JPRN-jRCT2031210436招募中2 期
Phase II clinical trial evaluating the safety and efficacy of trastuzumab emtansine in patients with advanced HER2-positive extramammary Paget's disease (TEMENOS 2 trial) - TEMENOS2
Funakoshi Takeru0 个研究点目标入组 14 人开始时间: 2021年11月21日最近更新:
适应症
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 14
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
- >= 20age old 至 <= 80age old(—)
- 性别
- All
入选标准
- •(1) Patients who have received sufficient explanation about the content of the trial and have obtained written consent.
- •(2) Patients whose age at the time of obtaining consent is 20 to 80 years old.
- •(3) Patients with Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 to 1.
- •(4) Patients who have histologically confirmed as extramamary Paget's disease.
- •(5) Patients who have HER2-positive (IHC 3+ or ISH-positive) tumor tissue (primary, recurrent or metastatic lesion) confirmed by central pathological review and ISH analysis.
- •(6) Patients who have unresectable or metastatic extramammary Paget's disease
- •(7) Patients who have one or more measurable lesions (excluding primary lesions) defined in RECIST Guidelines Version 1.1 by imaging within 14 days prior to enr ollment
- •(8) Patients who have laboratory parameters within Protocol-defined range. The screening laboratory tests below must be done within 14 days before registration.
- •-Neutrophil count >= 1,500/mm3
- •-Platelets >= 100,000/mm3
- •-Hemoglobin >= 9.0g/dl
- •-Aspartate aminotransferase (AST), alanine aminotransferase (ALT) <= 2.5X upper limit of normal (ULN)
- •-Alkaline phosphatase (ALP) v2.5X upper limit of normal (ULN)
- •-Total bilirubin <= 1.5X ULN
- •-Serum creatinine <= 1.5mg/dl
- •-Prothrombin (INR) and APTT <= 1.5X ULN
- •(9) Patients who have not been treated with HER2 inhibitors including trastuzumab emtansine.
排除标准
- •(1) Patients who have clinically significant cardiac disease as follows:
- •- Grade 3 (CTCAE 5.0) or worse cardiac dysfunction or that specified in New York Heart Association (NYHA) classification class II to IV
- •- unstable angina pectoris, cardiac failure, myocardial infarction, or ventricular arrhythmia requiring medical treatment within the 6 months prior to registration
- •(2) Patients who have uncontrolled hypertension at the time of registration.
- •(3) Patients who have left ventricular ejection fraction (LVEF) of less than 50% by echocardiography within 28 days prior to registration.
- •(4) Patients who had been taken cumulative doxorubicin doses exceeding 500 mg/m2, or patients who had been other anthracycline drugs exceeding the equal cumulative dose (epirubicin: 900 mg / m2 or less, aclarubi cin: 600 mg or less, daunorubicin: 25 mg / kg or less, pirarubicin: 950 mg / m2 or less, mitoxantrone: 160 mg / m2 or less).
- •(5) Patients who have a history of hypersensitivity to the ingredients or additives of the study drug (sodium succinate, sucrose, polysorbate 20).
- •(6) Patients who have brain metastasis which meet any of the following conditions.
- •- Have untreated or treatment-required brain metastases at the time of registration.
- •- Have clinical symptoms within 60 days before registration
- •- Have a history of treatment for brain metastases (including corticosteroids) within 60 days before registration.
- •- Have clinical deteriorarion or disease progression confirmed by imaging even after lesional therapy for brain metastases.
- •(7) Patients who require continuous oxygen therapy.
- •(8) Patients who have interstitial lung disease (pneumonitis, interstitial pneumonia, etc.) or a history of them.
- •(9) Patients who have Grade 3 or worse peripheral neuropathy.
- •(10) Patients taking bisphosphonates for malignant paraneoplastic hypercalcemia (excluding the use of that for other reasons such as osteopor osis and bone metastasis)
- •(11) Patients who received chemotherapy, hormone therapy, radia
- •tion therapy, immunotherapy or biological therapy for extramammary Paget's disease within 3 weeks prior to registration.
- •(12) Patients whose toxicity associated with palliative radiation therapy has not recovered to the grade before radiation therapy within 2 weeks before registration.
- •(13) Patients who received other investigational or clinical study drugs within 4 weeks prior to registration.
- •(14) Patients who have not recovered from adverse effects of surgical treatment (excluding biopsy) or significant trauma within 4 weeks prior to enrollment or who require surgical treatment during the study period.
- •(15) Additional malignancy that is progressing or requires active treatment. Exceptions include cancers that have not recurred for at least 5 years before enrollment on study and early-stage cancers (carcinoma in situ) treated with curative intent, basal cell carcinoma of the skin that has undergone potentially curative therapy.
- •(16) Pregnant women, breastfeeding woman and woman with a positive for pregnancy test. Patients who are not willing to use contraceptives during the study period and 7 months the last dose of the study drug.
- •(17) Seropositive for hepatitis B antigen, or hepatitis C antibody.
- •Even if negative for HBs antigen, patients who are positive for HBs antibody or HBc antibody and amount of HBV-DNA exceed detection sensitivity are excluded from the study.
- •(18) Patients who have known history of HIV.
- •(19) Be determined as being an inappropriate study
研究者
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