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临床试验/EUCTR2013-000931-28-IT
EUCTR2013-000931-28-IT进行中(未招募)1 期

A Double-blind, Placebo-controlled, Randomized, Phase 2 Study to Evaluate the Efficacy and Safety of Maintenance Therapy With PankoMab-GEX™ After Chemotherapy in Patients With Recurrent Epithelial Ovarian Carcinoma

Glycotope GmbH0 个研究点目标入组 216 人开始时间: 2013年4月8日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
216

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

  • 1. Female patients over or equal to 18 years of age.
  • 2. Histologically confirmed, TA-MUC1 positive, recurrent epithelial ovarian carcinoma.
  • 3. Availability of tumor tissue samples (slices or block) for immune-histological confirmation of TA-MUC1 status (tissue samples may also be stored for other further specified biomarker assessments).
  • 4. Patients should have received at least 2 lines but not more than 4 lines of chemotherapy prior to start of maintenance treatment.
  • 5. Documented response to or stable disease following the most recent line of chemotherapy (any regimen and duration in accordance with local or international guidelines or within independent ethics committee [IEC] approved studies) and received last dose of said chemotherapy maximum 5 weeks prior to randomization (response to prior chemotherapy is defined as a partial/complete response according to radiological response criteria and/or a confirmed decline in tumor marker CA125 =50% from the pretreatment value for patients who have a pretreatment value =2 x the upper limit of normal [ULN]; stable disease is defined as stable disease according to radiological response criteria with a confirmed lack of increase in tumor marker CA125 from the pretreatment value for patients who have a pretreatment value =2 x ULN and no clinical progression). CA125 prior to randomization must be below ULN or CA125 levels must not increase >15% within a time frame >7 days if above ULN.
  • 6. Treatment-free interval of maximum12 months immediately preceding the chemotherapy to which the patient has just responded.
  • 7. Sensitive or resistant to the most recent platinum-based chemotherapy preceding the chemotherapy to which the patient has just responded (sensitive is thereby defined as a recurrence of disease >6 to =12 months after end of platinum-based chemotherapy and resistant is defined as a recurrence of disease =6 months after the end of platinum-based chemotherapy).
  • 8. Eastern Cooperative Oncology Group (ECOG) performance status =1.
  • 9. Recovered from all chemotherapy-related toxicities to grade 1 or grade 0 according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0, with the exception of alopecia (any grade) and peripheral neuropathy (=grade 2).
  • 10. Adequate bone marrow and hepatic function at Screening:
  • - Hemoglobin over or equal to 9 g/dL
  • - White blood cell count over or equal to 3.0 × 109/L
  • - Absolute neutrophil count over or equal to 1.5 × 109/L
  • - Platelet count over or equal to 100 × 109/L
  • - Aspartate aminotransferase and alanine aminotransferase <3 × ULN (<5 × ULN in case of liver metastases)
  • - Bilirubin <1.5 × ULN (<3 × ULN in case of liver metastases)
  • - Creatinine <1.5 × ULN.
  • 11. Any patient with childbearing potential (i.e., not surgically sterile or postmenopausal for >1 year) must use highly effective contraceptives with a Pearl index <1% according to the Note for guidance on non-clinical safety studies for the conduct of human clinical trials and marketing authorization for pharmaceuticals (CPMP/ICH/286/95) of the European Medicines Agency (EMA). (Note: although pregnancy is unlikely to occur in this patient population, any patient with childbearing potential will be withdrawn from the study in the event of pregnancy).
  • 12. Life expectancy >3 months.
  • 13. Ability and willingness to give written informed consent.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes

排除标准

  • 1. Refractory to platinum-based chemotherapy (defined as remained progressive or became progressive under any previous platinum-based regimen).
  • 2. Treatment-free interval of >12 months after the most recent antecedent platinum-based chemotherapy regimen.
  • 3. Concomitant anti-tumor therapy or immunotherapy.
  • 4. Treatment with monoclonal antibodies or investigational agents maximum 30 days before randomization (Note: prior anti-MUC1 therapy is not permitted at any time).
  • 5. Limited field radiotherapy maximum 30 days before randomization (Note: extensive prior radiotherapy during or following the last line of chemotherapy is not permitted; radiotherapy prior to the last line of chemotherapy is permitted).
  • 6. Prior allergic reaction to a monoclonal antibody, grade 3 infusion related reaction (IRR) or any grade 4 reaction to a monoclonal antibody.
  • 7. Known sensitivity to any component of the test product.
  • 8. Contraindication to the premedications used in this study (paracetamol/acetaminophen, H1 and/or H2 receptor antagonists, and steroids).
  • 9. Clinical evidence of brain metastasis or leptomeningeal involvement.
  • 10. Primary or secondary immune deficiency.
  • 11. Clinically active infections >grade 2 using NCI CTCAE v4.0.
  • 12. Active hepatitis B or C or infection with human immunodeficiency virus (HIV).
  • 13. Myocardial infarction within 6 months prior to Screening.
  • 14. Symptomatic congestive heart failure (New York Heart Association grade 3 or 4), unstable angina pectoris within 6 months prior to Screening, significant cardiac arrhythmia or history of stroke or transient ischemic attack within 1 year prior to Screening.
  • 15. Prior or planned major surgery within 30 days prior to randomization and/or incomplete recovery from prior surgery.
  • 16. Concomitant use of systemic steroids, except for inhaled, topical or nasal application within 30 days prior to randomization (Note: steroids used for premedication are permitted).
  • 17. Active drug or alcohol abuse.
  • 18. Any uncontrolled medical condition that may put the patient at high risk during treatment with an investigational drug, including unstable diabetes mellitus, vena cava syndrome, or chronic symptomatic respiratory disease.
  • 19. Pregnancy or lactation.
  • 20. Legal incompetence, limited legal competence, or detainment in an institution for official or legal reasons.
  • 21. Receipt of any other investigational medicinal product within the last 30 days before randomization or any previous PankoMab-GEXTM administration.

研究者

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