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临床试验/NL-OMON52693
NL-OMON52693招募中2 期

eo-adjuvant nivolumab or nivolumab with ipilimumab in advanced cutaneous squamous cell carcinoma patients prior to standard of care surgery; the MATISSE trial - Neo-adjuvant IT in patients with advanced CSCC prior to SOC (MATISSE)

Antoni van Leeuwenhoek Ziekenhuis0 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
招募中
发起方
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

年龄范围
18 至 99(—)

入选标准

  • 1. Age 18 years or older.
  • 2. Patient is able to understand and comply with the protocol requirements and
  • has signed the informed consent form.
  • 3. World Health Organization (WHO) Performance Status 0 or 1 (Appendix B).
  • 4. Patients with histologically or cytologically confirmed, de novo/primary or
  • recurrent stage III-IVA CSCC (T3-4 N0-3 M0 or T0-2/x N1-3 M0) of all body
  • Primary tumor sites Head and Neck:
  • o Vermillion border lip: C00.0, C00.1, C00.2
  • o Skin of lip NOS: C44.0
  • o External ear: C44.2
  • o Skin face unspecified (ao: external lip and nasal vestibulum): C44.3
  • o Skin scalp and neck: C44.4
  • o Overlapping lesion of skin: C44.8
  • o Primary site eyelid: C44.1
  • CSCC outside head and neck area, but not vulva, anus and penis
  • Patients with histologically or cytologically proven stage I-II CSCC (T1-2 N0
  • M0), only in the case of:
  • Presence of multifocal disease for which extensive and/or mutilating surgery
  • is necessary (e.g. near-total scalp resection).
  • Situated in an anatomical localization that necessitates extensive and/or
  • mutilating surgery (e.g. orbital exenteration, (partial) nose amputation or
  • (partial) ear amputation).
  • 5. Eligible for standard-of-care, curatively intended surgery with or without
  • adjuvant radiotherapy.
  • 6. Screening laboratory values must meet the following criteria: WBC >= 2.0x109
  • /L, Neutrophils >=1.5x109 /L, Platelets >=100 x109 /L, Hemoglobin >=5.5 mmol/L,
  • Creatinine <=1.5x ULN, AST <= 1.5 x ULN, ALT <= 1.5 x ULN, Bilirubin <=1.5 X ULN
  • (except subjects with Gilbert Syndrome, who are eligible when total bilirubin <
  • 3.0 mg/dL).
  • 7. Women of childbearing potential (WOCBP) must use appropriate method(s) of
  • contraception. They should use an adequate method to avoid pregnancy for 23
  • weeks (30 days plus the time required for nivolumab to undergo five half-lives)
  • after the last dose of the investigational drug.
  • 8. WOCBP must have a negative serum or urine pregnancy test (minimum
  • sensitivity 25IU/L or equivalent units of HCG) prior to the start of nivolumab
  • or nivolumab + ipilimumab.
  • 9. Men who are sexually active with WOCBP must use a contraceptive method with
  • a failure rate of less than 1% per year and will be instructed to adhere to
  • contraception for a period of 31 weeks after the last dose of investigational
  • product. Surgically sterile or azoospermic men do not require aforementioned
  • contraception.

排除标准

  • A potential subject who meets any of the following criteria will be excluded
  • from participation in this study:
  • 1. Distantly metastasized (stadium IVb) CSCC.
  • 2. SCC localized in a mucosal surface (i.e. anus, vulva, penis or mucosal
  • portion of lip).
  • 3. Patients for whom SOC consists of definitive (brachy)radiotherapy.
  • 4. Primary or recurrent CSCC appearing in an area that has been previously
  • irradiated.
  • 5. Prior anti-CTLA4 or anti-PD1 immunotherapy.
  • 6. Active human immunodeficiency virus (HIV) or known acquired immunodeficiency
  • syndrome (AIDS).
  • 7. A positive test for hepatitis B virus surface antigen (HBsAg) or hepatitis C
  • antibody (HCV Ab).
  • 8. Subjects with any active autoimmune disease or a documented history of
  • autoimmune disease, except for:
  • Subjects with vitiligo
  • Resolved childhood asthma/atopy
  • Residual hypothyroidism due to an autoimmune condition requiring only hormone
  • replacement
  • Psoriasis not requiring systemic treatment
  • Any condition not expected to recur in the absence of an external trigger.
  • 9. Underlying medical conditions that, in the investigator's opinion, will make
  • the administration of study drug hazardous or obscure the interpretation of
  • toxicity or AE.
  • 10. A concurrent medical condition requiring the use of immunosuppressive
  • medications, or immunosuppressive doses of systemic or absorbable topical
  • corticosteroids;
  • 11. Pregnant or nursing.
  • 12. A history of allergy to study drug components and/or a history of severe
  • hypersensitivity to any monoclonal antibody.
  • 13. Use of other investigational drugs 30 days before study drug administration
  • and 5 half times before study inclusion.
  • 14. Use of prohibited medication at start of study period (see paragraph 5.2).

研究者

发起方
Antoni van Leeuwenhoek Ziekenhuis

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