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临床试验/EUCTR2014-003774-16-FR
EUCTR2014-003774-16-FR进行中(未招募)1 期

Phase I/II dose-finding, safety and efficacy study of radium-223 dichloride (XOFIGO®) in renal cell carcinoma patients with bone metastases - EIFFE

A.R.T.I.C. (Association pour la Recherche de Thérapeutiques Innovantes en Cancérologie )0 个研究点开始时间: 2015年6月19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

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 eligible for inclusion in this study have to meet the following criteria:
  • 1.Histologically confirmed metastatic RCC with a clear cell component..
  • 2.Bone metastases upon bone scan and MRI performed any time within period of 4 weeks prior to study entry, with at least one evaluable unidimensional bone lesion (i.e., =1 malignant tumour mass that can be accurately measured in at least 1 dimension = 10 mm on T1-weighted Magnetic Resonance Imaging [MRI]).
  • Group A: bone metastases (lymph nodes and/or adrenal metastases, and/or = 5 lung metastases of less than 1 cm each, are allowed) .
  • Group B: bone metastases AND visceral metastases upon MRI or CT-scan (according to revised RECIST 1.1 criteria).
  • 3.Naïve patient (first line setting) or patient with disease progression on last therapy (second or third line setting).
  • 4.Male or female, age =18 years at ICF signature time.
  • 5.ECOG performance status of 0 or 1.
  • 6.Good or Intermediate prognostic group according to the International Metastatic Database Consortium (IMDC).
  • 7.At least 4 weeks from the end of a previous systemic treatment, if any, with resolution of all treatment-related toxicity according to NCI CTCAE Version 4.03 grade = 1 except for alopecia.
  • 8.Palliative local treatment allowed if performed = 2 weeks prior to study entry for radiotherapy, cimentoplasty or minor surgery; = 4 weeks prior to study entry for major surgery.
  • 9.Adequate organ function defined by the following criteria:
  • a.Absolute Neutrophils count (ANC) =1 500 cells/mm3
  • b.Platelets =100 000 cells/mm3
  • c.Haemoglobin = 9.0 g/dL
  • d.AST and ALT = 2.5 x upper limit of normal (ULN), unless there are liver metastases in which case AST and ALT =5.0 x ULN
  • e.Total bilirubin = 1.5 x ULN
  • f.Serum creatinine = 1.5 x ULN or calculated creatinine clearance = 50 mL/min
  • g.Urinary protein < 2+ by urine dipstick. If dipstick is = 2+ then a 24-hour urine collection can be done and the patient may enter only if urinary protein is < 2 g per 24 hours
  • h.Corrected calcium = 2.8 mmol/L.
  • 10.Women of childbearing potential must have a negative serum pregnancy test within 7days prior to treatment initiation.
  • 11.Signed and dated informed consent document indicating that the patient (or legally acceptable representative) has been informed of all pertinent aspects of the trial prior to enrolment.
  • 12.Willingness to comply with protocol requirements, including effective contraception during study treatment and for 6 months after last dose of study drug.
  • 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 12
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 30

排除标准

  • 1.Poor prognostic group according to the IMDC.
  • 2.Prior radiotherapy to = 40% of bone marrow, whole pelvic irradiation and/or prior isotope therapy whatever the isotope (any a- or ß-emitters).
  • 3.Active secondary cancer including prior malignancy from which the subject has been disease-free for = 3 years (however, adequately treated superficial basal cell skin or cervical carcinoma in situ before 4 weeks prior to entry are eligible to the study).
  • 4.Known brain or leptomeningeal involvement.
  • 5.Other concurrent serious illness or medical conditions.
  • 6.Uncontrolled hypertension.
  • 7.Uncontrolled cardiac arrhythmias, angina pectoris, and/or hypertension. History of congestive heart failure, or myocardial infarction within the last 6 months.
  • 8.QTc interval (QTc) assessed by local device > 500ms in the 7 days prior to inclusion.
  • 9.Biphosphonates, denosumab and/or vitamin D supplementation received within 2 weeks before the first injection of XOFIGO®.
  • 10.Active infection requiring systemic antibiotic or anti-fungal medication.
  • 11.Participation in another clinical trial with any investigational drug within 30 days prior to study enrolment.

研究者

发起方
A.R.T.I.C. (Association pour la Recherche de Thérapeutiques Innovantes en Cancérologie )

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