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临床试验/EUCTR2019-001833-14-FR
EUCTR2019-001833-14-FR进行中(未招募)1 期

Open-label, single-arm, Phase II study, evaluating safety and efficacy of INCB054828 (Pemigatinib) as adjuvant therapy for molecularly-selected, high-risk patients with urothelial carcinoma who have received radical surgery. A European Association of Urology Research Foundation Phase II Clinical Trial - Adjuvant Pemigatinib in surgically treated high-risk UC

EAU Research Foundation0 个研究点目标入组 56 人开始时间: 2020年9月28日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
56

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. Men and woman, aged 18 years or older with histological evidence of pT3-4 and/or pN1-3 urothelial cancer (UC) of the urinary bladder or upper urinary tract after radical cystectomy/radical nephroureterectomy. Patients with mixed histologies are required to have a dominant (i.e. at least 50%) urothelial cell carcinoma pattern
  • 2. Previous administration of at least 3 cycles of neoadjuvant cisplatin-based chemotherapy OR, if neoadjuvant chemotherapy was not administered, ineligibility to receive cisplatin-based adjuvant chemotherapy based on Galsky’s criteria, that include at least one of the following: (1) WHO performance status = 2 and/or (2) creatinine-clearance < 60 ml/min and/or (3) CTCAE Gr= 2 hearing loss and/or (4) CTCAE Gr = 2 neuropathy
  • 3. Evidence of FGFR3 alterations (mutations or gene fusions as specified in protocol) as assessed by a centralized Foundation Medicine test (Foundation One CDx assay). A list of the allowed FGFR alterations is provided the study protocol
  • 4. Recovered with no evidence of disease confirmed by radiological images, prior to start of adjuvant therapy within 13 weeks after radical surgery
  • 5. WHO performance status of 0, 1 or 2
  • 6. Willingness to avoid pregnancy or fathering children. If the patient is male, he must use a condom during sexual intercourse during the treatment period and 240 days thereafter (120 days to eliminate study treatment and 120 days spermatogenesis cycle) plus partner use of a contraceptive method with a failure rate of <1% per year (See Appendix 1 of the protocol). If the patient is female, and of childbearing potential, she must practice adequate contraception (Appendix 1 of the study protocol)
  • for 30 days prior to administration of study treatment, have a negative pregnancy test and continue such precautions during the study treatment period and for 150 days after the last study treatment (120 days to eliminate study treatment and 30 days menstruation cycle) (See Appendix 1 of the study protocol for standards of adequate contraceptive methods)
  • 7. Written informed consent for screening of tumor tissue and if evidence of FGFR alterations written informed consent for the start of the complete study
  • 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 18
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 38

排除标准

  • 1. Any previous receipt of a selective FGFR inhibitor
  • 2. Presence of primary CIS only
  • 3. Presence of another malignancy in the 3 years before enrolment except for basal cell carcinoma or squamous cell carcinoma of the skin, cis of cervix, localised prostate cancer in active surveillance or other non invasive or other indolent malignancy that has undergone potentially curative therapy
  • 4. Presence of pregnancy or lactation or not willing to avoid pregnancy or fathering children
  • 5. Distant metastases (M1 disease) or presence of radiological evidence of disease at baseline
  • 6. Treatment with other investigational drugs, receipt of anticancer medications or radiotherapy of the bladder or upper urinary tract prior to- or after radical surgery
  • 7. Use of any potent CYP3A4 inhibitors or inducers within 14 days or 5 half lives (whichever is longer) before the first dose of study Tx
  • 8. Abnormal laboratory parameters:
  • - Total bilirubin = 1.5 × upper limit of normal (ULN; = 2.5 × ULN if Gilbert syndrome);
  • - AST and/or ALT > 2.5 × ULN;
  • - Creatinine clearance = 30 mL/min based on Cockroft-Gault;
  • - Serum phosphate > institutional ULN;
  • - Serum calcium outside of the institutional normal range or serum albumin-corrected calcium outside of the institutional normal range when serum albumin is outside of the institutional normal range
  • 9. History of human immunodeficiency virus infection or active tuberculosis infection
  • 10. Diagnosis of immunodeficiency or receiving chronic systemic steroid therapy (exceeding >10 mg daily of prednison equivalent; inhalation steroids are permitted)
  • 11. Evidence of hepatitis B virus or hepatitis C virus active infection or risk of reactivation
  • 12. History of clinically significant or uncontrolled cardiac disease, including unstable angina, acute myocardial infarction within 6 months from enrollment, NYHA Class III or IV (Appendix 4 of the Protocol)
  • 13. Current evidence of corneal disorder/keratopathy (including but not limited to bullous/band keratopathy, corneal abrasion, inflammation/ulceration, keratoconjunctivitis, etc) or retinal disorder (including but not limited to, central serous retinopathy, macular/retinal degeneration, diabetic retino-pathy, retinal detachment, etc) as confirmed by ophthalmologic examination
  • 14. Any condition that would, in the investigator's judgment, interfere with full participation in the study, including administration of study drug and attending the required study visits

研究者

发起方
EAU Research Foundation

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