Phase II Trial With Taxotere and Cisplatin in Non-operable Adrenocortical Carcinoma
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 19
- 试验地点
- 1
- 主要终点
- response rate
研究概览
简要总结
The trial is a phase II trial in adrenocortical carcinoma (ACC), a rare malignancy with poor prognosis. It will provide results leading to the establishment of the effect of the included drugs. The regimen consists of cisplatin plus taxotere. Over a period of 1-2 years this national trial will include 19-36 patients with advanced ACC from different centres in Denmark. Patients not responding to the first line treatment will be switched to the alternative regimen. The primary objective of this trial is to investigate response rate. Secondary endpoints are survival, time to progression, best overall response rate and duration of response.
详细描述
Treatment every three weeks, evaluation after 2 cycles, CTC criterias used for toxicity evaluation
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologically confirmed diagnosis of adrenocortical carcinoma
- •Locally advanced or metastatic disease not amenable to radical surgery resection (Stage III-IV)
- •Radiologically measurable disease
- •ECOG performance status 0-2
- •Life expectancy > 3 months
- •Age ≥18 years
- •Adequate bone marrow reserve (neutrophils > 1500/mm3 and platelets > 100,000/mm3)
- •Effective contraception in pre-menopausal female and male patients
- •Patient's written informed consent
- •Ability to comply with the protocol procedures (including availability for follow-up visits)
- •Previous palliative surgery, radiotherapy or radiofrequency ablation is acceptable as long as radiologically monitorable disease is verifiable afterwards.
排除标准
- •History of prior malignancy, except for cured non-melanoma skin cancer, curatively in situ cervical carcinoma, or other cancers treated with no evidence of disease for at least five years.
- •Previous cytotoxic chemotherapy for adrenocortical carcinoma
- •Renal insufficiency (serum creatinine ≥2 mg/dl or creatinine clearance ≤ 60 ml/min)
- •Hepatic insufficiency (serum bilirubin ≥2 x the institutional upper limit of normal range and/or serum transaminases ≥ 3 x the institutional upper limit of normal range; exception: in patients on mitotane, transaminase levels up to 5 x the institutional upper limit of normal range are acceptable)
- •Pregnancy or breast feeding
- •Known hypersensitivity to any drug included in the treatment protocol
- •Presence of active infection
- •Any other severe clinical condition that in the judgment of the local investigator would place the patient at undue risk or interfere with the study completion
- •Current treatment with other experimental drugs and/or previous participation in clinical trials with other experimental agents for adrenocortical carcinoma
研究组 & 干预措施
treatment
taxotere and cisplatin day one every three weeks
干预措施: cisplatin, taxotere (Drug)
结局指标
主要结局
response rate
时间窗: in months
次要结局
- Survival, time to progression, best overall response rate and duration of response(survival at 6 months and 1 year)
研究者
Gedske Daugaard
Associate professor
Rigshospitalet, Denmark