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临床试验/EUCTR2016-000742-61-IT
EUCTR2016-000742-61-IT进行中(未招募)1 期

CLINICAL STUDY OFNIVOLUMAB COMBINED WITH IPILIMUMAB IN SUBJECTS WITH UNRESECTABLE OR METASTATIC MELANOMA. (NIVOLUMABIPILIMUMABAT 1MG/KG – NIVOIPI01) - NA

AZIENDA OSPEDALIERO-UNIVERSITARIA PISANA0 个研究点目标入组 60 人开始时间: 2018年1月30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
60

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
All

入选标准

  • 1 .Subjects capable of giving informed consent must have signed and dated an IRB/IEC approved written informed consent form
  • in accordance with regulatory and institutional guidelines. This must be obtained before the performance of any protocol related
  • procedures that are not part of normal subject care.
  • 2. Subjects must be willing and able to comply with scheduled visits, treatment schedule, laboratory testing, and other
  • requirements of the study.
  • 3. Histologically confirmed unresectable Stage III or Stage IV melanoma, as per AJCC staging system.
  • 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 (Refer to Appendix 4)
  • 5. Treatment naïve subjects (ie, no prior systemic anticancer therapy for unresectable or metastatic melanoma). Note that prior
  • adjuvant or neoadjuvant melanoma therapy is permitted if it was completed at least 6 weeks prior to randomization, and all
  • related adverse events have either returned to baseline or stabilized.
  • 6. Measurable disease by CT or MRI per RECIST 1.1 criteria [89]
  • 7. Tumor tissue from an unresectable or metastatic site of disease must be provided for disease diagnsis.
  • 8. Subjects must have known BRAF V600 mutation status or consent to BRAF V600 mutation testing per local institutional
  • standards during the Screening Period.
  • 9. Prior radiotherapy must have been completed at least 2 weeks prior to study drug
  • administration.
  • 10. Screening laboratory values must meet the following criteria and should be obtained within 14 days prior to study entry:
  • i) WBC = 2000/µL
  • ii) Neutrophils = 1500/µL
  • iii) Platelets =100 x103/µL
  • iv) Hemoglobin = 9.0 g/dL
  • v) Serum creatinine = 1.5 x ULN or creatinine clearance (CrCl) = 40 mL/min (using the
  • Cockcroft-Gault formula):
  • Female CrCl = (140 - age in years) x weight in kg x 0.85
  • 72 x serum creatinine in mg/dL
  • Male CrCl = (140 - age in years) x weight in kg x 1.00
  • 72 x serum creatinine in mg/dL
  • vi) AST/ALT = 3 x ULN
  • vii) Total Bilirubin = 1.5 x ULN (except subjects with Gilbert Syndrome, who can have total bilirubin < 3.0 mg/dL).
  • viii) normal ACTH level, and thyroid function tests, negative pregnancy test within 24 hours prior to the start of investigational
  • 11. Men and women, >18 years of age
  • 12. Women of childbearing potential (WOCBP as defined below) and Men who are sexually active with WOCBP must use any
  • contraceptive method with a failure rate of less than 1% per year as indicated in Appendix 5 for at least 6 and 7,5 months,
  • respectively, after the last dose of investigational drug (see also 2014_09_HMA_CTFG_Contraception.pdf).
  • 13. Subject must consent to undergo a biopsy of their metastasis for confirmation of the diagnosis and/or BRAF V600 mutational
  • 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 50
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 10

排除标准

  • 1.Active brain metastases or leptomeningeal metastases. Subjects with brain metastases are eligible if these have been treated
  • and there is no magnetic resonance imaging (MRI) evidence of progression for at least 8 weeks after treatment is complete and
  • within 28 days prior to first dose of study drug administration. There must also be no requirement for immunosuppressive doses of
  • systemic corticosteroids (> 10 mg/day prednisone equivalents) for at least 2 weeks prior to study drug administration.
  • 2.Ocular melanoma
  • 3.Any serious or uncontrolled medical disorder that, in the opinion of the investigator, may increase the risk associated with study
  • participation or study drug administration, impair the ability of the subject to receive protocol therapy, or interfere with the
  • interpretation of study results.
  • 4.Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured, such as
  • basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the prostate, cervix, or breast.
  • 5.Subjects with active, known or suspected autoimmune disease. Subjects with vitiligo, type I diabetes mellitus, residual
  • hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or
  • conditions not expected to recur in the absence of an external trigger are permitted to enroll.
  • 6.Subjects with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or
  • other immunosuppressive medications within 14 days of study drug administration. Inhaled or topical steroids, and adrenal
  • replacement doses > 10 mg daily prednisone equivalents are permitted in the absence of active autoimmune disease.
  • 7.Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 antibody, or any other antibody or drug specifically
  • targeting T-cell costimulation or immune checkpoint pathways, are permitted only under exceptional circumstances and always
  • after PI approval.
  • 8.Positive test for hepatitis B virus surface antigen (HBV sAg) or hepatitis C virus ribonucleic acid (HCV antibody) indicating acute
  • or chronic infection, as determined in subjects where the condition is unknown at time of study entry.
  • 9.Known history of testing positive for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome
  • 10.History of allergy to study drug components.
  • 11.History of severe hypersensitivity reaction to any monoclonal antibody.
  • 12.WOCBP who are pregnant or breastfeeding
  • 13.Women with a positive pregnancy test at enrollment or prior to administration of study medication.
  • 14.Subjects who are compulsorily detained for treatment of either a psychiatric or physical (eg, infectious disease) illness
  • Women of Childbearing Potential
  • Women of childbearing potential (WOCBP) is defined as any female who has experienced menarche and who has not undergone
  • surgical sterilization (hysterectomy or bilateral oophorectomy) or is not postmenopausal. Menopause is defined clinically as 12
  • months of amenorrhea in a woman over age 45 in the absence of other biological or physiological causes.In additional, women
  • under the age of 62 must have a documented serum follicle stimulating hormone, (FSH) level > 40mIU/mL.
  • Prohibited and/or Restricted Treatments
  • The following medications are prohibited during the study:
  • Immunosuppressive agents (except to treat a drug-related adverse event)
  • Systemic corticost

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