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临床试验/NCT05089461
NCT05089461暂停2 期

An Open-label, Multi-center Phase II Clinical Trial to Evaluate the Cardiac Safety of Mitoxantrone Hydrochloride Liposome Injection in the Treatment of Advanced Malignant Tumor

CSPC ZhongQi Pharmaceutical Technology Co., Ltd.1 个研究点 分布在 1 个国家目标入组 120 人开始时间: 2022年3月7日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
暂停
发起方
入组人数
120
试验地点
1
主要终点
Cardiac adverse event

研究概览

简要总结

This is a multicenter, open-label, phase II study to evaluate the cardiac safety of Mitoxantrone Hydrochloride Liposome in patients with advanced malignant tumor who has received at least first-line treatment.

详细描述

This is a multicenter, open-label, phase II study to evaluate the cardiac safety of Mitoxantrone Hydrochloride Liposome in patients with advanced malignant tumor who has received at least first-line treatment. About 120 patients will be recruited in this study. Patients with solid tumors will receive Mitoxantrone Hydrochloride Liposome 20 mg/m^2 by an intravenous infusion (IV) every 3 weeks (q3w, 1 cycle). Patients with lymphoma will receive Mitoxantrone Hydrochloride Liposome 20 mg/m^2 by an intravenous infusion (IV) every 4 weeks (q4w, 1 cycle). All the patients will receive the treatment until disease progression, intolerable toxic reaction, death, or withdrawal by investigator's or patient's decision.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients fully understand and voluntarily participate in this study and sign informed consent;
  • Age ≥18 years;
  • Histologically confirmed diagnosis of late-stage solid tumor or peripheral T cell lymphoma (PTCL);
  • Has received standard first-line treatment;
  • Previous treated with anthracyclines, and converted to doxorubicin at equivalent doses. The cumulative dose of doxorubicin is 160 mg/m^2 < doxorubicin ≤550 mg/m^2;
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2;
  • Adequate organ function:
  • Absolute neutrophil count (ANC) >1.5 10^9/L;
  • Hemoglobin > 90 g/L;
  • Platelet count > 75 10^9/L;
  • Creatinine < 1.5 upper limit of normal (ULN);
  • Total bilirubin < 1.5 ULN (< 3 ULN in patients with hepatic metastasis);
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) < 2.5 ULN (< 5 ULN in patients with hepatic metastasis);
  • Patients of childbearing potential must agree to use effective contraceptive measures from screening until 6 months after the end of the last dose; Female patients must have a negative pregnancy test before enrolment.

排除标准

  • History of allergy to mitoxantrone hydrochloride or liposomal drugs;
  • Other malignant tumors in the past 3 years, excluding cervical carcinoma in situ, basal cell carcinoma of the skin or squamous cell carcinoma of the skin that have been radically treated;
  • Cerebral or meningeal metastases;
  • HBsAg or HBcAb positive with HBV DNA ≥ 2000 IU/mL, HCV antibody positive with HCV RNA above the lower limit of detection of the study center, or human immunodeficiency virus (HIV) antibody positive;
  • Life expectancy ≤ 12 weeks;
  • AEs from the previous treatment > Grade 1 based on CTCAE (except for the toxicity without safety risk judged by the investigator, such as alopecia, hyperpigmentation);
  • Cardiac dysfunction, including:
  • Long QT interval syndrome; 2)High-degree atrioventricular block; 3)Malignant arrhythmia poorly controlled by medication; 4)A history of chronic heart failure with NYHA≥3; 5)Severe heart valve regurgitation or stenosis requiring treatment; 6)Acute coronary syndrome, severe pericardial disease, severe myocardial disease within 6 months prior to screening; 7)Poorly controlled hypertension (defined as systolic blood pressure greater than 160 mmHg or diastolic blood pressure greater than100 mmHg, measured ≥3 times, under control of antihypertensive drug); 8)Echocardiography showed LVEF < 50%; 8.Active bacterial or fungal infection requiring systemic intravenous therapy within 1 week before the first dose; 9.Use of other anticancer treatment within 4 weeks prior to the first dose; 10.Enrolled in any other clinical trials within 4 weeks prior to the first dose; 11.Patients underwent major surgery within 3 months prior to the first dose, or have a surgical schedule during the study period;; 12.Thrombosis or thromboembolism within 6 months prior to the first dose; 13.Lactating female; 14.Serious and/or uncontrolled systemic diseases; 15.Not suitable for this study as decided by the investigator due to other reasons.

研究组 & 干预措施

Mitoxantrone Hydrochloride Liposome Injection

Experimental

Patients with advanced malignant tumor will receive 20 mg/m^2 Mitoxantrone Hydrochloride Liposome by an intravenous infusion (IV) on day 1 of each treatment cycle.

干预措施: Mitoxantrone Hydrochloride Liposome (Drug)

结局指标

主要结局

Cardiac adverse event

时间窗: up to approximately 5 years.

次要结局

  • Overall response rate (ORR)(up to approximately 3 years)
  • Progression-free survival (PFS)(up to approximately 3 years.)
  • Overall survival (OS)(up to approximately 5 years)
  • Incidence of treatment emergent adverse event (TEAE)(up to approximately 3 years.)

研究者

发起方
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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