jRCT2031210669进行中(未招募)不适用
A Phase 1b/3 Study of Bemarituzumab Plus Chemotherapy and Nivolumab Versus Chemotherapy and Nivolumab Alone in Subjects With Previously Untreated Advanced Gastric and Gastroesophageal Junction Cancer With FGFR2b Overexpression
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 发起方
- Amgen K.K.
- 入组人数
- 528
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
- Randomized Controlled Trial
- 干预模型
- Parallel Assignment
- 主要目的
- Treatment Purpose
- 盲法
- Double Blind
入排标准
- 年龄范围
- 18age old over 至 100age old under(—)
- 性别
- All
入选标准
- •Inclusion Criteria Part 1 and Part 2:
- •Adult with unresectable, locally advanced or metastatic (not amenable to curative therapy) histologically documented gastric or gastroesophageal junction adenocarcinoma
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- •Measurable disease or non-measurable, but evaluable disease, according to Response Evaluation Criteria in Solid Tumours version 1.1 (RECIST v1.1)
- •Participant has no contraindications to nivolumab and either mFOLFOX6 or CAPOX chemotherapy as per local prescribing information. Participants in Part 1 must have no contraindications to mFOLFOX
- •Participants in Part 2 with contraindications to mFOLFOX6 are permitted and may be administered the CAPOX regimen, if no contraindications for this regimen exist. Participants in Part 2 with contraindications to CAPOX are permitted and may be administered the mFOLFOX6 regimen, if no contraindications for this regimen exist
- •Adequate organ function as follows:
- •Absolute neutrophil count >= 1.5 x 10^9/L
- •Platelet count >= 100 x 10^9/L
- •Hemoglobin >= 9 g/dL without red blood cell (RBC)transfusion within 7 days prior to the first dose of study treatment
- •Aspartate aminotransaminase (AST) and Alanine aminotransaminase (ALT) <3 x upper limit of normal (ULN) (or < 5 x ULN if liver involvement).
- •Total bilirubin <1.5 x ULN (or < 2 x ULN if liver involvement or Gilbert's disease)
- •Part 1 only: Calculated or measured creatinine clearance (CrCl) of >= 50 mL/minute calculated using the formula of Cockcroft and Gault ([140 - Age] x Mass [kg]/[72 x Creatinine mg/dL]) (x 0.85 if female).
- •Part 2 only: Calculated or measured creatinine clearance (CrCl) of >= 30 mL/minute calculated using the formula of Cockcroft and Gault ([140 - Age] x Mass [kg]/[72 x Creatinine mg/dL]) (x 0.85 if female).
- •INR or prothrombin time (PT) < 1.5 x ULN except for participants receiving anticoagulation, who must be on a stable dose of anticoagulant therapy for 6 weeks prior to enrollment.
- •Additional Inclusion Criteria Part 2:
- •No prior treatment for metastatic or unresectable disease except for a maximum of 1 dose of chemotherapy with or without nivolumab; prior adjuvant, neo-adjuvant, and peri-operative therapy is allowed, provided it has been completed more than 6 months prior to the first dose of study treatment.
- •Fibroblast growth factor receptor 2b (FGFR2b) >= 10% 2+/3+ tumor cells (TC) as determined by centrally performed immunohistochemistry (IHC) testing, based on tumor sample either archival (obtained within 6 months/180 days prior to signing pre-screening informed consent) or a fresh biopsy.
排除标准
- •Prior treatment with any selective inhibitor of the fibroblast growth factor (FGF)-FGFR pathway
- •Known positive human epidermal growth factor receptor 2 (HER2) status
- •Untreated or symptomatic central nervous system disease metastases and leptomeningeal disease
- •Peripheral sensory neuropathy grade 2 or higher
- •Clinically significant cardiac disease
- •6.Other malignancy within the last 2 years (exceptions for definitively treated disease)
- •Chronic or systemic ophthalmologic disorders
- •Major surgery or other investigational study within 28 days prior to randomization
- •Palliative radiotherapy within 14 days prior to randomization
- •Abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer
- •Active autoimmune disease that has required systemic treatment (except replacement therapy) within the past 2 years or any other diseases requiring immunosuppressive therapy while on study
研究者
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