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临床试验/JPRN-jRCT2031210652
JPRN-jRCT2031210652招募中1 期

An open label, Phase I dose-finding study of BI 765179 as monotherapy and in combination with ezabenlimab (BI 754091) in patients with advanced solid cancers

Igarashi Haruki0 个研究点目标入组 127 人开始时间: 2022年3月8日最近更新:
适应症

试验速览

阶段
1 期
状态
招募中
发起方
入组人数
127

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
>= 18age old 至 ot applicable(—)
性别
All

入选标准

  • 1.Patients with locally advanced, unresectable or metastatic solid tumors who are either refractory after standard therapy for the disease or for whom standard therapy is not appropriate
  • 2.Tumor with expected high expression of FAP of the following histologies:
  • oNon-small cell lung carcinoma (NSCLC)
  • oGastric cancer
  • oEsophageal adenocarcinoma or squamous cell carcinoma
  • oUrothelial bladder carcinoma
  • oOral squamous cell cancer
  • oCutaneous malignant melanoma
  • oCutaneous squamous cell carcinoma
  • oHepatocellular carcinoma
  • oPancreatic adenocarcinoma
  • oColorectal cancer
  • oMalignant pleural mesothelioma
  • oCervical squamous cell cancer
  • oOvarian carcinoma
  • oTriple-negative breast cancer
  • 3.At least 18 years of age at the time of the consent or over the legal age of consent in countries where that is greater than 18 years
  • 4.Signed and dated, written informed consent (IC) in accordance with ICH-GCP and local legislation prior to admission to the trial
  • 5.At least one measurable lesion outside of CNS as defined per modified RECIST 1.1
  • 6.Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • 7.Adequate liver, bone marrow and renal organ function as follows:
  • Haematological:
  • Absolute neutrophil count: >=1.0 x 109 /L (>=1.0 x 1000/ul or >=1.0 x 1000/mm3) (without G-CSF support within the last 3 weeks)
  • Platelets:>=100 x 109 /L (>=100 x 1000/ul or >=100 x 1000/mm3)
  • Haemoglobin:>=9.0 g/dL or >5.6 mmol/L (red blood cell transfusion allowed to meet eligibility criteria)
  • Total bilirubin:=<1.5 upper limit of normal (ULN) (patients with Gilberts syndrome, total bilirubin must be <2xULN)
  • AST and ALT:=<2.5 x ULN OR =<5x ULN for patients with liver metastases
  • Creatinine =<1.5 X ULN. If creatinine is >1.5 X ULN, patient is eligible if eGFR (estimated glomerular filtration rate) is>= 30 mL/min/ 1.73 m2 (measured or calculated by CKD-EPI formula or Japanese version of CKD-EPI formula for Japanese patients)
  • Coagulation:
  • PT and aPTT:=<1.5 x ULN unless on a stable dose of an anticoagulant
  • 8.Male or female patients. Women of childbearing potential (WOCBP) and men able to father a child must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. These methods must be used during the study and for at least 6 months after the last dose of the study medication. A list of contraception methods meeting these criteria is provided in the patient information.
  • 9.Patients with brain metastases are eligible provided they meet all of the following criteria:
  • - brain metastases have adequately been treated and are considered stable by the Investigator
  • - radiotherapy or surgery for brain metastases was completed at least 2 weeks prior to the first administration of BI 765179
  • - patient is off steroids for at least 7 days (physiologic doses of steroids is permitted, if this was stable for the last 4 weeks)
  • - the patient is off anti-epileptic drugs for at least 7 days
  • Back-fill cohorts only:
  • 10.Patient has agreed to and signed an informed consent (IC) form to provide mandatory pre-treatment and on-treatment fresh tumor biopsy
  • 11.At least one lesion (separate from the evaluable target lesion outside of the CNS as defined per RECIST v1.1) that is accessible for mandatory paired pre and on-treatment biopsy

排除标准

  • 1.Currently enrolled in another investigational device or drug trial
  • 2.Previous or concomitant malignancies other than the one treated in this trial within the last 2 years except:
  • o effectively treated non-melanoma skin cancers
  • o effectively treated carcinoma in situ of the cervix
  • o effectively treated ductal carcinoma in situ
  • o other effectively treated malignancy that is considered cured by local treatment
  • 3.Previous treatment with agents targeting CD137
  • 4.Known leptomeningeal disease or spinal cord compression due to disease
  • 5.Anticoagulant treatment that cannot be safely interrupted if medically needed (e.g., biopsy) based on the opinion of the Investigator
  • 6.Persistent toxicity from previous treatments that has not resolved to =< CTCAE Grade 1 (except for alopecia, CTCAE Grade 2 neuropathy, asthenia/fatigue or grade 2 endocrinopathies controlled by replacement therapy)
  • 7.Patient has a diagnosis of immunodeficiency
  • 8.Patient with history of immunosuppressive medication within 14 days prior to the first dose of BI 765179. The following are exceptions to this criterion:
  • oUse of intranasal, inhaled, or topical corticosteroids, local steroid injections (e.g., intra-articular injections)
  • oSystemic corticosteroids at physiologic doses =<10 mg/day (prednisone or equivalent)
  • oPhysiological replacement dose of corticosteroids
  • 9.Prior anti-cancer therapy:
  • oPatients who have been treated with any other anticancer drug within 3 weeks or within 5 half-life periods (whichever is shorter) prior to first administration of BI 765179
  • oPatients who have been treated with extensive field radiotherapy including whole brain irradiation within 2 weeks prior to first administration of BI 765179
  • 10.Major injuries or surgery within the past 28 days prior to first administration of BI 765179 with incomplete wound healing, or major surgery planned during study participation, e.g. hip replacement
  • 11.Patients with a previous or planned coronary revascularization (such as stent placement or heart bypass)
  • 12.Any type of chronic non-healing wound/injury
  • 13.Patient with active autoimmune disease or a documented history of autoimmune disease, that requires systemic treatment (i.e. corticosteroids or immunosuppressive drugs). Patients with vitiligo, resolved childhood asthma/atopy, alopecia, or any chronic skin condition that do not require systemic therapy, patients with autoimmune-related hypothyroidism on a stable dose of thyroid replacement hormone and/or controlled Type 1 diabetes mellitus on a stable insulin regimen may be included if in the opinion of the Investigator it is appropriate and safe to do so
  • 14.Known pulmonary fibrosis
  • 15.Known and documented liver cirrhosis
  • 16.Known renal fibrosis
  • 17.Patients requiring treatment for pleural effusion with sclerosing agents
  • 18.Patients with a history of HCV infection who meet one or both of the following criteria:
  • oCurative antiviral treatment is not complete
  • oHCV viral load is above the limit of quantification (HCV RNA positive)
  • Patients on concurrent HCV therapy can participate provided that the HCV RNA is below the limit of quantification
  • 19.Patients with chronic HBV infection with active disease who meet the criteria for anti HBV therapy (according to local / institutional standard) who have not been treated with suppressive antiviral therapy prior to initiation of study treatment
  • 20.Patients with history of human immunodeficiency virus (HIV) infection who meet one or more of the following criteria

研究者

发起方
Igarashi Haruki

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