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临床试验/NL-OMON51900
NL-OMON51900招募中不适用

ImmunoPET imaging with 89Zr-DFO-REGN3767 in patients with advanced solid cancer prior to and during treatment with cemiplimab with or without platinum-based chemotherapy - LAG-3 PET imaging in advanced solid tumors

niversitair Medisch Centrum Groningen0 个研究点目标入组 38 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
38

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 at the time of signing informed consent.
  • 2. Patients with histologically confirmed diagnosis of locally advanced or
  • metastatic solid cancer types who, according to the opinion of the
  • investigator, based on available clinical data, may benefit from PD1 antibody
  • with or without platinum-based chemotherapy.
  • 3. At least 1 lesion that is accessible per investigator*s assessment and
  • eligible for biopsy according to standard clinical care procedures.
  • 4. Measurable disease, as defined by standard RECIST v1.1. Previously
  • irradiated lesions should not be counted as target lesions except for lesions
  • that have progressed after radiotherapy.
  • 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • 6. Life expectancy >= 12 weeks.
  • 7. Adequate organ and bone marrow function as defined below:
  • a. Hemoglobin >=9.0 g/dL
  • b. Absolute neutrophil count >=1.5 x 109/L
  • c. Absolute lymphocyte count >=0.75 x 109/L
  • d. Platelet count >=100 x 109/L
  • e. Serum creatinine <=1.5 x upper limit of normal (ULN) or estimated glomerular
  • filtration rate > 30 mL/min/1.73 m2. A 24-hour urine creatinine collection may
  • substitute for the calculated creatinine clearance to meet eligibility
  • f. Adequate hepatic function:
  • i. Total bilirubin <=1.5 x ULN (<=3 x ULN if liver tumor involvement); Patients
  • with Gilbert*s syndrome do not need to meet total bilirubin requirements,
  • provided their total bilirubin is unchanged from their baseline. Gilbert*s
  • syndrome must be documented appropriately as past medical history.
  • ii. Aspartate aminotransferase (AST) <=2.5 x ULN (<=5 x ULN if liver tumor
  • involvement)
  • iii. Alanine aminotransferase (ALT) <=2.5 x ULN (<=5 x ULN if liver tumor
  • involvement)
  • iv. Alkaline phosphatase (ALP) <=2.5 x ULN (<=5 x ULN if liver or bone tumor
  • involvement)
  • 8. Signed informed consent.
  • 9. Willingness and ability to comply with all protocol required procedures.

排除标准

  • 1. Treatment with any approved anti-cancer therapy, investigational agent, or
  • participation in another clinical trial with therapeutic intent within 28 days
  • prior to 89Zr-DFO-REGN3767 injection.
  • 2. Prior ICI treatment, including but not limited to anti-PD1 and anti-PD-L1
  • therapeutic antibodies in the past 12 months or >= 12 months ago, in case the
  • ICI treatment was terminated for progressive disease or toxicity.
  • 3. Encephalitis, meningitis, or uncontrolled seizures in the year prior
  • 4. Any unresolved toxicity (>CTCAE grade 2) from previous anti-cancer
  • therapy. Subjects with irreversible toxicity that is not reasonably expected
  • to be exacerbated by the investigational product may be included (e.g., hearing
  • loss, peripherally neuropathy)
  • 5. Symptomatic, untreated brain metastasis, leptomeningeal disease, or spinal
  • cord compression. Patients are eligible if central nervous system (CNS)
  • metastases are adequately treated and neurologically stable for at least 2
  • weeks prior to enrollment.
  • 6. Documented allergic or acute hypersensitivity reaction attributed to
  • antibody treatments
  • 7. Major surgical procedure other than for diagnosis within 28 days prior to
  • 89Zr-DFO-REGN3767 injection or anticipation of need for a major surgical
  • procedure during the course of the study.
  • 8. For patients that will be treated with cemiplimab in combination with
  • platinum containing chemotherapy, the following additional criteria apply:
  • Leucopenia <3 x 109/L
  • Estimated glomerular filtration rate < 60 mL/min/1.73 m2
  • Cardiovascular disease, such as New York Heart Association cardiac disease
  • (Class II or greater), unstable angina, unstable cardiac arrhythmias,
  • myocardial infarction < 3 months ago, or cerebrovascular accident < 6 months
  • Hearing loss
  • Any other exclusion criteria, according to the local clinical practice
  • guidelines for the chosen chemotherapy regimen.
  • 9. History of autoimmune disease, including but not limited to myasthenia
  • gravis, myositis, autoimmune hepatitis, systemic lupus erythematous, rheumatoid
  • arthritis, inflammatory bowel disease, vascular thrombosis associated with
  • antiphospholipid syndrome, Wegener*s granulomatosis, Sjögren*s syndrome,
  • Guillain-Barré syndrome, multiple sclerosis, vasculitis or glomerulonephritis.
  • Patients with a history of autoimmune-related hypothyroidism on a stable dose
  • of thyroid replacement hormone may be eligible for his study.
  • Patients with controlled type I diabetes mellitus on a stable dose of insulin
  • regimen may be eligible for this study.
  • 10. History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g.,
  • bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis.
  • History of radiation pneumonitis in the radiation field (fibrosis) is
  • 11. Treatment with systemic immunosuppressive medications (including but not
  • limited to prednisone, cyclophosphamide, azathioprine, methotrexate,
  • thalidomide, and anti-tumor necrosis factor agents) within 4 weeks prior to
  • 89Zr-DFO-REGN3767 injection.
  • Patients who have received acute, low-dose, systemic immunosuppressant
  • medications (e.g., a one-time of dexamethasone for nausea) may be enrolled in
  • the study after discussion with and approval by the sponsor.
  • The use of inhaled corticosteroids for chronic obstructive pulmonary dis

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