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临床试验/EUCTR2014-000501-13-BE
EUCTR2014-000501-13-BE进行中(未招募)1 期

Phase II study of cabozantinib in patients with metastatic gastrointestinal stromal tumor (GIST) who progressed during neoadjuvant, adjuvant or palliative therapy with imatinib and sunitinib - Ph II CABOGIST in GIST

European Organisation for Research and Treatment of Cancer (EORTC)0 个研究点目标入组 41 人开始时间: 2016年9月20日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
41

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

  • ?Histologically confirmed diagnosis of GIST that is metastatic.
  • ? Presence of at least one non-previously irradiated, measurable metastatic lesion as defined by RECIST 1.1
  • ?Radiographic absence of a cavitating pulmonary lesion within 28 days prior to the first dose of cabozantinib
  • ?Consent of the patient
  • ?Failure on prior therapy with imatinib and sunitinib
  • ?Male or female patient = 18 years of age
  • ?ECOG performance status (PS) of 0-1
  • ?Adequate bone marrow and organ function prior to receiving the first dose of study treatment
  • ?Clinically normal cardiac function
  • ?Patients must be able to swallow and retain oral film-coated tablets
  • ?Recovery to baseline or = Grade 1 CTCAE v.4.0 from toxicities related to any prior treatments
  • ?Prior radiation therapy patients with clinically relevant ongoing complications from prior radiation therapy are not eligible
  • ?Prior surgery:
  • - minor surgery within 28 days before the first dose of study treatment with complete wound healing at least 10 days before the first dose of study treatment is permitted
  • - Patients with clinically relevant ongoing complications from prior surgery are not eligible
  • ? Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests and other study procedures.
  • ? Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
  • 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 15
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 35

排除标准

  • ?evidence of tumor or metastatic lesion invading the gastrointestinal tract within 28 days prior to the first dose of cabozantinib
  • ?current evidence of endotracheal or endobronchial tumor within 28 days before the first dose of cabozantinib
  • ?Patient with tumor in contact with, invading or encasing a major blood vessel
  • ?Prior use of tyrosine kinase inhibitors for the treatment of advanced GIST with the exception of imatinib and sunitinib
  • ?Other investigational agents within 28 days before the first dose of study treatment
  • ?History of congenital long QT syndrome
  • ?QTcF> 500 msec within 1 month before the first dose of study treatment
  • ?Congestive heart failure
  • ?History of unstable angina, clinically significant cardiac arrhythmias and myocardial infarction within 6 months prior to the first dose of protocol treatment
  • ?Poorly controlled hypertension
  • ?Concomitant anticoagulation at therapeutic doses with oral anticoagulants
  • ?Specific contraindications for treatment with cabozantinib
  • ?stroke and thromboembolic event requiring therapeutic anticoagulation within 6 months before the first dose of study treatment
  • ?Gastrointestinal disorders associated with a high risk of perforation or fistula formation
  • ?Evidence of significant active bleeding or bleeding diathesis within 6 months before the first dose of study treatment
  • ?Hemoptysis = 0.5 teaspoon of red blood within 3 months before the first dose of study treatment
  • ?Signs indicative of pulmonary hemorrhage within 3 months before the first dose of study treatment
  • ?Prior radiation therapy:
  • -radiation therapy for bone metastasis within 2 weeks, or any other external radiation therapy within 4 weeks before the first dose of study treatment.
  • -systemic treatment with radionuclides within 6 weeks before the first dose of study treatment.
  • ?Prior surgery major surgery or trauma within 12 weeks prior to first dose of study drug and/or presence of any non-healing wound, fracture or ulcer.
  • ? Active infection requiring systemic treatment within 28 days before the first dose of study treatment.
  • ? History of organ transplant.
  • ? Concurrent severe, clinically relevant hypothyroidism or thyroid dysfunction within 7 days before the first dose of study treatment
  • ?History of other malignancy in the past 5 years with the exception of treated carcinoma in situ of the cervix and non-metastatic, non-melanoma skin cancer
  • ?Patients requiring chronic concomitant treatment with strong Cytochrome P450 (CYP) 3A4 inducers
  • ?Lactating females

研究者

发起方
European Organisation for Research and Treatment of Cancer (EORTC)

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