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临床试验/EUCTR2013-004810-16-DE
EUCTR2013-004810-16-DE进行中(未招募)1 期

PHASE 1/2 STUDY OF TAS-120 IN PATIENTS WITH ADVANCED SOLID TUMORS HARBORING FGF/FGFR ABERRATIONS

Taiho Oncology Inc0 个研究点目标入组 385 人开始时间: 2017年12月12日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
385

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. Provide written informed consent.
  • 2. Is = 18 years
  • 3. Has histologically or cytologically confirmed, locally advanced,
  • metastatic cancer meeting the following criteria:
  • a. Phase 1 Expansion
  • i. Patient has failed all standard therapies or standard therapy does not
  • exist or is not tolerated.
  • ii. Patient is eligible for 1 of the following enrollment groups, based on
  • diagnosis, prior therapy, and FGF/FGFR aberrations as shown:
  • Group 1 (Enrollment Suspended as of Amendment 7): Patient has
  • intrahepatic or extrahepatic cholangiocarcinoma harboring FGFR2 gene
  • Group 2: Patient has intrahepatic or extrahepatic cholangiocarcinoma
  • harboring FGFR2 gene fusions, and has not received or received less
  • than 1 cycle of prior chemotherapy (due to intolerance or patient
  • Group 3 (Enrollment Suspended as of Amendment 7): Patient has
  • intrahepatic or extrahepatic cholangiocarcinoma harboring FGFR2 gene
  • fusions and has received prior treatment with FGFR inhibitors.
  • Group 4 (Enrollment suspended as of Amendment 7): Patient has
  • intrahepatic or extrahepatic cholangiocarcinoma harboring FGFR
  • abnormalities other than FGFR2 gene fusions
  • Group 5: Patient has a primary CNS tumor harboring FGFR gene fusion or
  • FGFR1 activating mutation and fulfills the criteria (i and ii).
  • Group 6 (Enrollment Suspended as of Amendment 7): Patient has
  • advanced urothelial carcinoma harboring FGFR3 fusions or FGFR3
  • activating mutations.
  • Group 7: Patient has any tumor type not included in one of the prior
  • groups, harboring FGFR2 amplification (no minimum number of copies).
  • Group 8 (Enrollment Suspended as of Amendment 7): Patient has any
  • tumor type not included in one of the prior groups, harboring FGFR gene
  • fusions or activating mutations.
  • i. Patient has histologically or cytologically confirmed, locally advanced,
  • metastatic, unresectable iCCA harboring FGFR2 gene fusions or other
  • FGFR2 rearrangements based on results from either of the following
  • a. Testing by Foundation Medicine:
  • i. As part of study pre-screening; or
  • ii. Previously tested by Foundation Medicine; in this case, it is requested
  • that tumor tissue should be provided to Foundation Medicine if available.
  • b. Local laboratory testing using next generation sequencing [NGS],
  • fluorescence in situ hybridization [FISH], or other assays that can
  • determine FGFR2 gene fusions or other FGFR2 rearrangements on tumor
  • tissues or from ctDNA; it is requested that patients enrolled on this basis
  • provide tumor tissues to Foundation Medicine if available from either
  • archival samples or fresh tumor biopsy.
  • ii. Patient has been treated with at least one prior systemic gemcitabine
  • and platinum-based chemotherapy. Patients with prior adjuvant
  • gemcitabine-platinum chemotherapy are eligible if the patient had
  • recurrence within 6 months of the last dose of the regimen.
  • iii. Patient has documentation of radiographic disease progression on
  • the most recent prior therapy
  • 4. Patient has measurable disease as defined by Response Evaluation
  • 另有 9 项未显示

排除标准

  • 1.History and/or current evidence of clinically significant non-tumor related alteration of calcium-phosphorus homeostasis.
  • 2.History and/or current evidence of clinically significant ectopic mineralization/calcification.
  • 3.History and/or current evidence of clinically significant retinal disorder confirmed by retinal examination.
  • 4.History or current evidence of serious uncontrolled ventricular arrhythmias
  • 5.Fridericia’s corrected QT interval (QTcF) > 470 ms on ECG conducted during Screening.
  • 6.Treatment with any of the following within the specified time frame prior to the first dose of TAS-120:
  • a.Major surgery within the previous 4 weeks (the surgical incision should be fully healed prior to the first dose of TAS 120).
  • b.Radiotherapy for extended field within 4 weeks or limited field radiotherapy within 2 weeks.
  • c.Patients with locoregional therapy, e.g., transarterial chemoembolization (TACE), selective internal radiotherapy (SIRT) or ablation within 4 weeks.
  • d.Any noninvestigational anticancer therapy within 3 weeks or have not recovered from side effects of such therapy prior to TAS 120 administration (mitomycin within prior 5 weeks).
  • Targeted therapy or immunotherapy within 3 weeks or within 5 half-lives (whichever is shorter)
  • e.Any investigational agent received within 5 half-lives of the drug or 4 weeks, whichever is shorter. Concurrent participation in an observational study may be allowed after review by the Sponsor’s Medical Monitor.
  • f.Patients with prior FGFR-directed therapy.
  • 7.A serious illness or medical condition(s) including, but not limited to, the following:
  • a.Known brain metastasis (not including primary brain tumors) unless patient is clinically stable for = 1 month.
  • b.Known acute systemic infection.
  • c.Myocardial infarction, severe/unstable angina, symptomatic congestive heart failure (New York Heart Association [NYHA] Class III or IV (see Appendix D, New York Heart Association [NYHA] Classification) within the previous 2 months; if > 2 months, cardiac function must be within normal limits and the patient must be free of cardiac-related symptoms.
  • d.Chronic nausea, vomiting, or diarrhea considered to be clinically significant in the opinion of the investigator.
  • e.Congenital long QT syndrome, or any known history of torsade de pointes, or family history of unexplained sudden death.
  • f.Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that in the judgment of the investigator would make the patient inappropriate for entry into this study.
  • 8.Patients with a history of another primary malignancy that is currently clinically significant, and has potential for metastases or currently requires active intervention (except for gonadotropin-releasing hormone (GnRH) or luteinizing hormone-releasing hormone (LH-RH) agonists in prostate cancer or adjuvant hormonal therapy in breast cancer).
  • 9.Pregnant or lactating female.

研究者

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