EUCTR2021-002326-24-DE招募中1 期
A Phase 3, Multicenter, Open-Label, Randomized Study of Nemvaleukin Alfa in Combination With Pembrolizumab Versus Investigator’s Choice Chemotherapy in Patients With Platinum-Resistant Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (ARTISTRY-7) - ARTISTRY-7
适应症
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 450
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
- 性别
- Female
入选标准
- •English 1. Patient is female and =18 years of age.
- •2. Patient or patient's legal representative (as applicable per regional
- •requirements) has provided written informed consent.
- •3. Patient is willing and able to comply with scheduled visits, treatment
- •schedule, laboratory tests, and other requirements of the study.
- •4. Patient has histologically confirmed diagnosis of EOC, fallopian tube
- •cancer, or primary
- •peritoneal cancer and histology subtype, high-grade serous,
- •endometrioid of any grade, clear cell
- •5. Patient has platinum-resistant/refractory disease: disease: resistant is defined as disease
- •progression within 180 days following the last administered dose of platinum therapy beyond first-line setting (ie, initial platinum
- •therapy); and refractory is defined as disease progression or lack of response followed by disease progression while receiving the most recent platinum-based therapy (beyond initial therapy) or lack of response or disease progression while receiving the most recent platinum-based therapy (refractory). Patient must have progressed radiographically or by GCIG-defined CA-125 criteria on or after their most recent line of
- •anticancer therapy beyond first-line setting.
- •a. Note: Progression should be calculated from the date of the last
- •administered dose of platinum therapy to the date of the radiographic
- •imaging showing progression or the date progression was assessed by
- •GCIG-defined CA-125 criteria, whichever comes first.
- •b. Note: Patients who have primary platinum-refractory or platinumresistant disease (disease progression <3 months after completion of
- •first-line platinum based therapy) are excluded.
- •6. Patient must have received at least 1 prior line of platinum-based therapy (as noted below), and no more than 5 prior lines of systemic
- •anticancer therapy in the platinum-resistant disease (4 additional lines after the patient developed platinum-resistant/refractory disease). Patient must have received at least 1 line of therapy containing bevacizumab. The following
- •guidelines apply:
- •a. Patients who are primary platinum-resistant (developed resistance
- •after initial platinum-based therapy) must have received at least 4 cycles of platinum, must have had a
- •response (complete response [CR] or partial response [PR]) and then
- •progressed =3 to =6 months after the date of the last dose of platinum
- •b. Prior PARP inhibitor is allowed if included within these limits of prior
- •therapy. Prior PARP inhibitor is required for patients with a breast
- •cancer gene (BRCA) mutation.
- •c. Adjuvant ± neoadjuvant is considered 1 line of therapy.
- •d. Maintenance therapy (eg, bevacizumab, PARP inhibitors) will be
- •considered part of the preceding line of therapy (i.e., not counted
- •independently).
- •e. Therapy that changed due to toxicity in the absence of progression
- •will be considered part of the same line (ie, not counted independently).
- •f. Hormonal therapy will be counted as a separate line of therapy unless
- •it was given as maintenance therapy.
- •7. Patient has at least one measurable lesion that qualifies as a target
- •lesion based on RECIST v1.1. Tumor lesions situated in a previously
- •irradiated area, or in an area subjected to other loco-regional therapy,
- •are not considered measurable unless there has been demonstrated
- •progression in the lesion.
- •8. Patient is willing to provide a tumor tissue sample either collected
- •from a prior biopsy or cytoreductive/debulking surgery occurring at any
- •time since diagnosis or from a fresh
排除标准
- •1.Patient has primary platinum-refractory disease or primary platinum resistance: primary platinum-refractory disease is defined as disease
- •progression during initial platinum based therapy; and primary platinum resistance is defined as disease progression <3 months after completion
- •of initial platinum-based therapy.
- •2. Patient has histologically confirmed diagnosis of EOC with mucinous or carcinosarcoma subtype.
- •3. Patient has nonepithelial tumor (eg, germline or stromal cell tumor) or ovarian tumor with low malignant potential (i.e., borderline or lowgrade serous tumor).
- •4. Patient requires recurrent (=1 per month) fluid drainage (eg, paracentesis, thoracentesis, pericardiocentesis) or patient requires fluid
- •drainage of =500 ml within 4 weeks of the expected date of the first dose of study drug.
- •5. Patient has received prior IL-2-based or IL-15-based cytokine therapy; patient has had exposure, including intralesional, to IL-12 or
- •analogs thereof.
- •6. Patient has prior exposure to any antiPD1/PDL1 therapy.
- •7. Patient requires or has taken systemic corticosteroids (>10 mg of prednisone daily, or equivalent)within 14 days prior to the first dose of
- •study drug(s); however, replacement doses, topical, ophthalmologic, and inhalational steroids are permitted. Note: patients requiring the use of a
- •steroid during the Screening Period at a dose level of <10 mg of prednisone (or equivalent) per day are not excluded as long as the event
- •requiring the use of the steroid has recovered to acceptable grade.
- •8. Patient has taken nonsteroid systemic immunomodulatory agents (eg,etanercept, adalimumab, etc.) within 28 days prior to the first dose of
- •study drug(s), or anticipates any use of these therapies during the study period.
- •9. Patient has undergone any major surgical procedure within 3 weeks prior to Screening. Patients who have not recovered from any previous
- •surgery that occurred more than 3 weeks prior to Screening are also excluded.
- •10. Patient has undergone prior solid organ and/or non-autologous hematopoietic stem cell or bone marrow transplant.
- •11. Patient has received a live or live-attenuated vaccine(s) within 30 days prior to the first dose of study drug(s). Note: Coronavirus Disease
- •2019 (COVID-19) vaccine is allowed; see guidance on COVID-19 vaccines in Section 7.3.2).
- •12. Patient has had any active infection and/or a fever =38.5°C (= 101°F) within 3 days prior to the first dose of study drug(s) requiring systemic therapy. Antibiotics given for periprocedural prophylaxis or given presumptively for a limited time (eg, until infection was ruled out),
- •as well as topical or intraocular antibiotics, shall not be exclusionary.
- •13. Patient has active autoimmune disease(s) requiring systemic treatment within the past 2 years or a documented history of clinically
- •severe autoimmune disease that has required chronic or frequent systemic steroids. Replacement therapy (eg, thyroxine, insulin, or
- •physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is allowed.
- •14. Patient has underlying chronic lung disease, chronic obstructive pulmonary disease, metastatic lung disease, pleural effusions, or other
- •lung disorders (eg, pulmonary embolism) with a baseline room air oxygen saturation of <92% at screening and/or dyspnea (=Grade 3)which requires oxygen therapy.
- •15. Has a history of (noninfectious) pneumonitis that required steroids or has current pneumonitis.
- •16. Patient has any other concurrent uncontrolled
研究者
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