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临床试验/EUCTR2008-000973-40-NL
EUCTR2008-000973-40-NL进行中(未招募)1 期

A prospective, multicenter, randomized, open-label, active-controlled, , phase III study to compare efficacy and safety of masitinib to imatinib at 400 or 600 mg in treatment of patients with gastro-intestinal stromal tumour in first line medical treatment - AB04030

AB SCIENCE0 个研究点目标入组 450 人开始时间: 2010年12月23日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
450

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. Histologically proven, metastatic or locally advanced non resectable,
  • or recurrent post surgery GIST
  • 2. Naïve patient or patient previously treated with imatinib as
  • neoadjuvant/adjuvant who relapsed after imatinib discontinuation
  • 3. Measurable tumour lesions with longest diameter = 20 mm using
  • conventional techniques or = 10 mm with spiral CT scan according
  • RECIST criteria
  • 4. C-Kit (CD117) positive tumours detected by immuno-histochemically or PDGFR positive if c-kit negative
  • 5. ECOG < 1
  • 6. Patient with adequate organ function:
  • Absolute neutrophil count (ANC) = 1.5 x 109/L
  • Haemoglobin = 10 g/dL
  • Platelets (PTL) = 75 x 109/L
  • AST/ALT = 3x ULN (= 5 x ULN in case of liver metastases)
  • Gamma GT = 2.5 x ULN (= 5 x ULN in case of liver metastases)
  • Bilirubin = 1.5x ULN (= 3 x ULN in case of liver metastases)
  • Normal Creatinine or if abnormal creatinine, Creatinine clearance =
  • 50 mL/min (Cockcroft and Gault formula)
  • Albumin > 1 x LLN
  • Proteinuria < 30 mg/dL (1+) on the dipstick; in case of proteinuria =
  • 30 mg/dL, 24 hours proteinuria must be = 1.5g
  • 7. Patient with life expectancy > 3 months
  • 8. Men or women, age =18 years
  • 9. Men and women of childbearing potential must agree to use two
  • methods (one for the patient and one for the partner) of medically
  • acceptable forms of contraception during the study and for 3 months
  • after the last treatment intake. Female patient of childbearing potential
  • must have a negative pregnancy test at screening and baseline.
  • 10. Patient should be able and willing to comply with study procedures
  • as per protocol.
  • 11. Patient should be able to understand, sign, and date the written
  • voluntary informed consent form at screening visit prior to any protocolspecific
  • procedures. If the patient is deemed by the treating physician to
  • be cognitively impaired or questionably impaired in such a way that the
  • ability of the patient to give informed consent is questionable, the
  • designated legal guardian must sign the informed consent.
  • 12. Patient able to understand the patient card and to follow the patient
  • card procedures, in case of signs or symptoms of severe neutropenia or
  • severe cutaneous toxicity, during the first 2 months of treatment.
  • 13. Patients affiliated to a social security regimen
  • 14. Patient weight > 40 kg and BMI > 18 kg/m²
  • 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 225
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 225

排除标准

  • 1. Patient previously treated by tyrosine kinase inhibitors except
  • imatinib in case of inclusion criteria 2
  • 2. Patient treated for a cancer other than GIST within 5 years before
  • enrolment, with the exception of basal cell carcinoma or cervical cancer
  • 3. Patient with active central nervous system (CNS) metastasis or with
  • history of CNS metastasis
  • 4. Patient presenting with cardiac disorders defined by at least one of
  • the following conditions:
  • Patient with recent cardiac history (within 6 months) of:
  • - Acute coronary syndrome
  • - Acute heart failure (class III or IV of the NYHA classification)
  • - Significant ventricular arrhythmia (persistent ventricular tachycardia,
  • ventricular fibrillation, resuscitated sudden death)
  • Patient with cardiac failure class III or IV of the NYHA classification.
  • Patient with severe conduction disorders which are not prevented by
  • permanent pacing (atrio-ventricular block 2 and 3, sino-atrial block).
  • Syncope without known aetiology within 3 months.
  • Uncontrolled severe hypertension, according to the judgment of the
  • investigator, or symptomatic hypertension.
  • 5. Patient with history of poor compliance or history of drug/alcohol abuse, or excessive alcohol beverage consumption that would interfere
  • with the ability to comply with the study protocol, or current or past
  • psychiatric disease that might interfere with the ability to comply with
  • the study protocol or give informed consent
  • 6. Patient with any condition that the physician judges as detrimental
  • to subjects participating in this study, including any clinically important
  • deviations from normal clinical laboratory values or concurrent medical
  • 1. Treatment with any investigational agent within 4 weeks prior
  • 2. Treatment by imatinib as neoadjuvant/adjuvant therapy within 4
  • weeks prior baseline

研究者

发起方
AB SCIENCE

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