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临床试验/EUCTR2014-004981-52-DE
EUCTR2014-004981-52-DE进行中(未招募)1 期

ab-Paclitaxel (Abraxane®) and Gemcitabine as first line therapy in patients with cholangiocarcinoma ineligible for cisplatin-based chemotherapy – a pilot studyThe NACHO trial (GEMNABCCC-001) - The NACHO trial

niversity Hospital Essen0 个研究点目标入组 10 人开始时间: 2015年12月17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)
发起方
入组人数
10

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

  • ?signed informed consent before start of specific protocol procedure
  • ?age > 18 years
  • ?histologically or cytologically documented diagnosis of cholangiocellular carcinoma, bile duct cancer or gall bladder carcinoma
  • ?presence of at least one measurable site of disease following RECIST 1.1 criteria
  • ?unresecable, metastatic or recurrent disease
  • ?ECOG performance 0 or 1
  • ?life expectancy of at least 3 months
  • ?any contraindication for Cisplatin, i.e. renal impairment (creatinine clearance < 60 ml/min), impaired hearing, increased risk or history for thromboembolic events, intolerance of extensive hydration, left ventricular ejection fraction (LVEF) < 45%
  • ?adequate bone marrow, liver and renal function as assessed by the following laboratory requirements to be conducted within 7 days prior to screening
  • ?absolute neutrophil count (ANC) = 1500/µl
  • ?platelet count = 100,000/µl
  • ?total bilirubin < 3 x ULN and sufficient biliary drainage
  • ?ALT and AST < 3 x ULN, < 5 x ULN if liver metastasis present
  • ?PT-INR/PTT < 1.5 x ULN, patients therapeutically anticoagulated with NMH, heparin or NOACs (dabigatran, rivaroxaban, abixaban) are allowed to participate, patients anticoagulated with phenoprocoumon or warfarin should be switched to NMH, heparin or NOACs
  • ?creatinine clearance = 30ml/min and serum creatinine = 2.5 x ULN
  • ?confirmed menopause, negative pregnancy test within 7 days of the start of treatment and willingness to use highly effective methods of contraception
  • ?willingness and able to comply with the protocol for the duration of the study
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 7
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 3

排除标准

  • ?no prior anti-cancer chemotherapy or radiotherapy for metastatic, advanced or recurrent disease; adjuvant/additive chemotherapy or radiotherapy after resection is allowed if therapy free intervall is at least 4 months; concomitant small volume palliative radiotherapy of bone metastases are allowed
  • ?investigational drug therapy during or within 4 weeks of study entry
  • ?major surgery within 4 weeks of starting therapy within this study
  • ?symptomatic brain metastasis
  • ?clincially significant cardiovascular disease (incl. Myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) 6 months before enrollment
  • ?active clinically serious infections (> grade 2 NCI-CTC version 4.0)
  • ?history of interstitial lung disease
  • ?liver cirrhosis child-pugh score > 8
  • ?history of HIV infection or chronic hepatitis B or C
  • ?pre-exisiting neuropathy > grade 1 (NCI-CTC version 4.0)
  • ?patients with evidence of bleeding diathesis
  • ?patients with second primary cancer within 5 years, exept adequately treated basal skin cancer or carcinoma in-situ of the cervix or bladder, or low/intermediate risk prostate cancer (Gleason score = 7) with normal PSA levels
  • ?any condition that could jeopardize the safety of the patient and their compliance of the study
  • ?breast-feeding patients
  • ?substance abuse, medical, psychological or social conditions that may interfere with the participation in the study

研究者

发起方
niversity Hospital Essen

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