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临床试验/EUCTR2006-002893-23-DE
EUCTR2006-002893-23-DE进行中(未招募)不适用

An Open Label Single Arm Phase 1b/2 Study with Pharmacokinetic Sampling to Evaluate LY2181308 in Patients with Advanced Hepatocellular Carcinoma - N/A

Eli Lilly and Company0 个研究点目标入组 60 人开始时间: 2007年1月19日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
60

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

  • Patients may be included in the study only if they meet all of the following criteria:
  • 1. Patients previously diagnosed with HCC. Primary HCC diagnoses may be
  • histopathological, cytological, or clinically confirmed. Patients with only a
  • clinical diagnosis of HCC are acceptable, if diagnosis was made following the
  • AASLD-EASL diagnostic consensus. Patients entering the trial after
  • progression from a previous liver cancer therapy do not need to be rebiopsied.
  • Progression, per modified RECIST criteria (Attachment JACS.7),
  • should be documented before entering the trial.
  • 2. HCC in a BCLC (refer to Protocol Attachment JACS.5) stage at the time of
  • entering the trial of either intermediate (B) or advanced (C) groups. Early stage
  • tumors (A) can be enrolled if any of the potentially curative standard therapies
  • for these cases [i.e. liver transplantation, surgical resection, transcatheter
  • arterial chemoembolization (TACE) or percutaneous embolization] is excluded
  • due to tumor localization, patient’s underlying conditions or because of tumor
  • recurrence.
  • 3. Patients must have discontinued and recovered from the acute effects of all
  • previous therapies for their cancer (e.g., sorafenib, chemotherapy,
  • radiotherapy, or other investigational therapy) for at least 2 weeks prior to
  • enrollment (3 weeks in the case of cytotoxics).
  • 4. For Phase 2 only: Measurable disease by modified RECIST criteria for HCC
  • (See Attachment JACS.7). Patient should have at least one lesion which has
  • not been previously treated locally with percutaneous or transcatheter arterial
  • chemoembolization (TACE).
  • 5. Liver function determined in Child-Pugh class A or B of 7 points (refer to
  • Protocol Attachment JACS.6).
  • 6. Performance status 0-1 on the Eastern Cooperative Oncology Group (ECOG)
  • performance status scale. (refer to Protocol Attachment JACS.3)
  • 7. The following laboratory results:
  • Hematology
  • Neutrophils =1.5 x 10E9/L
  • Hemoglobin =9g/dL
  • Platelets =100 x 10E9/L
  • Any bilirubin and albumin values that are within the acceptable range per
  • the Child Pugh Score will be eligible for participation (See inclusion criteria #5)
  • Alanine Aminotransferase (ALT) =10 times ULN
  • Aspartate Aminotransferase (AST) =10 times ULN
  • Alkaline Phosphatase (AP) =5 times ULN
  • Coagulation: Activated partial thromboplastin time (aPTT) =1.5 times ULN
  • and International Normalized Ratio (INR) of prothrombin time <1.7
  • Patients on treatment with less than 40 mg/day of furosemide and 100
  • mg/day of spironolactone for ascites control (or equivalent).
  • Calculated creatinine clearance by Cockcroft-Gault formula =50 mL/min
  • (refer to Protocol Attachment JACS.8).
  • 8. Female patients of child-bearing potential must have a negative pregnancy
  • test at the time of enrollment based on a serum pregnancy test. Male and
  • female patients must agree to use a reliable method of birth control during
  • and for 3 months following the last dose of study drug.
  • 9. Patient must be reliable, compliant with study procedures, and willing to be
  • available for all study visits for the duration of the study.
  • 10. Patient must sign an Institutional Review Board approved informed consent
  • 另有 8 项未显示

排除标准

  • Patients will be excluded from the study if they meet any of the following criteria:
  • 1. HCC that could be treated with potentially curative or effective palliative
  • therapies (e.g., surgical resection, liver transplant, percutaneous ablation,
  • transcatheter arterial embolization (TACE), sorafenib and/or other proven
  • effective therapies).
  • 2. Patients who have received a liver transplant.
  • 3. Second primary malignancy except in situ carcinoma of the cervix or
  • adequately treated non-melanomatous carcinoma of the skin or other
  • malignancy treated at least 5 years previously with no evidence of recurrence;
  • prior low grade [Gleason score =6] localized prostate cancer is allowed.
  • 4. Previous systemic antisense oligonucleotide treatment.
  • 5. Hepatic encephalopathy of any degree or requirement for chronic treatment to
  • control (it is acceptable to enroll patients with one or more previous events that
  • were short-lived which remained without treatment).
  • 6. Concurrent chronic infection with Human Immunodeficiency Virus (HIV).
  • 7. Patients who have received treatment within the last 30 days with a drug that
  • has not received regulatory approval for any indication at the time of study
  • 8. Patients with active alcohol abuse or illicit drug use.
  • 9. Patients with serious concomitant systemic disorders that, in the opinion of the
  • investigator, would compromise the safety of the patient or compromise the
  • patient’s ability to complete the study.
  • 10. Female patients who are pregnant or breast-feeding.
  • 11. Symptomatic or proven central nervous system (CNS) neoplasm.
  • 12. Concomitant anticancer therapy or anticoagulant therapy (with the exception of
  • the use of heparinized saline to maintain patency of central venous catheters).
  • 13. Patients taking acetylsalicylic acid (ASA, aspirin) and NSAIDS less than one
  • week prior to treatment.
  • 14. Patients taking G-CSF (Growth-Colony Stimulating Factor) less than 24 hours
  • prior to the start of therapy.
  • 15. Patients who require palliative radiotherapy at the time of study entry.
  • 16. Patients with more than 2 previous systemic chemotherapy treatments
  • (excluding tamoxifen).

研究者

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