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临床试验/ACTRN12616000958482
ACTRN12616000958482进行中(未招募)2 期

A phase II study to establish if carboplatin and nab-paclitaxel combination is an effective and tolerable chemotherapy treatment for grade 3 advanced gastrointestinal Neuroendocrine Carcinomas.

Australasian Gastro-Intestinal Trials Group (AGITG)0 个研究点目标入组 60 人开始时间: 2016年7月21日最近更新:

试验速览

阶段
2 期
状态
进行中(未招募)
发起方
入组人数
60

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomised controlled trial
主要目的
Treatment
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 o limit(—)
性别
All

入选标准

  • Adults, aged 18 years and older, with advanced and/or metastatic, unresectable neuroendocrine carcinoma
  • -Histologically proven (WHO/ ENET) Grade 3 NEC with Ki-67 greater than 20%. (The features of small versus large cell NEC carcinoma will need to be documented and participants with Mixed AdenoneuroEndocrine Carcinomas (MANEC) are eligible if they have G3 elements)
  • -Tumour sufficiently FDG-avid on the initial staging PET Scan (e.g. SUVmax greater than or equal to 3.5). If avidity is borderline or unclear then contact the NHMRC CTC and Study Chair.
  • -Measurable disease as assessed by CT scan of the chest, abdomen and pelvis within 21 days prior to randomisation (according to RECIST 1.1)
  • -ECOG performance status 0-2
  • -Adequate bone marrow function (platelets greater than 100 x 109/L; ANC greater than 2 x 109/L; haemoglobin greater than 100 x g/L)
  • -Adequate liver function (total bilirubin less than or equal to 1.5 x ULN, ALT/AST less than or equal to 3 × ULN). For participants with liver metastases use the following ULN: total bilirubin less than or equal to 3 x ULN, ALT/AST less than or equal to 5 × ULN. NB; Patients with inadequate liver function and liver metastases who satisfy all other eligibility criteria may start on a reduced dose level (-1 dose level; see table 5.2.1), upon approval by the Study Chair or delegate. Doses can be increased to the standard starting doses if AST/ALT normalise.
  • -Adequate renal function (creatinine less than or equal to 1.5 ULN)
  • -Willing and able to comply with all study requirements, including treatment, timing and/or nature of required assessments
  • -Signed, written informed consent (main study)

排除标准

  • -NECs confirmed not to be from gastrointestinal primaries
  • -Grade 1 and Grade 2 NETs (Ki-67 less than or equal to 20%)
  • -Suspected pulmonary origin of the NET
  • -Known hypersensitivity to nab-paclitaxel
  • -External beam radiotherapy to solitary target lesions. Patients who have received local radiotherapy of non-target lesions for local symptom control within the last 4 weeks must have recovered from any adverse effects of radiotherapy prior to randomization.
  • -Prior intrahepatic 90Y-microspheres such as SIR-Spheres
  • -Major surgery/surgical therapy for any cause within 1 month
  • -Surgical therapy of loco-regional metastases within the last 3 months prior to randomization
  • -Severe cardiovascular, hepatic, neurologic or renal comorbid conditions
  • -Previous cytotoxic chemotherapy, or targeted therapy, or biotherapy within the last 4 weeks (excluding SSAs)
  • -Significant infection, including chronic active hepatitis B, hepatitis C, or HIV. Testing for these is not mandatory unless clinically indicated
  • -Sensory/motor neuropathy greater than or equal to G2, as defined by NCI CTCAE 4.0
  • -Life expectancy of less than 3 months
  • -History of another malignancy within 2 years prior to registration. Patients with a past history of adequately treated carcinoma-in-situ, basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or superficial transitional cell carcinoma of the bladder are eligible. Patients with a history of other malignancies are eligible if they have been continuously disease free for at least 2 years after definitive primary treatment, or in the case of stage 1 tumour/s are undergoing curative resection and there is no indication for chemo- or radiotherapy.
  • -Serious medical or psychiatric conditions that might limit the ability of the patient to comply with the protocol
  • -Pregnancy, lactation, or inadequate contraception. Women must be post-menopausal, infertile, or use a reliable means of contraception. Women of childbearing potential must have a negative pregnancy test done within 7 days prior to registration. Men must have been surgically sterilised or use a (double if required) barrier method of contraception

研究者

发起方
Australasian Gastro-Intestinal Trials Group (AGITG)

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