Search is not available for this dataset
data
stringlengths 198
8.94k
| criteria
stringlengths 19
16.5k
| NCT_ID
stringlengths 19
19
| Study_Name
stringlengths 29
311
| __index_level_0__
int64 0
22.6k
|
---|---|---|---|---|
Study Objectives
Oncological home-hospitalization might be a patient-centred, cost-effective approach to deal wiht the current challenges in cancer healthcare.
The primary aim of this clinical trial is to evaluate patient-reported quality of life of patients receiving (partial) oncological home-hospitalization and to compare this outcome with patients receiving standard ambulatory hospital care.
Secondary endpoints that will be evaluated and compared between both randomized groups are: Quality of life related endpoints (i.e. distress, depression \& anxiety and general health-related quality of life); Costs; Safety; patients' reported Satisfaction \& Preferences and Efficiency for the hospital day care unit.
Conditions: Cancer
Intervention / Treatment:
PROCEDURE: (partial) oncological home-hospitalization
Location: Belgium
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: NA
Primary Purpose: SUPPORTIVE_CARE
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Starting new oncological treatment at the outpatient hospital
* ECOG <= 2
* Living within 30 minutes of drive from the hospital
Exclusion Criteria:
* Important comorbidity (ECOG > 2)
* Life expectancy < 6 months
* Simultaneous treatment with radiotherapy
* Taking part in clinical trial with any Investigational Medicinal Product
* Language barriers or communication difficulties
* Problematic venous access | NCT_ID
NCT03668275
| Study_NameEvaluating Quality and Cost of (Partial) Oncological Home-Hospitalization
| 12,560 |
Study Objectives
This randomized phase II trial studies how well cabozantinib-s-malate works compared with temozolomide or dacarbazine in treating patients with melanoma of the eye (ocular melanoma) that has spread to other parts of the body and cannot be removed by surgery. Cabozantinib-s-malate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as temozolomide and dacarbazine, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. It is not yet known whether cabozantinib-s-malate works better than temozolomide or dacarbazine in treating patients with melanoma of the eye.
Conditions: Recurrent Uveal Melanoma, Stage III Uveal Melanoma AJCC v7, Stage IIIA Uveal Melanoma AJCC v7, Stage IIIB Uveal Melanoma AJCC v7, Stage IIIC Uveal Melanoma AJCC v7, Stage IV Uveal Melanoma AJCC v7
Intervention / Treatment:
DRUG: Cabozantinib S-malate, DRUG: Dacarbazine, OTHER: Laboratory Biomarker Analysis, DRUG: Temozolomide
Location: Canada, United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Histologically or cytologically confirmed uveal melanoma that is metastatic or unresectable; if histologic or cytologic confirmation of the primary is not available, confirmation of the primary diagnosis of uveal melanoma by the treating investigator can be clinically obtained, as per standard practice for uveal melanoma; pathologic confirmation of diagnosis will be performed at the participating site
* Measurable disease defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded for non-nodal lesions and short axis for nodal lesions) as >= 20 mm with conventional techniques or as >= 10 mm with spiral computed tomography (CT) scan or magnetic resonance imaging (MRI)
* Prior systemic therapies allowed, except for those treatments directed toward, or with activity against, c-Met or vascular endothelial growth factor/receptor (VEGF/R), and the chemotherapy agents temozolomide and dacarbazine; prior treatment must have been no earlier than 3 weeks prior to starting treatment with cabozantinib with exceptions noted below and the following: at least 4 weeks since prior hepatic infusion or at least 2 weeks since radiation therapy
* No cytotoxic chemotherapy including investigational cytotoxic chemotherapy or biologic agents (e.g., cytokines or antibodies) within the last 3 weeks, or nitrosoureas/mitomycin C within 6 weeks before the first dose of study treatment; at least 6 weeks must have elapsed if the last regimen included an anti-cytotoxic T-lymphocyte antigen 4 (CTLA4) antibody; patients must have experienced disease progression on their prior therapy in the opinion of the treating investigator
* No prior radiation therapy within the last 4 weeks, except as below
* To the thoracic cavity, abdomen, or pelvis within 12 weeks before the first dose of study treatment, or has ongoing complications, or is without complete recovery to < grade 1 toxicity
* To bone or brain metastasis within 14 days before the first dose of study treatment
* To any other site(s) within 28 days before the first dose of study treatment
* Prior radiation treatment may have included no more than 3000 centigray (cGy) to fields including substantial bone marrow
* No prior radionuclide treatment within 6 weeks of the first dose of study treatment
* No prior treatment with a small molecule kinase inhibitor or a hormonal therapy within 14 days or 5 half-lives (whichever is longer)
* No concomitant anti-cancer therapy unless specified above
* Eastern Cooperative Oncology Group (ECOG) performance status =< 1 (Karnofsky >= 70%)
* A corrected QT interval calculated by the Fridericia formula (QTcF) =< 500 ms within 28 days before randomization; Note: if initial QTcF is found to be > 500 ms, two additional electrocardiograms (EKGs) separated by at least 3 minutes should be performed; if the average of these three consecutive results for QTcF is =< 500 ms, the patient meets eligibility in this regard
* Common Terminology Criteria for Adverse Events (CTCAE) recovered to baseline or CTCAE =< grade 1 from toxicity due to all prior therapies except alopecia and other non-clinically significant adverse events (AEs)
* No active brain metastases or epidural disease; patients with brain metastases previously treated with whole brain radiation or radiosurgery or patients with epidural disease previously treated with radiation or surgery who are asymptomatic and do not require steroid treatment for at least 2 weeks before starting study treatment are eligible; neurosurgical resection of brain metastases or brain biopsy is permitted if completed at least 12 weeks before starting study treatment; baseline brain imaging with contrast-enhanced CT or MRI scans for patients with known brain metastases is required to confirm eligibility
* No clinically significant gastrointestinal bleeding within 24 weeks before the first dose of study treatment
* No hemoptysis of >= 0.5 teaspoon (2.5 mL) of red blood within 12 weeks before the first dose of study treatment
* No signs indicative of pulmonary hemorrhage within 12 weeks before the first dose of study treatment
* No prior radiographic evidence of cavitating pulmonary lesion(s)
* No tumor in contact with, invading or encasing any major blood vessels
* No evidence of tumor invading the gastrointestinal (GI) tract (esophagus, stomach, small or large bowel, rectum or anus), or any evidence of endotracheal or endobronchial tumor within 28 days before the first dose of treatment
* The patient may not have uncontrolled, significant intercurrent or recent illness including, but not limited to, the following conditions:
* Cardiovascular disorders including:
* Congestive heart failure (CHF): New York Heart Association (NYHA) class III (moderate) or class IV (severe) at the time of screening
* Concurrent uncontrolled hypertension defined as sustained blood pressure (BP) > 140 mmHg systolic, or > 90 mmHg diastolic despite optimal antihypertensive treatment within 7 days of the first dose of study treatment
* Any history of congenital long QT syndrome
* Any of the following within 24 weeks before the first dose of study treatment:
* Unstable angina pectoris
* Clinically-significant cardiac arrhythmias
* Stroke (including transient ischemic attack [TIA], or other ischemic event)
* Myocardial infarction
* Thromboembolic event requiring therapeutic anticoagulation (Note: patients with a venous filter [e.g. vena cava filter] are not eligible for this study)
* Gastrointestinal disorders particularly those associated with a high risk of perforation or fistula formation including:
* Any of the following within 28 days before the first dose of study treatment
* Intra-abdominal tumor/metastases invading GI mucosa
* Active peptic ulcer disease
* Inflammatory bowel disease (including ulcerative colitis and Crohn's disease), diverticulitis, cholecystitis, symptomatic cholangitis or appendicitis
* Malabsorption syndrome
* Any of the following within 24 weeks before the first dose of study treatment:
* Abdominal fistula
* Gastrointestinal perforation
* Intra-abdominal abscess; Note: complete resolution of an intra-abdominal abscess must be confirmed prior to initiating treatment with cabozantinib even if the abscess occurred more that 24 weeks before the first dose of study treatment
* Bowel obstruction or gastric outlet obstruction
* Other clinically significant disorders such as:
* Serious non-healing wound/ulcer/bone fracture within 28 days before the first dose of study treatment
* History of organ transplant
* Concurrent uncompensated hypothyroidism or thyroid dysfunction within 7 days before the first dose of study treatment
* History of major surgery as follows:
* Major surgery in past 8 weeks of the first dose of cabozantinib if there were no wound healing complications or within 24 weeks of the first dose of cabozantinib if there were wound complications
* Minor surgery within 4 weeks of the first dose of cabozantinib if there were no wound healing complications or within 12 weeks of the first dose of cabozantinib if there were wound complications
* In addition, complete wound healing from prior surgery must be confirmed at least 28 days before the first dose of cabozantinib irrespective of the time from surgery
* Active infection requiring systemic treatment within 28 days before the first dose of study treatment
* No concomitant treatment, in therapeutic doses, with anticoagulants such as warfarin or warfarin-related agents, heparin, thrombin or factor Xa inhibitors, or antiplatelet agents (e.g., clopidogrel); low dose aspirin (=< 81 mg/day), low-dose warfarin (=< 1 mg/day), and prophylactic low molecular weight heparin (LMWH) are permitted; please note that drugs that strongly induce or inhibit cytochrome P450 family 3, subfamily A, polypeptide 4 (CYP3A4) or are associated with a risk of Torsades are not allowed; chronic concomitant treatment of CYP3A4 inducers is not allowed (e.g., dexamethasone, phenytoin, carbamazepine, rifampin, rifabutin, rifapentine, phenobarbital, and St. John's wort); as part of the enrollment/informed consent procedures, the patient will be counseled on the risk of interactions with other agents, and what to do if new medications need to be prescribed or if the patient is considering a new over-the-counter medicine or herbal product; the following drugs are strong inhibitors of CYP3A4 and are not allowed during the treatment with cabozantinib:
* Boceprevir
* Indinavir
* Nelfinavir
* Lopinavir/ritonavir
* Saquinavir
* Telaprevir
* Ritonavir
* Clarithromycin
* Conivaptan
* Itraconazole
* Ketoconazole
* Mibefradil
* Nefazodone
* Posaconazole
* Voriconazole
* Telithromycin
* Drugs with possible or conditional risk of torsades should be used with caution knowing that cabozantinib could prolong the QT interval
* Patients who are pregnant or nursing are not eligible; women of child bearing potential must have a negative serum or urine pregnancy test within 16 days prior to registration; women of child-bearing potential include:
* Any female who has experienced menarche and who has not undergone surgical sterilization (hysterectomy, bilateral tubal ligation or bilateral oophorectomy) or is not postmenopausal (defined as amenorrhea >= 12 consecutive months)
* Women on hormone replacement therapy (HRT) with documented serum follicle stimulating hormone (FSH) level > 35m IU/mL
* Women who are using oral, implanted or injectable contraceptive hormones or mechanical products such as an intrauterine device or barrier methods (diaphragm, condoms, spermicides) to prevent pregnancy or practicing abstinence or where partner is sterile (e.g., vasectomy)
* No history of allergic reactions attributed to compounds of similar chemical or biologic composition to cabozantinib, temozolomide and dacarbazine
* Absolute neutrophil count >= 1,500/mcL
* Platelets >= 100,000/mcL
* Total bilirubin =< 1.5 × upper limit of normal (ULN)
* Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]) =< 5.0 × institutional upper limit of normal (for patients with metastases); AST (SGOT)/ALT (SGPT) =< 2.5 × institutional upper limit of normal (for patients without metastases)
* Serum creatinine =< 1.5 × ULN, OR calculated creatinine clearance >= 30 mL/minute (modified Cockcroft and Gault formula)
* Hemoglobin >= 9 g/dL
* Serum albumin >= 2.8 g/dL
* Urine protein/creatinine ratio (UPCR) =< 1; if urine/protein creatinine (UPC) >= 1, then a 24-hour urine protein must be assessed; eligible patients must have a 24-hour urine protein value < 1 g/L
* Thyroid-stimulating hormone (TSH) within normal limits (WNL); supplementation is acceptable to achieve a TSH WNL; in patients with abnormal TSH however free T4 and free thyroxine index (FTI) are normal and patient is clinically euthyroid, patient is eligible
* Prothrombin time (PT)/international normalized ratio (INR) must be =< 1.2 x the laboratory ULN
* No clinical or radiographic evidence of pancreatitis | NCT_ID
NCT01835145
| Study_NameCabozantinib-S-Malate Compared With Temozolomide or Dacarbazine in Treating Patients With Metastatic Melanoma of the Eye That Cannot Be Removed by Surgery
| 20,995 |
Study Objectives
This phase III trial is studying combination chemotherapy to see how well it works in treating young patients with newly diagnosed acute promyelocytic leukemia. Drugs used in chemotherapy work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more cancer cells.
Conditions: Childhood Acute Promyelocytic Leukemia With PML-RARA, Myeloid Neoplasm
Intervention / Treatment:
DRUG: Arsenic Trioxide, DRUG: Cytarabine, OTHER: Diagnostic Laboratory Biomarker Analysis, DRUG: Idarubicin, DRUG: Mercaptopurine, DRUG: Methotrexate, DRUG: Mitoxantrone Hydrochloride, DRUG: Tretinoin
Location: Canada, United States, Puerto Rico
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Patients must be newly diagnosed with a clinical diagnosis of acute promyelocytic leukemia initially by morphology (bone marrow or peripheral blood); bone marrow is highly preferred but in cases where marrow cannot be obtained at diagnosis, peripheral blood will be accepted; APL is considered a hematological emergency and treatment should be initiated as quickly as possible without waiting for molecular or cytogenetic/fluorescence in situ hybridization (FISH) confirmation; for patients who are unable to begin receiving ATRA in a timely manner following a presumed diagnosis of APL, consideration should be given to initiating ATRA and proceeding with treatment outside of the AAML0631 protocol; if the RQ-PCR results are known at the time of study enrollment, the patient must demonstrate PML-RARA and/or RARA-PML transcripts by RQ-PCR to be eligible; patients without evidence of APL by bone marrow or peripheral blood morphology but with isolated myeloid sarcoma (myeloblastoma; chloroma, including leukemia cutis) are eligible provided that the t(15;17) translocation is documented on either marrow or tumor tissue by cytogenetics, FISH, or PCR prior to study enrollment; in this situation, touch preps from the tumor site can be evaluated by FISH with PML-RARA probes; NOTE: A lumbar puncture is not required to be enrolled on study; if the diagnosis of APL is known or suspected, extreme caution must be exercised in performing a lumbar puncture during active coagulopathy; in addition a computed tomography (CT) or magnetic resonance imaging (MRI) should be considered to rule out the possibility of an associated chloroma if central nervous system (CNS) disease is suspected or proven; if CNS disease is documented, patients are still eligible
* No minimal performance status criteria
* The patient must not have received systemic definitive treatment for APL or other suspected leukemia, including cytotoxic chemotherapy, retinoids, or arsenic; prior therapy with corticosteroids, hydroxyurea, or leukopheresis will not exclude the patient; if a patient received intrathecal cytarabine prior to the diagnosis of APL being known, the patient will still be eligible as long as they meet all other eligibility requirements
Exclusion Criteria:
* Pregnant women or nursing mothers are excluded; treatment under this protocol would expose an unborn child to significant risks; patients should not be pregnant or plan to become pregnant while on treatment; women and men of reproductive potential should agree to use an effective means of birth control; there is an extremely high risk of fetal malformation if pregnancy occurs while on ATRA in any amount even for short periods
* Patients with a pre-existing prolonged QT Syndrome will not be eligible for this protocol due to the use of arsenic trioxide which can prolong the QT interval | NCT_ID
NCT00866918
| Study_NameCombination Chemotherapy in Treating Young Patients With Newly Diagnosed Acute Promyelocytic Leukemia
| 7,873 |
Study Objectives
This phase II trial is studying how well erlotinib works in treating patients with locally advanced or metastatic papillary renal cell (kidney) cancer. Erlotinib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth
Conditions: Recurrent Renal Cell Cancer, Stage III Renal Cell Cancer, Stage IV Renal Cell Cancer
Intervention / Treatment:
DRUG: erlotinib hydrochloride, OTHER: laboratory biomarker analysis
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Patients must have histologically or cytologically confirmed papillary histology renal cell carcinoma which is metastatic (M1); patients with unresectable primary tumor (but M0) are also eligible; patients who have undergone a prior nephrectomy should have histologic confirmation of the metastatic nature of at least one distant site of disease
* Patients must have available and be willing to submit representative slides for central pathology review; these must be sent within 28 days of registration; failure to submit these materials will make the patient ineligible for this study
* Patients must have measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension; soft tissue disease that has been radiated in the 2 months prior to registration is not assessable as measurable disease; soft tissue disease within a prior radiation field that was radiated greater than 2 months prior to registration must have progressed to be considered assessable, and patients also must have measurable disease outside of the irradiated field; X-rays, scans or physical examinations used for tumor measurement must have been completed within 28 days prior to registration; X-rays, scans or physical examinations for non-measurable disease must have been completed within 42 days prior to registration
* Patients with metastatic disease who have a resectable primary tumor and are deemed a surgical candidate may have undergone resection and have recovered from surgery; at least 28 days must have elapsed since surgery and patient must have recovered from any adverse effects of surgery
* Patients with a history of brain metastases or who currently have treated or untreated brain metastases are not eligible; patients with clinical evidence of brain metastases must have a brain CT or MRI negative for metastatic disease within 56 days prior to registration
* Patients must have available and be willing to submit archived tumor tissue that will yield sixteen 5 micron unstained slides for molecular correlative studies related to the EGFR and vHL pathways
* Patients must not have received prior chemotherapy or immunotherapy
* Patients may have received prior radiation therapy, but must have measurable disease outside the radiation port; at least 21 days must have elapsed since completion of prior radiation therapy; patients must have recovered from all associated toxicities at the time of registration
* Patients must have a Zubrod performance status of 0 - 2
* WBC >= 3,000/μl obtained within 14 days prior to registration
* ANC >= 1,500/μl obtained within 14 days prior to registration
* Platelet count >= 100,000/μl obtained within 14 days prior to registration
* Serum bilirubin <= 1.5 x institutional upper limits of normal
* Serum transaminase (SGOT or SGPT) must be <= 1.5 x the institutional upper limit of normal unless the liver is involved with the tumor, in which case serum transaminase (SGOT or SGPT) must be <= 5 x the institutional upper limit of normal; these tests must be obtained within 14 days prior to registration
* Serum creatinine must be <= 2 X the institutional upper limit of normal
* Patients with a known history of the following corneal diseases are not eligible: dry eye syndrome, Sjogren's syndrome, keratoconjunctivitis sicca, exposure keratopathy, Fuch's dystrophy or other active disorders of cornea
* Patients known to be HIV-positive and receiving combination anti-retroviral therapy are not eligible due to possible pharmacokinetic interactions with OSI-774
* Patients must not have gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for IV alimentation, prior surgical procedures affecting absorption, or active peptic ulcer disease; patients must either be able to swallow and/or receive enteral medications via gastrostomy feeding tube; patients with intractable nausea or vomiting are not eligible
* Pregnant or nursing women may not participate on this study because OSI-774 is an epidermal growth factor inhibitor with the potential for teratogenic or abortifacient effects based on the data suggesting that EGFR expression is important for normal organ development; there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with OSI-774; women/men of reproductive potential may not participate unless they have agreed to use an effective contraceptive method
* No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease-free for 5 years
* If day 14, 21, 28 or 42 falls on a weekend or holiday, the limit may be extended to the next working day; in calculating days of tests and measurements, the day a test or measurement is done is considered to be day 0; therefore, if a test is done on a Monday, the Monday two weeks later would be considered day 14; this allows for efficient patient scheduling without exceeding the guidelines
* All patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines
* At the time of patient registration, the treating institution's name and ID number must be provided to the Data Operations Center in Seattle in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered into the data base | NCT_ID
NCT00060307
| Study_NameErlotinib in Treating Patients With Locally Advanced or Metastatic Papillary Renal Cell Cancer
| 15,947 |
Study Objectives
Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Phase II trial to study the effectiveness of flavopiridol in treating patients who have relapsed or refractory multiple myeloma
Conditions: Refractory Multiple Myeloma, Stage I Multiple Myeloma, Stage II Multiple Myeloma, Stage III Multiple Myeloma
Intervention / Treatment:
DRUG: alvocidib
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Diagnosis of relapsed or refractory multiple myeloma (MM) requiring treatment
* Durie-Salmon stage I or greater at diagnosis
* Patients with non-secretory or oligo-secretory MM (defined as maximum urinary M-spike less than 200 mg/24 hours and a maximum serum M-spike less than 0.5 g/dL during entire disease course) must have at least 30% bone marrow plasma cells
* Patients with secretory MM must have measurable disease defined as serum monoclonal protein of at least 1 g/dL or urinary M-spike of at least 200 mg/24 hours
* Must have received at least 1, but no more than 5 prior therapy regimens
* Patients who have had 4 or 5 regimens are allowed provided corticosteroids and/or thalidomide are part of the regimens
* No more than 5 prior chemotherapy regimens (as long as 2 contained dexamethasone or thalidomide)
* Prior autologous peripheral blood stem cell transplantation is considered 1 prior regimen
* Performance status - ECOG 0 <= age <= 2
* Performance status - ECOG 0 <= age <= 3 if secondary to neuropathy or acute bone event (e.g., vertebral compression or rib fracture)
* Absolute neutrophil count at least 750/mm^3
* Bilirubin no greater than 1.5 times upper limit of normal (ULN)
* Alkaline phosphatase no greater than 2.5 times ULN
* AST no greater than 2.5 times ULN
* Creatinine no greater than 3 mg/dL
* No myocardial infarction within the past 6 months
* Peripheral neuropathy secondary to prior drug therapy or myeloma-associated neuropathy allowed
* No other uncontrolled serious medical condition
* No uncontrolled infection
* No other active malignancy
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception
* See Disease Characteristics
* No prior allogeneic stem cell transplantation
* At least 10 days since prior thalidomide
* No concurrent biologic therapy
* See Disease Characteristics
* At least 2 weeks since prior myelosuppressive chemotherapy
* No other concurrent chemotherapy
* See Disease Characteristics
* No concurrent corticosteroids (including as antiemetics) except chronic corticosteroids for disorders other than myeloma (e.g., rheumatoid arthritis or adrenal insufficiency)
* Maximum dose allowed for prednisone is no more than 10 mg/day or hydrocortisone no more than 40 mg/day
* At least 10 days since prior bortezomib or tipifarnib
* Concurrent bisphosphonates allowed if on stable dose before study entry | NCT_ID
NCT00047203
| Study_NameFlavopiridol in Treating Patients With Relapsed or Refractory Multiple Myeloma
| 17,194 |
Study Objectives
The objective of this study is to evaluate the efficacy and safety of sugammadex in reversing profound neuromuscular block induced by rocuronium in infant patients
Conditions: Brain Cancer
Intervention / Treatment:
DRUG: Sugammadex
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE4
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Patients between the ages of 1 <= age <= 12 month,
* ASA physical status 1 <= age <= 3 who underwent elective brain cancer surgery during general anesthesia were included in the study
Exclusion Criteria:
* younger than 1month or older than 12 months.
* hepatic or renal failure
* A history of allergy to study medication | NCT_ID
NCT02708056
| Study_NameSugammadex Given for the Reversal of Rocuronium Induced Neuromuscular Blockade Under Sevoflurane Anesthesia in Infants
| 18,376 |
Study Objectives
This 2 arm study will compare the efficacy and safety of bevacizumab in combination with capecitabine and cisplatin versus placebo in combination with capecitabine and cisplatin in participants who have not received prior chemotherapy for advanced or metastatic gastric cancer. Participants will be randomized to one of two treatment groups Bevacizumab + Capecitabine/Cisplatin (experimental arm) or Placebo + Capecitabine/Cisplatin (control arm).
Conditions: Gastric Cancer
Intervention / Treatment:
DRUG: Bevacizumab, DRUG: Placebo, DRUG: Capecitabine, DRUG: Cisplatin
Location: China
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: DOUBLE | Inclusion Criteria:
* Histologically confirmed adenocarcinoma of the stomach or gastro-oesophageal junction with inoperable, locally advanced or metastatic disease, not amenable to curative therapy
* Eastern Cooperative Oncology Group (ECOG) performance status of 0,1 or 2
* Measurable disease or non-measurable but evaluable disease, according to the Response Evaluation Criteria in Solid Tumors (RECIST)
Exclusion Criteria:
* Previous chemotherapy for locally advanced or metastatic gastric cancer
* Previous platinum or anti-angiogenic therapy
* Radiotherapy within 28 days of randomization
* Evidence of Central Nervous System (CNS) metastasis at baseline | NCT_ID
NCT00887822
| Study_NameA Study of Bevacizumab (Avastin) Versus Placebo in Combination With Capecitabine (Xeloda) and Cisplatin as First-Line Therapy for Advanced Gastric Cancer
| 2,906 |
Study Objectives
In the proposed study, investigators will conduct a 90-day dietary intervention study in human subjects. Thirty individuals at risk for adenomatous colon polyp formation will be randomized to receive a calcium and multi-mineral-rich natural product (Aquamin) or a comparable level of calcium alone. There will also be a placebo group. Prior to ingesting the study agents and following the course of treatment, colonic biopsies will be obtained by sigmoidoscopy and quantitatively examined for markers of growth and differentiation. In this study, metabolomic and microbial profiles will also be generated from fecal and colon mucosal samples taken at baseline and study endpoint.
Conditions: Colonic Cancer
Intervention / Treatment:
DRUG: Aquamin®, DRUG: Calcium Carbonate, DRUG: Placebo
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1
Primary Purpose: PREVENTION
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: DOUBLE | Inclusion Criteria:
* Must be able to give written informed consent.
* Be generally healthy, male or female, ages 18 <= age <= 80 old.
* Must have one of the following:
i)A first degree relative (father/mother, son/daughter, brother/sister) with colorectal cancer under the age of 60 at the time of diagnosis; OR ii)Participant have had a colorectal polyp. OR iii)Participant have previously had removed early stage colon cancer (stage I or II removed surgically and without recommendation for adjuvant therapy or with stage III colorectal cancer (CRC) treated with curative surgery >5 years ago). iv)Pre-menopausal women with intact female reproductive organs must have a negative pregnancy test within 2 weeks of the baseline flexible sigmoidoscopy. Post-menopausal is defined as no menses for the previous 12 months. If cessation of menses is within 12 months then the subject should be treated as pre-menopausal and a pregnancy test performed.
Exclusion Criteria:
* Must not be pregnant or lactating women and women of child bearing potential unwilling to use acceptable birth control throughout the study.
* Participants must not have a history or diagnosis of any of the following conditions:
i)Kidney disease, including kidney "stones" or hypercalcemia. ii)Crohn's disease, or inflammatory bowel disease. iii)Any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric / duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months). iv)Coagulopathy/hereditary hemorrhagic disorders/ or receiving therapeutic doses of Coumadin or heparin. v)Hereditary and familial polyposis (HNPCC/ familial adenomatous polyposis (FAP); Lynch Syndrome) because these are rare conditions with unique etiology.
* Participants will be excluded if they have taken the following, within the last 14 days or are unwilling to forgo the following for 14 days prior to entry into the study:
i)Calcium, Vitamin D, ginger, or fish oil supplements, including multivitamins that have low amounts of calcium/Vitamin D and fiber supplements. ii)Non-steroidal anti-inflammatory medications (NSAIDS), such as Aspirin or Ibuprofen (except for occasional pain control or low dose aspirin for cardiovascular disease prevention). iii)Corticosteroids (a type of steroid drug such as prednisone or cortisol that helps your body to regulate your stress response, immune response and inflammation). iv)Cephalosporin antibiotics (e.g., rocephin, keflex, omnicef). | NCT_ID
NCT02647671
| Study_NameAquamin and Prevention of Colon Cancer
| 17,996 |
Study Objectives
This phase II trial studies how well pegylated irinotecan NKTR 102 works in treating patients with small cell lung cancer that has returned after a period of improvement. Pegylated irinotecan NKTR 102 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Conditions: Recurrent Small Cell Lung Carcinoma
Intervention / Treatment:
OTHER: Laboratory Biomarker Analysis, DRUG: Pegylated Irinotecan, OTHER: Pharmacological Study
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Written informed consent granted prior to initiation of any study-specific screening procedures, given with the understanding that the patient has the right to withdraw from the study at any time, without prejudice
* Histologic or cytologic diagnosis of SCLC (Note: patients with mixed histology are not eligible)
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Presence of measurable disease defined as >= 1 lesion whose longest diameter can be accurately measured as >= 20 mm with conventional techniques or as >= 10 mm with spiral computed tomography (CT)
* Previously treated SCLC with only one prior treatment regimen (cyclophosphamide/doxorubicin/vincristine [CAV] alternating with etoposide/cisplatin [EP] is acceptable)
* Resolution of all acute toxic effects of prior chemotherapy, radiotherapy, hormonal therapy, or surgery to National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 grade =< 1, except for diarrhea (which must be grade 0 without supportive antidiarrheal medications) and alopecia (any grade)
* Platelet count >= 100 x 10^9/L
* Hemoglobin (Hgb) >= 9 gm/dL
* Absolute neutrophil count (ANC) >= 1500/uL
* Serum creatinine =< 1.5 mg/dL or creatinine clearance > 45 mL/min; use either measured or calculated with Cockcroft-Gault formula
* Serum total bilirubin =< 1.5 x upper limit of normal (ULN)
* Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 3 x ULN or =< 5 x ULN if caused by liver metastasis
* Women of childbearing potential must have a negative pregnancy test performed within seven days prior to the start of study drug; male and female subjects of child-bearing potential must agree to use double-barrier contraceptive measures, or avoidance of intercourse during the study and for 6 months after last investigational drug dose received
Exclusion Criteria:
* Previous anti-cancer chemotherapy, immunotherapy or investigational agents < 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to the first day of study defined treatment; palliative radiation < 2 weeks, biological therapy within 2 weeks, hormonal therapy within 1 week prior to day 1 cycle 1
* Prior treatment with a topoisomerase-I inhibitor (e.g., topotecan, irinotecan)
* Prior malignancy except for non-melanoma skin cancer and carcinoma in situ, unless diagnosed and definitively treated more than 5 years prior to enrollment
* Substance abuse, medical, psychological or social conditions that may, in the opinion of the Investigator, interfere with the patient's participation in the study or evaluation of the study results
* Known human immunodeficiency virus (HIV) infection
* Pregnancy or breast-feeding
* Concurrent administration or received cytochrome P450, family 3, subfamily A, polypeptide 4 (CYP3A4) inducers or inhibitors within 2 weeks prior to the first day of study drug treatment
* Patients with chronic or acute gastrointestinal (GI) disorders resulting in diarrhea of any severity grade; patients who are using chronic anti-diarrheal supportive care (more than 3 days/week) to control diarrhea in the 28 days prior to study entry
* Major surgery < 4 weeks or minor surgery (e.g. talc pleurodesis, excisional biopsy, etc) < 2 weeks prior to the first day of study defined treatment
* Have central nervous system (CNS) metastases (unless the patient has completed successful local therapy for CNS metastases and has been off corticosteroids for at least 4 weeks before starting study therapy); brain imaging is required in symptomatic patients to rule out brain metastases, but is not required in asymptomatic patients
* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
* Unwilling or unable to follow protocol requirements | NCT_ID
NCT01876446
| Study_NamePegylated Irinotecan NKTR 102 in Treating Patients With Relapsed Small Cell Lung Cancer
| 13,559 |
Study Objectives
This is an open-label, phase 1 study of ascending multiple oral doses of HKI-272 in combination with paclitaxel.
Conditions: Advanced Malignant Solid Tumors
Intervention / Treatment:
DRUG: Neratinib, DRUG: Paclitaxel
Location: Japan
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Subjects must have confirmed pathologic diagnosis of a solid tumor that is not curable with available therapy for which HKI-272 plus paclitaxel is a reasonable treatment option.
* At least 1 measurable lesion as defined by RECIST criteria.
* Eastern Cooperative Oncology Group (ECOG) 0 to 1
* LVEF within institutional limits of normal (by MUGA or ECHO).
* Screening laboratory values within the following parameters:
* ANC: greater than or equal to 1.5 x 10E9 /L (1,500 /mm3)
* Platelet count: 10 x 10E10 /L (100,000 /mm3)
* Hemoglobin: greater than or equal to 9.0 g/dL
* Serum creatinine: less than or equal to 1.5 x upper limit of normal (ULN)
* Total bilirubin: less than or equal to 1.5 xULN · AST and ALT: less than or equal to 2.5 xULN (less than or equal to 5 x ULN if liver metastases are present)
* For women of child bearing potential, a negative urine or serum pregnancy test result before study entry. A woman of childbearing potential is one who is biologically capable of becoming pregnant. This includes women who are using contraceptives or other means of birth control or whose sexual partners are either sterile or using contraceptives.
* All subjects who are not surgically sterile or postmenopausal must agree and commit to the use of a reliable method of birth control for the duration of the study and for 28 days after the last dose of test article.
Exclusion Criteria:
* Prior treatment with anthracyclines with a cumulative dose of doxorubicin of greater than 400 mg/m^2, epirubicin dose of greater than 800 mg/m^2, or the equivalent dose for other anthracyclines or derivatives.
* Major surgery, chemotherapy, radical (curative intent) radiotherapy, investigational agents, or other cancer therapy within 2 weeks of treatment day 1 or non-recovery from all clinically significant acute adverse effects of prior therapies (excluding alopecia).
* Subjects with bone or skin as the only site of disease.
* Active central nervous system (CNS) metastases, as indicated by clinical symptoms, cerebral edema, and/or progressive growth (subjects with a history of CNS metastases or cord compression are allowable if they have been definitively treated and have been clinically stable for at least three months, and off steroids or anticonvulsants, before first dose of test article).
* QTc interval greater than 0.47 second or known history of QTc prolongation or Torsade de Pointes (TdP).
* Known hypersensitivity to paclitaxel or Cremophor EL (polyoxyethylated castor oil).
* Pregnant or breast feeding women.
* Significant chronic or recent acute gastrointestinal disorder with diarrhea as a major symptom (e.g., Crohn's disease, malabsorption, or Grade greater than or equal to 2 diarrhea of any etiology at baseline).
* Inability or unwillingness to swallow the HKI-272.
* Treatment with a taxane within 3 months of treatment day 1.
* Pre-existing grade 2 or greater motor or sensory neuropathy.
* Any other cancer within 5 years prior to screening with the exception of contralateral breast carcinoma, adequately treated cervical carcinoma in situ, or adequately treated basal or squamous cell carcinoma of the skin.
* Presence of clinically significant or uncontrolled cardiac disease, including congestive heart failure (New York Heart Association [NYHA] functional classification of greater than or equal to 2), angina requiring treatment, myocardial infarction within the past 12 months, or any clinically significant supraventricular arrhythmia or ventricular arrhythmia requiring treatment or intervention.
* Evidence of significant medical illness or abnormal laboratory finding that would, in the investigator's judgment, make the subject inappropriate for this study. Examples include, but are not limited to, serious active infection (ie, requiring intravenous antibiotic or antiviral agent), uncontrolled major seizure disorder, or significant pulmonary disorder (e.g. interstitial pneumonitis, pulmonary hypertension). | NCT_ID
NCT00768469
| Study_NameStudy Evaluating Safety And Tolerability, Solid Tumor
| 11,184 |
Study Objectives
The Influence of ARTISS on post-operative abdominal drainage and seroma formation in DIEP/MS-TRAM free flap breast reconstruction patients.
Conditions: Breast Neoplasms, Mammaplasty
Intervention / Treatment:
DRUG: ARTISS 4mL Fibrin Sealant Topical Solution (Frozen), OTHER: no ARTISS
Location: United Kingdom
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE4
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: DOUBLE | Inclusion Criteria:
* Female adult (age 18 <= age <= 80)
* Patients planned for immediate or delayed DIEP/MS-TRAM breast reconstruction
Exclusion Criteria:
* Patients who are unable to consent or do not consent
* Clotting disorder
* Pregnancy
* Individuals whose immune system is depressed or who have some types of anaemia (e.g. sickle cell disease or haemolytic anaemia).
* COVID positive
* Known previous allergic reactions to ARTISS | NCT_ID
NCT04931615
| Study_NameARTISS a Single-centre Randomised Control Study
| 18,819 |
Study Objectives
The purpose of this study is to determine the effectiveness and side effects of LY293111 given in combination with gemcitabine in patients with pancreatic cancer.
Conditions: Pancreatic Cancer
Intervention / Treatment:
DRUG: Gemcitabine, DRUG: LY293111, DRUG: placebo
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: DOUBLE | Inclusion Criteria:
* Adenocarcinoma of the pancreas that is locally advanced or metastatic and not amenable to resection with curative intent
* Tumor that can be measured by x-ray or scan
* Adequate organ function
Exclusion Criteria:
* Inability to swallow capsules
* Documented brain metastases
* Prior chemotherapy or biological therapy for this disease | NCT_ID
NCT00055250
| Study_NameA Study With LY293111, Gemcitabine and Placebo in Patients With Pancreatic Cancer
| 14,442 |
Study Objectives
For cancer patients with inadequate pain relief, a switch to an alternative opioid is the preferred option for symptomatic improvement. However, multiple opioids are often simultaneously administered for anecdotal reasons.
The present study isdesigned to assess the analgesic profiles of two different strategies in chronic cancer pain: the opioid rotation from oxycodone to transdermal fentanyl and the combination of oral oxycodone and transdermal fentanyl.
Conditions: Advanced Solid Cancers
Intervention / Treatment:
DRUG: oxycodone fentanyl
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: SUPPORTIVE_CARE
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Chronic Uncontrolled Pain That Required Stronger Opioid Therapy Than They Have Been Taking
* Histologically Confirmed Solid Cancer
* Aged Over 18 Years
* Admitted in a Palliative Cancer Care Unit
Exclusion Criteria:
* Uspected to Have Narcotic Abuse, Clinically Relevant CO2 Retention or Had an Active Skin Disease
* Inability to swallow oral medication, and impaired sensory or cognitive function
* Patients who had an active infection, uncontrolled central nervous system involvement, or on antitumor therapy of any kind | NCT_ID
NCT00478101
| Study_NameOpioid Rotation Versus Combination for Chronic Uncontrolled Cancer Pain
| 11,316 |
Study Objectives
This Phase IIIb, open-label, multinational, multicenter study will evaluate the participant's satisfaction and safety with subcutaneously administered trastuzumab in participants with HER2-positive early breast cancer. Participants will receive trastuzumab 600 milligrams (mg) administered subcutaneously every 3 weeks in the adjuvant or neo-adjuvant plus adjuvant setting for 18 cycles (1 year), unless disease progression or unacceptable toxicity occurs. The trastuzumab regimen could include mono- and/or combination therapy.
Conditions: Breast Cancer
Intervention / Treatment:
DRUG: Trastuzumab, DRUG: Doxorubicin, DRUG: Cyclophosphamide, DRUG: Paclitaxel, DRUG: Docetaxel, DRUG: Carboplatin, DRUG: Neo-adjuvant chemotherapy
Location: Algeria, Morocco, Tunisia, Turkey, Saudi Arabia
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Eastern Cooperative Oncology Group (ECOG) performance status 0 <= age <= 1
* Hormonal therapy will be allowed as per institutional guidelines
* Prior use of anti-HER2 therapy will be allowed, except for early breast cancer participants in the neo-adjuvant setting
* Left ventricular ejection fraction (LVEF) of greater than or equal to (>=) 55 percent (%) measured by echocardiography (ECHO) or multiple gated acquisition (MUGA) scan prior to first dose of trastuzumab, or, for those who were receiving trastuzumab when beginning the study, documented results within an acceptable limit from a cardiac assessment within 3 months prior to enrollment
* HER2-positive disease immunohistochemistry 3 plus (IHC3+) or in situ hybridization (ISH) positive as determined in a local laboratory that is experienced/certified in HER2-expression testing using an accurate and validated assay
* Histologically confirmed non-metastatic primary invasive adenocarcinoma of the breast
* No evidence of residual, locally recurrent or metastatic disease after completion of surgery and chemotherapy, or during concurrent chemotherapy (neo-adjuvant or adjuvant)
* Use of concurrent curative radiotherapy will be permitted
Exclusion Criteria:
* History of other malignancy which could affect compliance with the protocol or interpretation of results. Participants with curatively treated carcinoma in situ of the cervix or basal cell carcinoma, and participants with other curatively treated malignancies who have been disease-free for at least 5 years, are eligible
* Severe dyspnea at rest or requirement for supplementary oxygen therapy
* Other concurrent serious diseases that may interfere with planned treatment, including severe pulmonary conditions/illness
* Serious cardiac illness or medical conditions that would preclude the use of trastuzumab, specifically: history of documented congestive heart failure (CHF), high-risk uncontrolled arrhythmias, angina pectoris requiring medication, clinically significant valvular disease, evidence of transmural infarction on electrocardiogram (ECG), diagnosed poorly controlled hypertension
* Known infection with human immunodeficiency virus (HIV), active hepatitis B virus (HBV) or hepatitis C virus (HCV)
* Pregnant or lactating women
* Concurrent enrollment in another clinical trial using an investigational anti-cancer treatment, including hormonal therapy, bisphosphonate therapy and immunotherapy, within 28 days prior to the first dose of study treatment
* Known hypersensitivity to trastuzumab, murine proteins, to any of the excipients of Herceptin, or a history of severe allergic or immunological reactions, e.g. difficult to control asthma
* Inadequate bone marrow, hepatic or renal function | NCT_ID
NCT01964391
| Study_NameA Study of Participant Satisfaction and Safety With Subcutaneously Administered Trastuzumab (Herceptin) in Participants With Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Early Breast Cancer
| 5,170 |
Study Objectives
This non-interventional retrospective study will describe real-world treatment patterns and clinical outcomes among adults with HER2-negative metastatic breast cancer with germline BRCA1/2 mutations who initiated talazoparib as a first or later line of therapy. Patients will be identified from the Flatiron Electronic Health Record database.
Conditions: Metastatic Breast Cancer, Breast Neoplasms
Intervention / Treatment:
DRUG: Talazoparib
Location: United States
Study Design and Phases
Study Type: OBSERVATIONAL
| Inclusion Criteria:
Patients must meet all of the following inclusion criteria to be eligible for inclusion in the study:
* Diagnosed with breast cancer (ICD-9 174.x or 175.x or ICD-10 C50x)
* At least two visits in the Flatiron database on or after January 1, 2011
* Pathology consistent with breast cancer
* Has evidence of stage IV or recurrent metastatic breast cancer with a metastatic diagnosis date on or after January 1, 2011. This includes patients who were diagnosed with stage IV at diagnosis or were diagnosed with earlier stage disease, then developed a distant metastasis later on, or had recurrence of the disease via a distant metastasis
* Confirmed receipt of talazoparib as treatment for mBC via abstraction initiated between January 1, 2018 and September 30, 2020
* HER2 negative test result on or before the start of patient's first talazoparib-containing line of therapy, as defined by Flatiron's line of therapy rules
* BRCA1, BRCA2, BRCA1 and BRCA2 germline mutation, or BRCA germline mutation not otherwise specified, identified on or before the start date of patient's first talazoparib-containing line of therapy, as defined by Flatiron's line of therapy business rules
* Age >= 18 years at the time of first talazoparib-containing line of therapy
Exclusion Criteria:
* Lacking relevant unstructured documents in the Flatiron database for review by the abstraction team
* Receipt of drug as part of a clinical trial (captured in the database as "clinical study drug" without additional information about active ingredient or whether the patient received placebo), defined as any non-cancelled order, administration, or oral episode for a drug used in a clinical trial, on or prior to start of first talazoparib line of therapy, as defined by Flatiron's line of therapy business rules | NCT_ID
NCT05141708
| Study_NameTreatment Patterns and Clinical Outcomes Among Talazoparib-Treated Adults With HER2-Negative mBC With gBRCA1/2m
| 17,492 |
Study Objectives
The purpose of this study is to assess the efficacy and safety of pembrolizumab (MK-3475) plus one of four platinum-based chemotherapy regimens compared to the efficacy and safety of placebo plus one of four platinum-based chemotherapy regimens in the treatment of adult women with persistent, recurrent, or metastatic cervical cancer. Possible chemotherapy regimens include: paclitaxel plus cisplatin with or without bevacizumab and paclitaxel plus carboplatin with or without bevacizumab.
The primary study hypotheses are that the combination of pembrolizumab plus chemotherapy is superior to placebo plus chemotherapy with respect to: 1) Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1) as assessed by the Investigator, or, 2) Overall Survival (OS).
Conditions: Cervical Cancer
Intervention / Treatment:
BIOLOGICAL: Pembrolizumab, DRUG: Paclitaxel, DRUG: Cisplatin, DRUG: Carboplatin, BIOLOGICAL: Bevacizumab, DRUG: Placebo to pembrolizumab
Location: Peru, Australia, France, Korea, Republic of, Chile, Canada, Turkey, Ukraine, Germany, Spain, Italy, Taiwan, Argentina, Israel, United States, Japan, Russian Federation, Colombia, Mexico
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: TRIPLE | Inclusion Criteria:
* Has persistent, recurrent, or metastatic squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix which has not been treated with systemic chemotherapy and is not amenable to curative treatment (such as with surgery and/or radiation). Prior chemotherapy utilized as a radiosensitizing agent and completed at least 2 weeks prior to randomization with resolution of all treatment-related toxicities is allowed. AEs due to previous treatments should be resolved to <= Grade 1 or baseline. Participants with <= Grade 2 neuropathy or <= Grade 2 alopecia are eligible.
* Not pregnant or breastfeeding, and at least one of the following conditions applies: a.) Not a woman of childbearing potential (WOCBP), b.) A WOCBP must agree to use effective contraception during the treatment period and for at least 120 days after the last dose of pembrolizumab/placebo and 210 days after the last dose of chemotherapy/bevacizumab
* Has measurable disease per RECIST 1.1 as assessed by the local site investigator/radiology
* Has provided archival tumor tissue sample or newly obtained core or excisional biopsy of a tumor lesion not previously irradiated for prospective determination of Programmed Cell Death-Ligand 1 (PD-L1) status prior to randomization
* Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 within 14 days prior to randomization
* Has adequate organ function
Exclusion Criteria:
* A WOCBP who has a positive urine pregnancy test within 72 hours prior to randomization
* Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with known brain metastases may participate provided that the brain metastases have been previously treated (except with chemotherapy) and are radiographically stable.
* Has a known additional malignancy that is progressing or has required active treatment within the past 3 years. Note: Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, transitional cell carcinoma of urothelial cancer, or carcinoma in situ (e.g. breast cancer) that have undergone potentially curative therapy are not excluded.
* Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in doses exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to randomization
* Has an active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g. thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed
* Has a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis
* Has an active infection requiring systemic therapy
* Has a known history of human immunodeficiency virus (HIV) infection
* Has a known history of Hepatitis B or known active Hepatitis C virus infection
* Has a known history of active tuberculosis (TB; Bacillus tuberculosis)
* Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g. cytotoxic T-lymphocyte-associated protein 4 [CTLA-4], OX 40, CD137)
* Has received prior systemic chemotherapy for treatment of cervical cancer.
* Has not recovered adequately from toxicity and/or complications from major surgery prior to randomization
* Has received prior radiotherapy within 2 weeks prior to randomization. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis.
* Has received a live vaccine within 30 days prior to randomization
* Has severe hypersensitivity (>=Grade 3) to pembrolizumab and/or any of its excipients.
* Has a contraindication or hypersensitivity to any component of cisplatin, carboplatin, paclitaxel, or bevacizumab
* Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to randomization
* Is pregnant or breastfeeding or expecting to conceive within the projected duration of the study, starting with the screening visit through 120 days following last dose of pembrolizumab/placebo and 210 days following last dose of chemotherapy/bevacizumab
* Has had an allogeneic tissue/solid organ transplant | NCT_ID
NCT03635567
| Study_NameEfficacy and Safety Study of First-line Treatment With Pembrolizumab (MK-3475) Plus Chemotherapy Versus Placebo Plus Chemotherapy in Women With Persistent, Recurrent, or Metastatic Cervical Cancer (MK-3475-826/KEYNOTE-826)
| 8,612 |
Study Objectives
This phase II trial studies the side effects and how well white blood cells taken from person's own (autologous) cluster of differentiation (CD)8+ antigen-specific T cells, cyclophosphamide, aldesleukin, and ipilimumab work in treating patients with melanoma that has spread to another place in the body. Autologous CD8+ antigen-specific T cells are white blood cells that are designed in the laboratory to find melanoma cells and may kill them. Biological therapies, such as aldesleukin, use substances made from living organisms that may stimulate the immune system in different ways and stop tumor cells from growing. Immunotherapy with monoclonal antibodies, such as ipilimumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Drugs used in chemotherapy, such as cyclophosphamide, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving autologous CD8+ antigen-specific T cells with cyclophosphamide, aldesleukin, and ipilimumab may be an effective treatment for patients with metastatic melanoma.
Conditions: Metastatic Melanoma, Stage IV Cutaneous Melanoma AJCC v6 and v7
Intervention / Treatment:
BIOLOGICAL: Aldesleukin, BIOLOGICAL: Autologous CD8+ Melanoma Specific T Cells, DRUG: Cyclophosphamide, BIOLOGICAL: Ipilimumab, OTHER: Laboratory Biomarker Analysis
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* ELIGIBILITY FOR ENROLLMENT
* Histopathologic documentation of melanoma concurrent with the diagnosis of metastatic disease
* Expression of human leukocyte antigen (HLA)-A2
* Eastern Cooperative Oncology Group (ECOG)/Zubrod performance status of '0 <= age <= 1' at screening visit
* Women of childbearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy throughout the study in such a manner that the risk of pregnancy is minimized; suggested precautions should be used to minimize the risk of pregnancy for at least 1 month before start of therapy, and while women are on study for up to 3 months after T cell infusion, and at least 8 weeks after the study drug is stopped; WOCBP include any female who has experienced menarche and who has not undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation or bilateral oophorectomy) or is not postmenopausal
* Men must be willing and able to use an acceptable method of birth control, for at least 3 months after completion of the study, if their sexual partners are WOCBP
* Willing and able to give informed consent
* Adequate venous access - consider peripherally inserted central catheter (PICC) or central line
* Evaluation of v-raf murine sarcoma viral oncogene homolog B (BRAF)V600 mutation status
* Measurable tumor (by Response Evaluation Criteria in Solid Tumors [RECIST] criteria)
* Melan-A (MART) 1 or solute carrier family 45, member 2 (SLC45A2) (+) staining results; (if patients have not had staining test in the past, the test will be run after patient consent is obtained, but before enrollment)
* ELIGIBILITY FOR TREATMENT (INCLUDES CYCLOPHOSPHAMIDE, T CELL, ANTI-CTLA4 INFUSIONS AND SC IL-2)
* ECOG/Zubrod performance status of '0 <= age <= 1'
* At least 4 weeks must have elapsed since the last chemotherapy, radiotherapy or major surgery; at least 6 weeks for nitrosoureas, mitomycin C and liposomal doxorubicin; if started before T-cell administration, ipilimumab infusions must be least 21 days apart
* Toxicity related to prior therapy must either have returned to =< grade 1, baseline, or been deemed irreversible
* Persons of reproductive potential must agree to use and utilize an adequate method of contraception throughout treatment and for at least 8 weeks after study drug is stopped
* Willing and able to give informed consent.
Exclusion Criteria:
* EXCLUSION FOR ENROLLMENT
* Any other malignancy from which the patient has been disease-free for less than 5 years, with the exception of adequately treated and cured basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix
* Pregnant women, nursing mothers, men or women of reproductive ability who are unwilling to use effective contraception; women of childbearing potential with a positive pregnancy test within 3 days prior to entry
* Active and untreated central nervous system (CNS) metastasis (including metastasis identified during screening magnetic resonance imaging [MRI] or contrast computed tomography [CT])
* No signs or symptoms of CNS metastases (mets) within the last 30 days (from enrollment evaluation)
* No single lesion larger than 1 cm
* No more than 5 lesions
* Autoimmune disease: patients with a history of inflammatory bowel disease are excluded from this study, as are patients with a history of autoimmune disease (e.g. systemic lupus erythematosus, vasculitis, infiltrating lung disease) whose possible progression during treatment would be considered by the investigator to be unacceptable
* Any underlying medical or psychiatric condition, which in the opinion of the investigator, will make the administration of study drug hazardous or obscure the interpretation of adverse events, such as a condition associated with frequent diarrhea
* Positive screening tests for human immunodeficiency virus (HIV), hepatitis B (hep B), and hepatitis C (hep C) (referencing blood draw at leukapheresis screening); if positive results are not indicative of true active or chronic infection, the patient can be treated
* White blood cells (WBC) =< 1000/uL
* Hematocrit (Hct) =< 24% or hemoglobin (Hb) =< 8 g/dL
* Absolute neutrophil count (ANC) =< 500
* Platelets =< 50,000
* Creatinine >= 3.0 x upper limit of normal (ULN)
* Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) >= 2.5 x ULN
* Bilirubin >= 3 x ULN
* Steroids are not permitted 3 days prior to T cell infusion and concurrently during therapy
* Any non-oncology vaccine therapy used for the prevention of infectious disease within 1 month before or after any ipilimumab dose
* Patients may not be on any other treatments for their cancer aside from those included in the protocol; patients may not undergo another form of treatment concurrently with this study
* EXCLUSION CRITERIA FOR TREATMENT
* WBC =< 1000/uL (prior to cyclophosphamide and T cell infusions)
* Hct =< 24% or hemoglobin =< 8 g/dL (prior to cyclophosphamide and T cell infusions)
* ANC =< 500 (prior to cyclophosphamide and T cell infusions)
* Platelets =< 50,000 (prior to cyclophosphamide and T cell infusions)
* Creatinine >= 3.0 x ULN (prior to cyclophosphamide and T cell infusions)
* AST/ALT >= 2.5 x ULN (prior to cyclophosphamide and T cell infusions)
* Bilirubin >= 3 x ULN (prior to cyclophosphamide and T cell infusions)
* Pregnant women, nursing mothers, men or women of reproductive ability who are unwilling to use effective contraception; women of childbearing potential with a positive pregnancy test within 3 days prior to entry.
* Steroids are not permitted 3 days prior to T cell infusion and concurrently during therapy.
* Any non-oncology vaccine therapy used for the prevention of infectious disease within 1 month before or after any ipilimumab dose.
* Patients may not be on any other treatments for their cancer aside from those included in the protocol. Patients may not undergo another form of treatment concurrently with this study.
* Active and untreated central nervous system (CNS) metastasis (including metastasis identified during screening MRI or contrast CT):
* No signs or symptoms of CNS mets within the last 30 days (from enrollment evaluation).
* No single lesion larger than 1cm
* No more than 5 lesions | NCT_ID
NCT02027935
| Study_NameCD8+ Antigen-Specific T Cells, Cyclophosphamide, Aldesleukin, and Ipilimumab in Treating Patients With Metastatic Melanoma
| 4,325 |
Study Objectives
The primary objective of this study is to determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) of unesbulin in combination with dacarbazine for the treatment of advanced LMS and determine the overall safety profile of unesbulin in combination with dacarbazine.
This study will employ the time-to-event continual reassessment method (TITE-CRM) for dose finding. Treatment will be initiated at dose level 2 (DL2) (Dacarbazine 1000 milligrams per square meter \[mg/m\^2\] intravenously \[IV\] every 21 days in combination with unesbulin 200 milligrams \[mg\] orally twice weekly) for the first participant. This dose level represents the investigator's best assessment of the MTD based on available toxicity data for both agents. For subsequent participants, the dose level at which treatment is initiated will be selected based on the TITE-CRM using the most up to date dose-limiting toxicity (DLT) information from all participants previously treated. To enroll additional participants at the RP2D, the study is amended to include an expansion cohort of up to 12 participants (some of whom could be ongoing participants who reconsent).
Treatment will continue for each participant until evidence of unacceptable toxicity, disease progression, or treatment discontinuation for another reason.
Conditions: Leiomyosarcoma
Intervention / Treatment:
DRUG: Unesbulin, DRUG: Dacarbazine
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Signed consent of an Institutional Review Board (IRB)-approved informed consent form (ICF) and Health Insurance Portability and Accountability Act (HIPAA) authorization for release of personal health information (if appropriate).
* Willingness and ability to comply with scheduled visits, drug administration plan, laboratory tests, other study procedures, and study restrictions.
* Disease Status including all of the following:
1. Histological or cytological confirmation of LMS arising at any anatomic site.
2. Advanced (metastatic) or locally advanced unresectable disease.
3. Ineligible for other high-priority national or institutional study.
4. Measurable disease per RECIST v1.1 criteria.
Demographics:
* Age greater than or equal to (>=) 18
* Male and Female
Performance Status:
* Eastern Cooperative Oncology Group (ECOG) performance status 0 <= age <= 1.
Hematopoietic:
* Absolute neutrophil count (ANC) count >= 1,500/cubic millimeters (mm^3) without the use of growth factors in the past 7 days;
* Platelet count >=100,000/mm^3 without platelet transfusion in the past 5 days;
* Hemoglobin >=9 grams per deciliter (g/dL) (packed red blood cell transfusion is allowed).
Hepatic:
* Bilirubin lesser than (<) upper limit of normal (ULN);
* Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) <1.5 times ULN;
* Participants with liver metastases may be enrolled.
Pulmonary:
* Participants with well-controlled asthma (for example Use of rescue medications <2 times/week over the last 12 months) or Chronis Obstructive Pulmonary Disease (COPD) (for example no exacerbations over the prior 3 months) may be enrolled.
Renal:
* Creatinine <1.5 times normal, or creatinine clearance greater than (>) 45 milliliters per minute (mL/min).
Prior Therapies:
* Toxicity from prior therapies recovered to Grade lesser than or equal to (<=) 1 or participant's baseline, except for alopecia. In addition, endocrinopathies associated with prior immunotherapy based treatments which are well controlled on replacement medication are not exclusionary
* Chemotherapy:
a. Up to and inclusive of 4 prior systemic cytotoxic oncology therapy regimens for metastatic, locally recurrent, or unresectable LMS, with the last dose of prior therapy administered no fewer than 30 days or 5 times the drug half-life prior to screening. Note: prior treatment with non-cytotoxic therapy regimens (for example targeted therapies, hormonal therapies, or tyrosine kinase inhibitors) are not considered cytotoxic oncology therapies.
Surgery:
* At least 4 weeks since prior surgery and recovered in opinion of investigator.
Other:
* Capable of swallowing oral medication.
* Females of childbearing potential must have a negative pregnancy test within 7 days prior to being registered for protocol therapy.
* Males and females of childbearing potential must be willing to use an effective method of contraception (hormonal or barrier method of birth control; abstinence) from the time consent is signed until 90 days after treatment discontinuation. Note: The Definition of effective contraception will be based on the judgement of the Principal Investigator (PI) or Designee.
Exclusion Criteria:
Participants meeting any of the following criteria will not be eligible for enrollment:
* Received any systemic anticancer therapy including investigational agents <=3 weeks prior to initiation of study treatment. Additionally, Participants may have not received radiation <= 3 weeks prior to initiation of study treatment.
* Co-existing active infection or any co-existing medical condition likely to interfere with study procedures, including:
a. Significant cardiovascular disease (New York Heart Association Class III or IV cardiac disease), myocardial infarction within the past 6 months, unstable angina, congestive heart failure requiring therapy, unstable arrhythmia or a need for anti-arrhythmic therapy, or evidence of ischemia on electrocardiogram (ECG), marked baseline prolongation of QT/QTc (corrected QT interval) interval, for example, repeated demonstration of a QTc interval >500 milliseconds (msec) (Long QT Syndrome [congenital]).
* Known human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) positivity.
* History of solid organ transplantation.
Therapeutics:
* Known or suspected allergy or immediate or delayed hypersensitivity to unesbulin or dacarbazine or any agent given in this study.
Gastrointestinal:
* Bowel obstruction, malabsorption, or other contraindication to oral medication.
* Gastrointestinal disease or other condition that could affect absorption.
* Active peptic ulcer disease.
* Inflammatory bowel disease (including ulcerative colitis and Crohn's disease), diverticulitis, cholecystitis, symptomatic cholangitis or appendicitis.
* Any condition that impairs participant's ability to swallow oral medications.
Wounds /Surgery:
* Serious non-healing wound, ulcer, or bone fractures.
* Major surgery, open biopsy or significant traumatic injury which has not recovered in the opinion of the investigator, within 28 days of baseline.
* Mucosal or internal bleeding.
Concomitant Medications:
* Concomitant strong CYP1A2 inhibitors (like selective serotonin reuptake inhibitor [SSRI] agents fluvoxamine and fluoxetine) should be avoided. CYP1A2 inhibitors may inhibit the conversion of dacarbazine to its active metabolite and may increase the exposure of unesbulin.
Other:
* Prior malignancies other than LMS, that required treatment or have shown evidence of recurrence (except for non-melanoma skin cancer or adequately treated cervical carcinoma in situ) during the 5 years prior to initiation. Cancer treated with curative intent more than 5 years previously and without evidence of recurrence is not an exclusion.
* Known coagulopathy or bleeding diathesis. Participants on anti-coagulation should be monitored closely and International Normalized Ratio (INR) within normal range.
* Prior or ongoing clinically significant illness, medical or psychiatric condition, medical history, physical findings, ECG findings, or laboratory abnormality that, in the investigator's opinion, could affect the safety of the participant, or alter the absorption, distribution, metabolism, or excretion of the study drugs, or could impair the assessment of study results.
* History of brain metastases or leptomeningeal disease at any time in participant's history, including treated central nervous system (CNS) disease which is clinically and radiographically stable. | NCT_ID
NCT03761095
| Study_NameA Study of Unesbulin (PTC596) in Combination With Dacarbazine in Participants With Advanced Leiomyosarcoma (LMS)
| 12,893 |
Study Objectives
We plan to conduct a phase I/II clinical trial using biweekly gemcitabine, oxaliplatin, and 48-hour infusion of high dose 5-FU/leucovorin to treat patients with advanced pancreatic adenocarcinoma. In the phase I part, the maximum tolerable dose of oxaliplatin in combination with biweekly gemcitabine 800 mg/m2 and 48-hour infusion of 5-FU 3000 mg/m2 and leucovorin 300 mg/m2 will be determined. In the phase II part, the efficacy and safety of the biweekly chemotherapy with GOFL will be evaluated.
Conditions: Pancreatic Adenocarcinoma
Intervention / Treatment:
DRUG: oxaliplatin, DRUG: gemcitabine, DRUG: 5-FU/LV
Location: Taiwan
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1, PHASE2
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* 5.1.1 Patients must have metastatic or unresectable adenocarcinoma of the pancreas. The diagnosis of pancreatic adenocarcinoma must be confirmed by histopathology or cytology.
*1.2 For the phase I part of this trial, patients who have disease measurable or evaluable on x-ray, CAT scan, or physical examination are eligible. For the phase II part of this trial, only patients who have disease measurable on x-ray, CAT scan, or physical examination are eligible.
*1.3 Patients must have no history of prior chemotherapy. 5.1.4 Patients with prior radiotherapy are eligible if the irradiated area is not the only source of measurable or evaluable disease.
*1.5 Patients' baseline ECOG performance status must be £ 2. 5.1.6 Patients' life expectancy must be 12 weeks or greater. 5.1.7 Patients' age must be ³ 20 and £ 75. 5.1.8 Patients must have adequate bone marrow function, defined as WBC count ³ 3,500/ul, neutrophil count ³ 1,500/ul, and platelet count ³ 100,000/ul.
*1.9 Patients must have adequate liver function and adequate renal function, defined as the following: serum alanine (ALT) £ 5 times upper normal limit, serum total bilirubin level £ 2.0 mg/dL, and serum creatinine £ 1.5 mg/dL.
*1.10 Patients who have biliary obstruction and have undergone adequate drainage procedures before enrollment are eligible.
*1.11 Patients must agree to have indwelling venous catheter implanted. 5.1.12 Women or men of reproductive potential may not participate unless they have agreed to use an effective contraceptive method.
*1.13 All patients must be informed of the investigational nature of this study and must sign and give written informed consent.
Exclusion Criteria:5.2.1 Patients who have central nervous system metastasis 5.2.2 Patients who have active infection 5.2.3 Pregnant or breast-nursing women 5.2.4 Patients who have active cardiac disease or history of ischemic heart disease 5.2.5 Patients who have peripheral neuropathy > Grade I of any etiology 5.2.6 Patients who have serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator) 5.2.7 Patients who have other prior or concurrent malignancy except for adequately treated in situ carcinoma of cervix or adequately treated basal cell carcinoma of skin 5.2.8 Patients who are under biologic treatment for their malignancy
* | NCT_ID
NCT00154791
| Study_NamePhase I/II Trial GOFL in Advanced Pancreatic Adenocarcinoma
| 6,225 |
Study Objectives
This Prospective, single-arm Phase Ⅱ study is to determine the efficacy and safety of Once-daily Simultaneous Modulated Accelerated Radiotherapy combined with S-1/DDP for geratic esophageal squamous cell carcinoma patients.
Conditions: Esophageal Squamous Cell Carcinoma
Intervention / Treatment:
RADIATION: SMART, DRUG: DDP, DRUG: S-1
Location: China
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Pathologically or cytologically confirmed esophageal squamous cell carcinoma.
* Stage II-IVa ESCC confirmed by endoscopic ultrasonography(EUS) and imaging studies.
* Aging from 70 to 80.
* Eastern Cooperative Oncology Group (ECOG) performance status 0 <= age <= 2.
* Charlson's weighted index of comorbidities (WIC) <=4;
* White blood cell count >=4×109 /L, neutrophile granulocyte count>=1.5×109 /L, platelet count>=100×109 /L, hemoglobin >=100 g /L, serum creatinine and bilirubin 1.5 times less than the upper limits of normal (ULN),aminotransferase two times less than the ULN.
* Weight loss <=15% within the past half year.
* Forced expiratory volume in 1 s>= 1 L.
* Patients and their family signed the informed consents.
Exclusion Criteria:
* Previous or recent another malignancy, except for nonmelanoma skin cancer or cervical cancer in situ.
* Already received antineoplastic therapy,including chemotherapy, radiotherapy or operation.
* Any contraindication for chemotherapy or radiotherapy(such as a myocardial infarction within 6 months,immunosuppressive therapy,symptomatic heart disease,including unstable angina pectoris, congestive heart failure,and uncontrolled arrhythmia.)
* Malignant pleural effusion or pericardial effusion.
* Weight loss >10% within the past 3 months.
* Recruited in other clinical trials within 30 days
* Drug addiction, long-term alcohol abuse and AIDS patients.
* Uncontrollable epileptic attack or psychotic patients without self-control ability.
* Severe allergy or idiosyncrasy.
* Not suitable for this study judged by researchers. | NCT_ID
NCT02606916
| Study_NameRadiotherapy Combined With S-1/DDP for Elderly Esophageal Squamous Cell Cancer.
| 4,685 |
Study Objectives
Primary Objective:
1. To assess the safety and toxicity of imatinib mesylate when given to patients with Ph (+) CML , ALL or AML within the first 100 days following allogeneic bone marrow or stem cell transplantation.
Secondary Objectives:
1. To identify any clinically significant drug interactions with imatinib in the post-transplant setting.
2. To develop specific monitoring parameters for imatinib use when utilized in the early post-BMT setting.
3. To record one-year survival data in this patient cohort to assess any effect of early imatinib administration on this endpoint.
Conditions: Leukemia
Intervention / Treatment:
DRUG: Imatinib Mesylate
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: NA
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Patients with Ph(+) CML and/or CML with bcr-abl rearrangement and diploid cytogenetics not eligible for protocols of higher priority (e.g. ID02 <= age <= 901, DM99 <= age <= 081, DM97 <= age <= 206, etc).
* The disease must be beyond first chronic phase according to IBMTR criteria (i.e. accelerated phase, blastic phase, second chronic phase) at the time of transplant.
* Patients with Ph(+) acute lymphocytic (or myeloid) leukemia.
* Patients with diploid cytogenetics but molecular evidence of bcr-abl rearrangement are also eligible.
* Age >= 16 years
* Unsupported ANC at least 1500 and unsupported platelet count of at least 50K following BMT.
* Patients may have received prior chemotherapy for their disease or be previously untreated.
* Patients must have received an allogeneic bone marrow or stem cell transplant. Allogeneic transplant types may include matched sibling donors, mismatched related donors, or unrelated donors. All preparative regimens acceptable.
* Signed informed consent
* Zubrod status <= 3
* Adequate hepatic (bilirubin <= 3 mg/dl, transaminases < 4 x upper limit of normal) and renal function (serum creatinine <= 3 mg/dl )
Exclusion Criteria:
* Grade III/IV cardiac problems as defined by the NYHAC
* History of hypersensitivity to imatinib
* Pregnant and lactating women
* HIV positive | NCT_ID
NCT00386373
| Study_NameUse and Tolerability of Imatinib Mesylate (Gleevec) in Leukemia Patients
| 1,705 |
Study Objectives
The purpose is to identify a dose of SB-485232 which is safe, tolerable and effective when used in combination with Rituximab in patients with non-Hodgkin's lymphoma (NHL). This study will use a standard treatment regimen of Rituximab in combination with rising doses of SB-485232. The dose selected from this study will be used in a future studies.
Conditions: Lymphoma, Non-Hodgkin
Intervention / Treatment:
DRUG: SB-485232, DRUG: Rituximab
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Histologically confirmed diagnosis of any subtype of CD20+ B cell NHL. Subjects must have disease that progressed after standard therapy or for which there is no effective standard therapy (including high-dose therapy and autologous stem cell transplantation). NOTE: If the subject has had a prior autologous stem cell transplant, it must have occurred at least three months prior to screening and the subject must be fully recovered from any acute toxicities.
* Prior treatment with Rituximab is allowed, provided it was completed at least six months before study enrollment.
* Male or female >= 18 years.
* Measurable or evaluable disease.
* Predicted life expectancy of at least 12 weeks.
* ECOG Performance Status of 0 or 1.
* No chemotherapy, immunotherapy, hormonal therapy, or biological therapy for cancer, radiotherapy, or surgical procedures (except for minor surgical procedures) within four weeks before beginning treatment with SB-485232 (6 weeks for nitrosoureas and mitomycin C). Subjects must have recovered from toxicities (incurred as a result of previous therapy) sufficiently to be entered into a Phase I study.
* A signed and dated written informed consent form is obtained from the subject.
* The subject is able to understand and comply with protocol requirements, timetables, instructions and protocol-stated restrictions.
The subject is likely to maintain good venous blood access for PK and PD sampling throughout the study.
* A female is eligible to enter and participate in the study if she is of:
a. non-childbearing potential (i.e., physiologically incapable of becoming pregnant) including any female who:
* has had a hysterectomy,
* has had a bilateral oophorectomy (ovariectomy),
* has had a bilateral tubal ligation,
* is post-menopausal (demonstrate total cessation of menses for greater than 1year), If amenorrheic for less than one year, post-menopausal status will be confirmed by serum follicle stimulating hormone (FSH) and oestradiol concentrations at screening. or, b. childbearing potential, has a negative serum pregnancy test at the Screen Visit, and agrees to one of the following GSK acceptable contraceptive methods:
* any intrauterine device (IUD) with a documented failure rate of less than
1% per year.
* vasectomized partner who is sterile prior to the female subject's entry and is the sole sexual partner for that female.
* oral contraceptive (either combined or progesterone only).
* because of the unacceptable failure rate of barrier (chemical and/or physical) methods, the barrier method of contraception must only be used in combination with other acceptable methods described above.
* Adequate organ function,
Exclusion Criteria:
* Women who are pregnant or are breast-feeding.
* Significant cardiac, pulmonary, metabolic, renal, hepatic, gastrointestinal or autoimmune conditions that in the opinion of the investigator and/or GSK medical monitor, places the subject at an unacceptable risk as participant in this trial.
* The subject has diabetes mellitus with poor glycemic control.
* The subject has a history of human immunodeficiency virus (HIV) or other immunodeficiency disease.
* The subject has positive Hepatitis B surface antigen.
* Corrected QT interval (QTc) > 480msec.
* The subject has a history of a severe infusion related reaction or tumor lysis syndrome following treatment with Rituximab (Section 10.2.2).
* The subject has a circulating malignant cell count > 25,000/mm3 in peripheral blood.
* The subject has known anaphylaxis or IgE-mediated hypersensitivity to murine proteins.
* The subject has an acute infection or severe or uncontrolled infections requiring systemic antibiotic therapy.
* Any serious medical or psychiatric disorder that would interfere with subject safety or informed consent.
* Known leptomeningeal disease or evidence of prior or current metastatic brain disease. Routine screening with central nervous system (CNS) imaging studies (CT or MRI) is required only if clinically indicated.
* Receiving concurrent chemotherapy, immunotherapy, radiotherapy, or investigational therapy.
* Oral corticosteroids within 14 days of study entry.
* History of alcohol abuse within six months of screening or alcohol consumption in the past six months exceeding seven drinks/week for women and 14 drinks/week for men (where 1 drink = 5 ounces of wine or 12 ounces of beer or 1.5 ounces of hard liquor).
* History of ventricular arrhythmias requiring drug or device therapy.
* Any unresolved or unstable serious toxicity from prior administration of another investigational drug.
* Any investigational drug within 30 days or five half-lives (whichever is longer) preceding the first dose of SB-485232.
* Donation of blood in excess of 500 mL within a 56-day period prior to dosing. | NCT_ID
NCT00500058
| Study_NameA Phase I, Dose-Escalation Study to Assess the Safety and Biological Activity of Recombinant Human Interleukin-18
| 2,856 |
Study Objectives
This is a phase 3, randomized, 2-arm, open-label, international trial evaluating alisertib compared with single-agent treatment, as selected by the investigator from the offered options of pralatrexate or gemcitabine or romidepsin, in participants with relapsed or refractory peripheral T-cell lymphoma (PTCL). Note: romidepsin was not used as a single-agent comparator outside the United States of America (USA) as supply was not available.
Conditions: Relapsed Peripheral T-Cell Lymphoma, Refractory Peripheral T-Cell Lymphoma
Intervention / Treatment:
DRUG: Alisertib, DRUG: Pralatrexate, DRUG: Gemcitabine, DRUG: Romidepsin
Location: Peru, Poland, United Kingdom, Australia, Austria, Puerto Rico, Denmark, Egypt, France, Chile, Netherlands, Belarus, Canada, Turkey, Slovakia, New Zealand, Portugal, Germany, Sweden, Spain, Czechia, Italy, Romania, Israel, United States, Brazil, Bulgaria, Belgium, Russian Federation, Mexico, Hungary
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Male or female participants age >= 18 years
* Participants with Peripheral T cell lymphoma (PTCL) (selected subtypes) according to World Health Organization (WHO) criteria and have relapsed or are refractory to at least 1 prior systemic, cytotoxic therapy for PTCL. Participants must have received conventional therapy as a prior therapy. Cutaneous-only disease is not permitted. Participants must have documented evidence of progressive and measurable disease.
* Tumor biopsy available for central hematopathologic review
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 <= age <= 2
* Female participants who are post menopausal for at least 1 year, surgically sterile, or agree to practice 2 effective methods of contraception through 30 days after the last dose of study drug or agree to abstain from heterosexual intercourse.
* Male participants who agree to practice effective barrier contraception through 6 months after the last dose of alisertib or agree to abstain from heterosexual intercourse
* Suitable venous access
* Voluntary written consent
Exclusion Criteria
* Known central nervous system lymphoma
* Systemic antineoplastic therapy, immunotherapy, investigational agent or radiation therapy within 4 weeks of first dose of study treatment or concomitant use during study
* Prior administration of an Aurora A kinase-targeted agent, including alisertib; or all of the 3 comparator drugs (pralatrexate, or romidepsin or gemcitabine; or known hypersensitivity)
* History of uncontrolled sleep apnea syndrome or other conditions that could result in excessive daytime sleepiness
* Cardiac condition as specified in study protocol, including left ventricular ejection fraction (LVEF) <40%
* Concomitant use of other medicines as specified in study protocol
* Participants with abnormal gastric or bowel function who require continuous treatment with H2-receptor antagonists or proton pump inhibitors
* Known active infection with human immunodeficiency virus (HIV), hepatitis B virus, or hepatitis C
* Autologous stem cell transplant less than 3 months prior to enrollment
* Participants who have undergone allogeneic stem cell or organ transplantation any time
* Inadequate blood levels, bone marrow or other organ function as specified in study protocol
* The participant must have recovered to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Grade <= 1 toxicity, to participant's baseline status (except alopecia), or deemed irreversible from the effects of prior cancer therapy
* Major surgery, serious infection, or infection requiring systemic antibiotic therapy within 14 days prior to the first dose of study treatment
* Female participants who are breastfeeding or pregnant
* Coexistent second malignancy or history of prior solid organ malignancy within previous 3 years
* Serious medical or psychiatric illness or laboratory abnormality that could, in the investigator's opinion, potentially interfere with the completion of treatment according to the protocol | NCT_ID
NCT01482962
| Study_NameAlisertib (MLN8237) or Investigator's Choice in Patients With Relapsed/Refractory Peripheral T-Cell Lymphoma
| 5,598 |
Study Objectives
Regorafenib is a novel oral multi-kinase inhibitor which targets angiogenic, stromal and oncogenic receptor tyrosine kinases. It is currently registered for GIST and mCRC. When regorafenib is co-administered with an acid suppressive agent, the intra-gastric pH increases, and as a result the equilibrium of ionized/non-ionized regorafenib may shift to the less soluble non-ionized form which reduces regorafenib bioavailability and exposure. Since proton pump inhibitors (PPIs) are often used during regorafenib therapy, this drug-drug interaction (DDI) confronts pharmacists and oncologists with challenges in clinical practice. In this study the investigators will therefore evaluate the impact of PPI-induced intra-gastric pH elevation on regorafenib pharmacokinetics in patients with GIST and mCRC.
Conditions: Colorectal Neoplasms, Gastrointestinal Stromal Tumors
Intervention / Treatment:
DRUG: Esomeprazole 40mg concomitantly, DRUG: Esomeprazole 40mg before, DRUG: Regorafenib 160mg or 120mg
Location: Netherlands
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE4
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: CROSSOVER
Masking: NONE | Inclusion Criteria:
* Age >= 18 years
* Histological or cytological confirmed diagnosis of mCRC or GIST and prior treatment specific:
1. mCRC-patients who have been previously treated with, or are not considered candidates for, available therapies according to common practice.
2. Irresectable or metastatic GIST who progressed on or are intolerant to prior treatment with imatinib and sunitinib.
* ECOG Performance Status <= 1
* Able and willing to sign the Informed Consent Form
* No concurrent (over the counter) use of other acid reducing drugs (PPIs, H2As and/or antacids), other than esomeprazole 40mg once daily during the study.
* No concurrent medication or supplements which can interact with esomeprazole or regorafenib during the study period.
* Abstain from grapefruit, grapefruit juice, herbal dietary supplements, and herbal tea during the study period.
* Adequate baseline patient characteristics (complete blood count, and serum biochemistry which involves sodium, potassium, creatinin, calculation of creatinin clearance (MDRD), AST, ALT, gamma glutamyl transpeptidase, lipase, lactate dehydrogenase, ALP, total bilirubin, albumin, glucose, INR, thyroid function tests, and PTT or APTT within two weeks prior to the study).
Exclusion Criteria:
* Pregnant or lactating patients.
* Patients with known impaired drug absorption (e.g. gastrectomy and achlorhydria).
* Known serious illness or medical unstable conditions that could interfere with this study; requiring treatment (e.g. infection, bleedings, uncontrolled hypertension despite optimal medical management, HIV, hepatitis, organ transplants, kidney, cardiac and respiratory diseases).
* Non-healing wound, non-healing ulcer, or non-healing bone fracture
* Major surgical procedure or significant traumatic injury within 28 days before start of study medication.
* Patients with evidence or history of any bleeding diathesis, irrespective of severity
* Any hemorrhage or bleeding event >= CTCAE Grade 3 within 4 weeks prior to the start of study medication.
* Arterial or venous thrombotic or embolic events such as cerebrovascular accident (including transient ischemic attacks), deep vein thrombosis or pulmonary embolism within 6 month before the start of study medication (except for adequately treated catheter-related venous thrombosis occurring more than one month before the start of study medication)
* Unstable angina (angina symptoms at rest), new-onset angina (begun within the last 3 months)
* Myocardial infarction less than 6 months before start of study drug.
* Uncontrolled cardiac arrhythmias
* Symptomatic CNS metastases or history of psychiatric disorder that would prohibit the understanding and giving of informed consent.
* Interstitial lung disease with ongoing signs and symptoms at the time of informed consent
* Known hypersensitivity to any of the study drugs, study drug classes, or excipients in the formulation.
* Known history of HIV infection, active hepatitis B or C, or chronic hepatitis B or C requiring treatment with antiviral therapy.
* Patients on strong CYP3A4 inhibitors or inducers are not eligible for the study (see appendix B).
* The use of BCRP or P-glycoprotein substrates which leads to a clinically relevant drug-drug interaction concerning the pharmacokinetics of regorafenib.
* Unwillingness to abstain from grapefruit (juice), (herbal) dietary supplements, herbals, over-the-counter medication (except for paracetamol and ibuprofen) and other drugs known to seriously interact with esomeprazole and regorafenib during the study period.
* Unwillingness to abstain from acid beverages such as orange juice and other acidic beverages (e.g. Coca-Cola, 7-UP etc.) in the morning (between 06.00 <= age <= 14.00u AM) during regorafenib treatment in this study. | NCT_ID
NCT02800330
| Study_NameThe Effects of the Proton Pump Inhibitor Esomeprazole on the Bioavailability of Regorafenib
| 476 |
Study Objectives
The purpose of this study is to assess the feasibility of conducting a larger randomized controlled trial to assess the efficacy of perioperative propranolol capsules compared with placebo capsules in decreasing recurrence of prostate cancer (PCa) after robotic assisted laparoscopic prostatectomy (RALP) in participants with intermediate to high-risk for prostate cancer recurrence.
Conditions: Prostate Cancer
Intervention / Treatment:
DRUG: Propranolol
Location: Norway
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: TRIPLE | Inclusion Criteria:
* European Association of Urology Intermediate- and High Risk for Biochemical recurrence and planned for curative RALP
* ECOG Performance Status 0 <= age <= 1
Exclusion Criteria:
Medical Conditions
* Sick sinus syndrome
* Atrioventricular (AV) block grade 2 and 3
* Recent (3 months) myocardial infarction
* Known unstable- or vasospastic- angina
* Heart failure (New York Heart Association [NYHA] > 2)
* Symptomatic peripheral vascular disease (e.g. intermittent claudication)
* Known pulmonary hypertension
* Known carotid artery stenosis or recent (3 months) stroke
* Bronchial asthma or other chronic obstructive pulmonary disease (COPD)
* Kidney failure (estimated Glomerular filtration rate [eGFR]<50)
* Liver failure (cirrhosis, jaundice, signs of hepatic decompression)
* Unregulated diabetes mellitus
* Untreated thyroid disorder
* Depressive episode within last 6 months (within last 12 months if major depressive episode)
* Known drug allergy against propranolol or excipients
* Any medical conditions considered to prohibit Propranolol use as judged by the treating physician (including frailty).
* Participants with known substance- or alcohol-abuse
Prior/Concomitant Therapy
* Recent (<3 month) use of systemic beta-blockers prior to screening.
* Patients receiving non-dihydropyridine calcium channel blocking agents (eg diltiazem, verapamil)
* Patients receiving anti-arrhythmic agents (e.g. amiodarone, sotalol, digoxin, verapamil, flecainide)
* Patients receiving digoxin, rizatriptan, hydralazine, fluvoksamin, or fluoksetin
* Patients using daily anxiolytics (e.g. benzodiazepines), alpha-receptor adrenergic agonists (e.g. clonidine)
* Recommendations in the Summary of Product Characteristics for propranolol regarding concomitant use of other medications will be adhered to.
Diagnostic assessments
* Sinus bradycardia (<60 beats/minute)
* Resting blood pressure <110/60mmHg OR hypertension BP >160/100
* AV-block 2 or 3 on ECG | NCT_ID
NCT05679193
| Study_NamePerioperative Propranolol During Prostatectomy to Decrease Cancer Recurrence
| 19,643 |
Study Objectives
Oral contraceptive therapy is routinely used for the treatment of menstrual disturbances of patients with polycystic ovary syndrome (PCOS).
To date, the cardiovascular risk (CVR) of the oral contraceptives (OC) are known but no data are available on the CVR in PCOS patients treated with OC or physical exercise.
The purpose of this study is to compare the effects of OC to physical exercise on the CVR of PCOS women and show the hormonal and metabolic effects of these two different treatment.
We hypothesize that physical exercise has the same beneficial effects of OC therapy on hormonal and metabolic features of PCOS women with less cardiovascular consequences.
Conditions: Polycystic Ovary Syndrome
Intervention / Treatment:
BEHAVIORAL: Physical exercise, DRUG: OC - Drospirenone plus Ethynylestradiol, DIETARY_SUPPLEMENT: Vitamin, polyvitamins tablets
Location: Italy
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE4
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: DOUBLE | Inclusion Criteria:
* Polycystic ovary syndrome
Exclusion Criteria:
* Age <18 or >40 years
* BMI higher than 30 and lower than 18
* Pregnancy
* Hypothyroidism, hyperprolactinemia, Cushing's syndrome, nonclassical congenital adrenal hyperplasia, use of OC, glucocorticoids, antiandrogens, ovulation induction agents, antidiabetic or antiobesity drugs or other hormonal drugs within the previous 6 months
* Subjects with neoplastic, metabolic (including glucose intolerance), hepatic, and cardiovascular disorder or other concurrent medical illness (i.e. diabetes, renal disease, or malabsorptive disorders, cephalea) | NCT_ID
NCT00593294
| Study_NameOral Contraceptive and Cardiovascular Risk in PCOS
| 5,128 |
Study Objectives
This clinical trial is assessing compliance with long-term mercaptopurine treatment in young patients with acute lymphoblastic leukemia in remission. Assessing why young patients who have acute lymphoblastic leukemia may not take their medications as prescribed may help identify ways to assist them in taking their medications more consistently and may improve long-term treatment outcomes.
Conditions: Childhood Acute Lymphoblastic Leukemia in Remission
Intervention / Treatment:
BEHAVIORAL: Compliance Monitoring, OTHER: Laboratory Biomarker Analysis, DRUG: Mercaptopurine, DRUG: Methotrexate, OTHER: Questionnaire Administration, OTHER: Study of Socioeconomic and Demographic Variables
Location: Canada, United States, Australia
Study Design and Phases
Study Type: OBSERVATIONAL
| Inclusion Criteria:
* Diagnosis of ALL in first remission, irrespective of risk stratification; enrollment on a Children's Oncology Group (COG) therapeutic study for ALL is not required, but the treatment plan must meet the criteria in this protocol
* Belongs to one of the four following ethnic/racial categories: African-American, Asian, Caucasian, or Hispanic; below please find definitions for these categories
* African-American: includes patients who are African-American or of sub-Saharan black African ancestry
* Asian: patients of Asian ancestry, including the following: Asian Indian (subcontinent), Chinese, Japanese, Korean, Native Hawaiian, Guamanian or Chamorro, Pacific Islander, Filipino, Vietnamese, Samoan, Hmong, Cambodian, Thai, Laotian, or Other Asian races
* Caucasian: includes White or light-skinned patients of European, North African, or Middle Eastern ancestry
* Hispanic: patients of Hispanic ethnicity, including the following: Mexican, Mexican American, Chicano, Cuban, Puerto Rican, or Other Spanish/Hispanic/Latino ethnicity
* Receiving self- or parent/caregiver-administered oral anti-metabolite chemotherapy during the maintenance/continuation phase of therapy; patients are eligible if their treatment plan calls for the following doses of 6-MP and methotrexate (MTX) during the maintenance/continuation phase: 6-MP ? 75 mg/m^2/day orally; MTX 20 mg/m^2/week orally;** (modification of 6-MP or MTX dosing based on laboratory or clinical parameters is acceptable)
* For guidance regarding if and when a patient being treated on or according to a specific COG (or legacy group) protocol is eligible, please refer to ?AALL03N1 Eligibility by Protocol Tool,? available in the study data forms packet on the COG website
* Has completed at least 24 weeks of maintenance/continuation chemotherapy, and is scheduled to receive at least 24 more weeks of maintenance/continuation chemotherapy**
* For guidance regarding if and when a patient being treated on or according to a specific COG (or legacy group) protocol is eligible, please refer to ?AALL03N1 Eligibility by Protocol Tool,? available in the study data forms packet on the COG website
* Written informed consent from the patient and/or the patient?s legally authorized guardian, obtained prior to registration and any study-related procedures, and in accordance with institutional policies approved by the United States (U.S) Department of Health and Human Services
Exclusion Criteria:
* Patients of multi-ethnic/multi-racial backgrounds are not eligible for this study; while patients of multi-ethnic/multi-racial ancestry (e.g., Caucasian/Japanese, Hawaiian/Puerto Rican) are not eligible, patients of mixed ancestry within a race/ethnicity (e.g., Japanese/Chinese = Asian or Korean/Japanese/Hawaiian = Asian or Mexican/Puerto Rican = Hispanic) may participate as long as they fall under the general classification of "African-American," "Asian," "Caucasian," or "Hispanic" | NCT_ID
NCT00268528
| Study_NameStudy to Assess Compliance With Long-Term Mercaptopurine Treatment in Young Patients With Acute Lymphoblastic Leukemia in Remission
| 19,966 |
Study Objectives
This is a randomized, open-label pilot study to assess whether treatment with chlorhexidine mouthwash can alter the esophageal and gastric cardia microbiome
Conditions: Esophageal Adenocarcinoma, Barrett's Esophagus, Reflux Esophagitis
Intervention / Treatment:
DRUG: Chlorhexidine gluconate
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: NA
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Age >18
* Scheduled for upper endoscopy for clinical indications
* No allergy or other contraindication to chlorhexidine
Exclusion Criteria:
* Use of proton pump inhibitors or H2 receptor antagonists within 1 month of enrollment. Acid suppressant medications raise the gastric pH and can dramatically alter the gastric and esophageal microbiome.
* History of upper gastrointestinal cancer
* History of histologically proven Barrett's esophagus
* History of antireflux or bariatric surgery, or other gastric or esophageal surgery
* Use of antimicrobial mouthwash within 1 month of enrollment
* Use of antibiotics or immunosuppressant medications within 3 months of enrollment
* Use of steroid inhalers or nasal sprays within 1 month of enrollment
* HIV or other immunosuppressed states or conditions (e.g. active malignancy)
* Pregnant or breast feeding
* Inability to give informed consent | NCT_ID
NCT02513784
| Study_NameTrial to Assess the Effects of an Antimicrobial Mouthwash on the Esophageal Microbiome
| 9,003 |
Study Objectives
Treatment optimization for patients with chronic myeloid leukemia (CML) with treatment naïve disease (1st line) and patients with resistance or intolerance against alternative Abl-Kinase Inhibitors (≥2nd line) (DasaHIT Trial (Dasatinib Holiday for Improved Tolerability))
Conditions: Myeloid Leukemia, Chronic
Intervention / Treatment:
DRUG: dasatinib (SPRYCEL®)
Location: Germany
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Male or female patients with diagnosis of CP-CML with cytogenetic confirmation of Ph+ chromosome [t(9;22)(q34;q11)].
* Ph negative cases or patients with variant translocations who are BCR-ABL positive in multiplex PCR4 will be also considered eligible.
* ECOG performance status <=2.
* Age >= 18 years (no upper age limit is given)
* Serum levels of potassium, magnesium and total calcium within the normal limits (>=LLN [lower limit of normal] and <=ULN [upper limit of normal]). Correction of electrolytes' levels with supplements to meet enrolment criteria is allowed.
* AST and ALT <=2.5 x ULN or 5.0 x ULN if considered due to leukemia
* Alkaline phosphatase <=2.5 x ULN unless considered due to leukemia
* Total bilirubin <=1.5 x ULN, except known Gilbert disease
* Serum creatinine <=2 x ULN
* Written informed consent prior to any study procedures being performed.
For 1st-line patients:
* Pre-treatment with hydroxyurea up to 6 months and imatinib or dasatinib for duration of up to 4 weeks is permitted.
For >= 2nd-line patients:
* Patients with treatment failure according to the 2013 ELN Recommendations criteria3 or treatment intolerance as assessed by the investigator after prior treatment with TKIs other than dasatinib (imatinib, nilotinib, bosutinib, ponatinib).
Exclusion Criteria:
* Previous allogeneic stem cell transplantation (AlloSCT)
* Known impaired cardiac function, including any of the following:
* Congenital long QT syndrome
* History of or presence of clinically significant ventricular or atrial tachyarrhythmia
* QTc >450 msec on screening ECG
* Myocardial infarction within 6 months prior to starting therapy
* Other clinical significant heart disease (e.g. unstable angina pectoris, congestive heart failure)
* Acute or chronic viral hepatitis with moderate or severe hepatic impairment (Child-Pugh scores >6), even if controlled
* Other concurrent uncontrolled medical conditions (e.g., active or uncontrolled infections, acute or chronic liver and renal disease) that could cause unacceptable safety risks or compromise compliance with the protocol
* Impaired gastrointestinal function or disease that may alter the absorption of study drug (e.g., ulcerative disease, uncontrolled nausea, vomiting and diarrhea, malabsorption syndrome, small bowel resection or gastric by-pass surgery)
* Concomitant medications known to be strong inducers or inhibitors of the CYP450 isoenzyme CYP3A4
* Patients who have undergone major surgery <=2 weeks prior to starting study drug or who have not recovered from side effects of such therapy
* Patients who are pregnant or breastfeeding or women of reproductive potential not employing an effective method of birth control. Women of childbearing potential must have a negative serum pregnancy test within 14 days prior to administration of dasatinib. Post-menopausal women must be amenorrheic for at least 12 months in order to be considered of non-childbearing potential. Male and female patients must agree to employ an effective method of birth control throughout the study and for up to 3 months following discontinuation of study drug
* Known diagnosis of human immunodeficiency virus (HIV) infection (HIV testing is not mandatory)
* Active autoimmune disorder, including autoimmune hepatitis
* Known serious hypersensitivity reactions to dasatinib
* Patients with a history of another primary malignancy that is currently clinically significant or currently requires active intervention
* Patients unwilling or unable to comply with the protocol. | NCT_ID
NCT02890784
| Study_NameDasatinib Holiday for Improved Tolerability
| 8,936 |
Study Objectives
This single center Phase I dose escalation trial will evaluate the safety, tolerability and efficacy of LBH589 when combined with capecitabine and lapatinib in three parts. Part 1 will determine the maximum tolerated doses (MTD) of LBH589 when combined with capecitabine. Parts 2 and 3 will be limited to locally recurrent or metastatic breast cancer patients, ICH 3+ overexpression or FISH amplification documented locally. Part 2 will evaluate the safety of the MTD of LBH589 determined in Part 1 when paired with lapatinib 1000 mg by mouth (PO) daily. Parts 2 and 3 will be limited to locally recurrent or metastatic breast cancer patients, ICH 3+ overexpression or FISH amplification documented locally. Part 3 will evaluate the tolerability and effectiveness of the triplet combination, LBH589, capecitabine and lapatinib in breast cancer patients.
Conditions: Breast Cancer
Intervention / Treatment:
DRUG: LBH589, DRUG: Capecitabine, DRUG: Lapatinib
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Histologically documented metastatic or locally unresectable, incurable malignancy for which capecitabine is clinically appropriate.
* Male or female patients aged >= 18 years.
* Maximum of 3 prior regimens in a metastatic setting allowed and may include other targeted agents, immunotherapy and chemotherapy.
* Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
* Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1.
* Baseline MUGA or ECHO must demonstrate LVEF > than the lower limits of the institutional normal.
* Laboratory values as follows:
* ANC > 1500/μL
* Hgb > 9 g/dL
* Platelets > 100,000/uL
* Bilirubin < 1.5 mg/dL
* AST/SGOT < 2.5 x ULN or < 5.0 x ULN and ALT/SGPT in patients with liver metastases
* Creatinine < 1.5 mg/dL or calculated creatinine clearance > 50 ml/min
* Albumin > 3 g/dL
* Potassium > lower limit of normal (LLN)
* Phosphorous > LLN
* Calcium > LLN
* Magnesium > LLN
* Women of childbearing potential must have a negative serum or urine pregnancy test performed within 7 days prior to start of treatment and must commit to begin two acceptable methods of birth control, one highly effective method of birth control and one additional effective method at the same time before starting treatment.
* Life expectancy > 12 weeks.
* Accessible for treatment and follow-up.
* All patients must be able to understand the nature of the study and give written informed consent prior to study entry.
Additional Breast Cancer Patient Subset (Part 2 and Part 3) Inclusion Criteria:
* Incurable carcinoma of the breast, with measurable locally recurrent or metastatic disease.
* ICH 3+ overexpression or FISH amplification documented by a local laboratory in primary or metastatic tumor tissue.
* Prior treatment with an anthracycline, taxane, and trastuzumab or not a candidate for such treatment. Patient may have received these drugs in combination or in sequence for the treatment of locally advanced or metastatic disease and/or adjuvant therapy.
Exclusion Criteria:
* Prior treatment with an HDAC inhibitor or current treatment with valproic acid.
* Previous treatment with capecitabine.
* Impaired cardiac function including any of the following:
* Screening ECG with a QTc > 450 msec.
* Congenital long QT syndrome.
* History of sustained ventricular tachycardia.
* Any history of ventricular fibrillation or torsades de pointes.
* Bradycardia defined as heart rate < 50 beats per minute. Patients with a pacemaker and heart rate > 50 beats per minute are eligible.
* Myocardial infarction or unstable angina within 6 months of study entry.
* Congestive heart failure (NY Heart Association class III or IV).
* Right bundle branch block and left anterior hemiblock (bifascicular block).
* Atrial fibrillation or flutter.
* Ongoing therapy with antiarrhythmics or other medications associated with QTc prolongation.
* Uncorrected hypokalemia or hypomagnesaemia.
* Uncontrolled hypertension (systolic blood pressure [BP] 180 or diastolic BP > 100 mm Hg) or uncontrolled cardiac arrhythmias.
* Active CNS disease, including meningeal metastases.
* Known diagnosis of human immunodeficiency virus (HIV) infection.
* Unresolved diarrhea > CTCAE grade 1.
* Concomitant requirement for medication classified as CYP3A4 inducers or inhibitors.
* Patients with a history of allergic reactions attributed to compounds of similar chemical or biologic composition to lapatinib.
* Patients with known hypersensitivity to 5-fluorouracil chemotherapy, investigational drug therapy, major surgery < 4 weeks prior to starting study drug or patients that have not recovered from side effects of previous therapy.
* Patient is < 5 years free of another primary malignancy except if the other primary malignancy is not currently clinically significant or requiring active intervention, or if other primary malignancy is a basal cell skin cancer or a cervical carcinoma in situ. Existence of any other malignant disease is not allowed.
* Concomitant use of any anti-cancer therapy or radiation therapy.
* Pregnant or breast feeding or female of reproductive potential not using two effective methods of birth control.
* Male patients whose sexual partners are women of childbearing potential not using effective birth control.
* Patients with gastrointestinal (GI) tract disease, causing the inability to take oral medication, malabsorption syndrome, a requirement for intravenous (IV) alimentation, prior surgical procedures affecting absorption, uncontrolled inflammatory GI disease (e.g., Crohn's disease, ulcerative colitis).
* Other concurrent severe, uncontrolled infection or intercurrent illness, including but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
* Patients taking any medications listed in "Prohibited Medications" for both capecitabine and lapatinib .
* Patients with uncontrolled coagulopathy (PT and/or PTT > 1.2 x ULN; patient must also be on stable dose of anticoagulant for a defined medical indication).
* Abnormal thyroid function (TSH or free T4) detected at screening. Patients with known hypothyroidism who are stable on thyroid replacement are eligible.
Additional Breast Cancer Patient Subset (Part 2 and Part 3) Exclusion Criteria:
* Prior treatment with lapatinib | NCT_ID
NCT00632489
| Study_NameLBH589 in Combination With Capecitabine Plus/Minus (±) Lapatinib in Breast Cancer Patients
| 5,019 |
Study Objectives
This perspective, mono institutional study is addressed to find potential serum and urine biomarkers predictive of the pharmacokinetic and pharmacodynamic profile of soft tissue sarcomas patients treated with trabectedin.
Conditions: Sarcoma
Intervention / Treatment:
DRUG: Trabectedin
Study Design and Phases
Study Type: OBSERVATIONAL
| Inclusion Criteria:
* Advanced Soft Tissues Sarcoma STSs (unresectable and/or metastatic disease).
* One previous systemic treatment with ananthracycline ± ifosfamide.
* Measurable disease, as defined by RECIST criteria.
* ECOG PS <=2.
* Age >=18 years.
* A minimum of 3 weeks since prior tumor directed therapy
* Recovery from toxic effects of prior therapies to NCI CTC Grade 1 or lower.
* Adequate haematological, renal liver function.
* Ability and willingness to provide informed consent
Exclusion Criteria:
* Pregnant or breast-feeding women
* Prior exposure to Trabectedin.
* Peripheral neuropathy, Grade 2 or higher.
* Known CNS metastases.
* Active viral hepatitis or chronic liver disease.
* Unstable cardiac condition, including congestive heart failure or angina pectoris, myocardial infarction within one year before enrolment, uncontrolled arterial hypertension or arrhythmias.
* Active major infection.
* Other serious concomitant illnesses. | NCT_ID
NCT04394728
| Study_NamePharmacometabolomic of Trabectedin in Soft Tissue Patients
| 19,695 |
Study Objectives
RATIONALE: Androgens can cause the growth of prostate cancer cells. Antihormone therapy, such as bicalutamide, may lessen the amount of androgens made by the body. Everolimus may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This phase II trial is studying bicalutamide and everolimus to see how well they work compared with bicalutamide in treating patients with recurrent or metastatic prostate cancer.
Conditions: Prostate Cancer
Intervention / Treatment:
DRUG: Bicalutamide, DRUG: Everolimus
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria
* Participants must be adult males >18 years.
* Patients must have histologically or cytologically confirmed CaP with a Gleason score available or interpretable.
* Patients must have CaP deemed to be androgen independent.
* Measurable disease is not required.
* Patients must have been surgically or medically castrated. If the method of castration was LHRH agonists (leuprolide or goserelin) or antagonists (degarelix), then the patient must be willing to continue the use of LHRH agonists or antagonists. Serum testosterone must be at castrate levels (< 50 ng/dL) within 3 months prior to registration.
* Participant has not been on any previous therapy with androgen receptor antagonists or mTOR inhibitors. Note: patients who have taken an androgen receptor antagonist for a brief period (no more than 2 months) at the start of LHRH agonist therapy to prevent flare will be considered eligible.
* Men enrolled in this trial must agree to use adequate contraception prior to study entry and for the duration of study participation.
* Patients must have normal organ and marrow function.
* Ability to understand and the willingness to sign a written informed consent document
* ECOG performance status 0 <= age <= 2.
* Patients having any respiratory symptoms such as cough and shortness of breath have undergone pulmonary function testing revealing no worse than mild impairment.
Exclusion Criteria
* No documented histological confirmation of CaP.
* Patient has received other hormonal therapy besides first-line androgen deprivation therapy with LHRH agonist, LHRH antagonist, orchiectomy, high-dose steroid, abiraterone, provenge and ketoconazole.
* Patients who have received prior treatment with an mTOR inhibitor.
* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
* HIV-positive patients receiving combination anti-retroviral therapy are excluded from the study because of possible pharmacokinetic interactions with RAD001.
* Patients currently receiving anticancer therapies or who have received anticancer therapies within 4 weeks of the start of study drug (including chemotherapy, radiation therapy, antibody based therapy, etc.)
* Patients who have had a major surgery or significant traumatic injury within 4 weeks of start of study drug, patients who have not recovered from the side effects of any major surgery (defined as requiring general anesthesia) or patients that may require major surgery during the course of the study.
* Prior treatment with any investigational drug within the preceding 4 weeks.
* Patients receiving chronic, systemic treatment with corticosteroids or another immunosuppressive agent.
* Patients should not receive immunization with attenuated live vaccines within one week of study entry or during study period.
* Patients on herbs or other alternative medicines for the treatment of prostate cancer, including but not limited to saw palmetto, PC-SPES.
* Uncontrolled brain or leptomeningeal metastases, including patients who continue to require glucocorticoids for brain or leptomeningeal metastases.
* Other malignancies within the past 3 years except for adequately treated basal or squamous cell carcinomas of the skin or other Stage 0 or I cancers.
* Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001.
* Patients with an active, bleeding diathesis.
* History of noncompliance to medical regimens.
* Patients unwilling to or unable to comply with the protocol.
* Patients with active pulmonary disorders or history of moderately to severely impaired pulmonary function tests will be excluded from the study.
* Patients with symptomatic metastatic prostate cancer such as moderate to severe pain, impaired organ function or spinal cord compression will be excluded from this study unless these issues have been taken care of. | NCT_ID
NCT00814788
| Study_NameBicalutamide With or Without Everolimus in Treating Patients With Recurrent or Metastatic Prostate Cancer
| 20,919 |
Study Objectives
The purpose of this study is to determine the effect of adecatumumab alone or following FOLFOX in patients with R0 resected liver metastases from CRC (colorectal carcinoma) and to compare the effect to FOLFOX alone.
Conditions: Liver Metastases, Colorectal Cancer
Intervention / Treatment:
DRUG: Adecatumumab, DRUG: Adecatumumab and FOLFOX, DRUG: FOLFOX 4
Location: France, Germany
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Histopathologically confirmed complete resection (R0) of liver metastases from colorectal adenocarcinoma
* Age >=18 years
* ECOG performance status <= 2
* Patient was informed, has read and understood the patient information / informed consent form and has given written informed consent
Exclusion Criteria:
* Extra-hepatic distant metastases or locally recurrent disease at time of enrolment
* Neoadjuvant chemotherapy of liver metastases prior to surgery
* Any anticancer chemotherapy within 4 weeks prior to study entry
* Start of Oxaliplatin-based chemotherapy within 9 months prior to study entry
* Any biological anticancer therapy or immunotherapy within 4 weeks prior to study entry
* Any radiotherapy or radio frequency ablation (RFA) to the liver prior to surgery
* Treatment with any investigational product within a time range of 4 <= age <= 5 half-lives (t½) prior to study entry
* Acute or chronic pancreatitis or history of alcohol induced pancreatitis
* Liver cirrhosis, acute hepatitis or chronic hepatic disease
* Any unresolved complications from prior surgery
* Persistent neuropathy
* History of other malignancy within 5 years prior to study start, with the exception of basal cell carcinoma of the skin, carcinoma in situ of the cervix and Ductal Carcinoma in Situ (DCIS)
* History of inflammatory bowel disease
* Active severe infection, any other concurrent disease or medical condition that is deemed to interfere with the conduct of the study as judged by the investigator
* Use of immune-suppressive agents such as the regular use of systemic corticosteroids
* HIV positivity
* Known hypersensitivity or intolerability to immunoglobulins in general, other recombinant human or humanized antibodies, Folinic Acid, 5-Fluorouracil, Oxaliplatin or a component of the study drug formulations, known dihydropyrimidine dehydrogenase (DPD) deficiency
* Pregnant or nursing women
* Women of childbearing potential or male patients not willing to use an effective form of contraception during treatment phase of the study and at least 6 months thereafter
* Not willing or incapable to comply with all study visits and assessments
* Placed into an institution due to juridical or regulatory ruling | NCT_ID
NCT00866944
| Study_NameStudy of Adecatumumab Relative to FOLFOX After R0 Resection of Colorectal Liver Metastases
| 3,493 |
Study Objectives
The purpose of this study is to show that Nivolumab will improve progression free survival in subjects with strongly Stage IV or Recurrent PD-L1+ non-small cell lung cancer when compared to chemotherapy
Conditions: Stage IV or Recurrent Non-Small Cell Lung Cancer
Intervention / Treatment:
BIOLOGICAL: Nivolumab, DRUG: Gemcitabine, DRUG: Cisplatin, DRUG: Carboplatin, DRUG: Paclitaxel, DRUG: Pemetrexed
Location: Poland, United Kingdom, Australia, Austria, France, Korea, Republic of, Netherlands, Greece, Canada, Turkey, Finland, Germany, Sweden, Spain, Czechia, Italy, Taiwan, Romania, Switzerland, Argentina, United States, Brazil, Japan, Belgium, Mexico, Hungary
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) <= 1
* Histologically confirmed Stage IV, or Recurrent NSCLC with no prior systemic anticancer therapy
* Measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) per response evaluation criteria in solid tumors version (RECIST) 1.1 criteria
* PD-L1+ on immunohistochemistry testing performed by central lab
* Men and women, ages >= 18 years
Exclusion Criteria:
* Known epidermal growth factor receptor (EGFR) mutations which are sensitive to available targeted inhibitor therapy
* Known anaplastic lymphoma kinase (ALK) translocations
* Untreated central nervous system (CNS) metastases
* Previous malignancies
* Active, known or suspected autoimmune disease | NCT_ID
NCT02041533
| Study_NameAn Open-Label, Randomized, Phase 3 Trial of Nivolumab Versus Investigator's Choice Chemotherapy as First-Line Therapy for Stage IV or Recurrent PD-L1+ Non-Small Cell Lung Cancer (CheckMate 026)
| 21,059 |
Study Objectives
Skin cancers and pre-cancerous growths (called actinic keratoses, "AKs"), that aren't melanomas, develop in patients with a kidney transplant at excessive rates. When these pre-cancerous AKs, and "non-melanoma" skin cancers occur in kidney transplant patients, they tend to be aggressive, and require frequent medical procedures, often surgery, for the removal of the skin cancers. If not removed adequately the pre-cancers can develop into skin cancers, and the skin cancers, if not removed, may spread, and even cause death. Reducing the occurrence and complications of these skin cancers and pre-cancers in kidney transplant patients with a safe, effective, well-tolerated treatment taken by mouth would be an important medical advance.
We are testing oral nicotinamide (NAM)-a B-vitamin compound-for that purpose. Approximately fifty kidney transplant patients who have had at least one non-melanoma skin cancer in the past, will be given randomized to receive NAM, 1 gram twice daily by mouth, or identical pills without NAM, and followed for 1 year to see if NAM treatment reduces the numbers of pre-cancerous AKs, and non-melanoma skin cancers they develop. Patients will be asked to come to the clinic for 3 follow up visits (every 4 months for up to 12 months). They will receive a full body skin exam by a dermatologist, have detailed counting of AKs and biopsies for any suspicious lesions as standard of care. Blood will also be drawn as well as a urine sample obtained at each visit for safety assessment and storage. We will also ask them to answer a series of questions about dietary patterns and intake of whole foods and supplements.
Conditions: Actinic Keratoses
Intervention / Treatment:
DRUG: Oral Nicotinamide
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: EARLY_PHASE1
Primary Purpose: PREVENTION
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: TRIPLE | Inclusion Criteria:
* Kidney transplant >= 12-months ago
* ongoing, standard immunosuppression regimen
* current CKD
* EPI estimated (43)
* glomerular filtration rate (eGFR) >= 15 ml/min per 1.73 m2)
* Prior history of at least one NMSC
Exclusion Criteria:
* Kidney transplant <12-months ago, treatment for acute rejection <= 3-months ago, or current eGFR< 20
* Known history of active liver disease/ transaminitis [alanine aminotransferase, ALT > 1.5 X upper limit of normal]
* Serum phosphorus < 2.0 mg/dL or average <= 100 × 10(9)/mL platelets
* Internal malignancy, metastatic SCC, or invasive melanoma within the past 5-years
* Overwhelming numbers of current skin cancers or large areas of confluent skin cancer at baseline preventing accurate assessment and counting of new skin cancers
* Field treatment for AKs within the past 4-weeks, preventing accurate assessment of AKs
* Patients begun on acitretin or other oral retinoids, or mTOR inhibitors within the past 6-months (If stably taking for more than six months, they may participate)
* Gorlin's syndrome or other genetic skin cancer syndrome
* Patients unavailable for follow-up for the duration of the study because of social/ geographical reasons, or general frailty
* Pregnancy or lactation (all women of childbearing will be required to use contraception throughout the study)
* Patients taking supplemental NAM within the past 4-weeks | NCT_ID
NCT04843553
| Study_NameNicotinamide for Prevention of Pre-malignant Actinic Keratosis in Kidney Transplant Recipients
| 21,933 |
Study Objectives
The purpose of the study is to learn about the safety and effectiveness of treating follicular lymphoma with bendamustine and rituximab followed by radioimmunotherapy (RIT) using 90-yttrium (Y) ibritumomab tiuxetan.
The researchers will also test blood and bone marrow for the BCL2 gene-Jh that is a commonly found in people with follicular lymphoma (FL) and look at how the BCL2 gene-Jh responds to the study treatment.
Bendamustine is approved by the United States Food and Drug Administration (FDA) for the treatment of chronic lymphocytic leukemia and indolent B-cell non-Hodgkin's lymphoma (NHL) that has progressed during or within six months of treatment with rituximab or a rituximab-containing treatment regimen. Bendamustine is not approved by the FDA to treat follicular lymphoma.
Rituximab is approved by the FDA for the treatment of relapsed or refractory, low-grade or follicular, CD20-positive B-cell non-Hodgkin's lymphoma.
90-yttrium (Y) ibritumomab tiuxetan is approved by the FDA for the treatment of relapsed or refractory, low-grade or follicular B-cell NHL, including rituximab refractory follicular NHL. It is also approved for the treatment of follicular NHL that is previously untreated with radioimmunotherapy and that achieved a partial or complete response to first-line chemotherapy.
Study participants will will receive bendamustine and rituximab for up to 16 weeks. If participants' cancer responds well to the treatment with bendamustine and rituximab, they will receive up to 12 weeks of radioimmunotherapy (RIT). After the RIT is complete, participants will be asked to return to the clinic every 3 months for a maximum of 10 years for follow-up visits.
Conditions: Lymphoma, Follicular
Intervention / Treatment:
DRUG: Bendamustine, DRUG: Rituximab, RADIATION: Y-90 ibritumomab
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Previously untreated, histologically confirmed follicular lymphoma classification grade 1, 2 or 3a
* Ann Arbor stages of II to IV with either symptomatic or bulky disease (>5 cm); or disease progression
* 18 years or older
* ECOG PS <2
* Normal organ and marrow function defined as below:
Absolute neutrophil count (ANC) >= 1,000/mm3 Platelet count >=100,000/mm3 Patients with ANC less than 1,000/mm3 and/or platelets below 100,000/mm3 are still eligible for study entry as long as there is >50% bone marrow involvement with lymphoma
* Adequate hepatic function
* Adequate renal function
* Measureable disease with at least one lesion measuring > 2cm in its greatest transverse diameter
* Female subjects of childbearing potential must have a negative pregnancy test (urine or serum b-HCG) at screening and within 1 week prior to the start of treatment with Y-90 ibritumomab tiuxetan
* Voluntary written informed consent must be given before performance of any study-related procedure
Exclusion Criteria:
* Prior chemotherapy, immunotherapy, or monoclonal antibody therapy
* Receiving any other investigational agents
* Primary CNS lymphoma
* Known HIV
* Treatment with therapeutic doses of systemic steroids within 4 weeks of beginning study treatment (cycle 1, day -7); topical use of corticosteroids and systemic replacement of corticosteroids for adrenal insufficiency are allowed
* Malignant pleural, pericardial or peritoneal effusions
* Known history of myelodysplastic syndrome (MDS) or found to have MDS
* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would, in the judgment of the investigator, limit compliance with study requirements
* Pregnant or lactating female subjects
* Concurrent active malignancy other than lymphoma or history of invasive malignancy within the past 5 years, except completely excised, non-melanoma skin cancer
* Known Hepatitis B and/or Hepatitis C Infection
* Any other condition, that in the judgment of the investigator places the patient at unacceptable risk if he/she were to participant in the study | NCT_ID
NCT01234766
| Study_NameBendamustine and Rituximab Followed by 90-yttrium (Y) Ibritumomab Tiuxetan for Untreated Follicular Lymphoma
| 2,777 |
Study Objectives
Phase II trial to study the effectiveness of imatinib mesylate in treating patients who have myelofibrosis. Imatinib mesylate may stop the growth of myelofibrosis by blocking certain enzymes necessary for cell growth.
Conditions: Chronic Myelomonocytic Leukemia, Essential Thrombocythemia, Polycythemia Vera, Primary Myelofibrosis
Intervention / Treatment:
DRUG: imatinib mesylate, OTHER: laboratory biomarker analysis
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Patients must have histologic confirmation of one of the following diseases-
* Myeloid metaplasia with myelofibrosis (this includes all subtypes- chronic idiopathic myelofibrosis or agnogenic myeloid metaplasia, post thrombocythemic and post polycythemic myelofibrosis) or
* Chronic myelomonocytic leukemia (CMMOL) with t(5;12)(q31 <= age <= 33;p12) or TEL-PDGFRβ rearrangement; patients with CMMOL and the t(5;7)(q31 <= age <= 33;q11.2) or other chromosomal translocations resulting in activation of PDGFR will also be eligible
* Patients must have anemia (hemoglobin < 11 g/dL) or palpable splenomegaly (measured in cm from costal margin- to eligible); patients with palpable splenomegaly must have spleen size documented ultrasonographically as well; they must also meet standard diagnostic criteria for MMM* or CMMOL; patients with MMM must have thrombocytopenia (platelet count < 100 x 10^9/L) to be eligible; they must be Philadelphia chromosome or (BCR/ABL) rearrangement negative
* Patients with CMMOL must also have the t(5;12)(q31 <= age <= 33;p12) or TEL-PDGFRβ rearrangement to be eligible
* The Italian diagnostic criteria for MMM
* Necessary criteria
* Diffuse bone marrow fibrosis
* Absence of the Philadelphia chromosome or BCR-ABL rearrangement in peripheral blood cells
* Optional criteria
* Splenomegaly of any grade
* Anisopoikilocytosis with tear drop erythrocytes
* Presence of circulating immature myeloid cells
* Presence of circulating erythroblasts
* Presence of clusters of megakaryoblasts and anomalous megakaryocytes in bone marrow sections
* Myeloid metaplasia
* Diagnosis of MMM is acceptable if the following combinations are present
* The two necessary criteria plus any other two optional criteria when splenomegaly is present OR
* The two necessary criteria plus any other four optional criteria when splenomegaly is absent
* Patients may have had prior chemotherapy or radiation therapy including splenic irradiation; prior therapy with erythropoietin, GCSF or androgenic steroids is also permitted; there is no limit to number of prior regimens received; at least 4 weeks must have elapsed since prior chemo, radiation or other therapy
* ECOG performance status =< 2 (Karnofsky >= 60%)
* Total bilirubin < 1.5 X institutional upper limit of normal
* AST(SGOT)/ALT(SGPT) <2.5 X institutional upper limit of normal unless due to disease
* Serum creatinine < 2 X institutional upper limit of normal
* Patients must not be pregnant or nursing because STI-571 at the recommended therapeutic dose may be harmful to the developing fetus or newborn; for this reason women of child-bearing potential and men must agree to use an effective contraceptive method; women of reproductive potential must have a negative pregnancy test within 7 days prior to registration; since interactions with oral contraceptives cannot be excluded at present, male and female patients of reproductive potential must agree to employ an effective barrier method of birth control throughout the study and for up to 3 months following discontinuation of study drug
* Ability to understand and the willingness to sign a written informed consent document
* World Health Organization (WHO) diagnostic criteria for CMMOL:
* Persistent peripheral blood monocytosis > 1 x 10^9/L
* Absence of the Philadelphia chromosome or BCR/ABL fusion gene
* Fewer than 20% blasts in the blood or bone marrow
* Dysplasia in one or more myeloid lineages; if myelodysplasia is absent or minimal, the diagnosis of CMML may still be made if the other criteria (1 <= age <= 3) are met and:
* An acquired clonal cytogenetic abnormality is present in the marrow cells
* The monocytosis has been persistent for at least 3 months
* Other causes for monocytosis have been excluded
Exclusion Criteria:
* Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier
* Patients may not be receiving any other investigational agents
* History of allergic reactions attributed to compounds of similar chemical or biologic composition to STI-571
* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
* Pregnant women are excluded from this study because STI-571 is an agent with the potential for teratogenic or abortifacient effects; because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with STI-571, STI-571 should not be administered patients who are breastfeeding
* HIV-positive patients receiving combination anti-retroviral therapy are excluded from the study because of possible pharmacokinetic interactions with STI-571; appropriate studies will be undertaken in patients receiving combination anti-retroviral therapy when indicated
* Because warfarin is metabolized through the CYP450 system, and since gastrointestinal bleeding may occur with STI-571, no therapeutic anticoagulation with warfarin will be permitted in patients participating in this study; as an alternative, therapeutic anticoagulation may be accomplished using low-molecular weight heparin (e.g. Lovenox) or heparin | NCT_ID
NCT00039416
| Study_NameImatinib Mesylate in Treating Patients With Myelofibrosis
| 6,919 |
Study Objectives
This is a Phase 2b randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of elagolix alone and in combination with add-back therapy versus placebo on heavy menstrual bleeding in premenopausal women 18 to 51 years of age with uterine fibroids.
Conditions: Heavy Uterine Bleeding, Uterine Fibroids
Intervention / Treatment:
OTHER: Elagolix placebo, DRUG: Elagolix, DRUG: 0.5 mg estradiol / 0.1 mg norethindrone acetate, DRUG: 1 mg estradiol / 0.5 mg norethindrone acetate, DRUG: E2/NETA placebo
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: QUADRUPLE | Inclusion Criteria:
* Subject is pre-menopausal female 18 <= age <= 51 of age at Screening.
* Subject has diagnosis of uterine fibroids documented by a Pelvic Ultrasound.
* Subject has heavy uterine bleeding associated with uterine fibroids.
Exclusion Criteria:
* Subject has had a myomectomy, uterine artery embolization or high intensity focused ultrasound for fibroid destruction within 6 months prior to Screening or endometrial ablation within 5 years prior to Screening.
* Subject has a history of osteoporosis or other metabolic bone disease.
* Subject shows evidence of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric (including depression, schizophrenia, bipolar disorder), or neurologic diseases or any uncontrolled medical illness such as uncontrolled type 2 diabetes. Subject has any history of attempted suicide.
* Subject has a history of clinically significant condition(s) including but not limited to: * Symptomatic Endometriosis * Epilepsy or seizures * Type 1 diabetes * Chronic kidney disease * Any cancer (except treated basal cell carcinoma of the skin), including breast or ovarian cancer or subject has taken any systemic cancer chemotherapy | NCT_ID
NCT01817530
| Study_NameSafety and Efficacy in Premenopausal Women With Heavy Menstrual Bleeding (HMB) Associated With Uterine Fibroids (UF)
| 553 |
Study Objectives
This study will compare PF-00299804 given orally on continuous schedule to the approved drug, erlotinib, in patients whose non-small cell lung cancer has progressed after chemotherapy; patients will be randomized to receive one of these drugs, and followed for efficacy and tolerance of each.
Conditions: Non-small Cell Lung Cancer
Intervention / Treatment:
DRUG: Erlotinib, DRUG: PF-00299804
Location: Poland, United States, Brazil, Australia, Spain, Singapore, United Kingdom, Taiwan, Puerto Rico, Canada, Korea, Republic of, Hong Kong
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* advanced measurable Non-Small Cell Lung Cancer (NSCLC);
* progressed after 1 <= age <= 2 prior chemotherapy;
* Eastern Cooperative Oncology Group (ECOG) 0 <= age <= 2;
* tissue available for future KRAS/ EGFR testing
Exclusion Criteria:
* prior Epidermal Growth Factor Receptor (EGFR) targeted therapy;
* active or untreated Central Nervous System (CNS) metastases; | NCT_ID
NCT00769067
| Study_NameA Randomized Trial Of PF-00299804 Taken Orally Versus Erlotinib Taken Orally For Treatment Of Advanced Non-Small Cell Lung Cancer That Has Progressed After One Or Two Prior Chemotherapy Regimen
| 9,639 |
Study Objectives
The purpose of this study is to learn the effects (both good and bad) that celecoxib has on prostate cancer and patients with prostate cancer. This study is looking at what effects celecoxib has on prostate specific antigen (PSA) level. PSA is a marker specific to prostate cancer. An increase or decrease in this level in the blood can indicate if a patient's prostate cancer is getting worse or better.
Conditions: Prostate Cancer
Intervention / Treatment:
DRUG: Celecoxib
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2, PHASE3
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: CROSSOVER
Masking: DOUBLE | Inclusion Criteria:
* Diagnosis of prostate cancer
* Progression following prostatectomy or radiation to the prostate, defined as 3 PSA rises, with each PSA determination at least 4 weeks apart
* PSA greater than or equal to 1.0 for men who had a prostatectomy
* PSA greater than or equal to 3.0 for men who were treated with primary radiation therapy (external beam and/or brachytherapy)
* PSA doubling time between 6 and 24 months
* Participants must be either fully active and asymptomatic or symptomatic but fully ambulatory
* Adequate bone marrow function, kidney function and liver function as evidenced by laboratory results
Exclusion Criteria:
* Evidence of metastatic disease
* Prior hormonal therapy for recurrent prostate cancer
* Prior chemotherapy for recurrent or metastatic prostate cancer
* Radiation therapy within 6 months
* Patients allergic to non-steroidal anti-inflammatory drugs (NSAIDs), salicylates or sulfonamide-type medications who experience asthma or urticaria (hives) after taking aspirin or other NSAIDs
* Patients taking a dose of aspirin greater than or equal to 325 mg a day within 4 weeks of study entry
* Patients taking selective COX-2 inhibitors or any NSAIDs other than aspirin within 8 weeks of study entry
* Patients taking fluconazole, lithium or warfarin
* History of gastrointestinal or abdominal ulceration or any history of significant gastrointestinal bleeding in the past 12 months
* Any history of myocardial infarction in the past 12 months
* Any uncontrolled, serious medical or psychiatric illness | NCT_ID
NCT00136487
| Study_NameCelecoxib (Celebrex) Versus Placebo in Men With Recurrent Prostate Cancer
| 17,551 |
Study Objectives
Investigation of absorption, distribution, metabolism and excretion (ADME) and assessment of safety, tolerability and preliminary therapeutic effects of \[14C\]volasertib in patients with advanced solid tumours.
Conditions: Neoplasms
Intervention / Treatment:
DRUG: BI 6727
Location: Hungary
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion criteria:
* Inclusion Criteria 1. Patients with histologically or cytologically confirmed diagnosis of advanced, non resectable and / or metastatic solid tumour
* Inclusion Criteria 2. Male
* Inclusion Criteria 3. Age >=18 and =<70 years
* Inclusion Criteria 4. Written informed consent
* Inclusion Criteria 5. Eastern Cooperative Oncology Group (ECOG) performance score =<2
* Inclusion Criteria 6. Recovery from Common Terminology Criteria for Adverse Events (CTCAE) Grade >=2 therapy-related toxicities from previous chemo-, hormone-, immuno-, or radiotherapy
Exclusion criteria:
* Exclusion Criteria 1. Serious concomitant non-oncological disease considered by the investigator
* Exclusion Criteria 2. Active infectious disease
* Exclusion Criteria 3. Viral hepatitis, Human Immunodeficiency Virus (HIV) infection
* Exclusion Criteria 4. Clinical evidence of active brain metastasis during the past 6 months
* Exclusion Criteria 5. Second malignancy currently requiring active therapy
* Exclusion Criteria 6. Absolute neutrophil count less than 1,500/mm3
* Exclusion Criteria 7. Platelet count less than 100,000/mm3
* Exclusion Criteria 8. Total bilirubin greater than 1.5 mg/dL
* Exclusion Criteria 9. Aspartate amino transferase (AST) and / or alanine amino transferase (ALT) greater than 2.5 times the upper limit of normal (if related to liver metastases greater than five times the upper limit of normal)
* Exclusion Criteria 10. Serum creatinine greater than 1.5x Upper Limit of Normal (ULN).
* Exclusion Criteria 11. Known history of QT/QTcF-prolongation
* Exclusion Criteria 12. Patients who are sexually active and having a partner with childbearing potential and unwilling to use a medically acceptable method of contraception
* Exclusion Criteria 13. Treatment with other investigational drugs or participation in another clinical trial
* Exclusion Criteria 14. Chemo-, radio- immuno-, or molecular-targeted cancer-therapy within the past four weeks prior to start of therapy or concomitantly with this trial. This restriction does not apply to steroids and bisphosphonates.
* Exclusion Criteria 15. Alcohol abuse
* Exclusion Criteria 16. Life expectancy less than 12 weeks
* Exclusion Criteria 17. Potent Cytochrome P450 enzyme (CYP) 3A4 and P-glycoprotein inhibitors or inducers
* Exclusion Criteria 18. History of allergy/hypersensitivity | NCT_ID
NCT01145885
| Study_NameBI 6727 (Volasertib) Human ADME Trial in Various Solid Tumours
| 19,392 |
Study Objectives
In this study it will be determined whether the rate of severe toxicity associated with fluoropyrimidine treatment (capecitabine or 5-fluorouracil) can be significantly diminished by individualized dosing of fluoropyrimidines based on upfront genotypic assessment of dihydropyrimidine dehydrogenase (DPD) deficiency.
In addition to the genotyping, the DPD phenotype of all patients will be determined by measuring the baseline dihydrouracil/uracil (DHU/U) ratio, in order to investigate whether phenotype-guided treatment can further improve patient safety. In a subgroup of patients, other phenotyping methods will be tested: measuring the plasma levels of uracil after a uracil test dose and a uracil breath test after a dose of \[2-13C\] -labeled uracil. To validate these tests, these phenotyping results will be compared with the results of a DPD activity assay (which measures DPD enzyme activity in peripheral blood mononuclear cells), which is considered the gold standard in measuring DPD phenotype.
Conditions: Neoplasms
Intervention / Treatment:
DRUG: Fluoropyrimidine (capecitabine or 5-fluorouracil)
Location: Netherlands
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: NA
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Pathologically confirmed malignancy for which treatment with a fluoropyrimidine is considered to be in the patient's best interest
* Age >= 18 years
* Able and willing to give written informed consent
* WHO performance status of 0, 1 or 2
* Life expectancy of at least 12 weeks
* Able to swallow and retain oral medication
* Able and willing to undergo blood sampling for pharmacogenetic and phenotyping analysis
* Minimal acceptable safety laboratory values (ANC, platelet count, hepatic function, renal function)
Additional inclusion criteria for patients in subgroup of study:
* Able and willing to undergo blood sampling and breath sampling at several time points
* Able and willing to receive uracil for the test dose assay
* Able and willing to receive [2 <= age <= 13C] -labeled uracil for the breath test
Exclusion Criteria:
* Prior treatment with fluoropyrimidines
* Patients with known substance abuse, psychotic disorders, and/or other diseases expected to interfere with study or the patient's safety
* Women who are pregnant or breast feeding
* Both men and women who refuse to use reliable contraceptive methods throughout the study (adequate contraceptive methods are: condom, sterilization, other barrier contraceptive measures preferably in combination with condoms)
* Patients with a homozygous polymorphic genotype or compound heterozygous genotype for DPYD | NCT_ID
NCT02324452
| Study_NameSafety, Feasibility and Cost-effectiveness of Genotype-directed Individualized Dosing of Fluoropyrimidines
| 15,863 |
Study Objectives
The purpose of this study is to determine the effect of exemestane on the pharmacokinetics (PK) of entinostat and to determine the effect of entinostat on the PK of exemestane in patients with locally recurrent or metastatic estrogen receptor positive (ER+) breast cancer. Additionally, this study will evaluate the safety and tolerability of entinostat in combination with exemestane, and assess the effectiveness of entinostat in combination with exemestane in terms of best overall response and overall survival.
Conditions: Breast Cancer, Estrogen Receptor Positive Breast Cancer
Intervention / Treatment:
DRUG: entinostat, DRUG: exemestane
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Postmenopausal female patients
* Histologically or cytologically confirmed ER+ breast cancer at initial diagnosis and have locally recurrent or metastatic disease that has progressed to where the patient is a candidate to receive exemestane as determined by the Investigator
* Patients receiving palliative radiation at the non-target lesions must be clinically stable prior to receiving the first dose of study treatment
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Patient must have acceptable, applicable laboratory requirements
* Patients may have a history of brain metastasis provided certain protocol criteria are met
* Able to understand and give written informed consent and comply with study procedures
Exclusion Criteria:
* Rapidly progressive or life-threatening metastases
* Inability to swallow oral medications or gastrointestinal (GI) malabsorption syndromes
* History of significant GI surgery as determined by Investigator
* A medical condition that precludes adequate study treatment or increases patient risk
* Currently enrolled in (or completed within 30 days prior to study drug administration) another investigational drug study | NCT_ID
NCT02820961
| Study_NameDrug-Drug Interaction Study of Entinostat and Exemestane in Postmenopausal Women With ER+ Breast Cancer
| 18,642 |
Study Objectives
The purpose of this study is to find out if complementary and alternative medicines (CAM) should be included with traditional therapy for women with ovarian cancer. Some of the alternative medicines include non-traditional drug and herbal therapies along with dietary and nutritional strategies. Only a few of these alternative medicines have been tested with women with ovarian cancer.
Conditions: Ovarian Cancer
Intervention / Treatment:
OTHER: Pre-study Questionnaire, OTHER: Educational Presentations, OTHER: CAM Therapies, OTHER: Post-study Questionnaire
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: NA
Primary Purpose: SUPPORTIVE_CARE
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* A diagnosis of ovarian cancer
* An Eastern Cooperative Oncology Group (ECOG) score of 2 or less with a life expectancy of at least 12 months
* A patient being treated by a gynecologic oncologist in the Center for Women's Oncology
* Ability to read, understand, and sign the informed consent form
* Ability to read, write and understand English, which will be the language used in the materials and oral presentations
* Willingness to complete pre-test and post-test questionnaires
* Willingness to complete brief questionnaires at each session
* Willingness to participate in one follow-up telephone interview at 8 weeks after the final session
* Willingness to participate in four sessions that take place at Moffitt Cancer Center
* Access to transportation, with the ability to travel to and from Moffitt to participate in the sessions | NCT_ID
NCT01419210
| Study_NamePilot Program to Personalize Care & Improve Quality of Life for Women With Ovarian Cancer
| 13,063 |
Study Objectives
Dutasteride inhibits the conversion of testosterone to dihydrotestosterone (DHT) the male hormone that leads to benign prostate growth. By blocking the conversion of testosterone to DHT, dutasteride could allow bicalutamide to be a more effective anti-androgen thus prolonging bicalutamide's efficacy.
Conditions: Neoplasms, Prostate
Intervention / Treatment:
DRUG: dutasteride, DRUG: placebo, DRUG: bicalutamide
Location: Canada, United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE4
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: DOUBLE | Inclusion criteria:
* Men >=40 and <=90 years
* Must have asymptomatic prostate cancer that has progressed during androgen deprivation therapy (rising PSA). PSA progression must have occurred after first-line treatment with GnRH analogues ( e.g. leuprolide, goserelin) or orchiectomy. PSA progression is defined by three rises in PSA each measured at least 4 weeks apart within the previous year.
* Serum PSA >=2 and <=20ng/ml from central laboratory. One PSA retest from central laboratory is allowed if the value is <2 or >20ng/ml; or if the PSA value is not consistent with the previous rising PSA values that determined progression while on a GnRH analogue.
* Serum Testosterone <50ng/ml from central laboratory.
* Non-metastatic prostate cancer as confirmed on prior bone scan performed within 8 weeks of screening.
* Expected survival >= 2 years
* ECOG Performance status 0, 1, or 2
Exclusion criteria:
* Additional hormonal therapy (excluding the current use of a GnRH analogue) within the past 6 months of:
* Estrogens (e.g. megestrol, medroxyprogesterone, cyproterone, DES)
* Drugs with antiandrogenic properties (e.g., spironolactone if >50mg/day, flutamide, bicalutamide*, ketoconazole**, progestational agents)
*The use of an antiandrogen during GnRH analogue induction for <6 weeks is acceptable, but none within the 3 months prior to study entry.
**The use of topical ketoconazole is permitted prior to and during the study. NOTE: Use of dietary and herbal supplements (e.g., selenium, Vitamin E, saw palmetto), excluding daily vitamins, during the study is discouraged, but not prohibited. All dietary and herbal supplement usage will be recorded in the eCRF.
* Treatment with oral glucocorticoids during the 3 months prior to randomization or expectation of their use during the study.
* Prior chemotherapy for prostate cancer. (prior prostatectomy or radiotherapy to the prostate are allowed)
* Prostate surgery including TUNA, TURP, TUIP, laser treatment, thermotherapy, balloon dilatation, prosthesis, and cryosurgical ablation within 2 months prior to enrollment.
* Current and/or previous use of the following medications:
* Finasteride (Proscar, Propecia), or Dutasteride (GI198745, AVODART) exposure within 6 months prior to study entry
* Anabolic steroids (within 6 months prior to study entry)
* Participation in any investigational or marketed drug trial within the 30 days prior to the first dose of study drug or anytime during the study period.
* Any unstable serious co-existing medical condition(s) including but not limited to myocardial infarction, coronary bypass surgery, unstable angina, cardiac arrhythmias, clinically evident congestive heart failure, or cerebrovascular accident within 6 months prior to Screening visit; uncontrolled diabetes; or peptic ulcer disease which is uncontrolled by medical management.
* Abnormal liver function test greater than 1.5 times the upper limit of normal for alanine aminotransferase [ALT], aspartate aminotransferase [AST], alkaline phosphatase [ALP] or bilirubin.
* Serum creatinine >2.0 times the upper limit of normal.
* History of another malignancy within five years that could affect the treatment of prostate cancer or survival of the subject.
* History or current evidence of drug or alcohol abuse within the last 12 months.
* History of any illness (including psychiatric) that, in the opinion of the investigator, might confound the results of the study or pose additional risk to the subject.
* Known hypersensitivity to any 5 alpha-reductase inhibitor or to any drug chemically related to dutasteride. | NCT_ID
NCT00470834
| Study_NameProstate Cancer Study In Men Who Have Failed First-Line Androgen Deprivation Therapy
| 7,445 |
Study Objectives
Primary:
* To assess complete pathological response rate of both strategies.
Secondary:
* Safety profile
* To assess downstaging rate of both strategies.
* To compare relative dose intensity of oxaliplatin and capecitabine of both strategies
* To compare time to progression and overall survival of both strategies.
Conditions: Rectal Neoplasms
Intervention / Treatment:
DRUG: Oxaliplatin, capecitabine, DRUG: Oxaliplatin, capecitabine
Location: Spain
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Patients with rectal adenocarcinoma.
* Operable tumour, confirmed by magnetic resonance of high resolution and / or endorectal echography, or,
* Rectal tumour at distal third, or
* Tumours spread more than 5 mm in perirectal fat
* Functional state ECOG <= 2.
* Good hematological, hepatic and renal function
Exclusion Criteria:
* Previous pelvis radiotherapy.
* Previous antitumoural chemotherapy
* Pregnant or breastfeeding women.
* Childbearing women with a positive pregnancy test result at baseline. Menopausal women should not have the period for the last 12 months.
* History of any other neoplastic illness within the last 5 years, except for already resolved small cell skin cancer or cervix cancer.
* Clinically significant cardiovascular disease
* Confirmed peripheral neuropathy.
* Gastrointestinal disorders or bad absorption syndrome or non-capable to take oral medication.
* Blood disorders.
* Intercurrent non-controlled or severe infections.
* Patients who have undergone major surgery, open biopsies or with significant trauma lesions within the previous 28 days.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial. | NCT_ID
NCT00421824
| Study_NameStudy of Neoadjuvant Chemotherapeutic Treatment (XELOX) Followed by Chemoradiotherapy (XELOX/RT) and Surgery Versus Chemoradiotherapy Followed by Surgery and Chemotherapy in Patients With High Risk Rectal Cancer
| 8,091 |
Study Objectives
This is an open-label, international, multi-center study designed to provide access to pazopanib for subjects who have been enrolled in the Phase III renal cell carcinoma study (VEG105192) and have progressed on placebo. Subjects will receive 800 mg pazopanib once daily. The study treatment will continue until subjects experience disease progression, unacceptable toxicity, withdrawal of consent, or death. The primary objective of the study is to evaluate the safety and tolerability of pazopanib for the treatment of renal cell carcinoma. The secondary objectives of the study are to assess response rate (defined as complete response or partial response), progression-free survival, and overall survival. Response rates will be collected per investigator assessment (no central review). Subjects will have a CT/MRI scan every 6 weeks until week 24 and every 12 weeks thereafter.
Conditions: Carcinoma, Renal Cell
Intervention / Treatment:
DRUG: pazopanib
Location: Poland, United Kingdom, Australia, Austria, Lithuania, Tunisia, Korea, Republic of, Chile, Pakistan, China, Slovakia, Estonia, New Zealand, Ukraine, Czech Republic, Italy, Argentina, Brazil, Latvia, Russian Federation
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: NON_RANDOMIZED
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion criteria:
* Progressed from VEG105192 study treatment
* Patient's VEG105192 was placebo
* Baseline has good organ function
Exclusion criteria:
* No brain metastasis | NCT_ID
NCT00387764
| Study_NameExtension Study to VEG105192 to Assess Pazopanib in Patients With Advanced/Metastatic Renal Cell Cancer
| 16,119 |
Study Objectives
We conducted a randomized controlled trial of adjuvant interferon (IFN) therapy in patients with hepatitis-C virus (HCV)-related cirrhosis who underwent curative resection of hepatocellular carcinoma (HCC) to investigate whether IFN could reduce or delay the incidence of recurrent tumor (secondary/tertiary prevention of HCC). Patients were randomly assigned to treatment with IFN (3MU thrice/wk /48 weeks) vs. no treatment after curative resection of HCC(control group)
Conditions: Hepatocellular Carcinoma, Hepatitis C Virus Infection, Liver Cirrhosis, Interferon Treatment, Hepatic Resection
Intervention / Treatment:
DRUG: Interferon alpha-2b
Location: Italy
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* HCV-RNA positive / HBsAg-negative patients with HCC undergoing potentially curative resection
* Curative surgery (i.e. no residual tumor intraoperative US and tumor-free margins at pathology)
* No recurrence 1 month after surgery (CT, NMR, US)
* Pre-resection treatments allowed (TACE, RFA, PEI)
* HCV-RNA positive (lower limit of detection: 100 copies/ml) regardless of blood titers or genotype
Exclusion Criteria:
* HBsAg-positivity
* Evidence of any active neoplastic site
* Previous IFN or chemotherapy or treatment of other tumors
* Severe surgical complication and/or causes of cirrhosis not related to HCV
* Patient comorbidity (Hb <12 g/dl, HIV infection, autoimmune disease, psychiatric disorder, seizure, severe cardiovascular disease, poorly controlled diabetes, BMI >35)
* Active alcohol intake (>80 g/day) | NCT_ID
NCT00273247
| Study_NameTreatment With IFN After Curative Resection of HCC in HCV-Related Cirrhosis
| 21,537 |
Study Objectives
This phase II trial compares how well gallium 68-labeled PSMA-11 positron emission tomography/computed tomography (PET/CT) works compared to fluciclovine F18 PET/CT in imaging participants with prostate cancer after surgery that has come back. PET is an established imaging technique that uses small amounts of radioactivity and CT images provide an exact outline of organs and potential inflammatory tissue where it occurs in the body. Diagnostic procedures, such as PET/CT with gallium 68-labeled PSMA-11, may work better than PET/CT with fluciclovine F18 in helping find out how far the prostate cancer has spread.
Conditions: Recurrent Prostate Carcinoma
Intervention / Treatment:
PROCEDURE: Computed Tomography, DRUG: Fluciclovine F18, DRUG: Gallium Ga 68-labeled PSMA-11, OTHER: Laboratory Biomarker Analysis, PROCEDURE: Positron Emission Tomography
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: DIAGNOSTIC
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Histopathologically proven prostate cancer (PCa)
* Radical prostatectomy as definitive treatment for PCa
* Proven biochemical recurrence as defined by American Urological Association (AUA) recommendation: PSA greater than or equal to 0.2 ng/mL measured more than 6 weeks after radical prostatectomy
* PSA values ranging from 0.2 ng/mL to 2 ng/mL
* No prior salvage therapies (including salvage radiotherapy and/or salvage lymph node dissection)
* Axumin PET/CT scan already performed or scheduled as best standard of care procedure for suspected disease relapse within 2 weeks before or after intended 68Ga-PSMA-11 PET/CT
* Karnofsky performance status of >= 50 (or Eastern Cooperative Oncology Group (ECOG)/World Health Organization [WHO] equivalent)
* Ability to understand a written informed consent document and the willingness to sign it
Exclusion Criteria:
* Any change in prostate cancer treatment between Axumin and 68Ga-PSMA PET/CT scan
* Unable to lie flat, still or tolerate a PET scan | NCT_ID
NCT03515577
| Study_NameGallium Ga 68-labeled PSMA-11 PET/CT and Fluciclovine F18 PET/CT in Imaging Participants With Recurrent Prostate Cancer After Surgery
| 21,563 |
Study Objectives
In this study, the investigators designed a treatment regimen including the most active agents in pancreatic cancer which are gemcitabine and fluorouracil to be tested as a first line treatment. This regimen is expected to be less toxic than FOLFIRINOX and aiming at better outcomes.
Conditions: Cancer of Pancreas, Chemotherapy Effect, Metastatic Pancreatic Cancer
Intervention / Treatment:
DRUG: Gemcitabine fluorouracil
Location: Egypt
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Histopathological evidence of adenocarcinoma of the pancreas
* Radiological proof of metastatic disease as defined by AJCC
Exclusion Criteria:
* patients with poor performance status (ECOG 4)
* patients with organ dysfunction defined as: creatinine more than 1.6 mg/dl or bilirubin more than 3 mg/dl
* patients with end stage renal disease who are under regular dialysis
* other histologies of pancreatic cancer
* irresectable pancreatic cancer if not metatatic | NCT_ID
NCT04769414
| Study_NameFlouro-Gem in Adenocarcinoma of the Pancreas (GEFLUPAN)
| 8,781 |
Study Objectives
This study aimed to provide vast clinical information to facilitate breast sonographic examination for participants who underwent recent SARS-CoV-2 vaccination.
Among different SARS-CoV-2 vaccines in the Asian Taiwanese population, reactive axillary lymphadenopathy was investigated through breast sonographic findings and clinical data analysis. The sample included participants with recent vaccinations by different brands approved in Taiwan.
Conditions: Reactive Axillary Lymphadenopathy for SARS-CoV-2 Vaccines in the Asian Taiwanese Population
Intervention / Treatment:
BIOLOGICAL: the AstraZeneca ChAdOx1 (AZ) vaccine, Moderna mRNA-1273 (Moderna) vaccine, and Pfizer-BioNTech BNT162b2 (BNT) vaccine.
Location: Taiwan
Study Design and Phases
Study Type: OBSERVATIONAL
| Inclusion Criteria:
* female patients receiving breast sonography
Exclusion Criteria:
* receive Covid 19 vaccine other than AZ, BNT, Moderna
* Ongoing primary breast malignancy
* History of malignancy other than primary breast malignancy | NCT_ID
NCT06429020
| Study_NameSonography for COVID-19 Vaccines Related Reactive Lymphadenopathy
| 3,156 |
Study Objectives
This phase I/II trial is studying the side effects and best dose of vorinostat when given together with paclitaxel and bevacizumab and to see how well they work in treating patients with metastatic breast cancer and/or breast cancer that has recurred in the chest wall and cannot be removed by surgery. Vorinostat may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some find tumor cells and kill them or carry tumor-killing substances to them. Others interfere with the ability of tumor cells to grow and spread. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. Giving vorinostat together with paclitaxel and bevacizumab may kill more tumor cells.
Conditions: Male Breast Cancer, Stage IIIB Breast Cancer, Stage IIIC Breast Cancer, Stage IV Breast Cancer
Intervention / Treatment:
DRUG: vorinostat, DRUG: paclitaxel, BIOLOGICAL: bevacizumab
Location: United States
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1, PHASE2
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* histologically or cytologically confirmed adenocarcinoma of the breast; effective with version 2.2 (1/26/09), only patients with disease that is accessible to biopsy and consent to serial biopsy are eligible
* stage IV disease, locally recurrent inoperable chest wall disease; at least one bidimensional and/or unidimensional, measurable indicator lesion must be present (patients with only non-measurable disease are eligible for the phase I trial only); all sites of disease should be noted and followed
* ECOG performance status =< 1 (Karnofsky >= 70%)
* Absolute neutrophil count >= 1,500/ul
* Platelets >= 100,000/ul
* Total bilirubin within normal institutional limits
* AST(SGOT)/ALT(SGPT) =< 2.5 x institutional upper limit of normal
* PTT and either INR or PT < 1.5 x normal
* Creatinine within normal institutional limits OR creatinine clearance >= mL/min/1.73 m^2 for patients with creatinine levels above institutional normal
* Urine protein should be screened by urine analysis for Urine Protein Creatinine (UPC) ratio; for UPC ratio > 0.5, 24-hour urine protein should be obtained and the level should be < 1000 mg for patient enrollment;
* LVEF must be at or above the lower institutional limit of the normal range (on MUGA or Echo obtained within 12 weeks of registration, or within 4 weeks of prior Herceptin)
* Not pregnant/lactating
Exclusion criteria:
* chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study
* may not be receiving any other investigational agents.
* history of allergic reactions attributed to compounds of similar chemical or biologic composition to vorinostat or other agents used in the study (e.g., paclitaxel, bevacizumab, quinolones)
* uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. | NCT_ID
NCT00368875
| Study_NamePhase I-II Study of Vorinostat, Paclitaxel, and Bevacizumab in Metastatic Breast Cancer
| 12,534 |
Study Objectives
CC-5013-MM-017 is a Phase I, multicenter study to determine the maximum tolerated dose (MTD), safety profile, pharmacokinetics, and preliminary efficacy of lenalidomide with and without dexamethasone in Japanese subjects with previously treated MM. The study will consist of two cohorts: 1) Monotherapy "Maximum Tolerated Dose (MTD) Determination" Cohort; and 2) "Combination Treatment" Cohort.
Conditions: Multiple Myeloma
Intervention / Treatment:
DRUG: lenalidomide, DRUG: dexamethasone
Location: Japan
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE1
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* Subjects with previously treated multiple myeloma
* Measurable levels of m-protein in serum >= 0.5 g/dL [5g/L]) or urine (>= 0.2 g excreted in a 24-hour collection sample)
* ECOG performance status of 0 - 2
* Willing to follow pregnancy precautions
Exclusion Criteria:
* Patients with acute an myocardial infarction (MI) within the past 6 months, or patients with a history of deep vein thrombosis (DVT) or pulmonary embolism (PE) within the past 3 years
* Patients with tuberculous diseases, herpes simplex keratitis, systemic mycosis or other active infectious diseases
* Patients with non-controlled diabetes, hypertension, digestive ulcer or glaucoma
* Patients with posterior subcapsular cataracts
* Patients with mental illness
* Patients with past histories or complications which make the Investigator or other staff member deem them inappropriate for this study
* Pregnant or lactating females
* Grade 2 or worse neuropathy
* Any of the following laboratory abnormalities:
Absolute neutrophil count (ANC) < 1,000cells/mL Platelet count < 75,000/mL Serum creatinine > 2.5 mg/dL Serum SGOT/AST or SGPT/ALT > 3.0 x upper limit of normal (ULN)
* Prior history of malignancies, other than multiple myeloma, unless the subject has been free of the disease for >= 3 years. - Patients who received radiation therapy within 14 days of the start of study drug
* Patients with scars from a recent viscus operation
* Patients with history of a desquamating (blistering) rash while taking thalidomide
* Patients with prior use of lenalidomide
* Patients with known HIV positivity.
* Patients who used cytotoxic chemotherapeutic agents, immunomodulating agents, or other experimental agents (agents that are not commercially available) intended for the treatment of MM within 28 days of the start of lenalidomide therapy.
* Patients with known history of hypersensitivity to dexamethasone. | NCT_ID
NCT00555100
| Study_NameSafety Study of Lenalidomide With and Without Dexamethasone in Japanese Subjects With Previously Treated Multiple Myeloma
| 11,419 |
Study Objectives
Patients with acute lymphoblastic leukaemia or very aggressive lymphoma and documented isolated CNS relapse or CNS relapse combined with other relapse sites should receive therapy with intrathecal DepoCyte at least once. Treatment may be repeated during induction phase each 2 weeks and monthly during maintenance phase. The study aim is to replace the usual 2-3 weekly applications of intrathecal triple therapy with one application of DepoCyte. Primary objective is the response rate after one application of DepoCyte. Further objectives are the compilation of data regarding safety and toxicity
Conditions: Adult Acute Lymphocytic Leukemia
Intervention / Treatment:
DRUG: Depocyt, DRUG: Dexamethasone
Location: Germany
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE2, PHASE3
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* proven diagnosis of ALL or very aggressive Non-Hodgkin-Lymphoma (Burkitt/Burkitt-like) and CNS relapse
* CNS involvement demonstrated by a positive ventricular or lumbar CSF cytology or characteristic signs and symptoms of neoplastic meningitis plus an MRI or CT scan indicating the presence of meningeal involvement
* in combined relapse in CNS and other locations: systemic therapy with CNS active drugs can be postponed for at least 2 weeks
* Karnofsky Performance Score is > or = 60%
* 18 years or older
* free of uncontrolled infection
* recovered from any grade III / IV toxicities attributable to prior treatment with the exception of hematotoxicity
* patient not pregnant or breast feeding and effective methods to prevent pregnancy
* free from severe heart, lung, liver or kidney dysfunction
* written informed consent
Exclusion Criteria:
* failed to respond (as defined by no clearance of the CSF) to > 1 dose of prior i.th. MTX or ARAC or triple therapy
* history of neurotoxicity (grade III - IV) attributed to i.th. or systemic HD therapy with MTX or ARAC
* prior CNS relapse < 1 month before | NCT_ID
NCT00199108
| Study_NameTreatment of Acute Lymphoblastic Leukemia or Aggressive Lymphoma With Relapse in Central Nervous System With Depocyt
| 12,770 |
Study Objectives
Anti-angiogenesis Tyrosine kinase inhibitors (TKIs) have been proved to show promising effects on prolonging progression-free survival (PFS) for advanced chondrosarcoma after failure of standard multimodal Therapy. Methylsulfonic apatinib is one of those TKIs which specifically inhibits VEGFR-2. This study summarizes the experience of two Peking University affiliated hospitals in off-label use of apatinib in the treatment of extensively pre-treated chondrosarcoma.
Conditions: Efficacy, Toxicity, Drug
Intervention / Treatment:
DRUG: Apatinib Mesylate
Location: China
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: NA
Primary Purpose: TREATMENT
Allocation: NA
Interventional Model: SINGLE_GROUP
Masking: NONE | Inclusion Criteria:
* 1) histologically confirmed high-grade sarcoma;
* 2) initial treatment in the orthopedic oncology departments of the two affiliated hospitals of Peking University;
* 3) tumors not amenable to curative treatment or inclusion in clinical trials;
* 4) unresectable local advanced lesions or multiple metastatic lesions that could not be cured by local therapy;
* 5) measurable lesions according to Response Evaluation Criteria for Solid Tumors (RECIST1.1) ;
* 6) Eastern Cooperative Oncology Group performance status 0 or 1;
* 7) acceptable hematologic, hepatic, and renal function.
Exclusion Criteria:
* had central nervous system metastasis;
* had other kinds of malignant tumors at the same time; had cardiac insufficiency or arrhythmia;
* had uncontrolled complications such as diabetes mellitus, coagulation disorders, urine protein >= ++ and so on;
* had pleural or peritoneal effusion that needs to be handled by surgical treatment;
* combined with other infections or wounds;
* pregnant or breastfeeding. | NCT_ID
NCT04260113
| Study_NameApatinib for Inoperable Advanced Chondrosarcoma
| 7,552 |
Study Objectives
This study is done in patients having Breast Cancer with metastasis (patients with positive receptor HER2) whose disease progressed after receiving Trastuzumab.
The primary objective of this study is to compare the time until disease progression between the Treatment Arm CAPECITABINE and the Treatment Arm CAPECITABINE + TRASTUZUMAB
The study has also other secondary and tertiary objectives.
Conditions: Breast Cancer
Intervention / Treatment:
DRUG: Capecitabine, DRUG: Trastuzumab
Location: Germany
Study Design and Phases
Study Type: INTERVENTIONAL
Phase: PHASE3
Primary Purpose: TREATMENT
Allocation: RANDOMIZED
Interventional Model: PARALLEL
Masking: NONE | Inclusion Criteria:
* Written informed consent prior to beginning specific protocol procedures, including expected cooperation of the patients for the treatment and follow-up, must be obtained and documented according to the local regulatory requirements.
* Pathologically confirmed carcinoma of the breast.
* Locally advanced or metastatic stage of disease not suitable for surgery or radiotherapy alone.
* HER2-overexpression of the primary or metastatic tumor tissue detected by immunohistochemistry (DAKO) 3+ or gene namplification detected by FISH. HER2-positive primary tumours with HER2-negative metastasis can be included.
* Disease progression during or after previous chemotherapy and trastuzumab treatment as follows (Trastuzumab has to be given previously for at least 12 weeks, treatment free interval of trastuzumab for a maximum of 6 weeks):
* Taxanes + trastuzumab given as adjuvant therapy
* Taxanes + trastuzumab given as first line therapy for palliation
* Trastuzumab given as first line therapy for palliation alone or in combination with chemotherapeutic agents other than capecitabine or taxanes
* No more than 1 chemotherapy for palliation (max. Adriamycin dose < or = 400 mg/m²; Epirubicin < or = 600 mg/m²)
* Patients must have either measurable or nonmeasurable target lesions according to the RECIST criteria (see Appendix 6)
* At least 4 weeks since radiotherapy, with full recovery. The measurable disease must be completely outside the radiation portal or there must be pathologic proof of progressive disease
* At least 4 weeks since major surgery with full recovery.
* Complete radiology and tumor measurement work up within 4 weeks prior to registration:
* Karnofsky performance status evaluation > or = 60%
* Age >18 years.
* Absolute neutrophil count > or =1,500 cells/microL, platelet count > or =100,000 cells/microL.
* Bilirubin < or = 2x the upper limit of normal for the institution (ULN); elevation of transaminases and alkaline phosphatase < 2.5x ULN or <5x ULN for patients with liver metastases.
* Creatinine < or = 2.0 mg/dl.
* Left ventricular ejection fraction (LVEF) by cardiac ultrasound of > or = 50%.
* If of childbearing potential, pregnancy test is negative. In addition the patient agrees to use an effective method to avoid pregnancy for the duration of the study.
Exclusion criteria:
* Known hypersensitivity reaction to the compounds or incorporated substances or known dihydropyrimidine dehydrogenase deficiency.
* Concurrent immunotherapy or hormonal therapy (antihormonal, contraceptive and/or replacement therapy). Bisphosphonates may be continued.
* Parenchymal brain metastases, unless adequately controlled by surgery and/or radiotherapy with complete resolution of symptoms and of all steroids.
* Life expectancy of less than 3 months.
* Serious intercurrent medical or psychiatric illness that may interfere with the planned treatment (including severe pulmonary conditions, AIDS and serious active infection).
* History of congestive heart failure or other significant uncontrolled cardiac disease.
* History of other malignancy within the last 5 years which could affect the diagnosis or assessment of breast cancer.
* Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational not marketed drug within 30 days prior to study entry.
* Treatment with sorivudine or derivates e.g. brivudin
* Pregnant or nursing women.
* Male patients.
* The patient must be accessible for treatment and follow-up. Patients registered on this trial must be treated and followed at the participating centre which could be the Principal or Co- investigator's site. | NCT_ID
NCT00148876
| Study_NameTBP Study With Capecitabine Plus Minus Trastuzumab
| 3,242 |
End of preview. Expand
in Dataset Viewer.
README.md exists but content is empty.
- Downloads last month
- 39