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临床试验/2024-514580-26-00
2024-514580-26-00招募中2 期

An open label, single-arm, phase 2 study of neoadjuvant PEMbrolizumab before radical PROstatectomy (PEM-PRO) in high-risk prostate cancer patients

Ospedale San Raffaele S.r.l.1 个研究点 分布在 1 个国家目标入组 59 人开始时间: 2024年10月8日最近更新:
相关药物

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
59
试验地点
1
主要终点
A reduction of 50% in the rate of node positive patients compared to what currently reported in the literature represents the main endpoint of the study (rate of pN0 of 85 vs. 70%)

研究概览

简要总结

To assess if neoadjuvant therapy with pembrolizumab is associated with a reduction in the rate of lymph node invasion in prostate cancer patients at high risk of recurrence after surgery.

研究设计

研究类型
Interventional

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
性别
Male
接受健康志愿者

入选标准

  • Male participants who are at least 18 years of age on the day of signing informed consent with histologically confirmed diagnosis of prostate cancer
  • PCa detected at prostate biopsy with a risk of lymph node invasion higher than 5% according to the Briganti nomogram
  • The participant should be fit and planned for RP and ePLND
  • The participant (or legally acceptable representative if applicable) provides written informed consent for the trial
  • Did not start novel therapies within the 4 weeks before the beginning of the study
  • Willingness to use contraception during study treatment

排除标准

  • Has received prior systemic anti-cancer therapy including investigational agents prior to allocation.
  • Clinically relevant hepatic or renal diseases
  • Onset of cerebral diseases within 6 months before the study beginning
  • Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the subject’s participation for the full duration of the study, or is not in the best interest of the subject to participate, in the opinion of the treating investigator
  • Severe hypersensitivity (Grade 3) to pembrolizumab and/or any of its excipients
  • Unable to complete the diagnostic investigations required per protocol
  • Evidence of metastases at preoperative imaging
  • Evidence of lymph node invasion before surgery
  • Life expectancy shorter than 12 months
  • History of chemotherapy
  • History of brachytherapy or EBRT
  • Cardiovascular diseases not controlled by medical therapy
  • Hearth failure

结局指标

主要结局

A reduction of 50% in the rate of node positive patients compared to what currently reported in the literature represents the main endpoint of the study (rate of pN0 of 85 vs. 70%)

A reduction of 50% in the rate of node positive patients compared to what currently reported in the literature represents the main endpoint of the study (rate of pN0 of 85 vs. 70%)

次要结局

未报告次要终点

研究者

发起方
Ospedale San Raffaele S.r.l.
申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Francesco Montorsi

Scientific

Ospedale San Raffaele S.r.l.

研究点 (1)

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A study of neoadjuvant PEMbrolizumab before radical... | 临床试验