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临床试验/jRCTs031220099
jRCTs031220099招募中不适用

Master protocol trial for rare fractions of hepato-pancreato-biliary cancer and neuroendocrine tumor.

未提供0 个研究点目标入组 68 人开始时间: 2022年8月18日最近更新:

试验速览

阶段
不适用
状态
招募中
入组人数
68
主要终点
Objective response rate

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Single Arm Study
干预模型
Single Assignment
主要目的
Treatment Purpose
盲法
Open(masking Not Used)

入排标准

年龄范围
20age old over 至 No limit(—)
性别
All

入选标准

  • (1) Pathologically confirmed undifferentiated carcinoma of the pancreas;
  • (2) Unresectable disease diagnosed by contrast-enhanced CT (chest, abdomen, and pelvis) and/or MRI (abdomen and pelvis) imaging;
  • If the patient received adjuvant chemotherapy and the diasese recurred within 6 months after the completion, the patient is excluded from this study.
  • (3) At least 20 years of age;
  • (4) Eastern Cooperative Oncology Group (ECOG) performance status of 0-1;
  • (5) Measurable disease by RECIST v1.1 criteria;
  • (6) No prior treatment for undifferentiated carcinoma of the pancreas;
  • (7) Adequate hematologic and organ function defined by the following laboratory test results, obtained within 7 days prior to study enrollment:
  • Absolute neutrophil count (ANC) >=1,500 /mm3,
  • Hemoglobin >= 8.0 g/dL,
  • Platelet count >= 10^4/mm3,
  • Serum total bilirubin <= 2.0 mg/dL,
  • Aspartate transaminase (AST) < 100 U/L without liver metastases (< 150 U/L is acceptable if liver metastases are present),
  • Alanine transaminase (ALT) < 100 U/L without liver metastases (< 150 U/L is acceptable if liver metastases are present),
  • Serum creatinine (Cr) <= 1.2 mg/dL
  • (8) Signed written informed consent form.
  • (1) Pathologically confirmed acinar cell carcinoma of the pancreas;
  • (2) Unresectable disease diagnosed by contrast-enhanced CT (chest, abdomen, and pelvis) and/or MRI (abdomen and pelvis) imaging;
  • If the patient received adjuvant chemotherapy and the diasese recurred within 6 months after the completion, the patient is excluded from this study.
  • (3) 20-75 years of age;
  • (4) ECOG performance status of 0-1;
  • (5) Measurable disease by RECIST v1.1 criteria;
  • (6) No prior treatment for acinar cell carcinoma of the pancreas;
  • (7) Peripheral motor or sensory neuropathy <= grade 1;
  • (8) None of UGT1A1 polymorphisms (UGT1A1*6/*6, UGT1A1*28/*28, and UGT1A1*6/*28);
  • (9) Adequate hematologic and organ function defined by the following laboratory test results, obtained within 7 days prior to study enrollment:
  • Absolute neutrophil count (ANC) >=1,500 /mm3,
  • Hemoglobin >= 8.0 g/dL,
  • Platelet count >= 10^4/mm3,
  • Serum total bilirubin <= 1.5 mg/dL,
  • AST < 100 U/L without liver metastases (< 150 U/L is acceptable if liver metastases are present),
  • ALT < 100 U/L without liver metastases (< 150 U/L is acceptable if liver metastases are present),
  • Cr <= 1.2 mg/dL
  • (10) Signed written informed consent form.
  • (1) Pathologically confirmed adenocarcinoma;
  • (2) Metastatic or recurrent* pancreatic cancer diagnosed diagnosed by contrast-enhanced CT (chest, abdomen, and pelvis) and/or MRI (abdomen and pelvis) imaging;
  • If the patient received adjuvant chemotherapy and the diasese recurred within 6 months after the completion, the patient is excluded from this study.
  • (3) Presence of UGT1A1 polymorphisms (UGT1A1*6/*6, UGT1A1*28/*28, and UGT1A1*6/*28);
  • (4) 20-75 years of age;
  • (5) ECOG performance status of 0-1;
  • (6) Measurable disease by RECIST v1.1 criteria;
  • (7) No prior treatment for pancreatic cancer;
  • (8) Peripheral motor or sensory neuropathy <= grade 1;
  • (9) Adequate hematologic and organ function defined by the following laboratory test results, obtained within 7 days prior to study enrollment:
  • Absolute neutrophil count (ANC) >=1,500 /mm3,
  • Hemoglobin >= 8.0 g/dL,
  • Platelet count >= 10 x 10^4/mm3,
  • Serum total bilirubin <= 2.0 mg/dL,
  • AST < 100 U/L without liver metastases (< 150 U/L is acceptable if liver metastases are present),
  • ALT < 100 U/L without liver metastases (< 150 U/L is acceptable if liver metastases are present),
  • 另有 18 项未显示

排除标准

  • (1) History of malignancy (except for adequately treated carcinoma in situ, non-invasive cancer) within 2 years prior to study entry except if the patient has undergone potentially curative therapy with no evidence of that disease recurrence for 2 years;
  • (2) Evidence of uncontrolled, active infection, requiring anti-infectious treatment, except for viral hepatitis;
  • (3) Known central nervous system metastases (imaging required only if participants are symptomatic);
  • (4) Symptomatic ascites or pleural effusion;
  • (5) Significant lung disease, including interstitial lung disease, pulmonary fibrosis, or severe emphysema;
  • (6) Active watery diarrhea;
  • (7) Pregnant, lactating or females of childbearing age unless using highly effective contraception;
  • (8) Male with partner of child-bearing potential unless using highly effective contraception;
  • (9) Patients with significant psychiatric disorder;
  • (10) History of arterial thromboembolism (e.g., myocardial infarction, unstable angina, and cerebral infarction) within 6 months prior to the initiation of study treatment;
  • (11) Significant comorbidities, such as uncontrolled diabetes mellitus, uncontrolled hypertension, New York Heart Association (NYHA) Class III or greater cardiac disease, chronic kidney disease, or liver dysfunction;
  • (12) Requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medication;
  • (13) Esophageal or gastric varices with a risk of bleeding without preventive treatment;
  • (14) History of hypersensitivity to the study drugs used in each cohort;
  • (15) Patients whose entry in the study is considered by the investigator to be inappropriate.

结局指标

主要结局

Objective response rate

Cohort A: Objective response rate Cohort B: Objective response rate Cohort C: Objective response rate Cohort D: Objective response rate

次要结局

未报告次要终点

研究者

发起方
未提供

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