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临床试验/CTRI/2019/12/022282
CTRI/2019/12/022282进行中(未招募)2 期

Efficacy and Safety of Lutetium â?? 177 PSMA Radioligand Therapy versus Docetaxel in Metastatic Castration Resistant Prostate Cancer

Postgraduate Institute of Medical Education and Research0 个研究点目标入组 40 人开始时间: 待定最近更新:

试验速览

阶段
2 期
状态
进行中(未招募)
入组人数
40

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

入选标准

  • 1.Biopsy proven adenocarcinoma prostate
  • 2.Castration resistant prostate cancer defined by castrate serum testosterone <50 ng/dl or 1.7 nmol/l plus one of the following types of progression:
  • a.Biochemical progression: Three consecutive rises in PSA one week apart, resulting in two 50% increases over the nadir, and PSA >2 ng/ml.
  • b.Radiologic progression: The appearance of new lesions: either two or more new bone lesions on bone scan or a soft tissue lesion using the Response Evaluation Criteria in Solid Tumours.
  • 3.Metastatic disease (as established by 68Ga â?? PSMA PET/CT)
  • 4.Significant PSMA expression in 68Ga â?? PSMA PET/CT defined as SUVmax of lesion being significantly (1.5 x) greater than that of normal liver and/or SUVmax of >=10
  • 5.Chemotherapy naive patients; patients with prior treatment of new generation antiandrogens will however be included
  • 6.ECOG performance 0-2
  • 7.Adequate renal function â?? GFR >= 40 mL/min (as estimated by 99mTc DTPA GFR)
  • 8.Stable haematological parameters:
  • a.Hb >= 9 g/dL
  • b.Neutrophils >= 1500/mcL
  • c.Platelets >= 75000/mcL
  • 9.Adequate liver function:
  • a.Bilirubin < 1.5 x upper limit of normal (ULN) (or if bilirubin is between 1.5-2x ULN, must have a normal conjugated bilirubin)
  • b.AST or ALT <= 1.5 x ULN (or <= 5.0 x ULN in the presence of liver metastases)
  • c.Albumin >= 2.5 g/dL

排除标准

  • 1. Prostate cancer with sarcomatous/spindle cell/small cell differentiation
  • 2. PSMA expression in 68Ga â?? PSMA PET/CT, SUVmax <10 and less than liver
  • 3. Sjogren Syndrome
  • 4. Prior treatment with Docetaxel/Cabazitaxel/Lu PSMA
  • 5. Active malignancy other than prostate cancer
  • 6. Concurrent illness, including severe infection

研究者

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