Første-i-menneske-undersøgelse af TAK-280 hos deltagere med uoperabel lokalt avanceret eller metastatisk kræft
Et fase 1/2, først-i-menneske, åbent, dosis-eskaleringsstudie af TAK-280 hos patienter med uoperabel lokalt avanceret eller metastatisk kræft
Hovedformålet med denne undersøgelse er at finde ud af sikkerheden og tolerabiliteten af TAK-280 hos deltagere med ikke-operabel, lokalt fremskreden eller metastatisk cancer, der svigter eller er intolerante over for standardbehandlinger. Undersøgelsen består af en dosis-eskaleringsfase for at bestemme den anbefalede dosis af TAK-280 til kohorteudvidelsesfasen. Kohorte-udvidelsesfasen vil yderligere definere sikkerheden og den indledende effekt af TAK-280.
Deltagerne vil blive behandlet med TAK-280 i op til 14 behandlingscyklusser for i alt 56 doser af TAK-280. Hver behandlingscyklus vil vare 28 dage. Deltagerne vil blive behandlet med TAK-280 indtil sygdomsprogression, uacceptabel toksicitet eller tilbagetrækning fra studiet forekommer. Deres kræft vil blive behandlet af deres læge i henhold til deres læges sædvanlige kliniske praksis.
Efter den sidste dosis af studielægemidlet vil deltagerne blive fulgt op for overlevelse hver 12. uge i mindst 52 uger.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Denne undersøgelse består af 2 faser: Dosis-eskalering og kohorte-udvidelsesfase.
Dosis-eskaleringsfase:
Dosiseskalering vil blive udført hos deltagere med histologisk dokumenterede, uoperable, lokalt fremskredne eller metastatiske kræftformer, og Bayesian Optimal Interval (BOIN) design vil blive brugt.
Kohorte-udvidelsesfase:
I løbet af kohorteudvidelsesfasen vil 5 separate deltagerkohorter blive tilmeldt, baseret på tumortypen. Doseringsregimet, der anvendes i ekspansionskohorterne, vil være den anbefalede fase 2-dosis (RP2D) og tidsplan baseret på resultaterne af sikkerhed, farmakokinetik (PK) og antitumoraktivitet fra dosis-eskaleringsfasen af studiet.
Tilmelding til ekspansionskohorterne er baseret på et Simon 2-trins design.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Takeda Contact
- Telefonnummer: +1-877-825-3327
- E-mail: medinfoUS@takeda.com
Studiesteder
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Bedford Park, Australien, 5042
- Southern Oncology Clinical Research Unit
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Clayton, Australien, 3168
- Monash Medical Centre
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Malvern, Australien, 3144
- Cabrini Health
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New South Wales
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Camperdown, New South Wales, Australien, 2050
- Chris O'Brien Lifehouse Hospital
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Québec, Canada, G1J 1Z4
- Centre intégré de cancérologie du CHU de Québec - Université Laval
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Sherbrooke, Canada, J1H 5N4
- Centre Hospitalier Universitaire de Sherbrooke CHUS
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Arkansas
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Little Rock, Arkansas, Forenede Stater, 72205
- University of Arkansas for Medical Sciences
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California
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San Francisco, California, Forenede Stater, 94143
- University of California San Francisco
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Minnesota
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Minneapolis, Minnesota, Forenede Stater, 55455
- University of Minnesota - Masonic Cancer Center
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North Carolina
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Durham, North Carolina, Forenede Stater, 27710
- Duke Cancer Institute
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Ohio
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Cleveland, Ohio, Forenede Stater, 44195-0001
- The Cleveland Clinic Foundation
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South Dakota
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Sioux Falls, South Dakota, Forenede Stater, 57105
- Avera Cancer Institute
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Sioux Falls, South Dakota, Forenede Stater, 57104-8805
- Sanford Cancer Center
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37203
- SCRI Tennessee Oncology Nashville
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Texas
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Houston, Texas, Forenede Stater, 77030
- The University of Texas MD Anderson Cancer Center
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Wisconsin
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Milwaukee, Wisconsin, Forenede Stater, 53226
- Froedtert and The Medical College of Wisconsin
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Barcelona, Spanien, 08028
- Hospital Universitari Dexeus - Grupo Quironsalud
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Barcelona, Spanien, 08023
- Hospital Quironsalud Barcelona, NEXT Oncology
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Barcelona, Spanien, 08035
- Instituto de Investigacion Oncologica Vall dHebron (VHIO) - EPON
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Madrid, Spanien, 28041
- Hospital Universitario 12 de Octubre
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Madrid, Spanien, 28040
- START MADRID_Hospital Universitario Fundacion Jimenez Diaz
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Málaga, Spanien, 29010
- Hospital Universitario Virgen de la Victoria
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Valencia, Spanien, 46010
- Hospital Clínico Universitario de Valencia
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier
- Alder større end eller lig med (>=)18 år.
Kriterier for sygdomstilstand.
- Dosis-eskalerende tumorhistologier: Dosiseskalering vil begynde med indledningsvis at indskrive deltagere med histologisk eller patologisk bekræftede, ikke-operable, lokalt fremskredne eller metastatiske kræftformer.
- Kohorte-ekspansion tumorhistologier: Deltagerne vil være berettigede, hvis de har histologisk påviste, ikke-operable, lokalt fremskredne eller metastatiske maligne neoplasmer.
- Eastern Cooperative Oncology Groups præstationsstatus (mindre end eller lig med [<=]) 1.
- Målbar sygdom pr. modificeret responsevalueringskriterier i solide tumorer (mRECIST) Version 1.1 og dokumenteret ved CT og/eller MR undtagen for deltagere med PC med kun knoglemetastaser.
Eksklusionskriterier
- Anamnese med kendt autoimmun sygdom.
- Større operation eller traumatisk skade inden for 8 uger før den første dosis af TAK-280.
- Uhelede sår fra operation eller skade.
- Igangværende eller aktiv infektion af Grad >=2.
- Iltmætning < 92 % på rumluft ved screening eller under C1D1 prædoseringsvurdering.
- Inflammatorisk proces, der ikke er forsvundet >= 4 uger før den første dosis af undersøgelseslægemidlet. deltagere med kroniske lavgradige inflammatoriske processer såsom strålingsinduceret lungebetændelse udelukkes uanset deres varighed.
- Vaccination med enhver levende virusvaccine inden for 4 uger eller andre vacciner inden for 2 uger før påbegyndelse af studielægemidlet. Inaktiveret årlig influenzavaccination er tilladt.
- Kendt overfølsomhed over for TAK-280 eller ethvert hjælpestof.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Dosis-eskaleringsfase: TAK-280
Deltagerne vil modtage TAK-280 intravenøs (IV) infusion på dag 1, 8, 15 og 22 af en 28-dages behandlingscyklus, indtil sygdomsprogression, uacceptabel toksicitet eller tilbagetrækning fra studiet forekommer.
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Deltagerne vil modtage TAK-280 som IV-infusion.
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Eksperimentel: Kohorte-udvidelsesfase: TAK-280 Høj eller lav dosis
Deltagerne vil modtage enten høj eller lav dosis TAK-280 i én udvalgt indikation og kun ét dosisniveau af TAK-280 i de resterende indikationer som bestemt fra dosis-eskaleringsfasen af studiet i 28-dages behandlingscyklus indtil sygdomsprogression, uacceptabelt toksicitet eller tilbagetrækning fra undersøgelsen.
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Deltagerne vil modtage TAK-280 som IV-infusion.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Number of Participants With Dose Limiting Toxicities (DLTs)
Tidsramme: Cycle 1 (Cycle length=28 days)
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DLTs were evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0, except cytokine release syndrome (CRS), which was graded according to American Society for Transplantation and Cellular Therapy (ASTCT) Consensus Grading for CRS.
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Cycle 1 (Cycle length=28 days)
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Number of Participants With One or More Treatment-emergent Adverse Events (TEAEs)
Tidsramme: From start of study drug administration up to follow-up (up to 37 weeks)
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An adverse event (AE) was any untoward medical occurrence in a participant administered a medicinal investigational drug.
The untoward medical occurrence does not necessarily have to have a causal relationship with treatment.
A TEAE was defined as an AE that occurs after administration of first dose of study drug and through 30 days after last dose of study drug or until start of new anticancer therapy.
AEs were evaluated according to NCI CTCAE, Version 5.0 except CRS, which was graded according to ASTCT Consensus Grading for CRS.
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From start of study drug administration up to follow-up (up to 37 weeks)
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Maximum Observed Plasma Concentration (Cmax) of TAK-280
Tidsramme: Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Cmax for TAK-280 was reported.
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Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Area Under the Plasma Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUC0-last) of TAK- 280
Tidsramme: Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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AUC0-last for TAK-280 was reported.
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Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Area Under the Plasma Concentration-time Curve From Time 0 to Infinity (AUC0-inf) of TAK-280
Tidsramme: Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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AUC0-inf for TAK-280 was reported.
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Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Time to Reach Maximum Observed Plasma Concentration (Tmax) of TAK-280
Tidsramme: Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Tmax for TAK-280 was reported.
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Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Terminal Disposition Phase Half-Life (t1/2) of TAK-280
Tidsramme: Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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T1/2 was reported.
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Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Total Clearance (CL) of TAK-280
Tidsramme: Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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CL of TAK-280 was reported.
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Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Volume of Distribution at Steady State (Vss) After IV Administration of TAK-280
Tidsramme: Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Vss of TAK-280 was reported.
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Cycles 1-7: Pre-dose and post-dose up to 48 hours on Days 1, 2, 3, 8, 15 and 22 (Cycle length= 28 days)
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Overall Response Rate (ORR)
Tidsramme: Up to 37 weeks
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ORR was assessed by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and Prostate Cancer Working Group 3 (PCWG3) as defined by the Investigator based on radiologic criteria.
ORR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) as per RECIST version 1.1.
CR: Disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeter (mm).
PR: At least a 30 percentage (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
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Up to 37 weeks
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Duration of Response (DOR)
Tidsramme: Up to 37 weeks
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The DOR was assessed according to RECIST version 1.1.
and defined as time from the date of first documentation of a PR or better to the date of the first documentation of progressive disease (PD) or death due to any cause, whichever occurred first, for participants with a confirmed response (PR or better).
CR: Disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.
PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
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Up to 37 weeks
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Progression Free Survival (PFS)
Tidsramme: Up to 37 weeks
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PFS was assessed according to RECIST version 1.1 and was defined as the time from the date of first dose of TAK-280 to the date of first documentation of PD or death due to any cause, whichever occurred first.
PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum diameters while on study.
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Up to 37 weeks
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Overall Survival (OS)
Tidsramme: Up to 37 weeks
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OS was defined as the time from the date of first dose TAK-280 until death due to any cause.
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Up to 37 weeks
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Disease Control Rate (DCR)
Tidsramme: Up to 37 weeks
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DCR was defined as the percentage of participants who achieved PR, CR, or stable disease (SD) with a duration of >=2 consecutive scans determined by the investigator as per RECIST v1.1.
CR: Disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.
PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
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Up to 37 weeks
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Number of Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) Having Prostate-Specific Antigen (PSA) Response
Tidsramme: Up to 37 weeks
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PSA response was defined as a reduction in baseline PSA level of greater than or equal to (>=) 50% maintained for at least 3 weeks in participants with mCRPC.
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Up to 37 weeks
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Duration of PSA Response in Participants With mCRPC
Tidsramme: Up to 37 weeks
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Duration of PSA response was the time from the date of the first PSA response to the date of the first documented PSA progression in participants with mCRPC.
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Up to 37 weeks
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Time to PSA Progression in Participants With mCRPC
Tidsramme: Up to 37 weeks
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Time to PSA progression was the time from the date of the first dose of TAK-280 to the date that an increase of 25% or more and absolute increase of 2 ng/mL or more from the nadir in participants with mCRPC.
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Up to 37 weeks
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Percentage of Participants With PSA Reductions of >=50% at 6 Months
Tidsramme: At 6 months
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PSA response was defined as a reduction in baseline PSA level of >=50% maintained for at 6 months in participants with mCRPC.
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At 6 months
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Number of Participants Who Develop Positive Induced Antidrug Antibody (ADA) for TAK-280
Tidsramme: Up to 37 weeks
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Number of participants who were negative for TAK-280 at baseline and became positive were reported.
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Up to 37 weeks
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Number of Participants Who Developed B7-H3 Targeted Neutralizing Antibodies (NAb) to TAK 280
Tidsramme: Up to 37 weeks
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Number of participants who developed B7-H3 NAb titers for TAK-280 were reported.
TAK-280 is a bispecific T-cell engager with binding specificity for B7-H3 and conditional binding to CD3.
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Up to 37 weeks
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Number of Participants Who Developed CD3 Targeted Neutralizing Antibodies to TAK 280
Tidsramme: Up to 37 weeks
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Number of participants who developed CD3 NAb titers for TAK-280 were reported.
TAK-280 is a bispecific T-cell engager with binding specificity for B7-H3 and conditional binding to CD3.
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Up to 37 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Studieleder: Study Director, Takeda
Publikationer og nyttige links
Hjælpsomme links
- Click here to ask Takeda's chatbot for comprehensive and easy-to-understand information about clinical trials - even across products and indications - in your local language.
- Click here for more information about this trial in easy-to-understand language, including a Plain Language Summary of the results if the trial has been completed.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
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
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- TAK-280-1501
- 2023-504012-16-00 (Ctis: EU CTIS)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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