- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07493304
Laskimotukoksen (VTE) hoito ja toissijainen ehkäisy aikuisilla potilailla, joilla on kiinteitä ja hematologisia syöpiä (ROXI-CAT-II)
Kaksiosainen, vaiheen 3, monikeskuksinen, satunnaistettu, avoimella leimauksella suoritettu, aktiivisella verrokkilääkkeellä varustettu tutkimus, jossa arvioidaan FXI-vastaista monoklonaalista vasta-ainetta REGN7508:n tehokkuutta ja turvallisuutta laskimotukoksen hoitoon ja toissijaiseen ehkäisyyn kiinteissä ja hematologisissa syövissä sairastavilla osallistujilla (ROXI-CAT-II)
This study is researching an experimental drug called REGN7508 (called "study drug") and will consist of 2 parts: Part 1 and Part 2. The study is focused on participants with or without cancer who develop blood clots in certain veins (called Deep Vein Thrombosis [DVT]) that block blood flow (Part 1) or focused on participants with cancer who develop blood clots in certain veins (DVT) or the lungs (also called Pulmonary Embolism [PE]) (Part 2).
The aim of the study is to see how safe and effective the study drug is at treating and preventing further blood clots in participants with or without cancer (Part 1) or in participants with cancer (Part 2) compared with another treatment (apixaban).
The study is looking at several other research questions, including:
- What side effects may happen from taking the study drug
- How much study drug is in the blood at different times
- Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)
Tutkimuksen yleiskatsaus
Tila
Interventio / Hoito
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Vaihe 3
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Clinical Trials Administrator
- Puhelinnumero: 844-734-6643
- Sähköposti: clinicaltrials@regeneron.com
Opiskelupaikat
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Sofia, Bulgaria, 1618
- Rekrytointi
- Arensia Exploratory Medicine, Multiprofile Hospital for Active Treatment Sveta Sofia
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Busan, Etelä -Korea, 48108
- Rekrytointi
- Inje University, Haeundae Paik Hospital
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Seoul, Etelä -Korea, 06351
- Rekrytointi
- Samsung Medical Center
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Seoul, Etelä -Korea, 3080
- Rekrytointi
- Seoul National University Hospital
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Seoul, Etelä -Korea, 03722
- Rekrytointi
- Yonsei University Health System, Severance Hospital
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Gyeonggi-do
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Yongin-si, Gyeonggi-do, Etelä -Korea, 16995
- Rekrytointi
- Yonsei University Health System, Yongin Severance Hospital
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Kanagawa
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Isehara-Shi, Kanagawa, Japani, 259-1193
- Rekrytointi
- Tokai University Hospital
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Tokyo
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Shinjuku, Tokyo, Japani, 160-0023
- Rekrytointi
- Tokyo Medical University Hospital
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Yamaguchi
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Ube, Yamaguchi, Japani, 755-8505
- Rekrytointi
- Yamaguchi University Hospital
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Bucharest
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Bucharest, Bucharest, Romania, 022328
- Rekrytointi
- Institute of Oncology Bucharest
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Cluj
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Cluj-Napoca, Cluj, Romania, 400015
- Rekrytointi
- Arensia Exploratory Medicine, The Oncology Institute "Prof. Dr. Ion Chiricuta"
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Florida
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Hialeah, Florida, Yhdysvallat, 33013
- Peruutettu
- Bioresearch Partner- Hialeah Hospital
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New York
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New York, New York, Yhdysvallat, 10021
- Rekrytointi
- Memorial Sloan Kettering Cancer Center
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Texas
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El Paso, Texas, Yhdysvallat, 79902
- Peruutettu
- El Paso Medical Research Institute (Medresearch Inc)
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Key Inclusion Criteria:
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Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2 at the time of screening and day 1 prior to first dose of study intervention
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In Part 1 participants with cancer and Part 2 participants: Histologically confirmed diagnosis of malignant solid or select hematologic tumor (other than basal-cell or squamous-cell carcinoma of the skin alone) as described in the protocol
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Part 1 additional criteria:
- Has newly diagnosed symptomatic lower extremity DVT or incidentally-detected proximal lower extremity DVT (eg, popliteal or femoral) within 5 days (120 hours) of randomization (with imaging confirmation)
- Anticoagulation therapy with a therapeutic dose of a Direct Oral Anticoagulant (DOAC) for at least 3 months is indicated for the newly diagnosed proximal lower extremity DVT
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Part 2 additional criteria:
- Newly diagnosed VTE within 5 days (120 hours) of randomization (with imaging confirmation) as described in the protocol
- Anticoagulation therapy with a therapeutic dose of a DOAC for at least 6 months is indicated for newly diagnosed VTE
Key Exclusion Criteria:
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Is at high risk of intracranial bleeding in the opinion of the investigator
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Known bleeding conditions (eg, Hemophilia A or B, von Willebrand's disease), hemorrhagic tumor sites, or other conditions with a high risk for bleeding (eg, hepatic disease associated with coagulopathy)
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Contraindication to anticoagulation in the opinion of the investigator
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Life expectancy of < 6 months
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Part 1 participants with cancer and Part 2 additional exclusion criteria:
- Has acute leukemia or myelodysplastic syndrome
- Has primary brain tumor
- Has brain metastases as described in the protocol
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Part 1 additional exclusion criteria:
- Has a symptomatic PE
- Has an asymptomatic (incidentally-diagnosed) PE in a segmental or larger pulmonary artery
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Part 2 additional exclusion criteria: PE leading to hemodynamic instability as described in the protocol
Note: Other Protocol Defined Inclusion/ Exclusion Criteria Apply
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
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Active Comparator: Apiksabaani
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Administered per the protocol |
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Kokeellinen: REGN7508
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Administered per the protocol
Muut nimet:
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Aikaikkuna: Approximately 6 months
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Part 1 |
Approximately 6 months
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Severity of TEAEs
Aikaikkuna: Approximately 6 months
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Part 1 |
Approximately 6 months
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Time-to-first event of centrally adjudicated recurrent VTE [DVT (symptomatic or asymptomatic [proximal] or Non-fatal PE (symptomatic or asymptomatic [in a segmental or larger pulmonary artery] )or VTE-related death)]
Aikaikkuna: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Time-to-first event of centrally adjudicated International Society of Thrombosis and Hemostasis (ISTH)-defined major bleeding or Clinically Relevant Non-Major (CRNM) bleeding
Aikaikkuna: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Percent inhibition of Factor XI functional Coagulant activity (FXI:C)
Aikaikkuna: Approximately 3 months
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Part 1 |
Approximately 3 months
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Fold change from baseline in activated Partial Thromboplastin Time (aPTT)
Aikaikkuna: Approximately 3 months
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Part 1 |
Approximately 3 months
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Functional REGN7508 concentration
Aikaikkuna: Approximately 3 months
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Part 1 |
Approximately 3 months
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Factor XI (FXI) concentration
Aikaikkuna: Approximately 3 months
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Part 1 |
Approximately 3 months
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Occurrence of Anti-Drug Antibody (ADA) to REGN7508
Aikaikkuna: Up to approximately 3.5 years
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Part 1 and Part 2 |
Up to approximately 3.5 years
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Magnitude of ADA to REGN7508
Aikaikkuna: Up to approximately 3.5 years
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Part 1 and Part 2 |
Up to approximately 3.5 years
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Time-to-first centrally adjudicated event of DVT (symptomatic or asymptomatic [proximal])
Aikaikkuna: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Time-to-first centrally adjudicated event of Non-fatal PE (symptomatic or asymptomatic [in a segmental or larger pulmonary artery])
Aikaikkuna: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Time-to-first centrally adjudicated event of VTE-related death
Aikaikkuna: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Time-to-first event of centrally adjudicated venous thromboembolic events other than DVT and PE
Aikaikkuna: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Time-to-first event of centrally adjudicated Arterial Thromboembolism (ATE)
Aikaikkuna: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Time-to-first event of centrally adjudicated recurrent VTE and bleeding events [DVT (symptomatic or asymptomatic [proximal] or Non-fatal PE (symptomatic or asymptomatic) or VTE-related death) or bleeding (ISTH-defined major bleeding or CRNM bleeding)]
Aikaikkuna: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Occurrence of TEAEs
Aikaikkuna: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Severity of TEAEs
Aikaikkuna: Up to 3.5 approximately years
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Part 2 |
Up to 3.5 approximately years
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Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojohtaja: Clinical Trial Management, Regeneron Pharmaceuticals
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- R7508-CAT-2396
- 2024-519299-16-00 (Ctis)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
IPD-jaon aikakehys
When Regeneron has:
- received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development
- made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry)
- the legal authority to share the data, and
- ensured the ability to protect participant privacy
IPD-jaon käyttöoikeuskriteerit
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
IPD-jakamista tukeva tietotyyppi
- STUDY_PROTOCOL
- MAHLA
- ICF
- ANALYTIC_CODE
- CSR
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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