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临床试验/EUCTR2017-004401-40-GB
EUCTR2017-004401-40-GB进行中(未招募)1 期

STELLAR: A phase II, randomiSed study of CHOP-R in combination with acalabruTinib comparEd to CHOP-R in patients with newLy diagnosed Richter’s Syndrome (RS) and a pLAtfoRm for initial investigations into activity of novel treatments in relapsed/refractory and newly diagnosed RS. - STELLAR

niversity of Birmingham0 个研究点目标入组 105 人开始时间: 2018年11月6日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
105

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

入选标准

  • Inclusion criteria for the Randomised Trial
  • -Suitable for anthracycline-containing chemo-immunotherapy.
  • -Patients with CLL and newly diagnosed biopsy proven DLBCL-type RS.
  • -ECOG performance status of 0, 1, 2 or 3.
  • -Age 16 years and over.
  • -Signed written informed consent prior to performing any study-specific procedures
  • Inclusion criteria Cohort 1 (progressive RS following chemo-immunotherapy)
  • -Patients with relapsed/refractory RS who received anthracycline based chemotherapy with anti-CD20 monoclonal antibody.
  • -ECOG performance status of 0, 1, 2 or 3.
  • -Age 16 years and over.
  • -Signed written informed consent prior to performing any study-specific procedures
  • Inclusion criteria Cohort 2 (anthracycline-naïve RS patients, diagnosed while on ibrutinib)
  • -Ibrutinib-exposed CLL patients who have developed biopsy-proven DLBCL-type RS within four weeks of last dose of ibrutinib.
  • -No previous anthracycline treatment and suitable for anthracycline-containing chemo-immunotherapy.
  • -Patients with CLL and newly diagnosed biopsy proven DLBCL-type RS.
  • -ECOG performance status of 0, 1, 2 or 3.
  • -Age 16 years and over.
  • -Signed written informed consent prior to performing any study-specific procedures
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 0
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 45
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 60

排除标准

  • Exclusion criteria ALL
  • -Known central nervous system (CNS) involvement of CLL or DLBCL.
  • -Any other active malignancy that requires active treatment, with the exception of basal cell carcinoma, in-situ cervical cancer, and non-invasive squamous cell carcinoma of the skin.
  • -Chronic or ongoing active infectious disease
  • -Positive serology for Hepatitis B (HBKnown human immunodeficiency virus (HIV) positive.
  • -Patients with active bleeding or history of bleeding diathesis (e.g. haemophilia, von Willebrand disease).
  • -Patients receiving therapeutic anticoagulation with warfarin or equivalent (e.g. phenoprocoumon).
  • -Uncorrected prolonged prothrombin time (PT) or an activated partial thromboplastin time (APTT) > 2 x the upper limit of normal (ULN).
  • -Major surgery within 30 days prior to randomisation and/or inadequate recovery from any prior major surgery, toxicity or complications.
  • -Patients with malabsorption syndrome or medical conditions significantly affecting gastrointestinal function.
  • -Clinically significant cardiac disease including unstable angina, uncontrolled congestive heart failure, and unstable arrhythmias requiring therapy, with the exception of extra systoles or minor conduction abnormalities.
  • -Significant concurrent, uncontrolled severe medical condition including, but not limited to, renal, hepatic, haematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease.
  • -History of significant cerebrovascular disease in the 6 months prior to randomisation, including intracranial haemorrhage.
  • -Known or suspected hypersensitivity to components of the investigational products
  • -Patients who have received treatment with any non-marketed drug substance or experimental therapy within 4 weeks prior to proposed start of treatment
  • -Current participation in any other interventional clinical study.
  • -Patients known or suspected of not being able to comply with a study
  • -Breast feeding women or women with a positive pregnancy test at screening.
  • -Women of childbearing potential and men not willing to use highly effective contraception during study and for 12 months after last dose of study therapy
  • Additional exclusion criteria for the Randomised Trial
  • -Prior therapy with CHOP or any anthracycline containing treatment at any time prior to randomisation.
  • -Ibrutinib-exposed CLL patients who have been newly diagnosed with RS within four weeks of their last dose of ibrutinib. (Ibrutinib-exposed CLL patients who discontinue ibrutinib due to toxicity or progressive CLL and later (more than four weeks) develop RS are not excluded from the randomised trial component).
  • -Previous acalabrutinib exposure.
  • Additional exclusion criteria for Cohort 1 (progressive RS following chemo-immunotherapy)
  • -Previous acalabrutinib exposure.
  • Additional exclusion criteria for Cohort 2 (anthracycline-naïve RS patients, diagnosed while on ibrutinib)
  • -Prior therapy with CHOP or any anthracycline containing treatment at any time prior to randomisation.
  • -Previous acalabrutinib exposure.

研究者

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