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临床试验/EUCTR2020-003986-20-DE
EUCTR2020-003986-20-DE进行中(未招募)1 期

A Phase II, Open-Label, Multicenter Study of Orally Administered CA-4948 for the Treatment of Anemia in Patients with Very Low, Low or Intermediate Risk Myelodysplastic Syndromes (MDS) - LUCAS

eipzig University0 个研究点目标入组 84 人开始时间: 2021年3月15日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
84

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

  • - MDS OR MDS/MPN including MDS/MPN-RS-T, MDS/MPNu, aCML or CMML
  • - IPSS-R up to 3.5: very low/low/intermediate risk disease (MDS); MDS/MPN < 10% bone marrow blasts; CPSS-Score low/intermediate for CMML
  • - Symptomatic anemia
  • - Defined transfusion strategy
  • - No available option of an approved MDS therapy and classification of prior erythropoiesis-stimulating agent (ESA) treatment as follows:
  • + Cohort A: ESA exposed (and refractory or intolerant);
  • + Cohort B: ESA naive AND serum erythropoietin level >200 U/L
  • 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 24
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 60

排除标准

  • Compliance with major study procedures
  • 1. Inability to swallow and retain oral medications (> 10 pills)
  • 2. Patient does not accept bone marrow sampling
  • 3. Patient does not accept up to weekly peripheral blood sampling
  • 4. Eastern Cooperative Oncology Group (ECOG) Performance Status of =3
  • 5. Inacceptable organ function:
  • a. Serum creatinine >2 × ULN or calculated creatinine clearance < 30 ml/min
  • b. Aspartate aminotransferase (AST) > 2 × ULN OR alanine aminotransferase (ALT) > 2 × ULN
  • c. Total bilirubin >2 × ULN
  • i. exception >3 × ULN in patients with documented Gilbert’s syndrome
  • Interfering treatments
  • 6. Prior treatment with azacitidine (injectable or oral) or decitabine.
  • 7. The patient medically requires treatment with the following drugs that are forbidden during the trial or was exposed to one of these 14 days before registration:
  • a) Erythropoiesis stimulating agent (ESA) or luspatercept,
  • b) Granulocyte colony-stimulating factor (G-CSF) and granulocyte-macrophage colony stimulating factor (GM-CSF)
  • c) Lenalidomide
  • d) Another investigational drug or device, or approved therapy for investigational use
  • 8. Iron chelation therapy
  • 9. Major surgery within 28 days prior to registration.
  • Concomitant diseases
  • 10. Known human immunodeficiency virus (HIV) infection
  • 11. Active infectious hepatitis (Type B (HBV) or Type C (HCV)
  • 12. Hepatitis virus detectable within 6 months before registration in patients with a history of hepatitis
  • 13. History of other invasive malignancy, unless definitively treated with curative intent, provided it is deemed to be at low risk for recurrence by the treating physician
  • 14. Presence of an acute or chronic toxicity resulting from prior anti-cancer therapy that has not resolved to Grade =1 (except anemia and alopecia), as determined by NCI CTCAE v 5.0
  • 15. Known allergy or hypersensitivity to any component of the formulation of CA-4948 used in this study
  • 16. Severe cardiovascular disease
  • Formal requirements
  • 17. Positive serum pregnancy test in women of childbearing potential
  • 18. Women of childbearing potential and men who partner with a woman of childbearing potential unwilling to use highly effective contraceptive methods for the duration of the study and for 90 days after the last dose of CA-4948
  • 19. Age under 18 years at registration
  • 20. Inability to provide written informed consent (Subject without legal capacity who is unable to understand the nature, scope, significance and consequences of this clinical trial)
  • 21. Simultaneous participation in another interventional clinical trial or participation in any clinical trial involving administration of an investigational medicinal product within 28 days prior registration

研究者

发起方
eipzig University

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