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临床试验/EUCTR2017-002544-32-GB
EUCTR2017-002544-32-GB进行中(未招募)1 期

A phase II study of nivolumab monotherapy in patients with relapsed/refractory Hodgkin lymphoma, fit for autologous stem cell transplant, who fail to reach complete metabolic remission after first or second line salvage therapy - ANIMATE

niversity College London0 个研究点目标入组 120 人开始时间: 2018年1月26日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
120

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

  • Inclusion criteria for registration
  • Age 16 or over
  • Primary refractory classical Hodgkin lymphoma or classical Hodgkin lymphoma in first relapse
  • About to receive, receiving or within 14 days of first 2 cycles of first or second line salvage therapy (4 cycles if receiving treatment with brentuximab vedotin)
  • Fit for autologous stem cell transplantation
  • Written informed consent
  • Willing to comply with the contraceptive requirements of the trial
  • Inclusion criteria – trial treatment
  • Has received 2 cycles of first line or second line salvage chemotherapy (4 cycles if being treated with brentuximab vedotin)
  • PET positive (Deauville score 4 or 5) after 2 cycles of first or second line salvage chemotherapy (4 cycles if being treated with brentuximab vedotin)
  • Fit for further salvage chemotherapy
  • ECOG performance status 0-1
  • Creatinine clearance >30ml/min calculated by Cockroft-Gault formula
  • Bilirubin <1.5 x ULN, ALT/AST <2.5 x ULN
  • Adequate bone marrow function (Hb >80g/l, Platelets >50 x 10^9/l, neutrophils >1.0 x 10^9/l
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 10
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 110
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range 0

排除标准

  • Exclusion criteria for registration
  • Nodular lymphocyte predominant Hodgkin lymphoma
  • Women who are pregnant or breastfeeding
  • History of colitis, inflammatory bowel disease or pneumonitis
  • Patients with autoimmune disorders excluding patients with vitiligo, diabetes mellitus type 1, hypo- and hyperthyroidism not requiring immunosuppressive therapy
  • Known history of hepatitis B or C infection
  • Known HIV infection
  • History of allergy (including severe/life threatening skin reaction) to monoclonal antibodies, anaphylaxis or uncontrolled allergy
  • Major surgery within 4 weeks prior to registration
  • Myocardial infarction, unstable angina, coronary artery bypass graft, cerebrovascular accident or transient ischaemic attack within the past 6 months
  • Non-haematological malignancy within the past 3 years (some exceptions apply – listed in trial protocol)
  • Exclusion criteria for trial treatment
  • Deauville score 1-3 after 2 cycles of first or second line salvage chemotherapy (4 cycles if being treated with brentuximab vedotin)
  • Positive serology for hepatitis B or C (unless due to vaccination)
  • Active infection requiring systemic therapy
  • Ongoing immunosuppressive therapy, apart from inhaled, intranasal, topical corticosteroids or systemic corticosteroids at low doses (=10mg prednisolone or equivalent per day).
  • Chemo- or radiotherapy or corticosteroids at a dose of more than 10mg/day prednisolone or equivalent within 14 days prior to response PET-CT. NOTE: corticosteroids can be used AFTER a positive PET-CT scan for symptomatic disease but must be weaned to a dose of prednisolone =10mg/day or less (or equivalent) at least 7 days prior to starting nivolumab.
  • Treatment with any investigational agent within 28 days prior to planned start of nivolumab
  • Ongoing grade 2-4 non-haematological toxicities related to prior Hodgkin lymphoma treatments, with the exception of alopecia and grade 2 fatigue
  • Pregnant or breastfeeding women

研究者

发起方
niversity College London

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