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临床试验/EUCTR2011-001161-41-ES
EUCTR2011-001161-41-ES进行中(未招募)1 期

A Phase II study of the BRAF inhibitor dabrafenib as a single agent and incombination with the MEK inhibitor trametinib in subjects with BRAF V600E mutation positive metastatic (stage IV) non-small cell lung cancer.

GlaxoSmithKline, S.A.0 个研究点目标入组 166 人开始时间: 2012年11月29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
166

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

  • Subjects eligible for enrolment in the study and previously enrolled
  • subjects crossing over from monotherapy to combination therapy must
  • meet all of the following criteria:
  • 1. Signed written informed consent;
  • 2. Histologically- or cytologically-confirmed diagnosis of NSCLC stage IV
  • (according to AJCC Staging 7th Edition);
  • 3. Documented tumor progression (based on radiological imaging) after
  • receiving at least one prior approved platinum-based chemotherapy
  • regimen for advanced stage/metastatic NSCLC. An altérnate chemotherapeutic agent/regimen is an acceptable substitute in the
  • event that the subject was intolerant to, or ineligible to receive platinum
  • based chemotherapy. Subjects enrolled in Cohort B cannot have more
  • than 3 prior systemic treatments for advanced stage/metastatic NSCLC
  • (neoadjuvant and adjuvant therapies are not counted in number of prior
  • regimens and maintenance therapy is not counted as a separate
  • 4. Measurable disease according to RECIST v1.1 [Eisenhauer, 2009].
  • Refer to Section 7.2.3.1 for the definition of a measurable lesion;
  • 5. Male or female >=18 years of age;
  • 6. Anticipated life expectancy of at least 3 months;
  • 7. Presence of a BRAF V600E mutation in lung cancer tissue. Mutation
  • must be locally confirmed in a CLIA-certified laboratory (or equivalent).
  • An adequate amount of umor tissue (archived tumor tissue, or fresh
  • biopsy if archived tissue is not available) must be available at the time of
  • enrolment for central validation of BRAF mutation see Section 7.1.1 for
  • testing details and requirements regarding central confirmation);
  • 8. Able to swallow and retain oral medication;
  • 9. Women of childbearing potential must have a negative serum
  • pregnancy test within 14 days before the first dose of study treatment
  • and agree to use effective contraception, as defined in Section 7.4,
  • during the study;
  • NOTE: Oral contraceptives are not reliable due to potential drug-drug
  • interaction with dabrafenib
  • 10. Eastern Cooperative Oncology Group (ECOG) Performance Status of
  • 0-2 [Oken, 1982];
  • 11. Must have adequate baseline organ function as definedin Table 1:
  • Hematologica
  • ANC >= 1.5 × 109/L
  • Hemoglobin >= 9 g/dL
  • Platelet count >= 100 x 109/L
  • PT/INRb and PTT = 1.3 x ULN
  • Total bilirubin = 1.5 x ULN
  • AST and ALT = 2.5 x ULN
  • Renal (at least one of the following):
  • Serum creatininec = 1.5 mg/dL
  • Creatinine clearancec >= 50 mL/min
  • Left Ventricular Ejection fraction (LVEF)d >= LLN by ECHO
  • 12. French subjects: In France, a subject will be eligible for inclusion in
  • this study only if either affiliated to or a beneficiary of a social security
  • 13. Previously tested for presence of EGFR and ALK mutations in lung
  • cancer tissue confirmed in a CLIA-certified laboratory (or equivalent).
  • Subjects with EGFR or ALK mutation are eligible if they have previously
  • 另有 7 项未显示

排除标准

  • Subjects eligible for enrolment in the study and previously enrolled subjects crossing over from monotherapy to combination therapy must not meet any of the following criteria:
  • 1.Previous treatment with a BRAF inhibitor (including but not limited to dabrafenib, vemurafenib, LGX818, and XL281/BMS-908662) or MEK inhibitor (including but not limited to trametinib, AZD6244, and RDEA119) prior to start of study treatment (Note: Prior treatment with dabrafenib is allowed for crossover subjects in Cohort A);
  • 2.Anti-Cancer therapy including chemotherapy, radiation-therapy, immunotherapy, biologic therapy or major surgery within 14 days prior to start of study treatment (Note: Dabrafenib monotherapy within 14 days prior to starting combination therapy is allowed for crossover subjects in Cohort A);
  • 3.Use of any investigational anti-cancer drug within 14 days or 5-halflives (minimum 14 days), prior to start of study medication (Note: Dabrafenib monotherapy within 14 days prior to starting combination therapy is allowed for crossover subjects in Cohort A);
  • 4.Current use of a prohibited medication or expected to require any of thesemedications during treatment with study treatment (See Section 6.2);
  • 5.Unresolved toxicity of National Cancer Institute Common Terminology Criteria for Adverse Events, version 4.0 (NCI CTCAE v4.0) [NCI, 2009] Grade 2 or higher from previous anti-cancer therapy, except alopecia;
  • 6.Presence of active gastrointestinal disease or other condition that will interfere significantly with the absorption of drugs. If clarification is needed as to whether a condition will significantly affect absorption of drugs, contact the GlaxoSmithKline (GSK) medical monitor for guidance to enrol the subject;
  • 7.Known Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) or Hepatitis C Virus (HCV) infection. Subjects with laboratory evidence of cleared HBV and HCV infection may be enrolled;
  • 8.History of another malignancy < 3 years prior to starting study treatment or any malignancy with confirmed activating RAS-mutation; Exceptions: subjects with any of the following malignancies within 3 years (does not include malignancies with confirmed activating RASmutation) are eligible:(a) a history of completely resected skin cancer; (b) successfully treated in situ carcinoma,(c) chronic lymphocytic lymphoma (CLL) in stable remission, or (d) indolent prostate cancer (definition: clinical stage T1 or T2a, Gleason score <=6, and prostate specific antigen [PSA] < 10 ng/mL) requiring no or only anti-hormonal therapy with histologically confirmed tumour lesions that can be clearly differentiated from lung cancer target and non-target lesions are eligible
  • 9.Subjects with brain metastases are excluded if their brain metastases are:
  • Symptomatic OR
  • Treated (surgery, radiation therapy) but not clinically and radiographically stable 3 weeks after local therapy(as assessed by contrast enhanced magnetic resonance imaging [MRI] or computed tomography [CT]), OR
  • Asymptomatic and untreated but >1 cm in the longest dimension
  • 10.A history or evidence of cardiovascular risk including any of the following:
  • Corrected QT (QTc) interval >=480 msecs
  • History of acute coronary syndromes (including myocardial infarction or unstable angina) within 6 months prior to first dose of study treatment
  • Coronary angioplasty, or stenting within the past 24 weeks;
  • A history or evidence of current Class II, III, or IV heart failure as defined by

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