EUCTR2019-004100-35-DE进行中(未招募)1 期
Phase III postneoadjuvant study evaluating Sacituzumab Govitecan, an Antibody Drug Conjugate in primary HER2-negative breast cancer patients with high relapse risk after standard neoadjuvant treatment - SASCIA - SASCIA
适应症
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 入组人数
- 1,332
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
- •Patients with residual invasive disease after neoadjuvant chemotherapy at high
- •risk of recurrence defined by either:
- •- For HR-negative: any residual invasive disease > ypT1mi
- •- For HR-positive disease: a CPS+EG score = 3 or CPS+EG score 2 and ypN+ using
- •local ER and grade assessed on core biopsies taken before start of
- •neoadjuvant treatment.
- •-Patients must have received neoadjuvant taxane-based chemotherapy for 16 weeks (anthracyclines
- •are permitted). This period must include 6 weeks of a taxane containing neoadjuvant
- •chemotherapy (exception: for patients with progressive disease that occurred after at least 6 weeks
- •of taxane-containing neoadjuvant chemotherapy, a total treatment period of less than 16 weeks is
- •also eligible).
- •-An interval of less than 16 weeks since the date of final surgery or less than 10 weeks from
- •completing radiotherapy (whichever occurs last) and the date of randomization is required
- •-Radiotherapy should be delivered before the start of study treatment. Radiotherapy to the breast is
- •indicated in all patients with breast conserving surgery and to the chest wall and lymph nodes
- •according to local guidelines as well as in all patients with cT3/4 or ypN+ disease treated by
- •mastectomy.
- •-Immune checkpoint inhibitor / immunotherapy during neoadjuvant therapy is allowed until the completion of radiotherapy
- •-Patients with known gBRCA1/2 mutation without indication to adjuvant olaparib therapy are allowed to participate in the trial.
- •-Willingness and ability to provide archived formalin fixed paraffin embedded tissue (FFPE) block
- •from surgery after neoadjuvant chemotherapy and from core biopsy before start of neoadjuvant
- •chemotherapy, which will be used for centralized prospective confirmation of HR status, HER2
- •status, Ki-67 and tumor-infiltrating lymphocytes (TILs) and for retrospective exploratory correlation
- •between genes, proteins, and mRNAs relevant to sensitivity/resistance to the investigational
- •agents. For patients with bilateral carcinoma, FFPE blocks from both sides have to be provided for
- •central testing.
- •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 1332
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 1332
排除标准
- •-Patients with definitive clinical or radiologic evidence of stage IV cancer (metastatic disease) are not
- •-Severe and relevant co-morbidity that would interact with the application of cytotoxic agents or the
- •participation in the study, including Gilbert´s disease, Crigler-Najjar-Syndrom, known hepatitis B,
- •hepatitis C, known HIV positivity or known autoimmune disease (other than diabetes, vitiligo, or
- •stable thyroid disease) and infection requiring intravenous antibiotic use within 1 week of
- •-Patients with known gBRCA1/2 mutation and indicated or planned adjuvant olaparib therapy if available
- •-Known or suspected congestive heart failure (>NYHA I) and/or coronary heart disease, angina
- •pectoris requiring antianginal medication, previous history of myocardial infarction, evidence of
- •prior infarction on ECG, uncontrolled or poorly controlled arterial hypertension (i.e. BP >150/90
- •mmHg under treatment with at maximum three antihypertensive drugs), rhythm abnormalities
- •requiring permanent treatment (excluding chronic atrial fibrillation not requiring a pacemaker),
- •clinically significant valvular heart disease, supraventricular and nodal arrhythmias requiring a
- •pacemaker or not controlled with medication; conduction abnormality requiring a pacemaker.
- •-Known allergic reactions to irinotecan.
研究者
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