NL-OMON54090招募中2 期
A Randomized, Blinded, Placebo-controlled, Phase 2 Study of INBRX-109 in Unresectable or Metastatic Conventional Chondrosarcoma - INBRX-109
适应症
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 入组人数
- 18
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
- •To be eligible for study entry patients must satisfy all of the following
- •1. Males or females aged >= 18 to <= 85 years.
- •Note: Potential inclusion of patients who are chronologically older than 85
- •years, but with Eastern Cooperative Group Performance Status (ECOG PS) 0 and a
- •younger biologic age per comprehensive geriatric assessment, must be based on
- •discussion with the Medical Monitor or Study Director.
- •2. Conventional (or primary) chondrosarcoma (Note: must be confirmed by local
- •institutional or reference pathology review, but this confirmation is not
- •required for enrollment)
- •Metastatic or unresectable (i.e., not amenable to tumor resection with
- •curative intent),
- •The availability of archival tissue or a fresh cancer biopsy is mandatory for
- •enrollment.
- •- Note: A confirmation of IDH mutational status (per Clinical Laboratory
- •Improvement Amendments [CLIA]-certified assay or equivalent) is required for
- •stratification prior to randomization, any status is allowed, i.e. IDH1, IDH2
- •or wildtype.
- •Any number of prior lines of systemic therapy are allowed.
- •- Note: Since there are no FDA/EMA approved systemic therapies for this
- •population, patients with unresectable and/or metastatic disease who have not
- •received prior systemic therapy may be eligible, provided that they have
- •exhausted all clinically relevant (localized and/or palliative) treatment
- •options as per investigator*s preference as per local practice guidelines.
- •Furthermore, patients with oligometastatic disease (low disease burden,
- •resectable) must have exhausted all clinically relevant options including
- •palliative radiation, surgery or chemotherapy with non-curative intent.
- •3. Measurable disease by RECISTv1.1.
- •Note: Tumor lesions that are located in a previously irradiated (or other
- •locally treated) area will be considered measurable, provided there has been
- •clear imaging-based progression of the lesions since the time of radiation.
- •4. Evidence of confirmed radiographic disease progression per RECISTv1.1
- •criteria within 6 months prior to the start of the study treatment
- •Note: Potential inclusion of patients with progression, which was not
- •determined or confirmed by RECISTv1.1 (e.g., bone only disease), must be
- •discussed and approved by the Medical Monitor or Study Director.
- •5. Adequate laboratory parameters:
- •Adequate hepatic function:
- •* AST, ALT and GGT within ULN, and Bilirubin within ULN for patients without
- •liver metastasis.
- •* AST, ALT and GGT <= 2.5 x ULN, and Bilirubin <= 1.5 x ULN for patients with
- •liver metastasis.
- •* Exception: Bilirubin <= 2.5 x ULN for patients who have known serum bilirubin
- •increases due to underlying Gilbert*s Syndrome or familial benign unconjugated
- •hyperbilirubinemia.
- •- Note: As transient elevations in GGT can occur due to nonhepatobiliary
- •etiologies, the test can be repeated during Screening after consultation with
- •Medical Monitor.
- •Adequate renal function: Creatinine clearance >= 50 mL/min.
- •Adequate hematologic function: Absolute neutrophil count (ANC) >= 1500
- •cells/µL, Platelet count >= 100,000/µL and Hemoglobin >= 8.0 g/dL.
- 另有 3 项未显示
排除标准
- •Patients will be excluded from the study if one or more of the following
- •criteria is/are applicable:
- •1. Any prior exposure to DR5 agonists.
- •2. Receipt of any anti-cancer therapy (including investigational agents) within
- •4 weeks or within 5 half-lives prior to the first dose of study treatment,
- •whichever is shorter.
- •Note: patients who received pazopanib as an immediate prior line, must have a
- •4 week washout and no evidence of prior or residual hepatotoxicity.
- •Note: patients with any history or evidence of Grade >=3 hepatotoxicity on
- •prior anti cancer therapy are excluded.
- •3. Receipt of radiotherapy (with the exception of palliative localized
- •radiation) within 4 weeks to the first dose of study treatment. Patients must
- •have recovered from all radiation-related toxicities and not require
- •corticosteroids.
- •Note: A 1-week washout is required for palliative radiation to non-central
- •nervous system (CNS) disease.
- •Note: patients who had prior radiotherapy involving the liver (total
- •calculated dose to the liver >10Gy) are excluded.
- •4. Receipt of liver-directed therapies (e.g., RFA, TACE/embolization,
- •cryotherapy, SBRT, or others) within 12 months prior to the first dose of study
- •Note: patients who had prior radioembolization with Yttrium-90 beads are
- •5. Allergy or sensitivity to INBRX-109 or known allergies to Chinese hamster
- •ovary (CHO) cell-produced antibodies, which in the opinion of the investigator
- •suggest an increased potential for an adverse hypersensitivity to INBRX-109.
- •6. Non-conventional CS, e.g., clear-cell, mesenchymal, extraskeletal myxoid,
- •myxoid*, and dedifferentiated CS.
- •Note: *Conventional CS with myxoid features are considered Grade 2
- •conventional CS and are allowed in this study.
- •7. Prior or concurrent malignancies.
- •Exception: Patients with a prior or concurrent malignancy whose natural
- •history or treatment does not have the potential to interfere with the safety
- •or efficacy assessments of INBRX-109. These cases must be reviewed and
- •discussed with the medical monitor and sponsor for potential inclusion.
- •8. Symptomatic active CNS metastases or leptomeningeal disease.
- •Exception: Patients with asymptomatic CNS metastases are eligible if
- •controlled, defined as >= 4 weeks of stable neurologic function following CNS
- •directed therapy (stereotactic radiotherapy, definitive surgical resection,
- •and/or whole brain radiotherapy); not requiring steroids; and no evidence of
- •CNS disease progression as determined by radiographic imaging within 4 weeks
- •prior to the first dose of study treatment.
- •Note: Patients with spinal cord metastases are allowed.
- •Note: Patients with untreated, uncontrolled, ongoing spinal cord compression
- •are excluded.
- •9. Chronic liver diseases including but not limited to NAFLD or NASH,
- •alcohol-related liver disease, cirrhosis, hemochromatosis, Wilson*s disease,
- •alpha-1 antitrypsin deficiency, liver hemangioma, hepatic or biliary autoimmune
- •disorders (e.g., primary biliary cholangitis, autoimmune hepatitis) ), history
- •of portal or hepatic vein thrombosis, sinusoidal occlusion syndrome.
- •Note: Liver imaging is required for all patients to rule out chronic liver
- •diseases. When NAFLD, NASH, fibrosis, or cirrhosis are suspected, liver MRI or
- 另有 1 项未显示
研究者
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