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临床试验/NCT06221072
NCT06221072尚未招募3 期

A Phase III, Multicenter, Randomized, Double-blind Clinical Trail to Assess JMT103 Compared to Azoledronic Acid for the Prevention of Bone-related Events in Patients With Bone Metastases From Malignant Solid Tumors

Shanghai JMT-Bio Inc.0 个研究点目标入组 1,360 人开始时间: 2024年4月5日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
尚未招募
发起方
入组人数
1,360
主要终点
Time to the First on-study Skeletal-Related Event (SRE)

研究概览

简要总结

This is a phase Ⅲ, multicenter, randomized, double-blind, study to evaluate the efficacy and safety of JMT103 in patients with bone metastases from malignant solid tumors. The purpose of this study is to determine if JMT103 is non-inferior to zoledronic acid.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

盲法说明

Double-blind

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age: older than 18 years;
  • Breast cancer, prostate cancer, lung cancer and other solid tumors diagnosed by histological or cytological examination (prostate patients should also meet: castration-resistant prostate cancer with serum testosterone <50 ng/dL or 1.7 nmol/L and serum PSA progression after surgery or drug castration treatment);
  • Patients with imaging studies showing at least one tumor bone metastasis;
  • With a good organ function;
  • Expected survival of at least 6 months.

排除标准

  • Previous or ongoing osteomyelitis or osteonecrosis of the jaw; dental or oral surgery; acute dental or jaw disease requiring oral surgery; invasive dental procedures planned during the study; patients with pulpitis during the screening period;
  • Radiotherapy or surgery for the bone metastases is planned during the study;
  • Patients with brain metastasis or meningeal metastasis (patients with neurological symptoms should undergo MRI/CT examination to exclude patients with brain metastasis);
  • Patients with bone metabolic diseases [e.g., Paget's disease, Cushing's syndrome, hyperprolactinemia, hyperthyroidism/hypothyroid (except for hypothyroidism with normal TSH, FT3, and FT4 after stable thyroid hormone replacement therapy, and subclinical hypothyroidism that does not need to be treated), hyper/hypoparathyroidism, etc.];
  • Uncontrolled concurrent diseases, including but not limited to: uncontrolled diabetes mellitus (≥grade 3, NCI-CTCAE 5.0), symptomatic congestive heart failure, hypertension (BP> 150/90 mmHg after standard therapy), unstable angina, arrhythmia requiring medical or instrumental treatment, history of myocardial infarction within 6 months, echocardiography with left ventricular ejection fraction <50%;
  • Treatment with anti-RANKL antibody, bisphosphonates (except for bone scan purposes) within 6 months prior to the first dose;
  • Patients considered by the investigator as unsuitable for this study (such as poor compliance, etc.).

研究组 & 干预措施

Group 1-JMT103

Experimental

Participants will receive JMT103 and zoledronic acid placebo.

干预措施: JMT103 (Drug)

Group 2-zoledronic acid

Experimental

Participants will receive zoledronic acid and JMT103 placebo.

干预措施: zoledronic acid (Drug)

结局指标

主要结局

Time to the First on-study Skeletal-Related Event (SRE)

时间窗: Up to approximately 48 months

次要结局

  • Percent change from baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (NTx/Cr)(Up to approximately 28 months)
  • Quality of life score (concise pain assessment Scale and EQ-5D-5L scale);(Up to approximately 48 months)
  • Incidence and severity of adverse events (AEs)(Up to approximately 48 months)
  • Time to First and Subsequent SRE (21 days from the last SRE is subsequent SRE)(Up to approximately 48 months)
  • JMT103 The incidence of injection anti-drug antibodies (ADA) and neutralizing antibodies (Nab)(Up to approximately 48 months)
  • Serum concentration of JMT103(Up to approximately 48 months)
  • Overall survival (OS)(Up to approximately 6 years)

研究者

发起方
Shanghai JMT-Bio Inc.
申办方类型
Industry
责任方
Sponsor

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