EUCTR2017-003424-76-GB进行中(未招募)1 期
A phase 1/2 dose-escalation study to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy of CTX-SPL9111 (a cabazitaxel (CTX)-dendrimer conjugate) in patients with advanced solid tumours
适应症
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 入组人数
- 33
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
- •1. Signed informed consent form.
- •2. At least 18 years old.
- •3. Patients with histologically or cytologically confirmed advanced or
- •metastatic cancer for which no curative therapy exists and who, in the
- •opinion of the investigator, could potentially benefit from treatment with
- •4. Measurable or evaluable disease per RECIST version 1.1., Prostate Cancer
- •Working Group 3 (PCWG3) consensus guidelines (i.e. prostate cancer
- •patients with bone-only lesions) or Response Assessment in Neuro-
- •Oncology working group consensus guidelines (RANO; patients with
- •primary central nervous system malignancy).
- •5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- •6. Life expectancy of greater than 12 weeks.
- •7. Reproductive inclusion criteria:
- •a. If of childbearing potential, willing to use an effective form of
- •contraception (see below) during chemotherapy treatment and for at
- •least six months thereafter.
- •Such methods include (if using hormonal contraception this method
- •must be supplemented with a barrier method, preferably male condom):
- •? combined (estrogen and progestogen containing) hormonal
- •contraception associated with inhibition of ovulation:
- •- intravaginal
- •- transdermal
- •? progestogen-only hormonal contraception associated with inhibition
- •of ovulation:
- •- implantable
- •? intrauterine device (IUD)
- •? intrauterine hormone-releasing system (IUS)
- •? bilateral tubal occlusion
- •? vasectomised partner
- •? true sexual abstinence when this is in line with the preferred and
- •usual lifestyle of the subject. Periodic abstinence (e.g., calendar,
- •ovulation, symptothermal, post-ovulation methods), declaration of
- •abstinence for the duration of a trial, and withdrawal are not
- •acceptable methods of contraception.
- •b. Women must have a negative pregnancy test at study entry.
- •c. Men who are truly sexually abstinent when this is in line with the
- •preferred and usual lifestyle of the subject or vasectomized or willing to
- •ensure that their female sexual partners use a highly-effective means of
- •contraception (i.e. as outlined in Inclusion criterion 7.a.) for the duration
- •of study therapy and 6 months afterwards. In addition, men must be
- •willing to use a condom during sexual intercourse from the first dose of
- •CTX-SPL9111 until 6 months after their final dose, so as to protect their
- •partner from exposure to study drug.
- •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 11
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 22
排除标准
- •1. Uncontrolled brain metastases or spinal cord compression. Patients who
- •were treated with surgical resection or radiation therapy completing at least
- •4 weeks earlier are eligible if they are neurologically stable and have a follow-up MRI scan performed within the previous 4 weeks showing no
- •tumour progression.
- •2. Inadequate bone marrow reserve as demonstrated by an absolute neutrophil
- •count (ANC) < 1.5 × 109/L or platelet count < 100 × 109/L (cannot be post-
- •transfusion) or haemoglobin < 10 g/dL (can be post-transfusion).
- •3. Serum bilirubin > upper limit of normal (ULN).
- •4. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST)
- •level > 1.5 × ULN.
- •5. Serum creatinine > 1.5 × ULN; however, an exception can be made if the
- •calculated (by the Cockcroft-Gault formula) or measured creatinine
- •clearance is > 50 mL/min.
- •6. History of a bleeding diathesis.
- •7. Allergy to cabazitaxel, other components of study therapy or compounds of
- •similar chemical composition.
- •8. Congenital long-QT syndrome.
- •9. Myocardial infarction within 6 months of enrolment, congestive heart failure
- •of New York Heart Association class > II, unstable angina or unstable
- •cardiac arrhythmias.
- •10. Other uncontrolled intercurrent illness, including active infection.
- •11. A history of infection with HIV or hepatitis B or C viruses.
- •12. Participation in a study of an investigational agent within 30 days prior to
- •first study therapy.
- •13. Anti-tumour therapy (including chemotherapy, radiation therapy, targeted
- •therapeutics or hormonal therapy) within the 30 days prior to first study
- •therapy. Permitted exceptions are concurrent use of GnRH
- •agonists/antagonists for prostate cancer and radiation to bone metastases
- •completed > 14 days prior to first study therapy.
- •14. Cumulative dose of corticosteroid = 150 mg prednisone (or equivalent doses
- •of corticosteroids) within two weeks before the first IMP administration.
- •15. Unresolved toxicity from prior anti-tumour therapy, defined as toxicities
- •(excluding alopecia) that have not resolved to < grade 2 as scored using the
- •Common Terminology Criteria for Adverse Events (CTCAE) version 4.0.
- •Exceptions may be allowed for stable toxicities after discussion with the
- •investigator and sponsor.
- •16. Symptomatic grade 1 peripheral neuropathy.
- •17. Peripheral neuropathy of grade 2 or higher due to any cause.
- •18. Patients with diabetes with signs or symptoms of peripheral neuropathy or
- •other end organ damage or those at a higher risk of peripheral neuropathy
- •(eg: history of poor diabetes control or non-compliance with anti-diabetic medication).
- •19. Major surgery within 30 days of commencing first study therapy.
- •20. Pregnant or breast-feeding females.
- •21. Concurrent or planned treatment with strong inhibitors (e.g. ketoconazole,
研究者
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