EUCTR2021-003871-32-ES进行中（未招募）1 期
A Phase 1/2a/3 Evaluation of the Safety and Efficacy of Adding AL3818 (Anlotinib, INN: Catequentinib), a Dual Receptor Tyrosine Kinase Inhibitor, to Standard Platinum-Based Chemotherapy in Subjects with Recurrent or Metastatic Endometrial, Ovarian, Fallopian, Primary Peritoneal or Cervical Carcinoma
试验速览
- 阶段
- 1 期
- 状态
- 进行中（未招募）
- 入组人数
- 469
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
- •Subjects must meet all of the following inclusion criteria to be eligible for this study:
- •1. Female = 18 years of age
- •2. Histologically proven diagnosis of:
- •a. Endometrial and other uterine cancers with tumors of all histologies
- •i. Recurrent Stage I to II endometrial and other uterine cancers, after at least one prior line of standard therapy, requiring further treatment with platinumbased chemotherapy
- •ii. Advanced Stage III to IV endometrial and other uterine cancers requiring treatment with platinum-based chemotherapy
- •b. Ovarian Cancer: Platinum-sensitive or platinum-resistant recurrent or metastatic ovarian, fallopian, or primary peritoneal cancer treated with at least one prior line of platinum-based chemotherapy and requiring further treatment. (Part 1/Phase Ib, Part 2/Phase 2a)
- •Platinum-sensitive is defined as cancer progression = 6 months after platinum-based chemotherapy. Platinum-resistant is defined as cancer progression < 6 months after platinum-based chemotherapy.
- •Histologic cell types eligible are endometrioid adenocarcinoma, serous adenocarcinoma, undifferentiated carcinoma, clear cell adenocarcinoma, mixed
- •epithelial carcinoma, mucinous ovarian carcinoma, adenocarcinoma or any other carcinoma not otherwise specified.
- •Phase III/Part 3:
- •(1) Platinum-resistant (progression within 6 months after last platinum-based chemotherapy) ovarian, fallopian, or primary peritoneal cancer that meets one of the following criteria:
- •i. Subject has received at least two prior lines of systemic therapy including a bevacizumab-containing regimen as standard of care
- •ii. Subject has received at least two prior lines of systemic therapy, has not received a prior bevacizumab-containing regimen and is not eligible for a
- •bevacizumab containing regimen based on Investigator’s assessment (2) Platinum-refractory (progression during first-line platinum-based chemotherapy) ovarian, fallopian, or primary peritoneal cancer after at least one prior line of systemic therapy
- •(3) For groups 1-2 above: Subjects with positive deleterious or suspected deleterious, germline or somatic BRCA mutated status must have received a PARP inhibitor as a prior line of therapy.
- •c. Cervical cancer: recurrent or metastatic cervical cancer that is not amenable to curative treatment with surgery and/or radiation therapy after at least one prior line of standard therapy, requiring further treatment.
- •Histologic cell types eligible are squamous cell carcinoma, adenosquamous carcinoma or adenocarcinoma
- •3. Have measurable disease defined by RECIST 1.1 confirmed by CT or MRI scan within 28 days of enrollment.
- •4. Life expectancy of = 3 months at the time of enrollment.
- •5. Able to take orally administered study medication.
- •6. Have adequate baseline function and performance status within 28 days of enrollment:
- •a. Bone marrow function: absolute neutrophil count (ANC) = 1,500/mm3, platelets = 100,000/mm3
- •b. Renal function: creatinine = 1.5 x institutional upper limit normal (ULN) or if creatinine is > 1.5 x ULN, creatinine clearance must be > 50 mL/min.
- •c. Hepatic function: bilirubin = 1.5 x ULN or = 3.0 x ULN for subjects with Gilbert Syndrome; AST and ALT = 3.0 × ULN.
- •d. Coagulation profile: international normalized ratio (INR) is = 1.5 and an aPTT or PTT < 1.2 x ULN.
- •e. ECOG performance = 2
- •7. Women of child-bearing potential must agree to use contraceptive measures starting 1 week before C1D1 until 4 weeks after the last dose of study treatment and have a negative serum pregnancy tes
排除标准
- •Subjects presenting with any of the following will not be included in the study:
- •1. Serious, non-healing wound, ulcer or bone fracture.
- •2. Major surgical procedure within 28 days or minor surgical procedure performed within 7 days prior to C1D1 (a major surgical procedure is defined as requiring general anesthesia).
- •3. (Intentionally left blank)
- •4. Active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels.
- •5. History or evidence upon physical examination of central nervous system (CNS) disease including primary brain tumor; seizures not controlled with standard medical therapy; and history of cerebrovascular accident (CVA, stroke), transient ischemic attack (TIA), or subarachnoid hemorrhage within 6 months of enrollment.
- •a. Subjects with metastatic CNS tumors may participate in this study if the subject is > 28 days from therapy completion (including radiation and/or surgery), is clinically stable at the time of study enrollment, and is not receiving corticosteroid therapy.
- •6. Proteinuria on urinalysis within 28 days of enrollment. Subjects discovered to have a urine protein of 1+ on dipstick or = 30 mg/dl at baseline should undergo a 24-hour urine collection and demonstrate < 1000 mg protein per 24 hours or spot urine protein (mg/dL) to creatinine (mg/dL) ratio must be <1.0 to allow participation in the study.
- •7. Clinically significant cardiovascular disease including uncontrolled hypertension; myocardial infarction or unstable angina within 6 months prior to enrollment; New York Heart Association (NYHA) Grade II or greater congestive heart failure (Appendix E); serious cardiac arrhythmia requiring medication; and Grade II or greater peripheral vascular disease.
- •8. Women who are pregnant or nursing.
- •9. (Intentionally left blank)
- •10. Clinically significant, uncontrolled hypokalemia, hypomagnesaemia, and/or hypocalcaemia.
- •11. Hemoptysis within 3 months prior to enrollment.
- •12. Acute or chronic liver disease, active hepatitis A or B with known cirrhosis or liver dysfunction.
- •13. Cytotoxic chemotherapy, immunotherapy, or radiotherapy within 28 days (42 days in cases of mitomycin C, nitrosourea, lomustine) prior to enrollment.
- •14. Concomitant treatment with strong inhibitors or inducers of CYP3A4, CYP2C9 and CYP2C19 within 14 days prior to enrollment and during the study unless there is an emergent or lifethreatening medical condition that required it.
- •15. Known history of human immunodeficiency virus infection (HIV).
- •16. Active bacterial infections requiring systemic antibiotics (excluding uncomplicated urinary tract infection).
- •17. Other invasive malignancies, with the exception of non-melanoma skin cancer, who had (or have) any evidence of other cancer present within the last 5 years prior to enrollment or whose previous cancer treatment contraindicates this protocol therapy.
- •18. History of non-malignant gastrointestinal bleeding, gastric stress ulcerations, or peptic ulcer disease within the past 3-months prior to enrollment that in the opinion of the investigator may place the subject at risk of side effects on an anti-angiogenesis product.
- •19. History of significant vascular disease (e.g. aortic aneurysm, aortic dissection).
- •20. Intra-abdominal abscess within the last 3 months of enrollment.
- •21. Pre-existing uncontrolled hypertension as documented by two baseline blood pressure readings taken at least five minutes apart, defined as systol
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