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临床试验/NL-OMON54125
NL-OMON54125招募中不适用

An open-label, multi-center, Phase I study of oral IAG933 in adult patients with advanced Mesothelioma and other solid tumors - CIAG933A12101

ovartis0 个研究点目标入组 10 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
发起方
ovartis
入组人数
10

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1.Signed informed consent must be obtained prior to participation in the study.
  • 2. Male or female patients must be >= 18 years of age
  • 3. (dose escalation) Patients with histologically or cytologically confirmed
  • diagnosis of advanced (unresectable or metastatic) mesothelioma or other solid
  • tumors. Patients with solid tumors other than mesothelioma must have local
  • available data for loss-of-function NF2/LATS1/LATS2 genetic alterations
  • (truncating mutation or gene deletion; LATS1/LATS2 mutations will only be
  • included in the dose escalation part), or functional YAP/TAZ fusions (see
  • Appendix 4 for requirements for molecular alterations ). Patients with
  • malignant EHE can be enrolled with only histological confirmation of the
  • disease. Patients must have failed available standard therapies, be intolerant
  • of or ineligible for standard therapy, or for whom no standard therapy exists.
  • 4. Dose expansion part: the following patients will be enrolled into 3
  • different treatment groups:
  • Group 1: Advanced (unresectable or metastatic) MPM patients who have failed
  • available standard therapies for advanced/metastatic disease, be intolerant or
  • ineligible to receive such therapy, or for whom no standard therapy exists.
  • Group 2: Advanced (unresectable or metastatic) solid tumor patients with
  • available local data for NF2 truncating mutation or deletions (refer to
  • Appendix 4 for more details). Patient must have failed available standard
  • therapies, be intolerant or ineligible to receive such therapy, or for whom no
  • standard therapy exists.
  • Group 3: Advanced (unresectable or metastatic) solid tumor patients with
  • available local data for functional YAP/TAZ fusions (refer to Appendix 4 for
  • more details). EHE patients can be included with only histological confirmation
  • of the disease. Patient must have failed available standard therapies, be
  • intolerant or ineligible to receive such therapy, or for whom no standard
  • therapy exists.
  • 5. Presence of at least one measurable lesion according to mRECIST v1.1 (for
  • mesothelioma patients, refer to Appendix 2), RECIST v1.1 (for patients with
  • other solid tumors, refer to Appendix 1), or RANO (for patients with primary
  • brain tumors, refer to Appendix 3).
  • 6. Patient must have a site of disease amenable to biopsy and be a candidate
  • for tumor biopsy according to the treating institution*s guidelines. Patient
  • must be willing to undergo a new tumor biopsy at screening/baseline, and again
  • during therapy on this study. Archival tissue obtained within 3 months and
  • after last systemic treatment may be used at screening. Exceptions may be
  • considered after documented discussion with Novartis.
  • 7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

排除标准

  • 1. Treatment with any of the following anti-cancer therapies prior to the first
  • dose of study treatment within the stated timeframes:
  • a. <= 4 weeks for thoracic radiotherapy to lung fields or limited field
  • radiation for palliation within <= 2 weeks prior to the first dose of study
  • treatment. An exception to this exists for patients who have received
  • palliative radiotherapy to bone, who must have recovered from
  • radiotherapy-related toxicities but for whom a 2-week washout period is not
  • b. <= 4 weeks or <= 5 half-lives (whichever is shorter) for chemotherapy or
  • biological therapy (including monoclonal antibodies) or continuous or
  • intermittent small molecule therapeutics or any other investigational agent.
  • c. <= 6 weeks for cytotoxic agents with risk of major delayed toxicities, such
  • as nitrosoureas and mitomycin C.
  • d. <= 4 weeks for immuno-oncologic therapy, such as CTLA4, PD-1, or PD-L1
  • antagonists
  • e. Prior treatment with TEAD inhibitor at any time
  • 2. For mesothelioma patients: use of non-invasive antineoplastic therapy (e.g.,
  • tumor treating fields, brand name Optune LuaTM) within 2 weeks of the tumor
  • assessment at screening.
  • 3. Malignant disease, other than that being treated in this study. Exceptions
  • to this exclusion include the following: malignancies that were treated
  • curatively and have not recurred within 2 years prior to study entry;
  • completely resected basal cell and squamous cell skin cancers; any malignancy
  • considered to be indolent and that has never required therapy; and completely
  • resected carcinoma in situ of any type.
  • 4. Presence of symptomatic CNS metastases, or CNS tumors or metastases that
  • require local CNS-directed therapy (such as radiotherapy within 3 months of
  • tumor assessment at screening or surgery), or increasing doses of
  • corticosteroids 2 weeks prior to study entry.
  • Patients with treated symptomatic brain tumors should be neurologically stable
  • (for 4 weeks post-treatment and prior to study entry) and at a dose of <= 10 mg
  • per day prednisone or equivalent for at least 2 weeks before administration of
  • any study treatment
  • 5. Patients who have undergone major surgery <= 4 weeks prior to first dose of
  • study treatment
  • 6. History of allogeneic bone marrow or solid organ transplant.
  • 7. Insufficient renal function at Screening:
  • a. Serum creatinine > 1.5 x ULN
  • b. Estimated glomerular filtration rate (eGFR) < 50 mL/min/1.73m2 (calculated
  • using the Cockcroft-Gault formula, or the CKD-EPI Creatinine-Cystatin C formula
  • as listed in Appendix 7).
  • c. Urine protein-creatinine ratio > 0.5 g/g (56.5 mg/mmol)
  • 8. Clinically significant cardiac disease or risk factors at screening,
  • including any of the following:
  • a. Clinically significant and/or uncontrolled heart disease, including coronary
  • artery disease, uncontrolled hypertension, clinically significant arrhythmia,
  • and congestive heart failure (NYHA grade >= 2).
  • b. Acute myocardial infarction or unstable angina pectoris within 6 months
  • prior to study entry.
  • c. Left ventricular ejection fraction (LVEF) < 50% as determined by
  • Cardiovascular magnetic resonance imaging (cardiac magnetic resonance imaging
  • 另有 3 项未显示

研究者

发起方
ovartis

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