NL-OMON51689撤回3 期
A Phase 3, Multicenter, Open-Label, Randomized Study of Nemvaleukin Alfa in Combination With Pembrolizumab Versus Investigator's Choice Chemotherapy in Patients With Platinum-Resistant Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (ARTISTRY-7) - ARTISTRY-7
适应症
试验速览
- 阶段
- 3 期
- 状态
- 撤回
- 入组人数
- 13
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. Patient is female and >=18 years of age.
- •2. Patient or patient's legal representative is willing and able to provide
- •written informed consent.
- •3. Patient is willing and able to comply with scheduled visits, treatment
- •schedule, laboratory tests, and other requirements of the study.
- •4. Patient has histologically confirmed diagnosis of EOC (i.e., high-grade
- •serous, endometrioid of any grade, clear cell), fallopian tube cancer, or
- •primary peritoneal cancer.
- •5. Patient has platinum-resistant/refractory disease, defined as disease
- •progression within 180 days following the last administered dose of
- •platinum therapy beyond first-line setting (resistant) or lack of response or
- •disease progression while receiving the most recent platinum-based
- •therapy (refractory). Patient must have progressed radiographically on or after
- •their most recent line of anticancer therapy.
- •a. Note: Progression should be calculated from the date of the last
- •administered dose of platinum therapy to the date of the radiographic imaging
- •showing progression.
- •b. Note: Patients who have platinum-refractory or platinum-resistant disease to
- •frontline treatment are excluded.
- •6. Patient must have received at least 1 prior line of systemic anticancer
- •therapy in the platinum sensitive setting, and no more than 5 prior lines of
- •systemic anticancer therapy in the platinum-resistant setting. Patient must
- •have received at least 1 line of therapy containing bevacizumab.
- •The following guidelines apply:
- •a. Prior PARP inhibitor is allowed if included within these limits of prior
- •therapy. Prior PARP inhibitor is required for patients with a breast cancer
- •gene (BRCA) mutation.
- •b. Adjuvant ± neoadjuvant is considered 1 line of therapy.
- •c. Maintenance therapy (eg, bevacizumab, PARP inhibitors) will be considered
- •part of the preceding line of therapy (i.e., not counted independently).
- •d. Therapy that changed due to toxicity in the absence of progression will be
- •considered part of the same line (ie, not counted independently).
- •e. Hormonal therapy will be counted as a separate line of therapy unless it was
- •given as maintenance therapy.
- •f. Patients having received only 1 line of platinum-based therapy must have
- •received at least 4 cycles of platinum, must have had a response
- •(complete response [CR] or partial response [PR]) and then progressed >3 to <=6
- •months after the date of the last dose of platinum.
- •7. Patient has at least one measurable lesion that qualifies as a target lesion
- •based on RECIST v1.1. Tumor lesions situated in a previously irradiated area,
- •or in an area subjected to other loco-regional therapy, are not considered
- •measurable unless there has been demonstrated progression in the lesion.
- •8. Patient is willing to undergo a pre-treatment tumor biopsy or provide
- •qualifying archival tumor tissue. All pretreatment tissue must have been
- •collected no more than 120 days prior to screening. Central testing of PD-L1
- •status will be required prior to randomization.
- •9. Patient has recovered from the effects of any previous chemotherapy,
- •immunotherapy, other prior systemic anticancer therapy, radiotherapy, and/or
- •surgery (i.e., residual toxicity no worse than Grade 1 [Grade 2
- •treatment-associated peripheral neuropathy and/or any grade of alopecia are
- 另有 1 项未显示
排除标准
- •1. Patient has primary platinum-refractory disease or primary platinum
- •resistance, defined as disease progression during first-line platinumbased
- •therapy (refractory) or disease progression <3 months after completion of
- •first-line platinum-based therapy (resistant).
- •2. Patient has histologically confirmed diagnosis of EOC with mucinous or
- •carcinosarcoma subtype.
- •3. Patient has nonepithelial tumor (eg, germline or stromal cell tumor) or
- •ovarian tumor with low malignant potential (i.e., borderline or lowgrade serous
- •4. Patient requires fluid drainage (eg, paracentesis, thoracentesis,
- •pericardiocentesis) of >=500 ml within 6 weeks of first dose of study drug.
- •5. Patient has received prior IL-2-based or IL-15-based cytokine therapy;
- •patient has had exposure, including intralesional, to IL-12 or analogs thereof.
- •6. Patient has prior exposure to any antiPD1/PDL1 therapy.
- •7. Patient requires or has taken systemic corticosteroids (>10 mg of prednisone
- •daily, or equivalent)within 14 days prior to the first dose of study drug(s);
- •however, replacement doses, topical, ophthalmologic, and inhalational steroids
- •are permitted.
- •8. Patient has taken non-steroid systemic immunomodulatory agents (eg,
- •etanercept, adalimumab, etc.) within 28 days prior to the first dose of study
- •drug(s), or anticipates any use of these therapies during the study period.
- •9. Patient has undergone any major surgical procedure within 3 weeks prior to
- •Screening. Patients who have not recovered from any previous surgery that
- •occurred more than 3 weeks prior to Screening are also excluded.
- •10. Patient has undergone prior solid organ and/or non-autologous hematopoietic
- •stem cell or bone marrow transplant.
- •11. Patient has received a live or live-attenuated vaccine(s) within 30 days
- •prior to the first dose of study drug(s). Note: Coronavirus Disease 2019
- •(COVID-19) vaccine is allowed; see guidance on COVID-19 vaccines in Section
- •12. Patient has had any active infection and/or a fever >=38.5°C (>=101°F) within
- •3 days prior to the first dose of study drug(s) requiring systemic therapy.
- •Antibiotics given for periprocedural prophylaxis or given presumptively for a
- •limited time (eg, until infection was ruled out), as well as topical or
- •intra-ocular antibiotics, shall not be
- •exclusionary.
- •13. Patient has active autoimmune disease(s) requiring systemic treatment
- •within the past 2 years or a documented history of clinically severe autoimmune
- •disease that has required chronic or frequent systemic steroids. Replacement
- •therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement
- •therapy for adrenal or pituitary insufficiency) is allowed.
- •14. Patient has underlying chronic lung disease, chronic obstructive pulmonary
- •disease, metastatic lung disease, pleural effusions, or other lung disorders
- •(eg, pulmonary embolism) with a baseline room air oxygen saturation of <92% at
- •screening and/or dyspnea (>=Grade 3) which requires oxygen therapy.
- •15. Has a history of (noninfectious) pneumonitis that required steroids or has
- •current pneumonitis.
- •16. Patient has any other concurrent uncontrolled illness or laboratory
- •findings that may interfere with the planned treatment, affect patient
- •compliance, such as recent serious trauma, or mental illness or substance use,
- •which may interfere with the a
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