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临床试验/EUCTR2014-000550-12-PL
EUCTR2014-000550-12-PL进行中(未招募)1 期

A Double Blind, Placebo Controlled, Pivotal Phase III Study Evaluating Xilonix™ in Symptomatic Colorectal Cancer Patients Refractory To Standard Therapy

XBiotech Germany GmbH0 个研究点目标入组 335 人开始时间: 2014年5月12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
335

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

  • Subjects are included in the study if they meet all of the following
  • 1. Subjects with pathologically confirmed colorectal carcinoma that is
  • metastatic or unresectable and which is refractory to standard therapy.
  • To be considered refractory, a subject must have failed both an
  • oxaliplatin (oxaliplatin may have been in the adjuvant setting) and an
  • irinotecan based regimen.
  • 2. Symptomatic Disease: One symptom from each domain (metabolic and functional) must be present.
  • - Evidence of metabolic dysfunction, defined as the presence of one or
  • more of the following:
  • - Any degree (up to 20%) of unintentional total body weight loss in the
  • previous 6 months
  • - Serum Interleukin 6 levels =10 pg/ml
  • - Evidence of reduced function or presence of cancer related symptoms
  • as determined by EORTC QLQ-C30.
  • - Appetite reduction, with a score of >10
  • - Presence of fatigue, with a score of >10
  • - Presence of Pain, with a score of >10
  • - Decreased Role, Emotional and Social function, with a score of < 90.
  • 3. Eastern Cooperative Oncology Group (ECOG) performance status 1 or
  • 4. In the Investigator's judgment, a life expectancy of at least three (3)
  • 5.In the Investigator's judgement, patients should not be expected to
  • need corticosteroids during the 8 week assessment period.
  • 6. At least 2 weeks since the last previous cancer treatment including:
  • chemotherapy, radiation therapy, immunotherapy, surgery, hormonal
  • therapy, or targeted biologics and 4 weeks for patients who received
  • treatment immediately prior to the study with anti-IL-1 or anti-TNF
  • 7. For those subjects who have previously received treatment for cancer
  • related fatigue with agents such as corticosteroids or stimulants, a 2
  • week washout period is required from the last dose to C1D1.
  • 8. Age =18, male or female subjects.
  • 9. Serum potassium and magnesium levels within central laboratory
  • normal limits. Total serum calcium or ionized calcium level must be
  • greater than or equal to the lower limit of normal. Subjects with low
  • potassium, calcium and magnesium levels may be replenished to allow
  • for protocol entry.
  • 10. Adequate renal function, defined by serum creatinine = 1.5 x ULN.
  • 11. Adequate hepatic function defined as:
  • - total bilirubin = 1.5 times the central lab ULN.
  • - alanine aminotransferase (ALT) = 2.0 times the central lab ULN.
  • Exception: subjects with known liver metastases: = 3.0 times the central
  • lab ULN for ALT.
  • 12. Adequate bone marrow function as defined as:
  • - absolute neutrophil count (neutrophil and bands) of ? 1,500/mm3 (?
  • 1.5 x 109/L)
  • - platelet count between 150,000/mm3 and 450,000/mm3
  • - hemoglobin of = 9 g/dL
  • 13. For women of childbearing potential (WOCBP), a negative serum
  • pregnancy test result at Screening.
  • 14. Signed and dated institutional review board (IRB)/ Ethics Committee
  • (EC)-approved informed consent before any protocol-specific screening
  • 另有 7 项未显示

排除标准

  • Subjects with ANY of the following will be excluded from the study:
  • 1. Mechanical obstruction that would prevent adequate oral nutritional
  • 2. >20% total body weight loss in the previous 6 months.
  • 3. Serious uncontrolled medical disorder, or active infection, that would
  • impair the ability of the patient to receive protocol therapy.
  • 4. Uncontrolled or significant cardiovascular disease, including:
  • - A myocardial infarction within the past 6 months.
  • - Uncontrolled angina within the past 3 months. - Congestive heart failure within the past 3 months, if defined as NYHCII.
  • - Diagnosed or suspected congenital long QT syndrome.
  • - Any history of clinically significant ventricular arrhythmias (such as
  • ventricular tachycardia, ventricular fibrillation, Wolff-Parkinson-White
  • (WPW) syndrome, or torsade de pointes).
  • - Any history of second or third degree heart block (may be eligible if
  • currently have a pacemaker).
  • - Uncontrolled hypertension (blood pressure >150 mm Hg systolic and
  • >95 mm Hg diastolic).
  • 5. Dementia or altered mental status that would prohibit the
  • understanding or rendering of informed consent.
  • 6. Subjects who have not recovered from the adverse effects of prior
  • therapy at the time of enrollment to = grade 1; excluding alopecia and
  • grade 2 neuropathy.
  • 7. Subjects who have received extensive prior radiation therapy to the
  • bone marrow. Extensive radiation therapy is defined as treatment of
  • more than one axial bony metastasis. However for subjects with rectal
  • cancer pelvic irradiation, in addition to treatment of one axial bony
  • metastasis, is acceptable.
  • 8. Immunocompromised subjects, including subjects known to be
  • infected with human immunodeficiency virus (HIV).
  • 9. Known hepatitis B surface antigen and/or hepatitis C antibody or
  • known history of infection.
  • 10. History of tuberculosis (latent or active) or positive Interferongamma
  • release assay (IGRA).
  • 11. Receipt of a live (attenuated) vaccine within 1 month prior to
  • Randomization
  • 12. Subjects with history of hypersensitivity to compounds of similar
  • chemical or biologic composition to Xilonix™ or any component of its
  • formulations.
  • 13. Women who are pregnant or breastfeeding.
  • 14. WOCBP or men whose sexual partners are WOCBP who are unwilling
  • or unable to use an acceptable method of contraception for at least 1
  • month prior to randomization, for the duration of the study, and for at
  • least 3 months after the last dose of study medication.
  • 15.History of progressive multifocal leukoencephalopathy or other
  • demyelinating disease.
  • 16.Subjects on immunosuppressive therapy, including transplant
  • 17. Subjects with known brain metastases. Subjects with symptoms of
  • brain metastases during screening should undergo CT imaging prior to
  • randomization.

研究者

发起方
XBiotech Germany GmbH

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