NL-OMON53713撤回不适用
A Phase 1b/2, open-label dose escalation with expansion study of GB5121 in adult patients with relapsed/refractory primary or secondary central nervous system lymphoma or primary vitreoretinal lymphoma, with a Phase 2 open-label single dose level study of GB5121 in adult patients with relapsed/refractory primary central nervous system lymphoma - GB5121-2101 STAR CNS
GB005, Inc., a wholly-owned subsidiary of Gossamer Bio, Inc.0 个研究点目标入组 22 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
- 撤回
- 发起方
- 入组人数
- 22
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
- •Phase 1b Dose Escalation and Expansion:
- •1. Patients who are at least 18 years of age at the time of signing the
- •informed consent form (ICF) prior to initiation of any study specific
- •activities/procedures.
- •2. Patients must have histologically/cytologically confirmed PCNSL, primary
- •vitreoretinal lymphoma (PVRL), or CNS-only involvement of a systemic B-cell
- •3. All patients must have relapsed/refractory disease and must have received
- •all possible standard-of-care CNS-directed treatment regimens or patients for
- •which further standard-of-care treatment options are contraindicated or
- •4. Patients must be able to tolerate gadolinium-enhanced MRI scans, or
- •contrast-enhanced CT .
- •5. Patients with parenchymal lesions must have baseline imaging
- •(gadolinium-enhanced MRI or if contraindicated, contrast-enhanced CT, of the
- •brain) within 28 days prior to first study drug dose. For patients with
- •leptomeningeal disease only, CSF cytology must document lymphoma cells and/or
- •imaging findings consistent with leptomeningeal disease after informed consent
- •and prior to first study dose (at the discretion of the Investigator).
- •6. Patients with parenchymal lesions must have measurable disease (disease that
- •has at least one lesion >= 10 mm in the longest diameter) on imaging
- •(gadolinium-enhanced MRI or if contraindicated, contrast-enhanced CT, of the
- •brain) prior to first study dose.
- •7. Patients must be able to tolerate and consent for a lumbar puncture and/or
- •have pre-existing placement of an Ommaya reservoir, unless clinically
- •contraindicated.
- •8. Patients must have recovered to <= Grade 1 toxicity from prior therapy.
- •9. Patients, when available, should be able to submit at minimum 3 and up to 20
- •unstained formalin-fixed, paraffin-embedded (FFPE) slides from the initial
- •tissue diagnosis, preferably prior to study enrollment.
- •10. Patients must have a performance status of 0, 1, or 2 on the Eastern
- •Cooperative Oncology Group (ECOG) Performance Scale.
- •11. Demonstrate adequate bone marrow and organ function as defined in the
- •protocol. All screening laboratories for organ functions should be performed
- •within 14 days of initiating the study drug.
- •12. Female patients must be:
- •a. Of non-childbearing potential: Evidence of post-menopausal status. Refer to
- •Appendix 4 (Section 10.4) for definitions; or
- •b. If of childbearing potential, patient must use a highly effective method of
- •contraception for the duration of treatment and for at least 30
- •days following the last dose of GB5121. Refer to Appendix 4 (Section 10.4) for
- •contraception guidance.
- •c. Female patients of childbearing potential must have a negative serum or
- •urine pregnancy test within 72 hours prior to receiving the first
- •dose of study drug.
- •13. Male patients who are not abstinent who are partners of women of
- •childbearing potential must use 2 highly effective method of contraception
- •throughout the entire study period. Refer to Appendix 4 (Section 10.4) for
- •contraception guidance. Those with partners using hormonal contraceptives must
- •also be using an additional approved method of contraception (as described
- •previously).
- •14. Male and female patients must refrain from donating sperm or eggs from
- 另有 2 项未显示
排除标准
- •Phase 1b Dose Escalation and Expansion:
- •1. Patients are concurrently using other approved or investigational
- •antineoplastic agents.
- •2. Patients have an active concurrent malignancy requiring active therapy.
- •3. Patients are allergic to components of the study drug (Section 5.1).
- •4. Patients have a known bleeding diathesis (eg, von Willebrand's disease) or
- •hemophilia.
- •5. Patients who require therapeutic anticoagulation, including dual
- •antiplatelet agents. Patients who have received therapeutic anticoagulation,
- •including dual antiplatelet agents, within 5 half-lives of the anticoagulant,
- •or 14 days, whichever is longer, prior to starting the study drug. Patients who
- •require the use of antiplatelet agents should be discussed with the Sponsor's
- •Medical Monitor.
- •6. Patients have significant abnormalities on screening electrocardiogram (ECG)
- •and active and significant cardiovascular disease such as uncontrolled or
- •symptomatic arrhythmias, congestive heart failure, uncontrolled hypertension,
- •valvular disease, pericarditis, or myocardial infarction within 6 months of
- •7. Patients with any of the following will be excluded:
- •a. A marked baseline prolongation of QT/QTc interval (eg, repeated
- •demonstration of a QTc interval > 480 ms [CTCAE grade 2]) using Frederica's QT
- •correction formula.
- •b. A history of additional risk factors for Torsades de Pointes (eg, heart
- •failure, hypokalemia, family history of long QT syndrome).
- •c. The use of concomitant medications that prolong the QT/QTc interval (Section
- •8. Patients are known to have a history of active or chronic infection with
- •hepatitis C virus (HCV), hepatitis B virus (HBV), as determined by serologic
- •9. Known history of infection with HIV.
- •10. Patients are known to have an uncontrolled active infection.
- •11. Patients have a history of stroke or intracranial hemorrhage within 6
- •months prior to enrollment.
- •12. Patients have a life-threatening illness, medical condition, or organ
- •system dysfunction that, in the opinion of the Investigator, could compromise
- •the patient's safety or put the study outcomes at undue risk.
- •13. Patients have an inability to swallow capsules or tablets, or disease
- •significantly affecting gastrointestinal function and/or inhibiting small
- •intestine absorption (including malabsorption syndrome, resection of the small
- •bowel, or poorly controlled inflammatory bowel disease).
- •14. Women who are pregnant or nursing (lactating).
- •15. Patients have received chemotherapy, monoclonal antibodies, or targeted
- •anticancer therapy within <= 2 weeks or 5 half-lives, whichever is longer, prior
- •to starting the study drug, or the patient has not recovered from the side
- •effects of such therapy.
- •16. Patients have received external beam radiation therapy (WBRT, SRS) to the
- •CNS within 21 days of the first dose of the study drug.
- •17. Patients do not meet prior and concomitant medication criteria (Section
- •18. Patients have previously received a BTK inhibitor. Patients who have
- •previously received a BTK inhibitor, but discontinued therapy for reasons other
- •than disease progression are eligible.
- •19. Patients require > 8 mg/day of dexamethasone or the equivalent.
- •20. Patients underwent major systemic surgery within <= 2 weeks prior to
- 另有 1 项未显示
研究者
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