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临床试验/EUCTR2016-001083-11-IT
EUCTR2016-001083-11-IT进行中(未招募)1 期

D-ALBA Front-Line Sequential Treatment of Adult Philadelphia Chromosome Positive (Ph+) Acute Lymphoblastic Leukemia (ALL) Patients with Dasatinib and the Bispecific Monoclonal Antibody Blinatumomab - LAL 2116

FONDAZIONE GIMEMA (GRUPPO ITALIANO MALATTIE EMATOLOGICHE DELL' ADULTO) FRANCO MANDELLI ONLUS0 个研究点目标入组 63 人开始时间: 2020年11月4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
入组人数
63

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

  • 1) Newly diagnosed adult B-precursor Ph+ ALL patients.
  • 2) Age greater or equal to18 years.
  • 3) Signed written informed consent according to ICH/EU/GCP and national local laws.
  • 4) ECOG Performance Status 0 or 1 and/or WHO performance status less or equal to 2.
  • 5) Renal and hepatic function as defined below:
  • o AST (GOT), ALT (GPT), and AP <2 x upper limit of normal (ULN) o Total bilirubin <1.5 x ULN
  • o Creatinine clearance equal or greater than 50 mL/min
  • 6) Pancreatic function as defined below:
  • o Serum amylase less or equal to 1.5 x ULN
  • o Serum lipase less or equal to1.5 x ULN
  • 7) Normal cardiac function.
  • 8) Negative HIV test, negative HBV DNA and HCV RNA.
  • 9) Negative pregnancy test in women of childbearing potential.
  • 10) Bone marrow specimen from primary diagnosis available.
  • 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 33
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 30

排除标准

  • 1) Prior systemic chemotherapy for leukemia and/or CD19-directed therapy
  • 2) History of or current relevant CNS pathology (current =grade 2 epilepsy, seizure, paresis, aphasia, clinically relevant apoplexia, severe brain injuries, dementia, Parkinson’s disease, organic brain syndrome, psychosis).
  • 3) Impaired cardiac function, including any one of the following:
  • -LVEF (Left Ventricular Ejection Fraction) <45% as determined by MUGA (multigated acquisition) scan or echocardiogram.
  • -Complete left bundle branch block.
  • -Use of a cardiac pacemaker.
  • -ST depression of >1mm in 2 or more leads and/or T wave inversions in 2 or more contiguous leads.
  • -Congenital long QT syndrome.
  • -History of or presence of significant ventricular or atrial arrhythmia.
  • -Clinically significant resting bradycardia (<50 beats per minute).
  • -QTc >450 msec on screening ECG (using the QTcF formula).
  • -Right bundle branch block plus left anterior hemiblock, bifascicular block.
  • -Myocardial infarction within 3 months prior to starting Dasatinib.
  • -Angina pectoris.
  • 4) Other clinically significant heart disease (e.g., congestive heart failure, uncontrolled hypertension, history of labile hypertension, or history of poor compliance with an antihypertensive regimen).
  • 5) Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of Dasatinib (e.g., ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection).
  • 6) History of or current autoimmune disease.
  • 7) Systemic cancer chemotherapy within 2 weeks prior to study.
  • 8) Known hypersensitivity to immunoglobulins or to any other component of the study drug formulation.
  • 9) Active malignancy other than ALL with the exception of basal cell or squamous cell carcinoma of the skin, or carcinoma in situ of the cervix.
  • 10) Active infection, any other concurrent disease or medical condition that are deemed to interfere with the conduct of the study as judged by the investigator.
  • 11) Nursing women or women of childbearing potential not willing to use an effective form of contraception during participation in the study and at least 3 months thereafter, or male patients not willing to ensure effective contraception during participation in the study and at least three months thereafter.

研究者

发起方
FONDAZIONE GIMEMA (GRUPPO ITALIANO MALATTIE EMATOLOGICHE DELL' ADULTO) FRANCO MANDELLI ONLUS

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