- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT05328908
En undersøgelse af Nivolumab-relatlimab fastdosis kombination versus Regorafenib eller TAS-102 hos deltagere med senere linjer af metastatisk tyktarmskræft (RELATIVITY-123)
Et fase 3, randomiseret, åbent studie af relatlimab-nivolumab fastdosis kombination versus regorafenib eller trifluridin + tipiracil (TAS-102) for deltagere med senere linjer af metastatisk kolorektal cancer
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 3
Udvidet adgang
Kontakter og lokationer
Studiesteder
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Ciudad Autónoma Buenos Aires, Argentina, 1834
- Local Institution - 0024
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Rio Grande, Argentina, 8500
- Local Institution - 0023
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B
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Ciudad Autónoma Buenos Aires, B, Argentina, C1181ACH
- Local Institution - 0026
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Buenos Aires
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Ciudad Autónoma Buenos Aires, Buenos Aires, Argentina, 1425
- Local Institution - 0022
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New South Wales
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Wagga Wagga, New South Wales, Australien, 2650
- Local Institution - 0098
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Westmead, New South Wales, Australien, 2145
- Local Institution - 0114
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Queensland
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Greenslopes, Queensland, Australien, 4120
- Local Institution - 0001
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Victoria
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Clayton, Victoria, Australien, 3168
- Local Institution - 0010
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Melbourne, Victoria, Australien, 3084
- Local Institution - 0021
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Western Australia
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Murdoch, Western Australia, Australien, 6150
- Local Institution - 0027
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-
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Edegem, Belgien, 2650
- Local Institution - 0070
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Leuven, Belgien, 3000
- Local Institution - 0120
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BRU
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Woluwé-Saint-Lambert, BRU, Belgien, 1200
- Local Institution - 0062
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VOV
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Ghent, VOV, Belgien, 9000
- Local Institution - 0068
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Local Institution - 0003
-
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Local Institution - 0014
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Toronto, Ontario, Canada, M5G 2M9
- Local Institution - 0007
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Quebec
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Montreal, Quebec, Canada, H2X 3E4
- Local Institution - 0019
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Montreal, Quebec, Canada, H4A 3J1
- Local Institution - 0104
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Sherbrooke, Quebec, Canada, J1H 5N4
- Local Institution - 0004
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-
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RM
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Santiago, RM, Chile, 7560908
- Local Institution - 0015
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Santiago, RM, Chile, 8380456
- Local Institution - 0033
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-
-
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Arkansas
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Springdale, Arkansas, Forenede Stater, 72762-5328
- Local Institution - 0044
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California
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Los Angeles, California, Forenede Stater, 90089-0112
- Local Institution - 0012
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Connecticut
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Norwich, Connecticut, Forenede Stater, 06360-2753
- Local Institution - 0117
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Florida
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Miami, Florida, Forenede Stater, 33176
- Local Institution - 0025
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Georgia
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Atlanta, Georgia, Forenede Stater, 30342
- Local Institution - 0031
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Idaho
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Boise, Idaho, Forenede Stater, 83712-6267
- Local Institution - 0071
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Indiana
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Fort Wayne, Indiana, Forenede Stater, 46805
- Local Institution - 0081
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02214
- Massachusetts General Hospital,
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Michigan
-
Ann Arbor, Michigan, Forenede Stater, 48109-1382
- Local Institution - 0042
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New Jersey
-
East Brunswick, New Jersey, Forenede Stater, 08816-3340
- Local Institution - 0043
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North Carolina
-
Durham, North Carolina, Forenede Stater, 27710
- Local Institution - 0009
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45220
- Local Institution - 0082
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Columbus, Ohio, Forenede Stater, 43210-1240
- Local Institution - 0095
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19111-2434
- Local Institution - 0147
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South Carolina
-
Charleston, South Carolina, Forenede Stater, 29414
- Local Institution - 0008
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South Dakota
-
Sioux Falls, South Dakota, Forenede Stater, 57104
- Local Institution - 0096
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Tennessee
-
Nashville, Tennessee, Forenede Stater, 37203-2173
- Local Institution - 0127
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Texas
-
Fort Worth, Texas, Forenede Stater, 76104-4611
- Local Institution - 0097
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Virginia
-
Richmond, Virginia, Forenede Stater, 23284
- Local Institution - 0132
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Wisconsin
-
Madison, Wisconsin, Forenede Stater, 53705-2275
- Local Institution - 0005
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-
-
-
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Bordeaux, Frankrig, 33000
- Local Institution - 0066
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Dijon, Frankrig, 21000
- Local Institution - 0090
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Levallois-Perret, Frankrig, 92300
- Local Institution - 0020
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Lyon, Frankrig, 69008
- Local Institution - 0036
-
Paris, Frankrig, 75012
- Local Institution - 0089
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Suresnes, Frankrig, 92151
- Local Institution - 0039
-
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Caen
-
Caen, Caen, Frankrig, 14000
- Local Institution - 0017
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Amsterdam, Holland, 1066 CX
- Local Institution - 0050
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Catania, Italien, 95122
- Local Institution - 0060
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Genova, Italien, 16132
- Local Institution - 0091
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Milan, Italien, 20133
- Local Institution - 0045
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Naples, Italien, 80131
- Local Institution - 0115
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Naples, Italien, 80138
- Local Institution - 0061
-
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MI
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Milan, MI, Italien, 20162
- Local Institution - 0046
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PD
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Padova, PD, Italien, 35128
- Local Institution - 0148
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RE
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Reggio Emilia, RE, Italien, 42123
- Local Institution - 0059
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-
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-
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Chiba, Japan, 260-8717
- Local Institution - 0107
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Chūōku, Japan, 104-0045
- Local Institution - 0103
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Hidaka-shi, Japan, 350-1298
- Local Institution - 0105
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Kasama-Shi, Japan, 309-1793
- Local Institution - 0154
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Kashiwa-Shi, Japan, 277-8577
- Local Institution - 0084
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Kawasaki-Shi, Japan, 216-8511
- Local Institution - 0086
-
Kitaadachi-gun, Japan, 362-0806
- Local Institution - 0119
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Kōtoku, Japan, 135-8550
- Local Institution - 0108
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Matsuyama, Japan, 791-0280
- Local Institution - 0118
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Sapporo, Japan, 060-8648
- Local Institution - 0088
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Suita-Shi, Japan, 565-0871
- Local Institution - 0083
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Sunto-gun, Japan, 411-8777
- Local Institution - 0085
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Yokohama, Japan, 241-8515
- Local Institution - 0124
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Osaka
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Osaka, Osaka, Japan, 5418567
- Local Institution - 0110
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Beijing, Kina, 100142
- Local Institution - 0122
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Hangzhou, Kina, 310003
- Local Institution - 0139
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Shanghai, Kina, 200032
- Local Institution - 0153
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Shenyang, Kina, 110042
- Local Institution - 0149
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CQ
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Chongqing, CQ, Kina, 400030
- Local Institution - 0134
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Guangdong
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Guangzhou, Guangdong, Kina, 510655
- Local Institution - 0151
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HB
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Wuhan, HB, Kina, 430071
- Local Institution - 0126
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HN
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Changsha, HN, Kina, 410013
- Local Institution - 0138
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Hubei
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Wuhan, Hubei, Kina, 430079
- Local Institution - 0164
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Hunan
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Changsha, Hunan, Kina, 410013
- Local Institution - 0158
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JS
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Nanjing, JS, Kina, 210008
- Local Institution - 0143
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Jiangsu
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Huaian, Jiangsu, Kina, 223300
- Local Institution - 0146
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SD
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Jinan, SD, Kina, 250117
- Local Institution - 0142
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SHA
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Xi'an, SHA, Kina, 710038
- Local Institution - 0152
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SX
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Taiyuan, SX, Kina, 030013
- Local Institution - 0141
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Sichuan
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Chengdu, Sichuan, Kina, 610041
- Local Institution - 0144
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TJ
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Tianjin, TJ, Kina, 300121
- Local Institution - 0150
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ZJ
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Hangzhou, ZJ, Kina, 310022
- Local Institution - 0160
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Krakow, Polen, 30-727
- Local Institution - 0018
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Warsaw, Polen, 02-781
- Local Institution - 0052
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Polen, 02-507
- Local Institution - 0051
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Pl-mz
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Warsaw, Pl-mz, Polen, 05-400
- Local Institution - 0037
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PR
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San Juan, PR, Puerto Rico, 00927
- Local Institution - 0106
-
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Bern, Schweiz, 3010
- Local Institution - 0069
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Canton of Aargau
-
Aarau, Canton of Aargau, Schweiz, 5000
- Local Institution - 0057
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-
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Singapore, Singapore, 169610
- Local Institution - 0109
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Singapore, Singapore, 329563
- Local Institution - 0087
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A Coruña, Spanien, 15006
- Local Institution - 0112
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Barcelona, Spanien, 08035
- Local Institution - 0080
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Seville, Spanien, 41013
- Local Institution - 0035
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-
B
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Badalona, B, Spanien, 08916
- Local Institution - 0029
-
Barcelona, B, Spanien, 08036
- Local Institution - 0093
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M
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Madrid, M, Spanien, 28041
- Local Institution - 0102
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Madrid
-
Madrid, Madrid, Spanien, 28046
- Local Institution - 0113
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Z
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Zaragoza, Z, Spanien, 50009
- Local Institution - 0116
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-
-
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Gothenburg, Sverige, 413 45
- Local Institution - 0067
-
Malmö, Sverige, 214 28
- Local Institution - 0094
-
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AB
-
Stockholm, AB, Sverige, 112 81
- Local Institution - 0038
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Stockholm, AB, Sverige, 171 76
- Local Institution - 0135
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C
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Uppsala, C, Sverige, 751 85
- Local Institution - 0058
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-
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Goyang-si, Gyeonggi-do, Sydkorea, 10408
- Local Institution - 0073
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Seongnamsi Bundanggu, Sydkorea, 13620
- Local Institution - 0129
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Seoul, Sydkorea, 05505
- Local Institution - 0092
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Seoul, Sydkorea, 06351
- Local Institution - 0075
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Seoul, Sydkorea, 110-744
- Local Institution - 0074
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Seoul-teukbyeolsi
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Seoul, Seoul-teukbyeolsi, Sydkorea, 03722
- Local Institution - 0072
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Tainan, Taiwan, 70403
- Local Institution - 0077
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CHA
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Changhua, CHA, Taiwan, 500
- Local Institution - 0128
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KHH
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Kaohsiung City, KHH, Taiwan, 83301
- Local Institution - 0111
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TNN
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Tainan, TNN, Taiwan, 704
- Local Institution - 0076
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TPE
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Zhongzheng, TPE, Taiwan, 100
- Local Institution - 0121
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Hořovice, Tjekkiet, 26801
- Local Institution - 0099
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Hradec Králové, Tjekkiet, 500 05
- Local Institution - 0016
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Olomouc, Tjekkiet, 775 20
- Local Institution - 0100
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Ostrava, Tjekkiet, 708 52
- Local Institution - 0123
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Prague, Tjekkiet, 150 06
- Local Institution - 0064
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Hamburg, Tyskland, 20249
- Local Institution - 0040
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München, Tyskland, 81377
- Local Institution - 0034
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Baden-Wurttemberg
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Mannheim, Baden-Wurttemberg, Tyskland, 68167
- Local Institution - 0054
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Reutlingen, Baden-Wurttemberg, Tyskland, 72764
- Local Institution - 0056
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Bavaria
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Würzburg, Bavaria, Tyskland, 97080
- Local Institution - 0053
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Hesse
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Frankfurt A. Main, Hesse, Tyskland, 60488
- Local Institution - 0041
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North Rhine-Westphalia
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Essen, North Rhine-Westphalia, Tyskland, 45147
- Local Institution - 0101
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State of Berlin
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Berlin, State of Berlin, Tyskland, 13353
- Local Institution - 0055
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Graz, Østrig, 6800
- Local Institution - 0030
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Klagenfurt, Østrig, 9020
- Local Institution - 0078
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Salzburg, Østrig, 5020
- Local Institution - 0131
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Histologisk bekræftet tidligere behandlet kolorektal cancer med adenocarcinom histologi med metastatisk eller tilbagevendende ikke-operabel sygdom ved studiestart
Deltagerne skal have:
- udviklet sig under eller inden for ca. 3 måneder efter den sidste administration af godkendte standardterapier (mindst 1, men ikke mere end 4 tidligere behandlingslinjer), som skal omfatte en fluoropyrimidin, oxaliplatin, irinotecan, en anti-VEGF-terapi og anti- EGFR-terapi (hvis KRAS-vildtype), hvis tilgængelig i det respektive land, eller;
- været intolerant over for tidligere systemiske kemoterapiregimer, hvis der er dokumenteret tegn på klinisk signifikant intolerance trods tilstrækkelige støtteforanstaltninger
- Skal have tilstrækkeligt tumorvæv og evaluerbar PD-L1-ekspression for at opfylde undersøgelseskravene
- Skal have målbar sygdom pr. RECIST v1.1. Deltagere med læsioner i et tidligere bestrålet felt som det eneste sted for målbar sygdom vil få tilladelse til at tilmelde sig, forudsat at læsion(erne) har vist tydelig progression og kan måles nøjagtigt
Ekskluderingskriterier:
- Forudgående behandling med enten immunterapi eller med regorafenib eller med TAS-102
- Ubehandlede metastaser i centralnervesystemet (CNS), deltagere er kvalificerede, hvis CNS-metastaser er blevet behandlet, og deltagerne er neurologisk vendt tilbage til baseline (bortset fra resterende tegn eller symptomer relateret til CNS-behandlingen)
- Anamnese med refraktær hypertension, der ikke er kontrolleret med antihypertensiv behandling, myocarditis (uanset ætiologi), ukontrollerede arytmier, akut koronarsyndrom inden for 6 måneder før dosering, kongestivt klasse II hjertesvigt (i henhold til New York Heart Association Functional Classification), interstitiel lungesygdom/pneumonitis eller en aktiv, kendt eller mistænkt autoimmun sygdom
- Bekræftet tumormikrosatellit-ustabil høj/deficient mismatch repair (MSI-H/dMMR) status i henhold til lokal standardtestning; MSI/MMR-testresultater fra indledende diagnose er acceptable.
Andre protokoldefinerede inklusions-/eksklusionskriterier gælder
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 |
|---|---|
|
Eksperimentel: Arm A: Nivolumab + Relatlimab fastdosiskombination (FDC)
|
Specificeret dosis på specificerede dage
Andre navne:
|
|
Aktiv komparator: Arm B: Efterforskerens valg
Behandling med Regorafenib eller TAS-102
|
Specificeret dosis på specificerede dage
Andre navne:
Specificeret dosis på specificerede dage
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Overall Survival (OS)
Tidsramme: From date of randomization to the date of death due to any cause (Up to approxaimtely 38 months)
|
OS is defined as the time from date of randomization to the date of death due to any cause.
|
From date of randomization to the date of death due to any cause (Up to approxaimtely 38 months)
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Objective Response Rate (ORR) Per Blinded Independent Central Review (BICR)
Tidsramme: From randomization until the date of objectively documented response (Up to approximately 38 months)
|
ORR is defined as the percent of participants with a best overall response (BOR) of confirmed Complete Response (CR) or Partial Response (PR). CR=Disappearance of all target lesions. PR=At least a 30% decrease in the sum of diameters of target lesions. |
From randomization until the date of objectively documented response (Up to approximately 38 months)
|
|
Progression Free Survival (PFS) Per Blinded Independent Central Review (BICR)
Tidsramme: From date of randomization to the date of first documented progression or death, whichever occurs first (Up to approximately 38 months)
|
PFS is defined as the time from randomization to first documented progression (PD) or death due to any cause, whichever is earlier. PD=At least a 20% increase in the sum of diameters of target lesions. |
From date of randomization to the date of first documented progression or death, whichever occurs first (Up to approximately 38 months)
|
|
Duration of Response (DoR) Per Blinded Independent Central Review (BICR)
Tidsramme: From date of randomization to the date of first documented progression or death, whichever occurs first (Up to approximately 38 months)
|
DoR is defined as the time between the date of first confirmed documented response (CR or PR) to the date of the first documented tumor progression as determined by BICR (per RECIST v1.1 criteria), or death due to any cause, whichever occurs first. CR=Disappearance of all target lesions. PR=At least a 30% decrease in the sum of diameters of target lesions. PD=At least a 20% increase in the sum of diameters of target lesions. |
From date of randomization to the date of first documented progression or death, whichever occurs first (Up to approximately 38 months)
|
|
Number of Participants With Adverse Events (AEs)
Tidsramme: From first dose until 30 days post last dose (Up to 24 months)
|
AE is defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product; it does not necessarily have to have a causal relationship with this treatment.
An SAE is defined as any untoward medical occurrence at any dose that: results in death, is immediately life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity or substantial disruption of the ability to conduct normal life functions, results in a congenital abnormality or birth defect, or is an important medical event that may not result in death, be life-threatening, or require hospitalization, but may require medical or surgical intervention to prevent any of the outcomes listed above.
|
From first dose until 30 days post last dose (Up to 24 months)
|
|
Number of Participants With Select Adverse Events (AEs)
Tidsramme: From first dose until 30 days post last dose (Up to 24 months)
|
AE is defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product; it does not necessarily have to have a causal relationship with this treatment.
|
From first dose until 30 days post last dose (Up to 24 months)
|
|
Number of Participants With Immune Mediated Adverse Events (IMAEs)
Tidsramme: From first dose until 30 days post last dose (Up to 24 months)
|
AE is defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product; it does not necessarily have to have a causal relationship with this treatment.
|
From first dose until 30 days post last dose (Up to 24 months)
|
|
Number of Participants With Laboratory Test Results of Worst Toxicity Grade 3 and 4
Tidsramme: From first dose until 30 days post last dose (Up to 24 months)
|
Blood samples were collected for assessment of laboratory test results.
All abnormalities were graded as per CTCAE v5.0 on a scale from 1 to 4, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization.
|
From first dose until 30 days post last dose (Up to 24 months)
|
|
Time Until Definitive Deterioration - Quality of Life (TUDD-QoL)
Tidsramme: From randomization until the first date of a definititve clincial decline from baseline in QoL scale score (Up to approximately 38 months)
|
TUDD-QoL is defined as time from randomization until the first date of a definitive clinically meaningful decline from baseline in EORTC QLQ-C30 health status/QoL scale score.
A definitive deterioration is defined as when all subsequent PRO assessments after a deterioration also reach or exceed the pre-defined meaningful change threshold.
A decrease in score of at least 15 points from baseline will be considered to be the meaningful change threshold (MCT) for the global health status/quality-of-life and scale.
|
From randomization until the first date of a definititve clincial decline from baseline in QoL scale score (Up to approximately 38 months)
|
|
Time Until Definitive Deterioration - Physical Function (TUDD-PF)
Tidsramme: From randomization until the first date of a definititve clincial decline from baseline in PF scale score (Up to approximately 38 months)
|
TUDD-PF is defined as time from randomization until the first date of a definitive clinically meaningful decline from baseline in EORTC QLQ-C30 physical function scale score.
A definitive deterioration is defined as when all subsequent PRO assessments after a deterioration also reach or exceed the pre-defined meaningful change threshold.
A 10-point decrease from baseline will be considered the meaning change threshold (MCT) for the physical function scale.
|
From randomization until the first date of a definititve clincial decline from baseline in PF scale score (Up to approximately 38 months)
|
|
Progression Free Survival (PFS) Per Investigator
Tidsramme: From date of randomization to the date of first documented progression or death, whichever occurs first (Up to approximately 38 months)
|
PFS is defined as the time from randomization to first documented progression (PD) or death due to any cause, whichever is earlier. PD=At least a 20% increase in the sum of diameters of target lesions. |
From date of randomization to the date of first documented progression or death, whichever occurs first (Up to approximately 38 months)
|
|
Objective Response Rate (ORR) Per Investigator
Tidsramme: From randomization until the date of objectively documented response (Up to approximately 38 months)
|
ORR is defined as the percent of participants with a best overall response (BOR) of confirmed Complete Response (CR) or Partial Response (PR). CR=Disappearance of all target lesions. PR=At least a 30% decrease in the sum of diameters of target lesions. |
From randomization until the date of objectively documented response (Up to approximately 38 months)
|
|
Duration of Response (DoR) Per Investigator
Tidsramme: From date of randomization to the date of first documented progression or death, whichever occurs first (Up to approximately 38 months)
|
DoR is defined as the time between the date of first confirmed documented response (CR or PR) to the date of the first documented tumor progression as determined by BICR (per RECIST v1.1 criteria), or death due to any cause, whichever occurs first. CR=Disappearance of all target lesions. PR=At least a 30% decrease in the sum of diameters of target lesions. PD=At least a 20% increase in the sum of diameters of target lesions. |
From date of randomization to the date of first documented progression or death, whichever occurs first (Up to approximately 38 months)
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: Bristol-Myers Squibb, Bristol-Myers Squibb
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Neoplasmer efter sted
- Neoplasmer
- Genetiske sygdomme, medfødte
- Tarmsygdomme
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Sygdomme i fordøjelsessystemet
- Gastrointestinale sygdomme
- Intestinale neoplasmer
- Endetarmssygdomme
- Neurodegenerative sygdomme
- Tyktarmssygdomme
- Heredodegenerative lidelser, nervesystem
- Rygmarvssygdomme
- Cerebellære sygdomme
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Kolorektale neoplasmer
- Spinocerebellare degenerationer
- Antineoplastiske midler, immunologiske
- Immune Checkpoint-hæmmere
- Anti-infektionsmidler
- Antineoplastiske midler
- Molekylære mekanismer for farmakologisk virkning
- Antimetabolitter
- Antivirale midler
- trifluridin tipiracil lægemiddelkombination
- Regorafenib
Andre undersøgelses-id-numre
- CA224-123
- 2021-004285-35 (EudraCT nummer)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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