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临床试验/NL-OMON44437
NL-OMON44437撤回不适用

Adoptive TIL therapy plus anti-PD1 in metastatic melanoma - ACTME

eids Universitair Medisch Centrum0 个研究点目标入组 25 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
撤回
入组人数
25

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.
  • 2. Histologically or cytologically proven metastatic skin melanoma.
  • 3. Melanoma must be at one of the following AJCC 2009 stages:
  • -Unresectable (or residual) regional metastatic melanoma, i.e. in terms of AJCC 2009 classification unresectable stage III melanoma, or
  • -Stage IV melanoma, i.e. distant metastatic disease (any T, any N, M1a, M1b or M1c), and normal LDH.
  • 4. Patients with brain metastases have to be neurologically stable for at least 2 months and should not use dexamethasone.
  • 5. Presence of measurable progressive disease according to RECIST version 1.1.
  • 6. Expected survival of at least 3 months.
  • 7. WHO performance status *1.
  • 8. Within the last 2 weeks prior to study day 1, vital laboratory parameters should be within normal range, except for the following laboratory parameters, which should be within the ranges specified :
  • Lab Parameter Range
  • Hemoglobin * 6,0 mmol/l
  • Granulocytes * 1,500/µl
  • Lymphocytes * 700/µl
  • Platelets * 100,000/µl
  • Creatinine clearance * 60 min/ml
  • Serum bilirubin * 40 mol/l
  • ASAT and ALAT * 5 x the normal upper limit
  • LDH * 2 x the normal upper limit
  • 9. Viral tests:
  • -Negative for HIV type 1/2, HTLV and TPHA
  • -No HBV (hepatitis B virus) antigen or antibodies against HBc in the serum
  • -No antibodies against HCV (hepatitis C virus) in the serum
  • 10. Able and willing to give valid written informed consent.
  • 11. Progressive disease on prior treatment with f.e. BRAF-inhibitors, MEK-inhibitors or immunotherapy, including anti-PD1 treatment. Systemic therapy must have been discontinued for at least four weeks before start of study treatment.

排除标准

  • 1. Patients with brain metastases who are neurologically unstable and/or on use of dexamethasone.
  • 2. Clinically significant heart disease (NYHA Class III or IV).
  • 3. Other serious acute or chronic illnesses, e.g. active infections requiring antibiotics, bleeding disorders, or other conditions requiring concurrent medications not allowed during this study.
  • 4. Active immunodeficiency disease or autoimmune disease requiring immune suppressive drugs. Vitiligo is not an exclusion criterion.
  • 5. Other malignancy within 2 years prior to entry into the study, except for treated non-melanoma skin cancer and in situ cervical carcinoma.
  • 6. Mental impairment that may compromise the ability to give informed consent and comply with the requirements of the study.
  • 7. Lack of availability for follow-up assessments.
  • 8. Pregnancy or breastfeeding.
  • 9. Subjects with a condition requiring systemic treatment with either corticosteroids (>10mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of treatment. Inhaled or topical steroids and adrenal replacement steroid doses >10mg daily prednisone equivalent are permitted in the absence of active autoimmune disease
  • 10. Any serious or uncontrolled medical disorder or active infection that, in the opinion of the investigator, may increase the associated with the participation, study drug administration, or would impair the ability of the patient to receive protocol therapy
  • 11. Known allergy to penicillin or streptomycin (used during the culturing of T cells)

研究者

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