- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02577341
Nimotuzumab kombineret med kemoradioterapi mod uoperabel lokalt avanceret planocellulær lungekræft
En prospektiv randomiseret fase Ⅱ undersøgelse af nimotuzumab kombineret med kemoradioterapi for uoperabel, lokalt avanceret planocellulær lungekræft
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Denne fase II randomiserede undersøgelse skal bestemme effektiviteten og toksiciteten af Nimotuzumab kombineret med kemoradioterapi mod uoperabel, lokalt fremskreden planocellulær lungekræft.
Alle patienter var planlagt til at modtage en radikal dosis af bryststråling og samtidig kemoterapi af ugentlig docetaxel og cisplatin, hver af 1 dags varighed.
Nimotuzumab-gruppen blev behandlet med ugentlig nimotuzumab (200 mg, IV) kombineret med kemoradioterapi, mens kontrolgruppen blev behandlet med kemoradioterapi.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Guangdong
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Guangzhou, Guangdong, Kina, 510000
- Sun Yat-sen University Cancer Center
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inklusionskriterier:
- histologisk bekræftet planocellulær lungekræft
- patienter har målbare eller evaluerbare læsioner baseret på kriterierne for responsevaluering i solide tumorer (RECIST)
- inoperabel fase IIIA(N2) og IIIB lungekræft bekræftet ved CT eller MR
- ECOG ydeevne status 0-1
- Tidligere behandlet med kemoterapi eller behandlingsnaiv
- ingen tidligere thoraxstrålebehandling, immunterapi eller bioterapi.
- hæmoglobin≥10 mg/dL, blodplade≥100000/μL, absolut neutrofiltal ≥1500/μL
- serumkreatinin ≤1,25 gange den øvre normalgrænse (UNL), eller kreatininclearance ≥60 ml/min.
- bilirubin ≤1,5 gange UNL, AST(SGOT)≤2,5 gange UNL ,ALT(SGPT)≤2,5 gange UNL, alkalisk fosfatase ≤5 gange UNL
- FEV1 >0,8 L
- CB6 inden for normale grænser
- patienter og deres familie underskrev de informerede samtykker
Ekskluderingskriterier:
- adenosquamøst carcinom
- tidligere eller nylig anden malignitet, bortset fra ikke-melanom hudkræft eller livmoderhalskræft in situ
- kontraindikation for kemoterapi
- kvinder under graviditet, amningsperiode eller ingen graviditetstest 14 dage før den første dosis
- kvinder, der har sandsynlighed for graviditet uden prævention
- tendens til blødning
- i andre kliniske forsøg inden for 30 dage
- afhængig af stoffer eller alkohol, AIDS-patienter
- ukontrollerbare anfald eller psykotiske patienter uden selvkontrolevne
- svær allergi eller idiosynkrasi
- ikke egnet til denne undersøgelse vurderet af forskere
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: Nimotuzumab
Daglig RT til brystet, samtidig kemoterapi med ugentlig docetaxel og cisplatin og samtidig ugentlig Nimotuzumab.
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Patienterne fik ugentlig nimotuzumab (200 mg, IV) samtidig med kemoradioterapi.
Patienterne fik ugentligt docetaxel og cisplatin, hver af 1 dags varighed, samtidig med strålebehandling
Patienterne fik daglig RT til brystet
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Aktiv komparator: Styring
Daglig RT til brystet, samtidig kemoterapi med ugentlig docetaxel og cisplatin.
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Patienterne fik ugentligt docetaxel og cisplatin, hver af 1 dags varighed, samtidig med strålebehandling
Patienterne fik daglig RT til brystet
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
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samlet overlevelse
Tidsramme: 3 år
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3 år
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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progressionsfri overlevelse
Tidsramme: 3 år
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3 år
|
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Objektiv svarprocent
Tidsramme: 3 år
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3 år
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rate af grad 3-4 stråleøsofagitis
Tidsramme: 1 år
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rate af grad 3-4 stråleøsofagitis vurderet af CTCAE v4.0
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1 år
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rate af grad 3-4 strålingspneumonitis
Tidsramme: 1 år
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rate af grad 3-4 strålingspneumonitis vurderet af CTCAE v4.0
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1 år
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Fejlmønstre
Tidsramme: 3 år
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frekvenser af lokalt-regionalt tilbagefald, fjernmetastaser og hjernemetastaser
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3 år
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Samarbejdspartnere og efterforskere
Sponsor
Publikationer og nyttige links
Generelle publikationer
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Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Luftvejssygdomme
- Neoplasmer
- Lungesygdomme
- Neoplasmer efter sted
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Lungeneoplasmer
- Molekylære mekanismer for farmakologisk virkning
- Antineoplastiske midler
- Tubulin modulatorer
- Antimitotiske midler
- Mitose modulatorer
- Antineoplastiske midler, immunologiske
- Docetaxel
- Cisplatin
- Nimotuzumab
Andre undersøgelses-id-numre
- 2014-FXY-061
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 .
Kliniske forsøg med Ikke-småcellet lungekræft
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AHS Cancer Control AlbertaCross Cancer InstituteAfsluttetOmfattende Stage Small Cel Lung CancerCanada
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Universitaire Ziekenhuizen KU LeuvenAktiv, ikke rekrutterendeLymfom | Hodgkin lymfom | Non-Hodgkin lymfom (follikulært, diffust B-cel lymfom, PTLD og Mantle Cel lymfom)Belgien
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Royal Marsden NHS Foundation TrustUniversity of Cambridge; Royal Brompton & Harefield NHS Foundation Trust; Institute of Cancer Research, United Kingdom og andre samarbejdspartnereRekrutteringIkke småcellet lungekræft | Metastatisk ikke-småcellet lungekræft | Locally Advanced NSCLC - Ikke-småcellet lungekræft | Oncogen-afhængig ikke-ikke-cellelungecancer | Tidlig fase Operable Non Small Cell Lung Cancer | Trin 2/3 Operable Non Small Cell Lung CancerDet Forenede Kongerige
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Taichung Veterans General HospitalAfsluttetKardiotoksicitet | Non-Small Cell Lungecancer (MeSH Term: Carcinoma, Non-Small-Cell Lung) | Lægemiddelrelaterede bivirkninger og uønskede reaktioner (MeSH-betegnelse) | Egfr TyrosinkinasehæmmerTaiwan
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Zelluna Immunotherapy ASRekrutteringHoved- og halskræft | Livmoderhalskræft | Synoviale sarkomer | Squamous Non-Small Cell Lung Cancer (NSCLC)Det Forenede Kongerige
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Fondazione del Piemonte per l'OncologiaRekrutteringBrystkræft | Livmoderhalskræft | Colo-rektal cancer | Melanom (hudkræft) | Non-Small Cell Lungecancer (MeSH Term: Carcinoma, Non-Small-Cell Lung)Italien
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ITM Oncologics GmbHRekrutteringTredobbelt negativ brystkræft (TNBC) | Pancreas Ductal Adenocarcinom (PDAC) | Kolorektal cancer (CRC) | Clear Cell Renal Cell Cancer (ccRCC) | Urotelcarcinom (UC) | Ubestemt nyremasse (IDRM) | Muskelinvasiv blærekræft (MIBC) | Hoved- og halskræft (H&N) | Squamous Non-Small Cell Lung Cancer (NSCLC)Frankrig, Australien
Kliniske forsøg med Nimotuzumab
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Shanghai Ninth People's Hospital Affiliated to...Ikke rekrutterer endnu
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Shanghai Ninth People's Hospital Affiliated to...RekrutteringHoved- og nakkekræft | Postoperativ adjuverende behandling | Hoved- og nakkepladecellekarcinomKina
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Fujian Cancer HospitalIkke rekrutterer endnuSintilimab-Nimotuzumab induktion efterfulgt af kemoradiation-Nimotuzumab i LA-HNSCC: Enarmet fase IILokalt Avanceret Hoved- og Halskræft (LA-SCCHN)
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Cancer Institute and Hospital, Chinese Academy...UkendtMavekræft | Samtidig kemoradioterapiKina
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Peking Union Medical College HospitalIkke rekrutterer endnu
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Peking UniversityBiotech Pharmaceutical Co., Ltd.Ukendt
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Oncoscience AGHeinrich-Heine University, Duesseldorf; University of Kiel; Johann Wolfgang... og andre samarbejdspartnereAfsluttet
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University of SaskatchewanRekrutteringKolorektal cancer | LungekræftCanada
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Shandong Cancer Hospital and InstituteRekrutteringHoved- og nakkekræft | Hoved- og nakkepladecellekarcinomKina
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YM BioSciencesCIMYM BioSciencesAfsluttetEn undersøgelse af nimotuzumab i kombination med strålebehandling hos patienter med hjernemetastaserMetastatisk ikke-småcellet lungekræftForenede Stater, Korea, Republikken, Canada, Cuba, Pakistan