
  • oTotal bilirubin = 1.5 fold the upper limit of normal (for subjects with Gilbert’s disease, = 3 mg/dL or = 51.3 µmol/L)
  • oSerum albumin = 2.8 g/dL (= 28 g/L)
  • oCalculated creatinine clearance = 50 mL/min by the Cockcroft –Gault method
  • oAlanine aminotransferase (ALT) and aspartate aminotransferase (AST) < 3.0 x the upper limit of normal
  • oUrine protein/creatinine ratio (UPCR) = 1 (= 113.17 mg/mmol creatinine)
  • oSerum potassium = lower limit of normal
  • oSerum calcium = lower limit of normal
  • oSerum magnesium = lower limit of normal
  • -Corrected QT interval calculated by the Fridericia formula (QTcF) > 450 msec
  • -Left-ventricular ejection fraction = 50%
  • -Subjects affiliated to an appropriate social security system
  • - Female subjects of childbearing potential must not be pregnant at screening and during treatment by Cabozantinib. Effective methods of contraception should be used throughout the course of treatment and for at least 4 months after the end of treatment. Sexually active fertile subjects and their partners must agree to use medically accepted barrier methods of contraception (e.g., male or female condom) during the study and 4 months after the last dose of study treatment, even if oral contraceptives are also used.
  • -Before patient registration, written informed consent must be given according to ICH/GCP, and national/local regulations.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 57
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 57

排除标准

  • -Clinically significant gastrointestinal abnormalities that may increase the risk for gastrointestinal bleeding and/or fistula/perforation including, but not limited to: Active peptic ulcer disease, inflammatory bowel disease (e.g. ulcerative colitis, Crohn's disease), history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 28 days prior to beginning study treatment.
  • -Clinically significant gastrointestinal abnormalities that may affect absorption of investigational product including, but not limited to: malabsorption syndrome, major resection of the stomach or small bowel.
  • -History of any one or more of the following cardiovascular conditions within the past 6 months: Cardiac angioplasty or stenting, myocardial infarction, unstable angina, coronary artery bypass graft surgery, symptomatic peripheral vascular disease, class III or IV congestive heart failure, as defined by the New York Heart Association (NYHA).
  • -Uncontrolled hypertension defined as systolic blood pressure (SBP) of > 140 mmHg or diastolic blood pressure (DBP) of > 90 mmHg despite an optimal treatment.
  • -History of cerebrovascular accident including transient ischemic attack (TIA), symptomatic pulmonary embolism or untreated deep venous thrombosis (DVT) within the past 6 months. Note: Subjects with recent DVT or asymptomatic pulmonary embolism who have been treated with therapeutic anti-coagulating agents for at least 6 weeks are eligible.
  • -Major surgery or trauma within 28 days prior to first dose of investigational product and/or presence of any non-healing wound, fracture, or ulcer.
  • -Evidence of active bleeding or pathologic conditions that carry high risk of bleeding such as known bleeding disorders, coagulopathy or tumor involving major vessels.
  • -Any external radiation therapy within 4 weeks before randomization.
  • -Presence of brain metastases or cranial epidural disease unless adequately treated with radiotherapy and/or surgery (including radiosurgery) and stable for at least 3 months before randomization. Eligible subjects must be neurologically asymptomatic and without corticosteroid treatment at the time of randomization.
  • -Concomitant use of known strong CYP3A4 inhibitors or inducers.
  • -Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial
  • -Patients with second primary cancer, except adequately treated non-melanoma skin cancer, or other solid tumors curatively treated with no evidence of disease for = 3 years
  • - Concurrent participation in any therapeutic clinical trial
  • - Patient deprived of liberty or placed under the authority of a tutor

研究者

发起方
Centre François Baclesse

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