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临床试验/NL-OMON50728
NL-OMON50728已完成2 期

A phase II/III study of high-dose, intermittent sunitinib in patients with recurrent GBM - Phase II/III study of high-dose, intermittent sunitinib in recurrent GBM

Radboud Universitair Medisch Centrum0 个研究点目标入组 100 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
入组人数
100

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 (by the patient or legally acceptable representative) and dated
  • Informed Consent Form
  • 2. Histologically confirmed primary or secondary glioblastoma with unequivocal
  • first progression, at least 3 months off radiotherapy.
  • 3. No more than one line of chemotherapy (concurrent and adjuvant temozolomide
  • based chemotherapy including in combination with another investigational agent
  • is considered one line of chemotherapy). Chemotherapy must have been completed
  • at least 4 weeks prior to randomization.
  • 4. Patients may have undergone surgery for recurrence. If operated, residual
  • and measurable disease after surgery is not required but surgery must have
  • confirmed the recurrence.
  • 5. No radiotherapy, stereotactic radiosurgery or brachytherapy as treatment for
  • recurrence.
  • 6. Patients must have a Karnofsky Performance Score >= 70%
  • 7. Patients need to have adequate hematological, renal and hepatic function as
  • assessed by the following laboratory requirements to be conducted within seven
  • days prior to start study treatment:
  • a. Hemoglobin >= 7.0 mmol/L
  • b. Absolute neutrophil count (ANC) >= 1.5 x 109/L
  • c. Platelet count >= 100 x 109/L
  • d. ALAT and ASAT <= 2.5 x ULN
  • e. Serum creatinine eGFR >= 50 ml/min
  • f. Albumin >= 25 g/L
  • 8. Age >= 18 years
  • 9. Male and female patients with reproductive potential must use an approved
  • contraceptive method during and for three months after discontinuation of study
  • 10. Patients must be able to swallow oral medication.

排除标准

  • 1. Evidence of a significant uncontrolled concomitant disease, such as
  • cardiovascular disease (including stroke, New York Heart Association Class III
  • or IV cardiac disease or myocardial infarction within 6 months prior to
  • screening, unstable arrhythmia, clinically significant valvular heart disease
  • and unstable angina); nervous system, pulmonary (including obstructive
  • pulmonary disease and history of symptomatic bronchospasm), renal, hepatic,
  • endocrine, or gastrointestinal disorders; or a serious non-healing wound or
  • 2. Patients with a prior (< 5 years) or concomitant second malignancy.
  • 3. Prior radiotherapy in the abdomen or in the lungs or in more than 3
  • vertebrae in the spine (Less than 3 vertebrae are considered a small radiation
  • field and eligibility will be decided on an individual basis from the PI)
  • 4. Poorly controlled hypertension despite adequate blood pressure medication.
  • Blood pressure must be <= 160/95 mmHg at the time of screening on a stable
  • antihypertensive regimen. Blood pressure must be stable on at least 2 separate
  • measurements.
  • 5. Known active bacterial, viral, fungal, mycobacterial, or other infection
  • (including HIV and atypical mycobacterial disease, but excluding fungal
  • infection of the nail beds.)
  • 6. Initial MR-scan of the brain showing intratumoral hemorrhage, except for
  • stable post-operative grade 1 hemorrhage.
  • 7. Known hypersensitivity to sunitinib or to its excipients.
  • 8. Presence of any significant central nervous system or psychiatric
  • disorder(s) that would interfere with the patient*s compliance.
  • 9. Use of full-dose oral or parenteral anticoagulants or thrombolytic agent for
  • therapeutic (as opposed to prophylactic) purposes.
  • 10. Use of strong hepatic enzyme-inducing antiepileptic drugs, such as
  • carbamazepine, phenobarbital and phenytoin. If a patient uses one or more of
  • these specific antiepileptic drugs, the must switch to an antiepileptic drug
  • that does not interact with cytochrome P450 (CYP450) liver enzymes, such as
  • levetiracetam, prior to the start of study treatment.
  • 11. Drug or alcohol abuse.
  • 12. Females who are pregnant or breast-feeding.
  • 13. Any evidence of a disease or condition that might affect compliance with
  • the protocol or interpretation of the study results or render the patient at
  • high risk from treatment complications.
  • 14. Unwillingness or inability to comply with study and follow-up procedures.
  • 15. Clinically significant history of liver disease, including viral or other
  • hepatitis, current alcohol abuse, or cirrhosis.

研究者

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