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临床试验/NL-OMON55424
NL-OMON55424招募中不适用

A Phase Ia/Ib Open Label, Dose-Escalation study of the Safety and Pharmacokinetics of RO7198457 as a Single Agent and in Combination with Atezolizumab in Patients with Locally Advanced or Metastatic Tumors. - Genentech Personalised Cancer Vaccine study

Hoffmann-La Roche0 个研究点目标入组 28 人开始时间: 待定最近更新:

试验速览

阶段
不适用
状态
招募中
入组人数
28

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • Age >=18
  • Eastern Cooperative Oncology Group performance (ECOG) status of 0 or 1
  • Life expectancy >= 12 weeks
  • Adequate hematologic and end-organ function
  • Measured or calculated creatinine clearance >= 50 mL/min
  • Agrees to use protocol defined methods of contraception,
  • Cancer-Specific Inclusion Criteria
  • Patients with histologic documentation of locally advanced, recurrent, or
  • metastatic incurable malignancy that has progressed after at least one
  • available standard therapy; or for whom standard therapy has proven to be
  • ineffective or intolerable, or is considered inappropriate; or for whom a
  • clinical trial of an investigational agent is a recognized standard of care
  • Patients with measurable disease per Response Evaluation Criteria for Solid
  • Tumors v1.1, Additional Inclusion Criteria for Phase 1b Patients Who Backfill
  • Cleared Cohorts
  • Backfill cohort enrollment may be limited to patients whose tumors have
  • programmed death-ligand 1 (PD-L1) and/or different levels of CD8 expression
  • Backfill enrollment in Phase 1b may be managed such that approximately half
  • of the patients in each backfill cohort will not have been treated with prior
  • immune checkpoint inhibitors, except for those patients with tumor indications
  • where CIT is approved as therapy by local regulatory authorities.
  • Additional Inclusion Criteria for Patients in Each Phase 1b Indication-Specific
  • Exploration/Expansion Cohort
  • Non-small cell lung cancer (NSCLC) Cohorts (CIT-Naïve): Patients with
  • histologically confirmed incurable, advanced NSCLC not previously treated with
  • anti-PD*L1/PD-1 and/or anti- cytotoxic T-lymphocyte-associated protein 4
  • (CTLA*4), for whom a clinical trial of an investigational agent in combination
  • with an anti-PD*L1 antibody is considered an acceptable treatment option
  • NSCLC Cohort (CIT-Treated): Patients with histologically confirmed incurable,
  • advanced NSCLC previously treated with antiPD*L1/ PD-1 with or without anti
  • Triple Negative Breast Cancer (TNBC) Cohort (CIT-Naïve): Patients with
  • histologically confirmed incurable, advanced estrogen-receptor-negative,
  • progesterone receptor-negative, and human epidermal growth factor receptor 2
  • (HER-2)-negative adenocarcinoma of the breast (triplenegative) not previously
  • treated with anti-PD-L1/PD-1 and/or anti CTLA-4
  • Colorectal cancer (CRC) Cohort (CIT-Naïve): Patients with histologically
  • confirmed incurable, advanced adenocarcinoma of the colon or rectum not
  • previously treated with anti-PD-L1/PD-1 and/or anti CTLA-4
  • Head and Neck Squamous Cell Carcinoma (HNSCC) Cohort (CIT-Naïve): Patients
  • with histologically confirmed inoperable, locally advanced or metastatic,
  • recurrent, or persistent HNSCC not amenable to curative therapy not previously
  • treated with anti-PD-L1/PD-1 and/or anti CTLA-4
  • Urothelial Carcinoma (UC) Cohort (CIT-Naïve): Patients with histologically
  • confirmed incurable, advanced transitional cell carcinoma of the urothelium,
  • including renal pelvis, ureters, urinary bladder, and urethra, not previously
  • treated with anti-PD*L1/PD-1 and/or anti-CTLA*4, for whom a clinical trial of
  • an investigational agent in combination with an anti-PD*L1 antibody is
  • considered an acceptable treatment option, if CIT (including anti-PD*L1/PD-1
  • agents) is approved as treatment for UC
  • UC Cohort (CIT-Treated):

排除标准

  • Exclusion Criteria
  • Patients who meet any of the following criteria will be excluded from study
  • Pregnancy, breastfeeding, or intending to become pregnant during the study or
  • within 90 daysafter the last dose of RO7198457 or 5 months after the last dose
  • of atezolizumab, whichever occurs later
  • Known clinically significant liver disease, including active viral,
  • alcoholic, or other hepatitis, cirrhosis, and inherited liver disease or
  • current alcohol abuse
  • Major surgical procedure within 28 days prior to Cycle (C) 1, Day (D) 1, or
  • anticipation of need for a major surgical procedure during the course of the
  • Any other diseases, metabolic dysfunction, physical examination finding,
  • and/or clinical laboratory finding giving reasonable suspicion of a disease or
  • condition that contraindicates the use of an investigational drug or that may
  • affect the interpretation of the results or may render the patient at high risk
  • from treatment complications
  • Previous splenectomy
  • Known primary immunodeficiencies, either cellular or combined T- and B-cell
  • immunodeficiencies
  • Any medical condition or abnormality in clinical laboratory tests that, in
  • the investigator's judgment, precludes the patient's safe participation in and
  • completion of the study,
  • Cancer-Specific Exclusion Criteria
  • Any anti-cancer therapy, whether investigational or approved, including
  • chemotherapy, hormonal therapy, and/or radiotherapy, within 3 weeks prior to
  • initiation of study treatment
  • Eligibility based on prior treatment with CIT and depends on the mechanistic
  • class of the drug and the cohort for which the patient is being considered
  • Any history of an immune-mediated Grade 3 and 4 adverse event attributed to
  • prior CIT that resulted in permanent discontinuation of the prior
  • immunotherapeutic agent and/or occurred <=6 months prior to C1D1
  • Adverse events from prior anti-cancer therapy that have not resolved to Grade
  • <= 1 except for alopecia, vitiligo, or endocrinopathy managed with replacement
  • All immune-related adverse events related to prior CIT must have resolved
  • completely to baseline
  • Primary central nervous system (CNS) malignancy, untreated CNS metastases, or
  • active CNS metastases, leptomeningeal disease
  • Leptomeningeal disease
  • Uncontrolled tumor-related pain
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring
  • recurrent drainage procedures and hypercalcemia
  • Malignancies other than disease under study within 5 years prior to C1D1,
  • with the exception of those with a negligible risk of metastasis or death
  • Patient has spinal cord compression not definitively treated with surgery
  • and/or radiation or previously diagnosed and treated spinal cord compression
  • without evidence that disease has been clinically stable for >=2 weeks prior to
  • screening, Treatment-Specific Exclusion Criteria
  • History of autoimmune disease
  • Treatment with monoamine oxidase inhibitors (MAOIs) within 3 weeks
  • prior to Cycle 1, Day 1
  • Treatment with systemic immunosuppressive medications within 2 weeks prior to
  • 另有 4 项未显示

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