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临床试验/NL-OMON51288
NL-OMON51288撤回3 期

A Phase III, Multicentre, Randomised, Double-Blind Study to Assess the Safety and Efficacy of Emactuzumab vs. Placebo in Subjects with Tenosynovial Giant Cell Tumour. - TANGENT

SynOx therapeutics Ltd0 个研究点目标入组 3 人开始时间: 待定最近更新:

试验速览

阶段
3 期
状态
撤回
入组人数
3

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
12 至 64(—)

入选标准

  • 1. Written informed consent.
  • 2. 2. Biopsy-confirmed (standard of care diagnosis history) local or diffuse
  • TGCT where surgical resection would be associated with predicted worsening
  • functional limitations due to surgical damage to the joint and adjacent soft
  • tissues, and/or subject presents with an anticipated high risk of early
  • recurrence as determined by a multidisciplinary tumour board or equivalent*, or
  • any other morbidity associated with the surgery, and/or surgical treatment is
  • not expected to improve the clinical outcomes of the subject.
  • *The multidisciplinary tumour board or equivalent must comprise at least 2
  • individuals: the Investigator plus at least one other qualified physician
  • (orthopaedic surgeon or medical oncologist) not involved in this study
  • 3. Measurable disease: longest diameter >=20 mm.
  • 4. Age >12 years.
  • 5. Adequate organ and bone marrow function: haemoglobin (Hb) >10.0 g/dL,
  • neutrophils >1.5 × 109/L and platelets >100 × 109/L.
  • 6. Minimum mean score of 4 on NRS for Worst Pain during 7 days prior to
  • randomization,
  • based upon a minimum of 4 days of completed diary data.
  • 7. Minimum mean score of 4 on NRS for Worst Stiffness during 7 days prior to
  • randomization, based upon a minimum of 4 days of completed diary data.
  • 8. Women of childbearing potential (WOCBP) must have a negative urine and serum
  • pregnancy test prior to starting treatment. WOCBP must agree to use a highly
  • effective method of contraception throughout the treatment period and for 7
  • months after discontinuation of treatment. Acceptable methods of contraception
  • according to protocol description.
  • 9. For Open-Label Phase ONLY:
  • Subjects must either:
  • -Have responded based on RECIST v1.1 (CR or PR) to initial treatment with
  • emactuzumab during the Double-Blind Phase and then progressed (objective
  • progressive disease on imaging) within 9-18 months of initial treatment on D 1
  • (Visit 1) with a minimum 6-month washout period between treatments; or
  • -Have received placebo and completed the 6-month visit on D 181/Visit 10
  • (3 months treatment and 3 months observation) of the Double-Blind Phase and
  • have not completed more than 18 months of the study since initial treatment on
  • D1 (Visit1).

排除标准

  • 1. Pregnant or breast feeding.
  • 2. Medical conditions, including auto-immune, requiring systemic
  • immunosuppression. Any
  • systemic treatment for these conditions (eg, glucocorticoids) is not allowed
  • 4 weeks of Screening and during the study. All Lupus Erythematosus are excluded
  • irrespective of treatment.
  • 3. Metastatic TGCT.
  • 4. TGCT currently affecting multiple joints.
  • 5. Pexidartinib therapy within 3 months of Screening.
  • 6. otinib, imatinib; other chemotherapy, radiotherapy, or investigational
  • therapy within 4
  • weeks of Screening.
  • 7. Unresolved clinically significant toxicity from a previous treatment or any
  • serious liver toxicity.
  • 8. Current or chronic history of liver disease. This includes, but is not
  • limited to, hepatitis
  • virus infections, drug- or alcohol-related liver disease, nonalcoholic
  • steatohepatitis,
  • autoimmune hepatitis, haemochromatosis, Wilson*s disease, a-1 antitrypsin
  • deficiency,
  • primary biliary cholangitis, primary sclerosing cholangitis, or any other liver
  • which in the opinion of the Investigator is considered clinically significant.
  • 9. Renal function: creatinine clearance <60 mL/min (Cockcroft-Gault formula).
  • 10. Liver function: ALT >3.0 × ULN; OR total bilirubin >1.5 × ULN.
  • 11. Within 6 months of baseline has experienced: clinically significant
  • myocardial infarction,
  • severe/unstable angina pectoris, congestive heart failure New York Heart
  • Association
  • (NYHA) Class III or IV, or pulmonary disease (NYHA Criteria 1994).
  • 12. Clinically significant active infection requiring systemic antibiotic
  • Rescreening may occur any time after 7 days post completion of treatment.
  • 13. Systemic antiretroviral therapy within 3 months of baseline.
  • 14. Other active cancer that requires concurrent treatment or history of
  • malignancy other than
  • TGCT, unless there is the expectation that the malignancy has been cured, and
  • specific treatment for the malignancy has not been administered within the
  • 15. Planned surgery during the course of the study with the exception of dental
  • 16. Inability to comply with the study procedures.
  • 17. For the Double-Blind Phase ONLY:
  • Previous exposure to emactuzumab and/or neutralizing antibodies.

研究者

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