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临床试验/EUCTR2015-001012-35-BG
EUCTR2015-001012-35-BG进行中(未招募)1 期

A Phase 2 Open Label, Multi-Center, Multinational, Randomized, Parallel Design Study Investigating The Efficacy and Safety Of GTx-024 On Metastatic or Locally Advanced ER+/AR+ Breast Cancer (BC) in Postmenopausal Women - N/A

GTx, Inc.0 个研究点目标入组 88 人开始时间: 2015年7月27日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
GTx, Inc.
入组人数
88

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
Female

入选标准

  • Adult postmenopausal women with metastatic or recurrent locally advanced ER+/AR+ BC.
  • Subject Subjects eligible for inclusion in this study must meet all of the following criteria:
  • 1. Adult women (= 18 years of age) with metastatic orrecurrent locally advanced BC, not amenable to curative treatment by surgery or radiotherapy, with objective
  • evidence of disease progression.
  • ? Women must have received = 1 prior hormonal treatment(s) in the metastatic or adjuvant setting.
  • ? - If the most recent hormonal treatment was in the metastatic setting, duration of response (tumor regression or stabilization of disease) to this specific course of therapy must be = 6 months
  • ?- If the most recent hormonal treatment was in the adjuvant setting, duration of response (disease free) to this specific course of therapy must be = 3 years
  • 2. Histological or cytological confirmation of ER+ BC as assessed by a local laboratory using slides, paraffin blocks, or paraffin sample or by medical history: ER+ (confirmed as ER expression more than or equal to 1%
  • positive tumor nuclei)
  • 3. Human epidermal growth factor receptor 2 (HER2)-negative tumor by local laboratory testing (immunohistochemistry [IHC] 0, 1+ regardless of fluorescence in situ hybridization [FISH] ratio; IHC 2+ with FISH ratio lower than 2.0 or HER2 gene copy less than 6.0; FISH ratio of 0, indicating gene deletion, when positive and negative in situ hybridization [ISH] controls are present)
  • 4. Availability of paraffin embedded or formalin fixed tumor tissue; OR, a minimum of 10 and up to 20 slides of archived tumor tissue for central laboratory confirmation of AR status and molecular subtyping. Metastatic tumor
  • tissue is preferred when possible
  • 5. Postmenopausal women. Postmenopausal status is defined by the National Comprehensive Cancer Network as either:
  • ?- Age = 55 years and one year or more of amenorrhea
  • ?- Age < 55 years and one year or more of amenorrhea, with an estradiol assay < 20 pg/mL
  • - Age < 55 years and surgical menopause with bilateral oophorectomy
  • a. Note: Ovarian radiation or treatment with a luteinizing hormone-releasing hormone (LH-RH) agonist (goserelin acetate or leuprolide acetate) is not permitted for induction of ovarian suppression at the time of screening. Long term use (> 6 months prior to screening) is permitted.
  • 6. Radiological or clinical evidence (bone scan, computerized tomography [CT], and magnetic resonance Imaging [MRI]) of recurrence or progression within
  • 30 days before randomization
  • 7. Subject must have either measurable disease or bone-only non-measurable disease, evaluable according to RECIST 1.1
  • 8. Adequate organ function as shown by:
  • ?- Absolute neutrophil count (ANC) = 1,000 cells/mm3
  • ?- Platelet count = 100,000 cells/mm3
  • ?- Hemoglobin (Hgb) = 9.0 g/dL
  • ?- Serum aspartate aminotransferase (AST) and alanine transaminase (ALT) = 2.5 upper limit of the normal range (ULN) (or = 5 if hepatic metastases are present)
  • ?- Total serum bilirubin = 2.0 × ULN (unless the subject has documented Gilbert Syndrome)
  • ?- Alkaline phosphatase levels = 2.5 × ULN (= 5 × ULN in subjects with liver metastasis)
  • ? - Serum creatinine = 2.0 mg/dL or 177 µmol/L
  • ? - International normalized ratio (INR) or activated partial thromboplastin (aPTT) < 1.5 × ULN (unless on anticoagulant treatment at screening)
  • 9. Subject has an Eastern Cooperative Oncology Group (ECOG) performance status 4 0 or 1
  • 10. Subjects with bone metastases should be tre

排除标准

  • Subjects eligible for this study must not meet any of the following criteria:
  • 1. Previously received > 1 course of chemotherapy (not including immunotherapies or targeted therapies) for the treatment of metastatic BC
  • a. Note: Subjects may have received 1 course of chemotherapy prior to surgery for the treatment of locally advanced disease and 1 course of chemotherapy for the treatment of metastatic BC; however, if surgery could not be performed, this
  • will count as the 1 chemotherapy course allowed prior to study
  • 2. Known hypersensitivity to any of the GTx-024 components or subjects previously received treatment with Selective Androgen Receptor Modulator (SARM)
  • 3. Subjects with radiographic evidence of central nervous system (CNS) metastases as assessed by CT or MRI that are not well-controlled (symptomatic or requiring control with continuous corticosteroid therapy [e.g.,dexamethasone])
  • a. Note: Subjects with CNS metastases are permitted to participate in the study if the CNS metastases are medically well-controlled and stable for at least 28 days after receiving local therapy (irradiation, surgery, etc.)
  • 4. Radiotherapy within 14 days prior to randomization except in case of localized radiotherapy for analgesic purpose or for lytic lesions at risk of fracture, which can then be completed within 7 days prior to randomization. Subjects must have recovered from radiotherapy toxicities prior to randomization
  • 5. Currently receiving hormone replacement therapy, unless discontinued prior to screening
  • 6. Subjects positive for Human Immunodeficiency Virus (HIV)
  • 7. Subject has a concomitant medical condition that precludes adequate study treatment compliance or assessment, or increases subject risk, in the opinion of the Investigator, such as but not limited to:
  • - Myocardial infarction or arterial thromboembolic events within 6 months prior to Baseline or severe or unstable angina, New York Heart Association (NYHA)
  • Class III or IV disease, or a QTCB (corrected according to Bazett’s formula) interval > 470 msec
  • - Serious uncontrolled cardiac arrhythmia grade II or higher according to NYHA
  • - Uncontrolled hypertension (systolic > 150 and/or diastolic > 100 mm Hg)
  • - Acute and chronic, active infectious disorders and non-malignant medical illnesses that are uncontrolled or whose control may be jeopardized by the complications of this study therapy
  • - Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of study drugs (e.g., ulcerative disease,
  • uncontrolled nausea, vomiting, diarrhea,malabsorption syndrome)
  • - Another active cancer (excluding adequately treated basal cell carcinoma or cervical intraepithelial neoplasia [CIN]/cervical carcinoma in situ or melanoma in situ). Prior history of other cancer is allowed as long as there is no active disease within the prior 5 years.
  • 8. Major surgery within 28 days before randomization
  • 9. Positive hepatitis B virus (HBV) and/or hepatitis C virus (HCV) infection at screening
  • 10. History of non-compliance to medical regimens
  • 11. Subjects unwilling to or unable to comply with the protocol
  • 12. Subject is currently receiving treatment with any agent listed on the prohibited medication list (See Section 6.6 Concomitant Medications/Treatments for complete list)
  • 13. Treatment with any investigational product within < 4 half-lives for each individual investigational product OR within 28 days prior to randomization
  • 14. Current treatme

研究者

发起方
GTx, Inc.

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