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临床试验/EUCTR2013-005590-41-NL
EUCTR2013-005590-41-NL进行中(未招募)1 期

A phase I followed by a randomized phase II trial of two cycles carboplatin-olaparib followed by olaparib monotherapy versus capecitabine in BRCA-1 or -2 mutated Her2 negative advanced breast cancer as first line treatment (REVIVAL study) - Phase I/randomized phase II study of carboplatin-olaparib in BRCA mutated breast cancer

etherlands Cancer Institute0 个研究点目标入组 130 人开始时间: 2014年10月15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
130

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.Histological or cytological proof of advanced cancer pre-treated with maximally one line of systemic chemotherapy and any line of hormonal therapy and potentially benefitting from olaparib-carboplatin combination therapy;
  • 2.Age >= 18 years;
  • 3.Able and willing to give written informed consent;
  • 4.WHO performance status of 0, 1 or 2;
  • 5.Able and willing to undergo blood sampling for PK and PD analysis;
  • 6.Life expectancy > 3 months, allowing adequate follow up of toxicity evaluation and antitumor activity;
  • 7.Evaluable disease according to RECIST 1.1 criteria;
  • 8.Minimal acceptable safety laboratory values
  • a.ANC of > 1.5 x 109 /L
  • b.Hemoglobin of at least 5.6 mM
  • c.Platelet count of > 100 x 10^9 /L
  • d.Hepatic function as defined by serum bilirubin < 1.5 x ULN, ASAT and ALAT <2.5 x ULN
  • e.Renal function as defined by serum creatinine < 1.5 x ULN or creatinine clearance > 50 mL/min (by Cockcroft-Gault formula);
  • 9.Negative pregnancy test (urine/serum) for female patients with childbearing potential;
  • 1.Histological or cytological proof of advanced BRCA1 or -2 mutated HER2 negative breast cancer, without systemic chemotherapy pre-treatment for advanced disease and with any line of hormonal therapy pre-treatment;
  • 2.Age >= 18 years;
  • 3.Able and willing to give written informed consent;
  • 4.WHO performance status of 0, 1 or 2;
  • 5.Life expectancy > 3 months, allowing adequate follow up of toxicity evaluation and antitumor activity;
  • 6.Measureable disease according to RECIST 1.1 criteria;
  • 7.Minimal acceptable safety laboratory values
  • a.ANC of > 1.5 x 109 /L
  • b.Hemoglobin of at least 5.6 mM
  • c.Platelet count of > 100 x 109 /L
  • d.Hepatic function as defined by serum bilirubin < 1.5 x ULN, ASAT and ALAT < 2.5 x ULN
  • e.Renal function as defined by serum creatinine < 1.5 x ULN or creatinine clearance >50 mL/min (by Cockcroft-Gault formula);
  • 8.Negative pregnancy test (urine/serum) for female patients with childbearing potential;
  • 9.Pretreatment containing an anthracycline and/or taxane in the (neo-)adjuvant setting unless these treatments are not indicated.
  • 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 90
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 40

排除标准

  • 1.Any treatment with investigational drugs within 28 days prior to receiving the first dose of investigational treatment; or 21 days for standard (neo-)adjuvant chemotherapy, hormonal and immunotherapy;
  • 2.Patients who have received previous treatment with platinum compounds or high dose alkylating agents or a PARP1 inhibitor;
  • 3.Any current treatment with drugs that induce or inhibit the CYP450 system : http://www.fda.gov/drugs/developmentapprovalprocess/developmentresources/druginteractionslabeling/ucm093664.htm#inVivo or APPENDIX IX
  • 4.Women who have a positive pregnancy test (urine/serum) and/or who are breast feeding;
  • 5.Unreliable contraceptive methods. Women and men enrolled in this trial must agree to use a reliable contraceptive method throughout the study (adequate contraceptive methods are: oral, injected or implanted hormonal methods, intra-uterine devices or systems, condom or other barrier contraceptive measures, sterilization and true abstinence)
  • 6.Radiotherapy within the last four weeks prior to receiving the first dose of investigational treatment; except 1x8 Gy for pain palliation then a seven days interval should be maintained;
  • 7.Uncontrolled infectious disease or known Human Immunodeficiency Virus HIV-1 or HIV-2 type patients;
  • 8.Patients with known active hepatitis B or C;
  • 9.Recent myocardial infarction (< six months) or unstable angina;
  • 10.Symptomatic brain metastases. If adequately treated with resection and/or irradiation and patients are at least four weeks completely free of symptoms of these metastases and without medication related to these metastases patients could be eligible if all other in- and exclusion criteria are obeyed.
  • 11.Known leptomeningeal metastases.
  • 12.Any medical condition not yet specified above that is considered to possibly, probably or definitely interfere with study procedures, including adequate follow-up and compliance and/or would jeopardize safe treatment.
  • 1.Any treatment with investigational drugs within 28 days prior to receiving the first dose of investigational treatment; or 21 days for standard (neo-)adjuvant chemotherapy, hormonal and immunotherapy;
  • 2.Patients who have had previous treatment with PARP1-inhibitors, capecitabine, platinum compounds or high dose alkylating agents;
  • 3.Treatment of advanced disease with non-hormonal therapy;
  • 4.More than two lines of endocrine therapy for advanced disease;
  • 5.Pretreatment not containing an anthracycline and/or taxane in the (neo-)adjuvant setting unless these treatments are not indicated
  • 6.Any current treatment with drugs that induce or inhibit the CYP 450 system : http://www.fda.gov/drugs/developmentapprovalprocess/developmentresources/druginteractionslabeling/ucm093664.htm#inVivo or APPENDIX IX
  • 7.DPD deficiency (determined by the DYPD*2A and 2846A>T genotype) if randomized to capecitabine
  • 8.Women who have a positive pregnancy test (urine/serum) and/or who are breast feeding;
  • 9.Unreliable contraceptive methods. Women and men enrolled in this trial must agree to use a reliable contraceptive method throughout the study (adequate contraceptive methods are: oral, injected or implanted hormonal methods, intra-uterine devices or systems, condom or other barrier contraceptive measures, sterilization and true abstinence)
  • 10.Radiotherapy within the last four weeks prior to receiving the first dose of investigational treatment; except 1x8 Gy for pain palliation then a seven days interval should be maintaine

研究者

发起方
etherlands Cancer Institute

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