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临床试验/2024-516198-61-00
2024-516198-61-00招募中3 期

UNIRAD : Randomised, double-blind, multicentre phase III trial evaluating the safety and benefit of adding everolimus to adjuvant hormone therapy in women with high risk of relapse, ER+ and HER2- primary breast cancer who remain free of disease

Unicancer50 个研究点 分布在 2 个国家目标入组 1,080 人开始时间: 2024年8月29日最近更新:
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试验速览

阶段
3 期
状态
招募中
发起方
Unicancer
入组人数
1,080
试验地点
50
主要终点
Disease free survival rate (DFS) after randomisation (disease is defined as local, regional or metastatic relapse, a new contralateral breast cancer, or death from any cause).

研究概览

简要总结

To evaluate the benefit on disease-free survival (DFS) from adding 2 years everolimus to standard endocrine treatments.

研究设计

研究类型
Interventional

入排标准

年龄范围
18 years 至 65+ years(65+ Years, 18-64 Years)
性别
Female
接受健康志愿者

入选标准

  • Female ≥ 18 years of age
  • Adequate hematological function (neutrophil count  2x109/l, platelet count  100x 109/l)
  • Adequate hepatic function: AST and ALT ≤ 2.5 ULN, alkaline phosphatases ≤ 2.5 ULN, total bilirubin ≤ 2 ULN.
  • Adequate renal function: serum creatinine ≤ 1.5 ULN
  • Signed written informed consent.
  • Histologically proven invasive unilateral or bilateral breast cancer (regardless of the morphological subtype)
  • Patient with high risk of relapse
  • ER+ and HER2 negative : Hormone receptor positive is defined as any staining on the primary tumor, HER2 negativity is defined as IHC 0-1+, or [IHC 2+ and FISH or CISH non-amplified]
  • Primary tumor completely resected (deep margins and overlying skin involvement allowed if fully resected)
  • Patients who will begin an adjuvant hormone therapy or have received a maximum of 4 years of adjuvant hormone therapy. Hormone therapy could be either tamoxifen +/- LH-RH agonists, letrozole, anastrozole or exemestane
  • No clinically or radiologically detectable metastases at time of inclusion.
  • WHO Performance status (ECOG) of 0 or 1.

排除标准

  • Any local or regional recurrence or metastatic disease.
  • Patient with chronic infection
  • Uncontrolled diabetes defined as glycated haemoglobin , HbA1c>7%
  • Uncontrolled hypercholesterolemia (cholesterol >300 mg/dl under adequate therapy).
  • Known hypersensitivity to the active substance, to other rapamycin derivatives or to any of the excipients.
  • Patient with other concurrent severe and/or uncontrolled medical disease or infection which could compromise participation in the study (e.g. patient who regularly require systemic steroids to control co-morbid disease).
  • Patient with any psychological, familial, social or geographical condition which could potentially hamper compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial.
  • Any clinical or radiological suspicion of malignant or pre-malignant disease in the contralateral breast.
  • Patients with pN1mi as sole nodal involvement
  • Previous cancer (excepted basal cell carcinoma of the skin or in situ carcinoma of the cervix) in the preceding 5 years, including invasive contralateral breast cancer.
  • Patient already included in another ongoing therapeutic trial involving an unlicensed drug for which follow-up is required.
  • Patient who is pregnant or breast-feeding. Adequate birth control measures should be taken during the study treatment phase.
  • Patient with significantly impaired lung function (e.g. Chronic Obstructive Pulmonary Disease, respiratory insufficiency, Interstitial Lung Disease)
  • Positive serology for HIV infection or hepatitis C.
  • Chronic carrier of HBV (positive Antigen HbsAg positive in the blood)

结局指标

主要结局

Disease free survival rate (DFS) after randomisation (disease is defined as local, regional or metastatic relapse, a new contralateral breast cancer, or death from any cause).

Disease free survival rate (DFS) after randomisation (disease is defined as local, regional or metastatic relapse, a new contralateral breast cancer, or death from any cause).

次要结局

  • Efficacy : Overall survival rate (OS) for the whole population
  • Efficacy : DFS and OS for ER+ and PR+ subgroup
  • Efficacy : DFS and OS for the ER+/PR – subgroup
  • Efficacy : EFS
  • Efficacy : DMFS
  • Efficacy : BMFS
  • Efficacy : Secondary cancer
  • Toxicity : CTC-AE scale version 4.0.
  • Biological : Predictive value of mTOR activation markers on DFS: IHC analysis of primary tumor for pS6K and p4EBP
  • Biological : Other translational analyses linking cancer biology with outcomes
  • Other : Quality of life: QLQ C30
  • Other : EFS and DMFS in low risk patients (according to the EPClin score)
  • Other : Sociologic study

研究者

发起方
Unicancer
申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Nourredine AIT RAHMOUNE

Scientific

Unicancer

研究点 (50)

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