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临床试验/NL-OMON52889
NL-OMON52889已完成2 期

Monalizumab and trastuzumab In Metastatic HER2-pOStive breAst cancer: MIMOSA-trial - MIMOSA

ederlands Kanker Instituut0 个研究点目标入组 19 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
19

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • Histologically confirmed HER2-positive (immunohistochemistry 2+ with SISH
  • amplification or 3+ reagrdless of SISH amplification) breast cancer.
  • HER2-positivity must have been assessed on a baseline study biopsy of a
  • metastatic lesion.
  • Histological or cytological confirmed locally incurable or metastatic disease
  • Accessible lesion for study biopsies.
  • Administration of at least one line of palliative treatment with documented
  • progression and a maximum of three lines of palliative chemotherapy in
  • combination with HER2 targeting agents (TDM-1 is considered one line of
  • palliative treatment). Trastuzumab in combination with endocrine treatment is
  • not defined as one line of treatment.
  • Documented progression during previous trastuzumab-based therapy
  • Measurable disease according to RECIST1.1 (at least one target lesion)
  • Left ventricular ejection fraction of 50% or higher
  • WHO performance status of 0 or 1
  • No signs of a visceral crisis
  • Signed written informed consent
  • - Subjects with brain metastases are eligible if they have been treated,
  • asymptomatic and there is no magnetic resonance imaging (MRI) evidence of
  • progression for at least 4 weeks prior to study registration. There must also
  • be no requirement for immunosuppressive doses of systemic corticosteroids (> 10
  • mg/day prednisone equivalents) for at least 2 weeks prior to study drug
  • administration

排除标准

  • uncontrolled intercurrent illness including, but not limited to, ongoing or
  • active infection, symptomatic congestive heart failure, unstable angina pectoris
  • known leptomeningeal disease localization
  • history of having received other anticancer therapies within 2 weeks of start
  • of the study drug
  • history of immunodeficiency, autoimmune disease, conditions requiring
  • immunosuppression (>10 mg daily prednisone equivalents) or chronic infections.
  • Subjects with vitiligo, diabetes mellitus type I on a stable insulin regimen,
  • psoriasis not requiring systemic treatment or resolved childhood asthma/atopy
  • would be an exception to this rule. Subjects that require intermittent use of
  • bronchodilators, inhaled steroids, or local steroid injections will not be
  • excluded from the study. Subjects with hypothyroidism stable on hormone
  • replacement, Sjøgren*s syndrome or conditions not expected to recur in the
  • absence of an external trigger will not be excluded from the study. In
  • addition, subjects with Graves* disease stable on hormone replacement will also
  • not be excluded from the study. Adrenal replacement doses >10 mg daily
  • prednisone equivalents are permitted in the absence of active autoimmune disease
  • prior treatment with immune checkpoint blockade or other forms of
  • immunotherapy, such as but not limited to: anti-PD-(L)1, anti-PD-L2,
  • anti-CTLA-4, anti-GITR or CD137/OX40 agonists
  • prior treatment with HER2-based vaccines
  • live vaccine within two weeks prior to start of the study, at any time during
  • the study or within 5 months following the last dose of monalizumab.
  • Inactivated vaccines, such as the seasonal flu vaccination, are allowed
  • history of clinically significant or uncontrolled cardiac disease, including
  • congestive heart failure (New York Heart Association functional classification
  • >=3), angina, myocardial infarction within 12 months prior to study treatment or
  • ventricular arrhythmia.
  • active other cancer
  • positive test for hepatitis B surface virus surface antigen (HBsAg) or
  • hepatitis C virus ribonucleic acid (HCV antibody) indicating acute or chronic
  • allogeneic stem cell or organ transplantation, HIV or active tuberculosis
  • history of uncontrolled serious medical or psychiatric illness
  • Presence of any psychological, familial, sociological or geographical
  • condition potentially hampering compliance with the study protocol and
  • follow-up schedule
  • current pregnancy or breastfeeding. Women of childbearing potential (WOCBP*)
  • must use adequate contraceptive protection. WOCBP must have a negative serum or
  • urine pregnancy test

研究者

发起方
ederlands Kanker Instituut

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