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临床试验/EUCTR2008-005544-17-IT
EUCTR2008-005544-17-IT进行中(未招募)不适用

A randomized, double-blind, controlled phase III study of Stimuvax (L-BLP25 or BLP25 liposomevaccine) in combination with hormonal treatment versus hormonal treatment alone for first-line therapyof post-menopausal women with estrogen receptor (ER)-positive and/or progesterone receptor (PgR)-positive, inoperable locallyadvanced, recurrent, or metastatic breast cancer - STRIDE - STimulating immune Response In aDvanced brEast cancer

MERCK KGAA0 个研究点目标入组 1,200 人开始时间: 2009年8月12日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
MERCK KGAA
入组人数
1,200

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

  • Written informed consent given before any study-related activities are carried out
  • Female inpatient or outpatient
  • ≥ 18 years of age
  • Postmenopausal, defined by at least one (1) of the following:
  • - No spontaneous menses for at least five years
  • - Spontaneous menses within the past five years but amenorrheic for at least
  • 12 months and luteinizing hormone (LH) and follicle-stimulating hormone (FSH)
  • within the postmenopausal normal range (Subjects who are amenorrheic
  • following a hysterectomy but who have not had bilateral salpingo-oophorectomy
  • are not eligible unless they have additional biochemical evidence of menopause as reflected by ovarian suppression and FSH and plasma estradiol levels in the postmenopausal range.)
  • - Prior bilateral oophorectomy
  • - Prior bilateral ovarian irradiation and castration, amenorrheic for at least three months, and FSH levels > 40 IU/L
  • - No menstrual period for 12 months or longer and a serum estradiol level in the postmenopausal range (≤ 22 pg/mL)
  • ER+ and/or PgR+, histologically or cytologically confirmed primary carcinoma of the breast (institutional pathological diagnosis of BRCA is acceptable)
  • Expressing at least one of the following five HLA haplotypes, as centrally assessed by HLA genotyping from whole blood: HLA-A2, -A3, -A11, -B7, or -B35
  • Locally advanced, recurrent, or metastatic BRCA (Subject must have at least one lesion not located in bone).
  • Measurable disease by RECIST, and inoperable (not eligible for breast-conserving surgery or mastectomy) with no reasonable expectation of surgery for cure now or in the future.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Life expectancy of at least 12 weeks
  • Adequate hematologic, hepatic, and renal function within two weeks prior to initiation of therapy, as defined by the following:
  • -White blood cells (WBCs) ≥ 2500/mm3; absolute neutrophils ≥ 1500/mm3;
  • platelets ≥ 100,000/mm3
  • - Hemoglobin ≥ 9 g/dL
  • - Bilirubin ≤ 1.5 ? the upper limit of normal (ULN), or ≤ 5 ? ULN in case of
  • hepatic metastasis
  • - Aspartate aminotransferase (AST) and alanine aminotransferase (ALT)
  • ≤ 2.5 ? ULN, or ≤ 5 ? ULN in case of hepatic metastasis
  • - Creatinine ≤ 1.5 ? ULN
  • - International Normalized Ratio (INR), prothrombin time (PT), and partial thromboplastin time (PTT) in the normal range
  • Willingness to comply with study protocol requirements
  • 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

  • Disease Status
  • PD either during HT for early breast cancer (adjuvant therapy) or within 12 months
  • of completing such therapy
  • Human epidermal growth factor receptor 2-positive (HER2+) BRCA, defined as
  • ?? Immunohistochemistry (IHC) staining of 3+ (uniform, intense membrane staining
  • of > 30% of invasive tumor cells), or
  • ?? Fluorescent in situ hybridization (FISH) result > 6 HER2 gene copies per nucleus,
  • ?? FISH ratio (HER2 gene signals to chromosome 17 signals) > 2.2.
  • Historical data will routinely be confirmed by local pathology laboratories in case
  • of equivocal historical results as follows:
  • o By validated FISH-test if HER2 protein expression is equivocal (i.e.,
  • IHC 2+) or, if appropriate
  • o By validated IHC if HER2 gene amplification is equivocal (i.e.,
  • FISH ratio 1.8-2.2 or HER2 gene copy 4.0-6.0)
  • Autoimmune disease that in the opinion of the investigator could compromise the
  • safety of the subject in this study. (Exception will be granted for well-controlled
  • Type I diabetes mellitus.)
  • Recognized immunodeficiency disease, including cellular immunodeficiencies,
  • hypogammaglobulinemia or dysgammaglobulinemia; hereditary or congenital
  • immunodeficiencies
  • Known active hepatitis B infection or carrier state and/or hepatitis C infection,
  • known human immunodeficiency virus (HIV) infection, or any other infectious
  • process that in the opinion of the investigator could compromise the subjects ability
  • to mount an immune response, or could expose her to the likelihood of more and/or
  • severe side effects
  • Past or current history of malignant neoplasm other than BRCA, except for
  • curatively treated non-melanoma skin cancer, in situ carcinoma of the cervix, or
  • other cancer curatively treated and with no evidence of disease for at least five years
  • Pre-therapies
  • Receipt of immunotherapy (e.g., interferons; tumor necrosis factor; interleukins;
  • growth factors granulocyte macrophage-colony stimulating factor [GM-CSF],
  • granulocyte-colony stimulating factor [G-CSF], macrophage-colony stimulating
  • factor [M-CSF], or monoclonal antibodies), or chemotherapy, within four weeks (28days) prior to randomization.
  • Note: Subjects who have received monoclonal
  • antibodies for imaging are eligible.
  • Prior receipt of investigational systemic drugs (including off-label use of approved
  • products) or any kind of systemic treatment (chemotherapy, HT, or immunotherapy)
  • for inoperable, locally advanced, recurrent, or metastatic breast cancer
  • Prior radiotherapy to the site of cancer, if only one site will be used for evaluation of tumor response.
  • Prior use of bisphosphonates or concurrent use while on study treatment is allowed.

研究者

发起方
MERCK KGAA

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