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临床试验/EUCTR2019-002537-11-LT
EUCTR2019-002537-11-LT进行中(未招募)1 期

Durvalumab (MEDI4736) After chemoRadioTherapy (DART) for NSCLC patients – a phase II translational and biomarker study investigating PDL1 positive and negative patients - DART (19-14434)

Oslo University Hospital0 个研究点目标入组 100 人开始时间: 2020年2月13日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
100

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

  • For inclusion in the study patients must fulfill all of the following criteria:
  • 1.Locally-advanced, unresectable, stage 3 NSCLC (including PET-CT
  • and MRI-brain in the diagnostic work-up).
  • 2.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 (European Union [EU] Data Privacy
  • Directive in the EU) obtained from the patient/legal representative prior
  • to performing any protocol-related procedures, including screening evaluations.
  • 3.Diagnostic biopsy with PDL1 <1% in 50 patients PDL1 =1% in 50
  • 4.Adequate core or excisional biopsy
  • 5.Age = 18 years at time of study entry
  • 6.Eastern Cooperative Oncology Group (ECOG performance status of 0,
  • 7.Life expectancy of at least 12 weeks
  • 8.Body weight >30 kg
  • 9.Adequate normal organ and marrow function as defined below:
  • Hemoglobin =9.0 g/dL
  • Absolute neutrophil count (ANC) 1.5 (or 1.0) x (> 1500 per mm3)
  • Platelet count =100 (or 75) x 109/L (>75,000 per mm3)
  • Serum bilirubin =1.5 x institutional upper limit of normal (ULN).
  • AST (SGOT)/ALT (SGPT) =2.5 x institutional upper limit of normal
  • unless liver metastases are present, in which case it must be =5x ULN
  • Measured creatinine clearance (CL) >40 mL/min or Calculated
  • creatinine CL>40 mL/min by the Cockcroft-Gault formula (Cockcroft and
  • Gault 1976) or by 24-hour urine collection for determination of
  • creatinine clearance
  • 10.Evidence of post-menopausal status or negative urinary or serum
  • pregnancy test for female pre-menopausal patients. Women will be
  • considered post-menopausal if they have been amenorrheic for 12
  • months without an alternative medical cause.
  • 11.Women of childbearing potential should have a negative urine or
  • serum pregnancy test within 7 days prior to receiccing first dose of study
  • medication. if the urine test is positive or cannot be confirmed as
  • negative, a serum pregnancy test will be required. A woman is
  • considered WOCBP, i.e. fertile, following menarche and untill becoming
  • post-menopausal unkess permanently sterile. Permanent sterilisation
  • methods include hysterectomy, bilateral salpingectomy and bilateral
  • oophorectomy.
  • 12. WOCBP should use an adequate method to avoid pregnancy
  • 13.Males who are sexually active with women of childbearing potential
  • must agree to follow instructions for method(s) of contraception for a
  • period of 90 days (duration of sperm turnover) plus the time required for
  • the investigational drug to undergo five half-lives
  • 14.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.
  • 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 50
  • 另有 2 项未显示

排除标准

  • 1.Non-small cell lung cancer disease suitable for curative surgery
  • 2.Significant cardiac, pulmonary or other medical illness that would
  • limit activity or survival
  • 3.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 during the last 2 weeks.
  • 4.Any concurrent chemotherapy, Investigational product (IP), biologicor homonal therapy for cancer treatment. Concurrent use of hormonal
  • therapy for non-cancer related conditions (e.g. hormone replacement
  • therapy) is acceptable.
  • 5. Major surgical procedure (as defined by the Investigator) within 28
  • days prior to the first dose of IP. Note: Local surgery of isolated lesions
  • for palliative intent is acceptable.
  • 6. History of allogenic organ transplantation.
  • 7.Active or prior documented autoimmune or inflammatory disorders
  • 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
  • 8.Uncontrolled intercurrent illness, including but not limited to,
  • ongoing or active infection, symptomatic congestive heart failure,
  • uncontrolled hypertension, unstable angina pectoris, cardiac arrhythmia,
  • interstitial lung disease, serious chronic gastrointestinal conditions
  • associated with diarrhea, or psychiatric illness/social situations that
  • would limit compliance with study requirement, substantially increase
  • risk of incurring AEs or compromise the ability of the patient to give
  • written informed consent
  • 9.History of another primary malignancy except for
  • a.Malignancy treated with curative intent and with no known active
  • disease =5 years before the first dose of IP and of low potential risk for
  • b.Adequately treated non-melanoma skin cancer or lentigo maligna
  • without evidence of disease
  • c.Adequately treated carcinoma in situ without evidence of disease
  • 10.History of active primary immunodeficiency or medical condition
  • requiring high doses (>30 mg prednisolone daily) of systemic steroids or
  • other forms of immunosuppressive therapy
  • 11.Active infection including tuberculosis (clinical evaluation that
  • includes clinical history, physical examination and radiographic findings,
  • and TB testing in line with local practice), hepatitis B (known positive
  • HBV surface antigen (HBsAg) result), and hepatitis C. Patients with a
  • past or resolved HBV infection (defined as the presence of hepatitis B
  • core antibody [anti-HBc] and absence of HBsAg) are eligible. Patients
  • positive for hepatitis C (HCV) antibody are eligible only if polymerase
  • chain reaction is negative for HCV RNA.
  • 12.Current or prior use of immunosuppressive medication within 14
  • days before the first dose of durvalumab. The following are exceptions to
  • this criterion:
  • 另有 8 项未显示

研究者

发起方
Oslo University Hospital

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