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临床试验/EUCTR2020-002949-42-IT
EUCTR2020-002949-42-IT进行中(未招募)1 期

A pilot study of chlorambucil in pre-treated metastatic pancreatic adenocarcinoma patients bearing a germ line BRCA or other DNA Defects Repair (DDR) mutations. - SALE

OSPEDALE SAN RAFFAELE0 个研究点目标入组 30 人开始时间: 2021年5月24日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
30

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)Pathologically confirmed pancreatic adenocarcinoma
  • 2)Age = 18 years
  • 3)ECOG PS 0-2
  • 4)Stage IV disease
  • 5)Identified genetic aberrations that are associated with homologous recombination deficiency (HRD)
  • a)Cohort A: Documented mutation in gBRCA1 or gBRCA2 that is predicted to be deleterious or suspected deleterious
  • b)Cohort B: BRCA1 or BRCA2 mutations that are considered to be of uncertain/unknown significance (VUS)
  • c)Cohort C: Patients with other identified genetic aberrations that are associated with HRD
  • 6)adequate PFS during previous platinum-based chemotherapy for at least 4 months before progression
  • 7)Screening laboratory values:
  • Leukocytes > 3000/mmc
  • Thrombocytes > 150000/mmc
  • Hemoglobin > 10 g/dl
  • Creatinine <2.0 times upper normal limit (unless normal creatinine clearance).
  • Total bilirubin <2.0 times upper normal limit (unless due to Gilbert's syndrome).
  • Alanine aminotransferase (ALT) <3.0 times upper normal limit
  • 8)Able to take oral medication
  • 9)Progression during or after platinum-based chemotherapy
  • 10)Other prior chemotherapy apart from first-line treatment for pancreatic cancer, are allowed, including maintenance treatment with PARP inhibitors
  • 11) More than 2 weeks since prior chemotherapy end
  • 12) Signed written informed consent
  • 13) QTc <450 msec or QTc <480 msec for patients with bundle branch block
  • 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 20
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 10

排除标准

  • 1)Clinically significant cardiac disease including unstable angina, acute myocardial infarction within 6 months prior to screening, congestive heart failure, and arrhythmia requiring therapy, with the exception of extra systoles or minor conduction abnormalities
  • 2)Active and uncontrolled bacterial, viral, or fungal infection(s) requiring systemic therapy
  • 3)Vaccination with vaccines called live”, since this treatment causes a drop of immunity defenses and a serious infection could result fatal.
  • 4)History of seizure, head trauma and treatment with anti-epileptogenic drugs
  • 5)Hypersensitivity to chlorambucil or to any excipients, in particular lactose
  • 6)BRCA-mutated advanced pancreatic cancer who did not undergo maintenance with olaparib after platinum-based chemotherapy
  • 7)Mismatch repair (MMR)/high levels of microsatellite instability (MSI-H), or high levels of tumor mutational burden (TMB) pancreatic cancer who did not undergo immunotherapy with pembrolizumab monotherapy or any other anti-PD1 agent
  • 8)Concomitant PARP inhibitors therapy
  • 9)Life expectancy less than 3 months, in the opinion of the investigator
  • 10)Other past or current malignancy. Subjects who have been free of malignancy for at least 5 years, or have a history of completely resected non-melanoma skin cancer, or successfully treated in situ carcinoma are eligible
  • 11)Symptomatic duodenal stenosis
  • 12) Any significant medical condition laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study
  • 13) Any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study
  • 14) Any condition that confounds the ability to interpret data from the study
  • 15) Any familiar, sociologic or geographic conditions that can potentially interfere with the adhesion to the protocol or to the follow-up
  • 16) Pregnant or nursing. Adequate contraception is defined as oral hormonal birth control, intrauterine device, and male partner sterilization
  • 17) Concurrent treatment with other experimental drugs

研究者

发起方
OSPEDALE SAN RAFFAELE

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