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临床试验/EUCTR2017-001483-38-ES
EUCTR2017-001483-38-ES进行中(未招募)1 期

An international, multicenter, Phase 1b/2 study of rogaratinib (BAY 1163877) in combination with atezolizumab as first-line treatment in cisplatin-ineligible patients with FGFR-positive locally advanced or metastatic urothelial carcinoma - Phase 1b/2 study of pan FGFR inhibitor

Bayer AG0 个研究点目标入组 190 人开始时间: 2018年2月2日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
Bayer AG
入组人数
190

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

  • Male/female patients >= 18 years of age (at least age of legal maturity)
  • Urothelial carcinoma (transitional cell carcinoma) including urinary bladder, renal pelvis, ureters, urethra, meeting all of the following criteria:
  • o Histologically confirmed.
  • o Patients with mixed histology are required to have a dominant transitional cell pattern
  • o Locally advanced (T4, any N; or any T, N2-3) or metastatic disease (any T, any N and M1)
  • Note: Locally advanced bladder cancer must be unresectable i.e. invading the pelvic or abdominal wall (stage T4b) or presenting with bulky nodal disease (N2-3)
  • High FGFR1 or 3 mRNA expression levels (RNAscope score of 3+ or 4+; measurement is part of this protocol) in archival or fresh tumor biopsy specimen
  • Measurable disease according to RECIST v1.1
  • ECOG PS 0 or 1
  • Adequate hematological and end organ function
  • Recovery to NCI CTCAE v.4.03 Grade 0 or 1 level or recovery to baseline preceding the prior treatment from any previous drug / procedure-related toxicity (patients with persistent alopecia, anemia [hemoglobin >= 9 g/dl], and / or hypothyroidism can be included)
  • No prior systemic treatment for locally advanced or metastatic urothelial carcinoma. For patients who received prior adjuvant/neoadjuvant chemotherapy or chemo-radiation for urothelial carcinoma, a treatment-free interval > 12 months between the last treatment administration and the date of recurrence is required in order to be considered treatment-naïve in the metastatic setting. Prior local intra-vesical chemotherapy/local immunotherapy allowed if completed at least 4 weeks before first study drug administration
  • Ineligibility for cisplatin-based chemotherapy
  • Negative serum pregnancy test in women of childbearing potential (performed within 7 days before the first treatment). Negative results must be available before the first study drug administration
  • WOCBP + fertile men must agree to use adequate contraception when sexually active from signing of ICF for study treatment eligibility until at least 5 months after last study drug administration. Investigator or designated associate is requested to advise patient how to achieve highly effective birth control. Highly effective (failure rate of less than 1% per year) contraception methods include:
  • Combined (estrogen and progesterone containing: oral, intravaginal, transdermal) and progesterone-only (oral, injectable, implantable) hormonal contraception associated with inhibition of ovulation
  • Bilateral tubal occlusion/vasectomized partner
  • Sexual abstinence
  • o Periodic abstinence + withdrawal are not acceptable methods of contraception.
  • Male patients with female partner of childbearing potential must use condom+ ensure that an additional form of contraception is also used during treatment + until 12 weeks after last study drug administration
  • Male/female patients >= 18 years of age (at least age of legal maturity)
  • Urothelial carcinoma (transitional cell carcinoma) including urinary bladder, renal pelvis, ureters, urethra, meeting all of the following criteri

排除标准

  • Inability to swallow oral medications
  • Any malabsorption condition
  • Current diagnosis of retinal disorders including retinal detachment, retinal pigment epithelial detachment (RPED), serous retinopathy or retinal vein occlusion
  • Previous or concurrent cancer except
  • o cervical carcinoma in situ
  • o treated basal-cell carcinoma or squamous cell skin cancer
  • o localized prostate cancer treated with curative intent and absence of prostate-specific antigen (PSA) relapse or incidental prostate cancer (T1/T2a, Gleason score <= 6 and PSA < 10 ng/mL undergoing active surveillance and treatment-naïve)
  • o any other cancer curatively treated > 3 years before the first study drug administration
  • Investigational drug treatment outside of this study during or within 4 weeks before the first study drug administration
  • Ongoing or previous treatment with anti-FGFR directed therapies (e.g. receptor tyrosine kinase inhibitors including rogaratinib or FGFR-specific antibodies)
  • Previous assignment to treatment during this study
  • Severe (CTCAE v.4.03 Grade 3) infections within 4 weeks before the first study drug administration, including but not limited to hospitalization for complication of infection, bacteremia, or severe pneumonia
  • History of autoimmune disease except: a) autoimmune-related hypothyroidism clinically stable on thyroid replacement hormone; b) controlled Type-I diabetes mellitus on a stable dose of insulin regimen
  • History or current condition of uncontrolled cardiovascular disease
  • Systolic/diastolic blood pressure <= 100/60 mmHg and heart rate >= 100/min
  • Renal failure requiring peritoneal dialysis or hemodialysis
  • Current evidence of endocrine alteration of calcium phosphate homeostasis (e.g. parathyroid disorder, history of parathyroidectomy, tumor lysis, tumoral calcinosis, paraneoplastic hypercalcemia)
  • Concomitant therapies that are known to increase serum calcium or phosphate levels and that cannot be discontinued or switched to a different medication before start of study treatment
  • Evidence or history of bleeding diathesis or coagulopathy
  • Any hemorrhage / bleeding event CTCAE v.4.03 >= Grade 3 within 4 weeks before the first study drug administration
  • Inability to swallow oral medications
  • Any malabsorption condition
  • Current diagnosis of retinal disorders including retinal detachment, retinal pigment epithelial detachment (RPED), serous retinopathy or retinal vein occlusion
  • Previous or concurrent cancer except
  • o cervical carcinoma in situ
  • o treated basal-cell carcinoma or squamous cell skin cancer
  • o localized prostate cancer treated with curative intent and absence of prostate-specific antigen (PSA) relapse or incidental prostate cancer (T1/T2a, Gleason score <= 6, and PSA <= 10 ng/mL undergoing active surveillance and treatment-naïve
  • o any other cancer curatively treated > 3 years before randomization
  • Ongoing or previous anti-cancer treatment within 4 weeks before randomization
  • Ongoing o

研究者

发起方
Bayer AG

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