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临床试验/CTRI/2022/01/039501
CTRI/2022/01/039501尚未招募未知

A randomized controlled study comparing tyrosine kinase inhibitor versus tyrosine kinase inhibitor with intrathecal methotrexate in leptomeningeal carcinomatosis in driver mutated non-small cell lung carcinoma - TYKME

Tata Memorial Hospital0 个研究点目标入组 0 人开始时间: 待定最近更新:

试验速览

阶段
未知
状态
尚未招募

研究概览

简要总结

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研究设计

研究类型
Interventional

入排标准

入选标准

  • 1. Subjects must have leptomeningeal metastasis from a driver mutated NSCLC. The diagnosis of LMM will be based on EANO criteria16. Patients with either confirmed or probable LMM disease status will be included in this study
  • 2. Age: Male or female subjects aged = 18 years.
  • 3. Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-3.
  • 4. Subjects must have normal organ and marrow function as per TMH
  • 5. Patients with HIV are potentially eligible, as long as they have a CD4 count > 200, are on concurrent HAART (highly active antiretroviral therapy), and have absence of active AIDS defining conditions.
  • 6. Both men and women of all races and ethnic groups are eligible for this study.
  • 7. Willing and able to comply with all study requirements, including treatment, able to be followed up at regular intervals and/or nature of required assessments.
  • 8. Ability to understand and the willingness to sign a written informed consent document.

排除标准

  • 1. Subjects who are receiving any other investigational agents.
  • 2. Within 2 weeks of administration of a chemotherapeutic agent.
  • 3. Current use of immunosuppressive medication, EXCEPT for the following: a. intranasal, inhaled, topical steroids, or local steroid injection (e.g., intra-articular injection); b. Systemic corticosteroids at physiologic doses = 10 mg/day of prednisone or equivalent; c. Steroids as premedication for hypersensitivity reactions (e.g., CT scan premedication) d. Steroids for raised intracranial pressure due to the disease itself e,Steroid use for avoidance or treatment of emesis.
  • 4. Active autoimmune disease that might deteriorate when receiving a chemotherapeutic agent. Patients with diabetes type I, vitiligo, psoriasis, or hypo- or hyperthyroid diseases not requiring immunosuppressive treatment are eligible.
  • 5. Prior organ transplantation including allogeneic stem-cell transplantation.
  • 6. Active infection requiring systemic therapy.
  • 7. Known prior severe hypersensitivity to investigational product or any component in its formulations, including known severe hypersensitivity reactions to monoclonal antibodies (NCI-CTCAE v4.03 Grade = 3).
  • 8. Clinically significant (i.e., active) cardiovascular disease: cerebrovascular accident/stroke ( < 6 months prior to enrollment), myocardial infarction ( < 6 months prior to enrollment), unstable angina, congestive heart failure (= New York Heart Association Classification Class II), or serious cardiac arrhythmia requiring medication.
  • 9. Pregnant and lactating women are excluded from this study.
  • 10. Local site infection making it infeasible for lumbar puncture
  • 11. Persistent features of raised intracranial pressure which has not subsided post steroids, mannitol and other decongesting interventions thus ruling out option of lumbar puncture

研究者

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