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临床试验/EUCTR2015-005525-39-GB
EUCTR2015-005525-39-GB进行中(未招募)1 期

Proof-of-concept study of ibrutinib in c-MYC and HER2 amplified gastrooesophageal carcinoma - iMYC

The Royal Marsden NHS Foundation Trust0 个研究点开始时间: 2016年3月16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)

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

  • -Provision of signed and dated, written informed consent prior to any study specific procedures.
  • -Female or male aged 18 years or older.
  • -Histologically proven metastatic or locally advanced inoperable squamous or adeno carcinoma of the oesophagus, stomach or oesophago-gastric junction.
  • -Documented progression after at least 1 prior line of chemotherapy for advanced disease. For HER2 positive tumours documented progression after at least 1 line of chemotherapy with or without HER2 directed therapy.
  • -c-MYC or HER2 gene amplification as defined in trial protocol
  • -Women of childbearing potential and men who are sexually active must be practicing a highly effective method of birth control during and after the study. If female patients are taking hormonal contraceptives to prevent pregnancy then this should be combined with a barrier method of contraception. Men must agree to not donate sperm during and after the study. For both males and females restrictions apply for 3 month after the last dose of study drug. See protocol for highly effective methods of birth control.
  • -Women of childbearing potential must have a negative serum (beta-human chorionic gonadotropin [b-hCG]) or urine pregnancy test at screening. Women who are pregnant or breastfeeding are ineligible for this study.
  • -Mandatory provision of archival or fresh tumour biopsy for confirmation of c-MYC or HER2 gene amplification.
  • -World Health Organisation (ECOG) performance status 0-2, minimum life expectancy of 12 weeks from proposed first dose date, no deterioration within 2 weeks of screening and first dose.
  • -Adequate organ and haematological function as evidenced by the following laboratory values within 14 days before enrolment:
  • absolute neutrophil count (ANC) =1,500/mm3µL
  • platelets =100,000/mm3µL (independent of transfusion support)
  • alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =3 x upper limit of normal (ULN)
  • total bilirubin =1.5 x ULN unless bilirubin rise is due to Gilbert’s syndrome or of non-hepatic origin
  • serum creatinine =2 x ULN or estimated creatinine clearance (CCr) =30 mL/min/1.73m2
  • -At least one measurable target lesion, as per RECIST criteria 1.1
  • Are the trial subjects under 18? no
  • Number of subjects for this age range: 0
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 17
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 17

排除标准

  • -Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements.
  • -Concurrent treatment within 4 weeks of study entry with any other chemotherapy, anticancer immunotherapy or experimental therapy
  • -No available histology for c-MYC or HER-2 amplification testing
  • -Clinically significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of Screening, or any Class 3 (moderate) or Class 4 (severe) cardiac disease as defined by the New York Heart Association Functional Classification
  • -Patients with ECG abrnormalities considered by the investigator to be clinically significant, or repeated baseline prolongation of the rate-corrected QT interval (QTc)
  • -Any actively bleeding gastrooesophageal tumour
  • -History of stroke or intracranial haemorrhage within 6 months prior to enrolment
  • -Symptomatic brain metastases
  • -Known history of human immunodeficiency virus (HIV) or active Hepatitis C Virus or active Hepatitis B Virus infection or any uncontrolled active systemic infection requiring intravenous (IV) antibiotics.
  • -Ongoing anticoagulation with a vitamin K antagonist
  • -Requiring use of strong P450 (CYP) 3A4 inhibitors
  • -Major surgery within 4 weeks of enrolment
  • -Vaccinated with live, attenuated vaccines within 4 weeks of enrolment
  • -Any pre-existing medical condition of sufficient severity to prevent full compliance with the study

研究者

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