跳至主要内容
临床试验/NL-OMON56068
NL-OMON56068招募中不适用

Sarcomas and DDR-Inhibition; a neoadjuvant phase I combined modality study - SADDRIN-1 - SADDRIN-1

Antoni van Leeuwenhoek Ziekenhuis0 个研究点目标入组 30 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
发起方
入组人数
30

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

  • Histologically confirmed newly diagnosed intermediate to high grade soft
  • tissue sarcoma localized to the extremities or trunk- and chest wall, for which
  • the standard treatment is a combination of and RT and surgery (deep seated
  • and/or > 5cm in largest tumor diameter and/or an anticipated close resection
  • margin and/or grade II/III according to the FNCLCC definition);
  • Patients staged by at least a CT scan of the chest (and a CT scan of the
  • abdomen, if deemed indicated according to local practices, e.g. in case of a
  • myxoid liposarcoma). Staging may also be performed by FDG-PET scanning and or
  • total body MRI scans. This staging procedure should not reveal metastatic
  • disease. If, however, a low metastatic burden is detected such that this does
  • not preclude the application of both preoperative RT and definitive surgery,
  • patients are allowed to participate;
  • WHO Performance Status <= 2;
  • Able and willing to undergo preoperative RT;
  • Able and willing to undergo definitive surgery;
  • Able and willing to comply with regular follow-up visits;
  • Able and willing to swallow and retain oral medication;
  • Age >= 18 years;
  • Body weight >30kg;
  • Must have a life expectancy of at least 12 weeks;
  • Adequate organ function as defined in Table 4
  • Signed written informed consent prior to any study specific procedures or

排除标准

  • Pathological diagnosis
  • Patients with any type soft tissue sarcoma located above the clavicles;
  • Patients with recurrent sarcomas who underwent prior radiotherapy to the
  • target lesion (if the primary sarcoma was managed by surgery only and no
  • perioperative radiotherapy, patients are eligible);
  • Ewing sarcoma and other PNET family tumors, rhabdomyosarcomas (both pediatric
  • and adult), bone sarcomas;
  • Concurrent therapies
  • Neoadjuvant chemotherapy to be scheduled between end of radiotherapy and
  • definitive surgery is not allowed. (neoadjuvant chemotherapy before start of
  • study radiotherapy is allowed);
  • Intention to perform an isolated limb perfusion, instead of a tumor resection;
  • Radiotherapy treatment to more than 30% of the bone marrow or with a wide
  • field of radiation within 4 weeks of the first dose of study drug;
  • Medical History
  • Prior malignancies; except another malignancy and disease-free for >= 5 years,
  • or completely resected non-melanomatous skin carcinoma or successfully treated
  • in situ carcinoma;
  • Prior surgical procedure within 28 days prior to the first dose of
  • durvalumab, excluding minor surgical procedures e.g procedures only recuing
  • local anesthesia.
  • Past medical history of interstitial lung disease (ILD ), drug-induced ILD,
  • radiation pneumonitis which required steroid treatment, or any evidence of
  • clinically active interstitial lung disease;
  • History or presence of myopathy or raised CK >5 x ULN on 2 occasions at
  • screening. CK should not be measured following strenuous exercise or in the
  • presence of a plausible alternative cause of CK increase, which may confound
  • interpretation of the results. If CK levels are significantly elevated at
  • baseline (>5 x ULN) a confirmatory test should be carried out within 5 - 7
  • days. If the repeat test confirms a baseline CK >5 x ULN, treatment should not
  • be started;
  • History and/or presence of COVID-19: (a)Previous severe course of COVID-19
  • (ie, hospitalisation, extracorporeal membrane oxygenation, mechanically
  • ventilated), (b) Clinical signs and symptoms consistent with COVID-19, eg,
  • fever, dry cough, dyspnoea, sore throat, fatigue or confirmed current infection
  • by appropriate laboratory test within the last 4 weeks prior to screening;
  • Cardiac function
  • Cardiac dysfunction defined as: Myocardial infarction within six months of
  • study entry, NYHA Class II/III/IV heart failure, unstable angina or unstable
  • cardiac arrhythmias;
  • Any of the following cardiac criteria:
  • * Mean resting corrected QT interval (QTcF) > 470 msec obtained from 3
  • electrocardiograms (ECGs) (QTc interval will be calculated using Fridericia*s
  • * Any clinically important abnormalities in rhythm, conduction or morphology of
  • resting ECG, e.g., complete left bundle branch block, third degree heart block;
  • * Any factors that increase the risk of QTc prolongation or risk of arrhythmic
  • events such as heart failure, hypokalemia, congenital long QT syndrome, family
  • history of long QT syndrome or unexplained sudden death under 40 years-of-age.
  • Patients stable on concomitant medications known to prolong the QT interval may
  • be allowed to participate in the study provided that their mean resting
  • 另有 2 项未显示

研究者

发起方
Antoni van Leeuwenhoek Ziekenhuis

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