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临床试验/EUCTR2013-004810-16-NL
EUCTR2013-004810-16-NL进行中(未招募)1 期

PHASE 1/2 STUDY OF TAS-120 IN PATIENTS WITH ADVANCED SOLID TUMORS HARBORING FGF/FGFR ABERRATIONS

Taiho Oncology Inc0 个研究点目标入组 835 人开始时间: 2017年12月28日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
835

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

入选标准

  • 1. Provide written informed consent.
  • 2. Is = 18 years .
  • 3. Has histologically or cytologically confirmed, locally advanced, metastatic cancer meeting the following criteria:
  • a. Phase 1 Expansion
  • I. Patient has failed all standard therapies or standard therapy does not exist or is not tolerated.
  • ii. Patient is eligible for 1 of the following enrollment groups, based on diagnosis, prior therapy, and FGF/FGFR aberrations as shown:
  • Group 1 (Enrollment Suspended as of Amendment 7): Patient has
  • intrahepatic or extrahepatic cholangiocarcinoma harboring FGFR2 gene
  • Group 2: Patient has intrahepatic or extrahepatic cholangiocarcinoma harboring FGFR2 gene fusions, and has not received or received less
  • than 1 cycle of prior chemotherapy (due to intolerance or patient refusal).
  • Group 3 (Enrollment Suspended as of Amendment 7): Patient has
  • intrahepatic or extrahepatic cholangiocarcinoma harboring FGFR2 gene
  • fusions and has received prior treatment with FGFR inhibitors.
  • Group 4 (Enrollment suspended as of Amendment 7): Patient has
  • intrahepatic or extrahepatic cholangiocarcinoma harboring FGFR
  • abnormalities other than FGFR2 gene fusions.
  • Group 5: Patient has a primary CNS tumor harboring FGFR gene fusion or
  • FGFR1 activating mutation and fulfills the criteria (i and ii).
  • Group 6 (Enrollment Suspended as of Amendment 7): Patient has
  • advanced urothelial carcinoma harboring FGFR3 fusions or FGFR3
  • activating mutations.
  • Group 7: Patient has any tumor type not included in one of the prior
  • groups, harboring FGFR2 amplification (no minimum number of copies).
  • Group 8 (Enrollment Suspended as of Amendment 7): Patient has any
  • tumor type not included in one of the prior groups, harboring FGFR gene
  • fusions or activating mutations.
  • i. Patient has histologically or cytologically confirmed, locally advanced,
  • metastatic, unresectable iCCA harboring FGFR2 gene fusions or other
  • FGFR2 rearrangements based on results from either of the following
  • a. Testing by Foundation Medicine:
  • i. As part of study pre-screening; or
  • ii. Previously tested by Foundation Medicine; in this case, tumor tissue
  • should be provided to Foundation Medicine if available.
  • b. Local laboratory testing using next generation sequencing [NGS],
  • fluorescence in situ hybridization [FISH], or other assays that can
  • determine FGFR2 gene fusions or other FGFR2 rearrangements on tumor
  • tissues or from ctDNA; patients enrolled on this basis must have
  • available tumor tissues from either archival samples or fresh tumor
  • biopsy submitted to Foundation Medicine for confirmation of FGFR2 gene
  • fusion or other FGFR2 rearrangements.
  • ii. Patient has been treated with at least one prior systemic gemcitabine
  • and platinum-based chemotherapy. Patients with p

排除标准

  • 1. History and/or current evidence of clinically significant non-tumor
  • related alteration of calcium-phosphorus homeostasis.
  • 2. History and/or current evidence of clinically significant ectopic
  • mineralization/calcification.
  • 3. History and/or current evidence of clinically significant retinal
  • disorder confirmed by retinal examination.
  • 4. History or current evidence of serious uncontrolled ventricular
  • arrhythmias
  • 5. Fridericia's corrected QT interval (QTcF) > 470 ms on ECG conducted
  • during Screening.
  • 6. Treatment with any of the following within the specified time frame
  • prior to the first dose of TAS-120:
  • a. Major surgery within the previous 4 weeks (the surgical incision
  • should be fully healed prior to the first dose of TAS 120).
  • b. Radiotherapy for extended field within 4 weeks or limited field
  • radiotherapy within 2 weeks.
  • c. Patients with locoregional therapy, e.g., transarterial
  • chemoembolization (TACE), selective internal radiotherapy (SIRT) or
  • ablation within 4 weeks.
  • d. Any noninvestigational anticancer therapy within 3 weeks or have
  • not recovered from side effects of such therapy prior to TAS 120
  • administration (mitomycin within prior 5 weeks).
  • Targeted therapy or immunotherapy within 3 weeks or within 5 halflives
  • (whichever is shorter)
  • e. Any investigational agent received within 5 half-lives of the drug or 4
  • weeks, whichever is shorter. Concurrent participation in an
  • observational study may be allowed after review by the Sponsor's
  • Medical Monitor.
  • f. Patients with prior FGFR-directed therapy.
  • 7. A serious illness or medical condition(s) including, but not limited to,
  • the following:
  • a. Known brain metastasis (not including primary brain tumors) unless patient is clinically stable for = 1 month.
  • b. Known acute systemic infection.
  • c. Myocardial infarction, severe/unstable angina, symptomatic
  • congestive heart failure (New York Heart Association [NYHA] Class III
  • or IV (see Appendix D, New York Heart Association [NYHA]
  • Classification) within the previous 2 months; if > 2 months, cardiac
  • function must be within normal limits and the patient must be free of
  • cardiac-related symptoms.
  • d. Chronic nausea, vomiting, or diarrhea considered to be clinically
  • significant in the opinion of the investigator.
  • e. Congenital long QT syndrome, or any known history of torsade de
  • pointes, or family history of unexplained sudden death.
  • f. Other severe acute or chronic medical or psychiatric condition or
  • laboratory abnormality that in the judgment of the investigator would
  • make the patient inappropriate for entry into this study.
  • 8. Patients with a history of another primary malignancy that is
  • currently clinically significant, and has potential for meta

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