A Clinical Trial Evaluating the Efficacy and Safety of Dasatinib in Refractory Metastatic GIST
A Prospective, Single-arm, Multi-center Clinical Trial Evaluating the Efficacy and Safety of Dasatinib in RefrActory MetAstatic Gastrointestinal Stromal Tumor
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Forventet)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Li Jian
- Telefonnummer: 008613601310849
- E-mail: oncogene@163.com
Studiesteder
-
-
Beijing
-
Beijing, Beijing, Kina, 100142
- Rekruttering
- Beijing Cancer Hospital
-
Kontakt:
- Li Jian
- Telefonnummer: 008613601310849
- E-mail: oncogene@163.com
-
Ledende efterforsker:
- Shen Lin
-
Beijing, Beijing, Kina
- Ikke rekrutterer endnu
- Chinese PLA General Hospital
-
Kontakt:
- Wu Xin
- Telefonnummer: 008613683285233
-
Ledende efterforsker:
- Wu Xin
-
-
Guangdong
-
Guangzhou, Guangdong, Kina
- Ikke rekrutterer endnu
- The First Affiliated Hospital,Sun Yat-sen University
-
Kontakt:
- Zhang Xinhua
- Telefonnummer: 008613828463644
-
Ledende efterforsker:
- Zhang Xinhua
-
-
Jiangsu
-
Nanjing, Jiangsu, Kina
- Ikke rekrutterer endnu
- No.81 Hospital of Chinese People's Liberation Army
-
Kontakt:
- Liu Xiufeng
- Telefonnummer: 008613357837170
-
Ledende efterforsker:
- Liu Xiufeng
-
-
Shanghai
-
Shanghai, Shanghai, Kina
- Ikke rekrutterer endnu
- Fudan University Shanghai Cancer Center
-
Kontakt:
- Zhou Ye
- Telefonnummer: 008613661736873
-
Ledende efterforsker:
- Zhou Ye
-
-
Shanxi
-
Taiyuan, Shanxi, Kina, 030013
- Ikke rekrutterer endnu
- Shanxi Cancer Hospital
-
Kontakt:
- Liang Xiaobo
-
Ledende efterforsker:
- Liang Xiaobo
-
-
Sichuan
-
Chengdu, Sichuan, Kina
- Ikke rekrutterer endnu
- West China Hospital , Sichuan University
-
Kontakt:
- Zhang Bo
- Telefonnummer: 008613881952600
-
Ledende efterforsker:
- Zhang Bo
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Histologically confirmed recurrent/metastatic gastrointestinal stromal tumor (GIST). Immunohistochemically, the detection KIT and/or DOG-1 are/is positive
- Patients must have measurable disease meeting the requirement of RECIST 1.1
- Received the gene mutation detection of c - kit/PDGFRA
- Subjects with mutation in exon 11, in exon 9 and wild type c-kit/PDGFRA have failed to imatinib and sunitinib
- Subjects with primary mutation in exon 17 or 18 have failed to imatinib
- Subjects with primary mutation in exon 11 and secondary mutation in exon 17 or 18 have failed to imatinib
- Subjects with mutation in exon 18 of PDGFRA,have received TKI or not
- Eastern Cooperative Oncology Group (ECOG) performance status = 0-2
- Expected OS ≥3 months
- Ability to understand and the willingness to sign a written informed consent document
- Subject will comply with the study procedures and therapy
Exclusion Criteria:
- Local or metastatic GIST is resectable
- Unable to receive the gene mutation detection of c-kit (c-kitproto-oncogeneprotein)/PDGFRA
- AST and/or ALT > 2.5 times ULN, or Bilirubin >1.5 times upper limit of normal (ULN)
- Neutrophil count < 1.5 x 10^9/L, or Platelet count <75 x 10^9/L, or Hemoglobin<90g/L
- Cr >1.5×ULN
- Other malignancy within the past 5 years except for adequately treated carcinoma in situ of the cervix or cutaneous basal cell carcinoma
- Known brain metastasis, spinal cord compression, carcinomatous meningitis, or cerebral or soft meningeal disease through CT or MRI during screening stage
- Within the past 5 years, subjects have one of the following disease: myocardial infarction, serious/instable angina pectoris, symptomatic congestive heart failure or cerebrovascular accident from coronary/peripheral artery bypass grafting
- Known human immunodeficiency virus positivity
- Joining in other trail
- Women who are pregnant or lactating; No contraception for subject during childbearing period
- Subject with other serious acute and chronic physical or mental problems, or laboratory abnormality, will increase the risks associated with trail or drug. It will also interference the judgment of the results. In the judgment of the investigator, subject is inadequate to participant the study
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Dasatinib
Dasatinib is given orally 50 mg 2 times a day for the first week, if subject is tolerate, then increased to 70 mg 2 times a day.
Dasatinib will be continued until unacceptable toxicity and progression.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Progression-free survive, calculated from registration until progression or death
Tidsramme: 2 years
|
2 years
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Overall survival, overall survival will be calculated from registration until death
Tidsramme: 2 years
|
2 years
|
|
Adverse drug reactions according to NCI CTCAE v4.0
Tidsramme: 2 years, Tolerability will be assessed based on the frequency and severity of Adverse Drug Reactions (ADR) coded according to NCI CTCAE v4.0.
|
2 years, Tolerability will be assessed based on the frequency and severity of Adverse Drug Reactions (ADR) coded according to NCI CTCAE v4.0.
|
|
Objective response, according to Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 criteria
Tidsramme: 2 years
|
2 years
|
|
Tumor control probability, defined as CR+PR+SD, determined according to RECIST 1.1 criteria
Tidsramme: 2 years
|
2 years
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Shen Lin, Peking University Cancer Hospital & Institute
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Forventet)
Primær færdiggørelse
Studieafslutning (Forventet)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i fordøjelsessystemet
- Neoplasmer, bindevæv og blødt væv
- Neoplasmer efter histologisk type
- Neoplasmer
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Gastrointestinale sygdomme
- Neoplasmer, bindevæv
- Gastrointestinale stromale tumorer
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Antineoplastiske midler
- Proteinkinasehæmmere
- Dasatinib
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- DRAMA GIST
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .