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临床试验/EUCTR2014-004676-29-IT
EUCTR2014-004676-29-IT进行中(未招募)1 期

A Randomized, Open Label, Multicenter Study of Cabazitaxel Versus an Androgen Receptor (AR)- targeted Agent (Abiraterone or Enzalutamide) in mCRPC Patients Previously Treated with Docetaxel and Who Rapidly Failed a Prior AR-targeted Agent (CARD) - CARD

SANOFI-AVENTIS GROUPE0 个研究点目标入组 270 人开始时间: 2021年6月17日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
270

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
Male

入选标准

  • Histologically or cytologically confirmed prostate adenocarcinoma. Metastatic disease. Effective castration with serum testosterone levels <0.5 ng/mL. Progressive disease defined by at least one of the following: - Progression in measurable disease (Response Evaluation Criteria in Solid Tumors [RECIST] 1.1 criteria). - Appearance of 2 or more new bone lesions (Prostate Cancer Working Group 2 [PCWG2]). - Rising PSA (PCWG2). Having received prior docetaxel for at least 3 cycles (before or after an AR-targeted therapy). Docetaxel administration in combination with androgen deprivation therapy (ADT) in metastatic hormone-sensitive disease is considered a prior exposure. Docetaxel rechallenge is allowed. Having progressive disease (PD) while receiving AR-targeted therapy with abiraterone acetate or enzalutamide within 12 months of AR treatment initiation (=12 months). A PSA value of at least 2 ng/mL is required at study entry. Prior AR-targeted therapy (abiraterone acetate or enzalutamide) must be stopped at least 2 weeks before study treatment. Signed informed consent
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 108
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 162

排除标准

  • Prior chemotherapy other than docetaxel for prostate cancer, except estramustine and except adjuvant/neoadjuvant treatment completed >3 years ago. Less than 28 days elapsed from prior treatment with chemotherapy, immunotherapy, radiotherapy, or surgery to the time of randomization. Adverse events (excluding alopecia and those listed in the specific exclusion criteria) from any prior anticancer therapy of Grade >1 (National Cancer Institute Common Terminology Criteria [NCI CTCAE] v4.0) at the time of randomization. Eastern Cooperative Oncology Group performance status (ECOG PS) >2 (ECOG 2 must be related to prostate cancer, not to other comorbidities). Prior malignancy. Adequately treated basal cell or squamous cell skin or superficial (pTis, pTa, and pT1) bladder cancer are allowed, as well as any other cancer for which treatment has been completed =5 years ago and from which the patient has been disease-free for =5 years. Participation in another clinical trial and any concurrent treatment with any investigational drug within 30 days prior to randomization. Acquired immunodeficiency syndrome (AIDS-related illnesses) or known HIV disease requiring antiretroviral treatment. Patients with reproductive potential who do not agree in conjunction with their partner, to use accepted and effective method of contraception during the study treatment period and up to 6 months after the last administered dose. The definition of effective method of contraception described hereafter: oral contraceptives, combined hormonal intravaginal, transdermal, or intra uterine device or will be based on country-specific regulatory requirements, and documented in the Informed Consent Form. Known allergies, hypersensitivity or intolerance to prednisone or excipients of abiraterone acetate, enzalutamide, docetaxel, or polysorbate 80. Known history of mineralocorticoid excess or deficiency. History of seizure, underlying brain injury with loss of consciousness, transient ischemic attack within the past 12 months, cerebral vascular accident, brain arteriovenous malformation, brain metastases, or the use of concomitant medications that may lower the seizure threshold. Unable to swallow a whole tablet or capsule. Inadequate organ and bone marrow function as evidenced by: - Hemoglobin <10.0 g/dL; - Absolute neutrophil count <1.5 × 10^9/L; - Platelet count <100 × 10^9/L; - aspartate aminotransferase/serum glutamic oxaloacetic transaminase and/or alanine aminotransferase/serum glutamic pyruvic transaminase >1.5 × the upper limit of normal (ULN); - Total bilirubin >1.0 × ULN; - Potassium <3.5 mmol/L; - Child-Pugh Class C; Contraindications to the use of corticosteroid treatment. Symptomatic peripheral neuropathy grade =2 (NCI CTCAE v4.0). Uncontrolled severe illness or medical condition including uncontrolled diabetes mellitus, history of cardiovascular disease (uncontrolled hypertension, arterial thrombotic events in the past 6 months, congestive heart failure, severe or unstable angina pectoris, recent myocardial infarction within the last 6 months, or uncontrolled cardiac arrhythmia).Concomitant vaccination with yellow fever vaccine

研究者

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