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临床试验/EUCTR2007-003340-30-DE
EUCTR2007-003340-30-DE进行中(未招募)不适用

A multicenter, randomized, double-blind study of dacarbazine with or without Genasense in chemotherapy naïve subjects with advanced melanoma and low LDH (The AGENDA Trial)

Genta Incorporated0 个研究点目标入组 300 人开始时间: 2007年9月4日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
300

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

  • The following criteria must be met before registration not more than 15 days prior to randomisation:
  • 1. Histologically confirmed diagnosis of melanoma
  • 2. Progressive disease that is not surgically resectable, or metastatic Stage IV disease
  • 3. LDH 4. Chemotherapy naïve Note: Prior immunotherapy, radiotherapy, or cytokine, biologic, or vaccine therapy is permitted.
  • 5. Measurable disease defined as at least 1 tumor lesion that can be accurately and serially measured in at least 1 dimension (longest diameter to be recorded) and is >/= 20 mm with conventional techniques and >/= 10 mm with spiral CT, based on Response Evaluation Criteria in Solid Tumors (RECIST)
  • Lesions that are considered nonmeasurable include:
  • - Bone lesions
  • - Ascites and pleural/pericardial effusions
  • - Lymphangitis cutis/pulmonis
  • - Abdominal masses not confirmed and not followed by imaging studies
  • - Cystic lesions
  • - Tumors treated by irradiation or intra-tumor injection therapy without progression in that area or measurable disease outside that area
  • 6. ECOG performance status 7. At least 4 weeks and recovery from effects of prior surgery or other therapy, including immunotherapy, radiotherapy, or cytokine, biologic, or vaccine therapy
  • 8. Adequate organ function, defined as:
  • a. Absolute neutrophil count (ANC) = 1500/mm3
  • b. Platelet count = 100,000/mm3
  • c. Hemoglobin = 11 g/dL without need for hematopoietic growth factor or transfusion support
  • d. Serum creatinine = 1.5 x ULN or 24-hour creatinine clearance = 50 mL/min
  • e. Serum bilirubin = 1.5 x ULN
  • f. Aspartate aminotransferase (AST) = 2.5 x ULN
  • g. Alanine aminotransferase (ALT) = 2.5 x ULN
  • h. Alkaline phosphatase = 2.5 x ULN
  • i. Serum albumin = 3.0 g/dL
  • j. Prothrombin time (PT) = 1.5 x ULN (or international normalized ratio [INR] = 1.3)
  • k. Partial thromboplastin time (PTT) = 1.5 x ULN
  • 9. At least 18 years of age
  • 10. Venous access adequate to maintain a 5-day continuous intravenous infusion
  • 11. Intellectual, emotional, and physical ability to maintain an ambulatory infusion pump.
  • 12. In women of childbearing potential (that is, all women except for those who are post menopause for > 1 year or who have a history of hysterectomy or surgical sterilization), a negative serum pregnancy test within 7 days prior to randomization.
  • 13. In subjects of childbearing potential (that is, all men and all women excluding women who are post menopause for > 1 year or who have a history of hysterectomy or surgical sterilization), agreement to use a highly effective form of contraception (ie, one that has a failure rate of < 1%) throughout the treatment phase of the 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
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Prior cytotoxic chemotherapy, including regional perfusion, or prior Genasense treatment
  • 2. Need for other anticancer treatment (such as chemotherapy, radiation, or biologic or investigational therapies) while receiving protocol therapy in this study
  • 3. Primary ocular or mucosal melanoma
  • 4. Bone-only metastatic disease
  • 5. History or presence of brain metastasis or leptomeningeal disease
  • 6. History of second cancer (except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer for which the patient has been disease-free for 5 or more years)
  • 7. Significant medical disease other than cancer, such as: uncontrolled congestive heart failure; active symptoms of coronary artery disease (defined as uncontrolled arrhythmias or recurrent chest pain despite prophylactic medication); New York Heart Association Class III or IV disease; cardiovascular signs and symptoms >/= Grade 2 by common toxicity criteria (CTC) during the 4-week period prior to initiation of protocol therapy; uncontrolled seizure disorder; history of chronic hepatitis or cirrhosis; active infection; uncontrolled diabetes mellitus; requirement for chronic corticosteroid treatment with an average dose >/= 20 mg/day of prednisone (or equivalent); requirement for concurrent immunosuppressive drug(s); active autoimmune disease
  • 8. Organ allograft
  • 9. Known human immunodeficiency virus infection
  • 10. Pregnancy or lactation
  • 11. Known hypersensitivity to dacarbazine or phosphorothioate-containing oligonucleotides
  • 12. Use of any experimental therapy within 3 weeks prior to screening evaluations.

研究者

发起方
Genta Incorporated

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