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临床试验/NL-OMON52108
NL-OMON52108招募中2 期

Anti-PD-1, Capecitabine, and Oxaliplatin for the first-line treatment of dMMR esophagogastric cancer (AuspiCiOus-dMMR): a proof-of-principle study - AuspiCiOus

Academisch Medisch Centrum0 个研究点目标入组 25 人开始时间: 待定最近更新:

试验速览

阶段
2 期
状态
招募中
入组人数
25

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 64(—)

入选标准

  • - Male or female adult patients (> 18 years)
  • - Primaire tumor or metastasis accessible for repeat fresh histological biopsies
  • - dMMR identified by IHC of mismatch repair proteins MLH1, PMS2, MSH2, and MSH6
  • - Patients with histologically confirmed diagnosis of metastatic or
  • irresectable HER2 negative adenocarcinoma of the stomach or oesophagus;
  • patients with HER2 positive disease are eligble when treatment with trastuzumab
  • is contraindicated. If histology cannot be obtained, cytology is acceptable to
  • prove metastatic disease
  • - Patients with metastatic or irresectable adenocarcinoma of the stomach or
  • oesophagus not pre-treated with chemotherapy or radiotherapy for irresectable
  • or metastatic disease. Palliative radiotherapy on the primary tumor or a
  • metastatic lesion is allowed if other untreated lesions eligble for evaluation
  • are present
  • - Measurable disease as assessed by RECIST 1.1
  • - ECOG (WHO) performace status 0-2
  • - Patient has adequate hepatic, renal and hematological function

排除标准

  • - Severe renal impairment (CLcr <= 30 ml/min)
  • - Any prior anti-cancer chemotherapy, biologic or investigational therapy for
  • metastatic or irresectable stomach or oesophageal cancer
  • - Disease progression within six months after completion of (neo)adjuvant
  • chemotherapy containing a fluoropyrimidine and/or platinum compound. (Disease
  • progression within 6 months after completion of neoadjuvant chemoradiation
  • carboplatin AUC 2 and paclitaxel 50 mg/m2 is allowed.)
  • - Patient has known brain metastases, unless previously treated and
  • well-controlled for at least 3 months (defined as clinically stable, no edema,
  • no steroids and stable in 2 scans at least 4 weeks apart).
  • - Past or current malignancy other than entry diagnosis interfering with
  • prognosis of metastatic esophagogastric cancer.
  • - Complete dihydropyrimidine dehydrogenase deficiency.
  • - Use of other investigational drugs within 30 days of enrollment.
  • - Patient is enrolled in any other clinical protocol or investigational trial
  • that will interfere with the primary endpoint of the current study.
  • - Treatment within 4 weeks with DPD inhibitors, including sorivudine or its
  • chemically related analogues such as brivudine.
  • - Pre-existing motor or sensory neurotoxicity greater than CTCAE grade 1.

研究者

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