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临床试验/2024-517205-82-00
2024-517205-82-00招募中2 期

A multicentre, open-label phase 2 study to evaluate the efficacy and safety of pembrolizumab in the treatment of advanced, progressive adrenocortical carcinoma

Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy4 个研究点 分布在 1 个国家目标入组 24 人开始时间: 2024年9月22日最近更新:
适应症
相关药物

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
24
试验地点
4
主要终点
Overall Survival (OS)

研究概览

简要总结

Evaluation of the efficacy of pembrolizumab in the treatment of advanced progressive adrenocortical cancer

研究设计

研究类型
Interventional

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Informed consent form to participate in the study
  • Age over 18
  • Histopathologically confirmed adrenal cortex cancer
  • The patient's general condition assessed according to the ECOG scale < 2
  • Measurable disease according to RECIST 1.1
  • Confirmed progression according to RECIST 1.1 within the last 6 months in patients who received at least 1 line of treatment with EDP or EDP-M
  • Adequate function of the bone marrow and internal organs: a. hemoglobin ≥ 9g%, neutrophils > 1500/mm3, platelets > 100 thousand/mm3 b. bilirubin ≤ 2 x upper limit of normal (ULN), Alat, AST ≤ 3 x ULN (in the presence of liver metastases ≤ 5 x ULN) c. creatinine clearance > 40ml/min d. coagulation parameters: INR, PT, APTT < 1.5 x ULN (exception: patients undergoing anticoagulation therapy, where INR, PT, APTT remain within the therapeutic range recommended for a given patient)
  • For women of reproductive age: confirmed negative pregnancy test result and the need to use double barrier contraception
  • For men of reproductive age: the need to use double barrier contraception

排除标准

  • Pretreatment with an immune checkpoint inhibitor
  • Hepatitis B or C
  • Active tuberculosis
  • Current active infection requiring systemic treatment
  • Symptomatic, untreated CNS metastases (exception: patients with asymptomatic CNS metastases, after previous surgical or radiotherapy treatment and without a history of intracranial bleeding)
  • Circulatory failure NYHA ≥3
  • Corrected QT interval > 500 ms
  • Significant comorbid disease, including cancer, with the exception of basal cell carcinoma of the skin, in situ cancers: prostate, cervix, breast
  • Another significant comorbid condition that, in the investigator's opinion, would pose a threat to the patient during therapy
  • Pregnancy or breastfeeding
  • Patients requiring dialysis
  • Any anticancer therapy in the last 7 days
  • Inability of the patient to meet the requirements specified in the study protocol
  • Vaccination with a live vaccine within 3 months before starting treatment
  • Persistent side effects of previously used anticancer therapy at stage > G1 or after previous surgical treatment (exception: alopecia)
  • Current or recent immunosuppressive therapy
  • Therapy with glucocorticosteroids at a dose higher than the replacement dose (subject to permissible use: inhaled or topical steroids, single administration of a steroid, e.g. in the case of an allergic reaction to contrast, the use of mineralocorticoids, steroids in the course of asthma)
  • Previous allogeneic bone marrow transplant or organ transplant
  • Autoimmune disease present or diagnosed within the last 2 years, except for vitiligo, psoriasis not requiring systemic treatment, autoimmune thyroid disease
  • Active or previously documented inflammatory bowel disease
  • Previous non-infectious pneumonia requiring steroid therapy

结局指标

主要结局

Overall Survival (OS)

Overall Survival (OS)

Objective Response Rate (ORR)

Objective Response Rate (ORR)

Progression-Free Survival (PFS)

Progression-Free Survival (PFS)

Duration of Response (DoR)

Duration of Response (DoR)

次要结局

  • Quality of life assesed by QLQ-C30 questionnaire
  • Number of Adverse Events and Serious Adverse Events (AEs and SAEs) related and unrelated to treatment according to CTCAE

研究者

发起方
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Clinical Research Support Center

Scientific

Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy

研究点 (4)

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