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临床试验/NL-OMON55079
NL-OMON55079招募中2 期

Cemiplimab treatment in patients with locally advanced and metastatic secondary angiosarcomas - Cemiplimab for secondary angiosarcomas

Radboud Universitair Medisch Centrum0 个研究点目标入组 18 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
入组人数
18

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. Adult patient aged >= 18 years.
  • 2. Signed written informed consent.
  • 3. Histologically confirmed diagnosis of progressive unresectable locally
  • advanced or metastatic secondary angiosarcoma.
  • 4. Patients in the first line of systemic treatment unfit for chemotherapy and
  • patients in advanced lines of systemic treatment
  • 5. Measurable disease per RECIST 1.1 or per physical examination / daylight
  • photography (WHO Offset Publication No. 48) as determined by the investigator.
  • 6. Tumour tissue material available (archival or recent tumour biopsy).
  • 7. WHO ECOG 0-2.
  • 8. Hepatic function:
  • a. Total bilirubin <= 1.5 x ULN (if liver metastases: <= 3 x ULN).
  • b. Transaminases <= 3 x ULN (if liver metastases: <= 5 x ULN).
  • c. Patients with Gilbert*s Disease and total bilirubin up to 3x ULN may be
  • eligible after communication with and approval from the medical monitor
  • d. Alkaline phosphatase <= 2.5 x ULN (if liver OR bone metastases <=5 x ULN).
  • 9. Renal function: serum creatinine <= 2 x ULN or estimated CrCl > 30 mL/min.
  • 10. Creatine phosphokinase (CPK) (also known as CK [creatine kinase]) elevation
  • <= grade 2
  • 11. Bone marrow function:
  • a. Hemoglobulin >= 9.0 g/dL.
  • b. ANC >= 1.5 x 109/L.
  • c. Platelet count >= 75 x 109/L.
  • 12. Expected life expectancy of at least 3 months as judged by the
  • investigator.

排除标准

  • 1. Ongoing or recent (within 5 years) evidence of significant autoimmune
  • disease that required treatment with systemic immunosuppressive treatments,
  • which may suggest risk for irAEs. The following are not exclusionary: vitiligo,
  • childhood asthma that has resolved, type 1 Diabetes mellitus, residual
  • hypothyroidism that required only hormone therapy, or psoriasis that does not
  • require systematic treatment.
  • 2. Prior treatment with immune checkpoint inhibitors.
  • 3. Continuous immunosuppressive corticosteroid treatment (doses > 10 mg
  • prednisone daily or equivalent) within 4 weeks prior to the first dose of
  • cemiplimab. Note: patients who require a brief course of steroids (e.g. as
  • prophylaxis for imaging studies) are not excluded.
  • 4. Active uncontrolled infection requiring therapy, including infection with
  • HIV, active infection with HBV or HCV.
  • 5. History of pneumonitis within the last 5 years.
  • 6. Untreated brain metastasis(es) that may be considered active.
  • a. Note in clarification: Patients with previously treated brain metastases may
  • participate provided that the lesion(s) is (are) stable (without evidence of
  • progression for at least 6 weeks on imaging obtained in the screening period),
  • and there is no evidence of new or enlarging brain metastases, and the patients
  • do not require any immunosuppressive doses of systemic corticosteroids for
  • management of brain metastasis(es) within 28 days of the first dose of
  • cemiplimab.
  • 7. Patients with allergy or hypersensitivity to cemiplimab or to any of the
  • excipients must be excluded. Specifically, because of the presence of trace
  • components in cemiplimab, patients with allergy or hypersensitivity to
  • doxycycline or tetracycline are excluded.
  • 8. History of documented allergic reactions or acute hypersensitivity reaction
  • attributed to antibody treatments
  • 9. Patients with a history of solid organ transplant (patients with prior
  • corneal transplants may be allowed to enroll after discussion with and approval
  • from the medical monitor).
  • 10. Any anticancer treatment other than radiation therapy (chemotherapy,
  • targeted systemic therapy, imiquimod, photodynamic therapy), investigational or
  • standard of care, within 30 days of the initial administration of cemiplimab or
  • planned to occur during the study period
  • 11. Receipt of live vaccines (including attenuated) within 30 days of first
  • study treatment
  • 12. Prior use of PI3K-D inhibitors
  • 13. Women of childbearing potential (WOCBP)*, or sexually active men, who are
  • unwilling to practice highly effective contraception prior to the initial
  • dose/start of the first treatment prior to the start of the first treatment,
  • during the study, and for at least 6 months after the last dose.
  • 14. Breastfeeding
  • 15. Positive serum pregnancy test (a false positive pregnancy test, if
  • demonstrated by serial measurements and negative ultrasound, will not be
  • exclusionary, upon communication with and approval from the medical monitor)
  • 16. Any other condition that might interfere with experimental treatment and
  • the study procedures as judged by the investigator.

研究者

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