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临床试验/NL-OMON56232
NL-OMON56232招募中不适用

Combining anti-PD-L1 immune checkpoint inhibitor durvalumab with TLR-3 agonist rintatolimod in patients with metastatic pancreatic ductal adenocarcinoma for therapy efficacy. DURIPANC study. - DURIPANC

Erasmus MC, Universitair Medisch Centrum Rotterdam0 个研究点目标入组 43 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
43

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

  • Histologically or cytologically (Bethesda 5 or 6) confirmed metastatic
  • pancreatic cancer, as indicated by a definite cytology/histology report.
  • Stable disease according to RECIST criteria version 1.1 after at least 8
  • cycles of chemotherapy (FOLFIRINOX).
  • Inclusion <= 6 weeks after stopping FOLFIRINOX.
  • An accessible metastatic lesion for histological tissue collection.
  • SIII<900 (Systemic Immune-Inflammation Index = ((absolute neutrophil count *
  • platelet count) / absolute lymphocyte count)).
  • CA 19.9 <1000kU/L.
  • Age >= 18 years at time of study entry.
  • Body weight >30 kg.
  • WHO performance status of 0-1.
  • Adequate renal function (eGFR > 40 ml/min).
  • Adequate liver tests (bilirubin <= 1.5 times normal; ALAT/ASAT <= 5 times
  • Adequate bone marrow function (WBC > 3.0 x 109/L, platelets > 75 x 109/L ,
  • absolute neutrophil count (ANC) >=1.0 × 109 /L and hemoglobin > 5.6 mmol/L.
  • Effective contraceptive methods.
  • Patient must have a life expectancy of at least 12 weeks.
  • Patient is willing and able to comply with the protocol for the duration of
  • the study including undergoing treatment and scheduled visits and examinations
  • including follow up.
  • Capable of giving signed informed consent which includes compliance with the
  • requirements and restrictions listed in the informed consent form (ICF) and in
  • this protocol. Written informed consent and any locally required authorization
  • (e.g., European Union Data Privacy Directive) obtained from the patient/legal
  • representative prior to performing any protocol-related procedures, including
  • screening evaluations.

排除标准

  • Child-Pugh Classification grade B/C.
  • Current treatment with immunotherapeutic drugs.
  • Previous malignancy (excluding non-melanoma skin cancer, pancreatic
  • neuroendocrine tumor (pNET) <2cm, and gastrointestinal stromal tumor (GIST)
  • <2cm), unless no evidence of disease and diagnosed more than 3 years before
  • diagnosis of pancreatic cancer, or with a life expectancy of more than 5 years
  • from date of inclusion.
  • Malignant ascites or pleural effusion.
  • Female patients who are pregnant or breastfeeding or male or female patients
  • of reproductive potential who are not willing to employ effective birth control
  • from screening to 90 days after the last dose of durvalumab monotherapy.
  • Known allergy or hypersensitivity to any of the study drugs or any of the
  • study drug excipients.
  • An active autoimmune disease that has required systemic treatment in past 2
  • years (i.e. with use of disease modifying agents, corticosteroids or other
  • immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or
  • physiologic corticosteroid replacement therapy for adrenal or pituitary
  • insufficiency, etc.) is not considered a form of systemic treatment. Active or
  • prior documented autoimmune or inflammatory disorders (including inflammatory
  • bowel disease [e.g., colitis or Crohn's disease], diverticulitis [with the
  • exception of diverticulosis], systemic lupus erythematosus, Sarcoidosis
  • syndrome, or Wegener syndrome [granulomatosis with polyangiitis, Graves'
  • disease, rheumatoid arthritis, hypophysitis, uveitis, etc.]). The following are
  • exceptions to this criterion:
  • A. Patients with vitiligo or alopecia;
  • B. Patients with hypothyroidism (e.g., following Hashimoto syndrome) stable on
  • hormone replacement;
  • C. Any chronic skin condition that does not require systemic therapy;
  • D. Patients without active disease in the last 5 years may be included but only
  • after consultation with the study physician;
  • E. Patients with celiac disease controlled by diet alone.
  • Diagnosis of immunodeficiency or receiving systemic steroid therapy or any
  • other form of immunosuppressive therapy within 14 days prior to the planned
  • first dose of the study. The following are exceptions to this criterion: 1)
  • Intranasal, inhaled, topical steroids, or local steroid injections (e.g., intra
  • articular injection), 2) Systemic corticosteroids at physiologic doses not to
  • exceed 10 mg/day of prednisone or its equivalent and 3) Steroids as
  • premedication for hypersensitivity reactions (e.g., CT scan premedication).
  • Receipt of live attenuated vaccine within 30 days prior to the first dose of
  • IP. Note: Patients, if enrolled, should not receive live vaccine whilst
  • receiving IP and up to 30 days after the last dose of IP.
  • Prior randomisation or treatment in a previous durvalumab clinical study
  • regardless of treatment arm assignment.
  • Participation in another clinical study with an investigational product
  • during the last 3 months.
  • Concurrent enrolment in another clinical study, unless it is an observational
  • (non-interventional) clinical study or during the follow-up period of an
  • interventional study.
  • Receipt of the last dose of anticancer therapy (chemotherapy, immunotherapy,
  • endocrine therapy, targeted therapy, biologic therapy, tumor embolization,
  • 另有 1 项未显示

研究者

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