EUCTR2012-004550-28-DE进行中(未招募)1 期
EVINEC: Safety and Tolerability of Everolimus as second-line treatment in poorly differentiated neuroendocrine carcinoma / neuroendocrine carcinoma G3 according to WHO 2010 and neuroendocrine tumor G3 - an investigtor initiated Phase II study. - EVINEC
适应症
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •1. Signed written informed consent
- •2. Male or female =18 years of age
- •3. Patients with poorly differentiated neuroendocrine carcinoma, neuroendocrine carcinoma G3 (NEC – G3 according to WHO 2010) or well or moderately differentiated neuroendocrine carcinoma (NET – G1/ G2) that switched to G3 (confirmed by histology) or neuroendocrine tumor G3 (NET G3) and disease progression as measured by RECIST 1.1
- •4. Progression during or after treatment with first-line platin-based chemotherapy. In NET G3 that switched from NET G2 the line of therapy is determined from time of revised histology (confirming a G3 NEN)
- •5. Measurable disease according to RECIST 1.1
- •6. ECOG status 0-2 (Karnofsky Performance status =80%)
- •7. Women of child-bearing potential must have a negative pregnancy test
- •8. Laboratory requirements:
- •Hematology
- •o Absolute neutrophil count =1.5x10^9/L
- •o Platelet count =100x10^9/L
- •o Leukocyte count =3.0x10^9/L
- •o Hemoglobin =9 g/dL or 5.59 mmol/l
- •Hepatic Function
- •o Total bilirubin =1.5 time the upper limit normal (ULN)
- •o AST =3xULN in absence of liver metastases, or =5xULN in presence of liver metastases
- •o ALT =3xULN in absence of liver metastases, or =5xULN in presence of liver metastases
- •Renal Function
- •o Creatinine clearance =50 mL/min according to Cockroft-Gault formula
- •Metabolic Function
- •o Magnesium = lower limit of normal
- •o Calcium = lower limit of normal
- •o CRP (PCT if CRP is elevated to exclude infection)
- •o negative urinary screening test for leucocytes and nitrite to exclude urinary tract infection (U - stix)
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range
排除标准
- •1. Known or suspected allergy or hypersensitivity reaction to any of the components of study treatment or their exipients.
- •2. Previous therapy with mTOR inhibitor
- •3.Radiotherapy :
- •Concurrent radiotherapy involving target lesions used for this study.
- •Concurrent palliative radiation (but radiation for non-target lesions is allowed if other target lesions are available outside the involved field)
- •previous pre-operative or post-operative radiotherapy within 3 months before study treatment
- •4. History of other malignant tumors within the last 5 years, except basal cell carcinoma or curatively excised cervical carcinoma in situ
- •5. Known brain metastases unless adequately treated (surgery or radiotherapy) with no evidence of progression and neurologically stable off anticonvulsants and steroids
- •6. Clinically significant cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) =1year before enrolment
- •7. Inadequate pulmonary function according to the Investigator’s judgment, history of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan
- •8. Known active HBV, HCV or HIV infection
- •9. Serious concomitant disease or medical condition that in the judgment of the investigator renders the patient at high risk from treatment complication
- •10. Any systemic disease requiring oral intake of corticosteroids (except for replacement therapy of corticosteroids – hydrocortisone in case of adrenal or pituitary insufficiency)
- •11. Hearing loss = Grade 3 (CTCAE v4.03) 12. Patient pregnant or breast feeding, or planning to become pregnant within 8 weeks after the end of treatment
- •13. Patient (male or female) is not willing to use highly effective methods of contraception (per institutional standard) during treatment and for 8 weeks (male or female) after the end of treatment.
- •14. Concurrent treatment with other experimental drugs or participation in another clinical trial with any investigational drug within 28 days prior to treatment start
- •15. Concurrent treatment with inhibitors (e.g. itraconazol, ketoconazol) and inducers (e.g. phenytoin, rifampicin) of CYP3A4 and/or the multidrug efflux pump P-glycoprotein (PgP).
- •16. Known drug abuse/alcohol abuse
- •17.Peripheral polyneuropathy = Grade 2 (CTCAE v4.03)
- •18. Active chronic inflammatory bowel disease
- •19. Any condition which might interfere with study objectives (e.g. infections) or would limit the patient’s ability to complete the study in the opinion of the investigator
- •20. Patient who has be incarcerated or involuntarily institutionalized by court order or the authorities (AMG § 40, Abs. 1 No. 4).
- •21. Affected persons who might be dependent on the sponsor or the investigator
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