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临床试验/EUCTR2018-004826-27-DK
EUCTR2018-004826-27-DK进行中(未招募)1 期

A Single Center, Randomized, Phase II Study of the combination of Cisplatin and Gemcitabine with or without Tocilizumab, an IL-6R inhibitor, as first-line treatment in patients with locally advanced or metastatic biliary tract cancer. - BILTRACTO

Department of Oncology, Herlev & Gentofte Hospital0 个研究点目标入组 166 人开始时间: 2019年2月6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
入组人数
166

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

  • Signed informed consent. This must be obtained before the performance of any protocol related procedures that are not part of normal subject care
  • Male or non-pregnant, non-lactating females who are =18 years of age at the time of signing the informed consent form (ICF)
  • Histological or cytological biliary tract adenocarcinoma. Malignant unspecified tumor cells in cytological specimen are allowed after investigator assessment, mixed histology including adenosquamous carcinoma is allowed
  • Unresectable locally advanced or metastatic biliary tract carcinoma
  • ECOG/WHO Performance Status (PS) 0-1
  • = 4 weeks since prior major surgery, = 2 weeks since prior minor surgery
  • Measurable disease using the RECIST1.1 criteria, defined as lesions that can be measured in at least one dimension and which have not been previously irradiated. Longest diameter = 20 mm with conventional techniques or = 10 mm with spiral CT scan or MRI
  • Fertile women of childbearing potential (defined as a sexually mature woman who (1) has not undergone hysterectomy [the surgical removal of the uterus] or bilateral oophorectomy [the surgical removal of both ovaries] or (2) has not been naturally postmenopausal for at least 24 consecutive months [ie, has had menses at any time during the preceding 24 consecutive months]) must use highly effective contraceptive methods (oral, injectable, or implantable hormonal contraceptive; tubal ligation; intra-uterine device; or vasectomized partner) while on study IP; and for 3 months following the last dose of chemotherapy; and has negative serum pregnancy test (ß -hCG) result at screening
  • Male subjects: must practice true abstinence (True abstinence is acceptable when this is in line with the preferred and usual lifestyle of the subject. (Periodic abstinence [eg, calendar, ovulation, symptothermal, postovulation methods] and withdrawal are not acceptable methods of contraception) or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions and for 6 months following IP discontinuation, even if he has undergone a successful vasectomy.
  • Acceptable hematology parameters defined as:
  • Absolute neutrophil count (ANC) = 1.5 x 10?/L
  • Platelet count = 100 x 10?/L
  • Acceptable liver function with:
  • Serum bilirubin < 1.5 x upper limit of normal (ULN)
  • AST and ALT <2.5 x ULN (or 5 x ULN in the presence of liver metastases)
  • Acceptable renal function with an eGFR = 60 mL/min/1,73m2
  • Subjects must have signed and dated a CHOCA approved written informed consent form in accordance with regulatory and institutional guidelines.
  • 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 83
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 83

排除标准

  • Electrocardiogram (ECG) with significant modifications suggesting a high risk of occurrence of angina pectoris or high risk of arrhythmia
  • Other malignancies, except adequately treated basal carcinoma or squamous cell carcinoma of the skin or in-situ cervix carcinoma or incidental prostate cancer (T1a, Gleason score = 6, PSA < 0.5 ng/ml), or any other tumor with disease-free survival of = 5 years
  • History of serious or concurrent illness or uncontrolled medical disorder; any medical condition that might be aggravated by chemotherapy treatment or which could not be controlled; including, but not restricted to:
  • Active infection requiring antibiotics within 2 weeks before the study inclusion
  • Concurrent congestive heart failure NYHA (class III - IV)
  • Unstable angina pectoris, or myocardial infarction within 6 months and/or prior poorly controlled hypertension
  • Inflammatory bowel disease (colitis, Crohns) or other serious gastrointestinal conditions associated with risk of perforation
  • Hearing impairment grade = 2 according to CTCAE v 5.0
  • Peripheral neuropathy grade = 2 according to CTCAE v 5.0.
  • Evidence of active tuberculosis (TB), or suspected latent TB based on medical history (e.g. history of untreated TB or TB exposure) without a subsequent negative TB test
  • Concomitant use of immunosuppressive or myelosuppressive medications that would in the opinion of the investigator, increase the risk of serious neutropenic complications
  • No known or suspected allergy to the investigational agents or any agents given in association with this trial
  • Pregnant or lactating women
  • Any psychological, familial, sociological, or geographical condition which does not permit protocol compliance and medical follow-up
  • Enrollment in any other clinical protocol or investigational study with an interventional agent or assessments that may interfere with study procedures

研究者

发起方
Department of Oncology, Herlev & Gentofte Hospital

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