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临床试验/JPRN-jRCT2011200005
JPRN-jRCT2011200005进行中(未招募)3 期

A Phase 3, Randomized, Open-Label, Controlled Study of Cabozantinib (XL184) in Combination With Atezolizumab vs Second Novel Hormonal Therapy (NHT) in Subjects With Metastatic Castration-Resistant Prostate Cancer

Kimura Akiko0 个研究点目标入组 575 人开始时间: 2020年10月28日最近更新:

试验速览

阶段
3 期
状态
进行中(未招募)
发起方
入组人数
575

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
>= 18age old 至 ot applicable(—)
性别
Male

入选标准

  • Men with histologically or cytologically confirmed adenocarcinoma of the prostate
  • -Prior treatment with one, and only one, NHT (eg, abiraterone, apalutamide, darolutamide, or enzalutamide) for castration-sensitive locally advanced (T3 or T4) or metastatic Castration-sensitive prostate cancer (mCSPC), Non-metastatic Castration-resistant prostate cancer (M0 CRPC), or mCRPC
  • -Surgical or medical castration, with serum testosterone =< 50 ng/dL (=< 1.73 nmol/L) at screening
  • -Measurable (extrapelvic soft tissue) metastatic disease per Investigator assessment defined by at least one of the following: measurable visceral disease (eg, adrenal, kidney, liver, lung, pancreas, spleen) per RECIST 1.1; OR measurable extrapelvic adenopathy (ie, adenopathy above the aortic bifurcation)
  • -Progressive disease (PD) at study entry as defined by specific criteria for prostate specific antigen (PSA) progression OR soft tissue disease progression in the opinion of the Investigator (Note: subjects with bone disease progression alone are not eligible)
  • -Age >= 18 years old or meeting country definition of adult, whichever is older, on the day of consent
  • -Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • -Recovery to baseline or =< Grade 1 per Common Terminology Criteria for Adverse Events (CTCAE) v5 from toxicities related to any prior treatments, unless AE(s) are clinically nonsignificant and/or stable on supportive therapy in the opinion of the Investigator
  • -Adequate organ and marrow function based upon specific laboratory assessments obtained within 21 days prior to randomization
  • -Understanding and ability to comply with protocol requirements

排除标准

  • -Any prior nonhormonal therapy initiated for the treatment of mCRPC
  • -Receipt of abiraterone within 1 week; cyproterone within 10 days; or flutamide, nilutamide, bicalutamide, enzalutamide, or other androgen-receptor inhibitors within 2 weeks before randomization
  • -Radiation therapy within 4 weeks (2 weeks for bone metastases) prior to randomization (subjects with clinically relevant ongoing complications from prior radiation therapy are not eligible)
  • -Known brain metastases or cranial epidural disease unless adequately treated and clinically stable at least 4 weeks prior to randomization
  • -Symptomatic or impending spinal cord compression or cauda equina syndrome
  • -Concomitant anticoagulation with oral anticoagulants (some specific exceptions apply)
  • -Administration of a live, attenuated vaccine within 30 days prior to randomization
  • -Systematic treatment with, or any condition requiring, either corticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days prior to randomization
  • -Uncontrolled, significant intercurrent or recent illness
  • -Major surgery within 4 weeks prior to randomization
  • -Corrected QT interval calculated by the Fridericia formula (QTcF) > 480 ms per electrocardiogram(ECG) within 21 days before randomization
  • -Inability or unwillingness to swallow pills or receive IV administration
  • -Previously identified allergy or hypersensitivity to components of the study treatment formulations or history of severe infusion-related reactions to monoclonal antibodies
  • -Any other active malignancy at time of randomization or diagnosis of another malignancy within 2 years prior to randomization that requires active treatment (some exceptions apply such as locally curable cancers that have apparently been cured).

研究者

发起方
Kimura Akiko

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