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临床试验/CTRI/2009/091/000506
CTRI/2009/091/000506已完成2 期

A multi-center, single arm, Phase II study of adjuvant imatinib mesylate (glivec®) in patients following the resection of primary gastrointestinal stromal tumor (GIST)

Novartis India Ltd4 个研究点 分布在 1 个国家目标入组 150 人开始时间: 2009年8月9日最近更新:

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
150
试验地点
4
主要终点
To assess Recurrence Free Survival Rate in patients with resected primary GIST who aretreated with adjuvant imatinib for a duration of 2 years

研究概览

简要总结

Number patients proposed to be recruited from India is 10. Tentative date of enrollment will in August.

研究设计

研究类型
Interventional
分配方式
Not Applicable
盲法
Open Label

入排标准

入选标准

  • Histologically proven diagnosis of primary GIST (without peritoneal or distant metastasis) with positive immunostaining for KIT (CD117);
  • Undergone complete gross resection of a primary GIST within 70 days prior to enrollment (includes R0 (negative microscopic margins) and R1 (positive microscopic margins);
  • Intermediate and high risk patients based on Corless criteria
  • Patient must be 18 years of age or older
  • Patient must have a post-operative CT scan with IV and PO contrast or MRI (optional) with contrast (if allergic to CT contrast) of abdomen and pelvis within 28 days prior to registration.
  • Patient must have the following post-operative laboratory values confirmed within 14 days prior to registration:a.
  • Creatinine ≤ 1.5 times the institution ULN (upper limit of normal)b.WBC ≥ 2,000/mm3c.Platelets ≥ 100,000/mm3d.Total Bilirubin ≤ 1.5 times the institution ULN.
  • NOTE:Patients with elevated bilirubin secondary to Gilbert?s disease are eligible to participate in the study.e.AST ≤ 2.5 times the institution ULNf.ALT ≤ 2.5 times the institution ULNg.Female of childbearing potential must have negative serum pregnancy test.NOTE:Post-menopausal women must be amenorrheic for at least 12 months to be deemed not of reproductive potential.
  • Patient or the patient?s legally acceptable representative must provide a signed and dated written informed consent prior to registration and any study-related procedures.
  • Patient must provide written authorization to allow the use and disclosure of their protected health information.
  • NOTE: This may be obtained in either the study-specific informed consent or in a separate authorization form and must be obtained from the patient prior to study registration (non-US sites are exempt from HIPAA regulations).
  • If patient is a cancer survivor, ALL of the following criteria apply:a.Patient has undergone potentially curative therapy for all prior malignancies.b.No evidence of any prior malignancies for at least 5 years with no evidence of recurrence (except for effectively treated basal cell or squamous carcinoma of the skin, carcinoma in-situ of the cervix that has been effectively treated by surgery alone, or lobular carcinoma in-situ of the ipsilateral or contralateral breast treated by surgery alone).c.
  • Patient is deemed by their treating physician to be at low risk for recurrence from prior malignancies.

排除标准

  • Patient has received post-operative chemotherapy.
  • Patient has received post-operative radiation therapy.
  • Patient has received post-operative investigational treatment.
  • Patient has received prior therapy with imatinib, or any other molecular targeted or biological therapy.
  • Patient has had an active infection requiring antibiotics within 14 days prior to registration.
  • Patient has objective evidence of residual disease on the postoperative CT scan or MRI (optional) of the abdomen or pelvis.
  • Patient, if female and breastfeeding.
  • NOTE: It is not known whether imatinib or its metabolites are excreted in human milk.
  • However, in lactating female rats administered 100mg/kg, a dose approximately equal to the maximum clinical dose of 800mg/day based on body surface area, imatinib and /or its metabolites were extensively excreted in milk.
  • It is estimated that approximately 1.5% of a maternal dose is excreted into milk, which is equivalent to a dose to the infant of 30% the maternal dose per unit body weight.
  • Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants, women should be advised against breastfeeding while taking imatinib.
  • Patient has New York Heart Association Class 3 or 4 cardiac disease (Appendix 3)
  • Patient is taking full dose warfarin.
  • NOTE: The use of mini-dose warfarin (1 mg orally per day) for prevention of central line-associated deep venous thrombosis is permitted.10.

结局指标

主要结局

To assess Recurrence Free Survival Rate in patients with resected primary GIST who aretreated with adjuvant imatinib for a duration of 2 years

时间窗: 2 Years

次要结局

  • - To compare Recurrence Free Survival, Overall Survival, and Time toRecurrence of patients with resected primary GIST who are treatedwith adjuvant imatinib for a duration of 2 years with historical data- To assess the safety of imatinib given as adjuvant therapy for 2years in patients with resected primary GIST(2 Years)

研究者

发起方
Novartis India Ltd
申办方类型
Pharmaceutical industry-Global

研究点 (4)

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