Programma PRE-I-SPY Fase I/Ib (PRE-ISPY)
PRE-indagine su studi seriali per prevedere la tua risposta terapeutica con imaging e analisi molecolare: una sperimentazione della piattaforma di fase I/Ib
PRE-ISPY Phase I/II (I-SPY-P1) is an open-label, multisite platform study with multiple ongoing drug regimen arms added by protocol amendment which is designed to evaluate single agents or combinations in locally advanced, incurable, or metastatic solid tumors and/or oligometastatic malignancy and/or a high risk of recurrence following prior treatment with curative intent. The overall goal is moving promising drug regimens into a larger phase II (or III) trial and in general could feed the neoadjuvant breast I-SPY 2 Trial (NCT01042379) and/or other oncology solid tumor trial in a timely manner.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
- Adenocarcinoma
- Neoplasie colorettali
- Cancro rettale
- Neoplasie Rettali
- Tumore solido
- Cancro metastatico
- Cancro al seno metastatico
- Cancro al seno triplo negativo
- Cancro al seno HER2-positivo
- Cancro al colon
- Neoplasie del colon
- Cancro del colon-retto
- Neoplasia, Residuo
- Malattia minima residua
- Tumore solido, adulto
- Carcinoma solido
- Carcinoma mammario metastatico HER2-positivo
- Cancro al seno positivo al recettore del progesterone
- Cancro al seno HER2-negativo
- Tumore positivo al recettore degli estrogeni
- Cancro al seno positivo al recettore ormonale
- Metastatico
- Sovraespressione della proteina HER-2
- Cancro al seno PR-positivo
- Carcinoma mammario con recettore ormonale negativo
- Cancro al seno basso HER2
- Tumori correlati alla mutazione HER2
- Risorse umane positive
- Cancro al seno ER positivo
- Monitoraggio del ctDNA
- Adenocarcinoma del colon
- Carcinoma mammario basso HER2
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
The PRE-ISPY/I-SPY-P1 study is a platform trial with multiple ongoing drug regimen arms. Each drug regimen arm may have a Phase I dose-finding group (Part 1), a dose-expansion group (Part 2), and/or a Phase II component. Participant eligibility may vary according to the investigational arm or the part within the study arm, including with respect to diagnosis. Arms may restrict enrollment to a certain molecular pathway abnormality or histologic diagnosis (e.g. metastatic TNBC or MRD CRC). The trial allows for various study arm designs, with the goal to complete analysis of a study arm in 12 to 18 months.
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 2
- Fase 1
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Smita M Asare
- Numero di telefono: 104 (855) 866-0505
- Email: smita.asare@qlhc.org
Backup dei contatti dello studio
- Nome: Maria Pitsiouni, PhD
- Numero di telefono: 172 (415) 651-8047
- Email: m.pitsiouni@qlhc.org
Luoghi di studio
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Alabama
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Birmingham, Alabama, Stati Uniti, 35233
- Reclutamento
- The University of Alabama at Birmingham O'Neal Comprehensive Cancer Center
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Investigatore principale:
- Erica Stringer-Reasor, MD
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Contatto:
- Anethea Tolliver
- Numero di telefono: 205-644-9896
- Email: anetheatolliver@uabmc.edu
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Contatto:
- Lindsey M Waldheim
- Email: lwaldheim@uabmc.edu
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Sub-investigatore:
- Nusrat Jahan, MD
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Sub-investigatore:
- Gabrielle Rocque, MD
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Sub-investigatore:
- Midhun Malla, MD
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Arizona
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Phoenix, Arizona, Stati Uniti, 85054
- Non ancora reclutamento
- Mayo Clinic Comprehensive Cancer Center
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Sub-investigatore:
- Mojun Zhu, MD
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Contatto:
- Clinical Trials Referral Office
- Numero di telefono: 855-776-0015
- Email: mayocliniccancerstudies@mayo.edu
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Sub-investigatore:
- Lida Mina, MD
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Colorado
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Aurora, Colorado, Stati Uniti, 80045
- Attivo, non reclutante
- University of Colorado Cancer Center
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Florida
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Tampa, Florida, Stati Uniti, 33612
- Attivo, non reclutante
- Moffitt Cancer Center
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Illinois
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Chicago, Illinois, Stati Uniti, 60637
- Reclutamento
- The University of Chicago Medicine Comprehensive Cancer Center
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Investigatore principale:
- Nan Chen, MD
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Sub-investigatore:
- Rita Nanda, MD
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Contatto:
- Clara Duarte
- Numero di telefono: 773-834-5727
- Email: vqq5698@bsd.uchicago.edu
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Sub-investigatore:
- Ardaman Shergill, MD, MSPH
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New Lenox, Illinois, Stati Uniti, 60451
- Reclutamento
- UChicago Medicine Comprehensive Cancer Center at Silver Cross Hospital
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Investigatore principale:
- Nan Chen, MD
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Contatto:
- Clara Duarte
- Numero di telefono: 773-834-5727
- Email: vqq5698@bsd.uchicago.edu
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Orland Park, Illinois, Stati Uniti, 60462
- Reclutamento
- UChicago Medicine Orland Park
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Investigatore principale:
- Nan Chen, MD
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Contatto:
- Clara Duarte
- Numero di telefono: 773-834-5727
- Email: vqq5698@bsd.uchicago.edu
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Minnesota
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Minneapolis, Minnesota, Stati Uniti, 55455
- Reclutamento
- University of Minnesota Masonic Cancer Center
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Investigatore principale:
- David Potter, MD, PhD
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Contatto:
- Katie Vaughn, RN
- Numero di telefono: 612-624-6968
- Email: schro811@umn.edu
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Contatto:
- Erin Rogers
- Email: roge0507@umn.edu
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Sub-investigatore:
- Anne Blaes, MD, MS
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Sub-investigatore:
- Emil Lou, MD, PhD
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Rochester, Minnesota, Stati Uniti, 55905
- Non ancora reclutamento
- Mayo Clinic Comprehensive Cancer Center
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Sub-investigatore:
- Zhaohui Jin, MD
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Contatto:
- Clinical Trials Referral Office
- Numero di telefono: 855-776-0015
- Email: mayocliniccancerstudies@mayo.edu
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Investigatore principale:
- Roberto A Leon-Ferre, MD
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Texas
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Houston, Texas, Stati Uniti, 77030
- Attivo, non reclutante
- The University of Texas MD Anderson Cancer Center
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
General Inclusion Criteria (GIC):
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GIC1: The participant must have ability to understand and willingness to provide signed written informed consent prior to any study related assessments and procedures and for collection of archival FFPE blocks for research. If FFPE blocks cannot be submitted, 20 to 40 freshly cut FFPE tissue slices (4 to 7 microns thick each) from a representative FFPE block, mounted on charged glass slides and left unstained will be acceptable. This criteria can be modified in specific drug regimens.
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GIC2: Age ≥ 18 years at the time of signing the informed consent
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GIC3: Gender: Male or female (premenopausal and postmenopausal)
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GIC4: ECOG performance status Grade 0-2. This criteria can be modified in specific drug regimens.
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GIC5: Estimated life expectancy > 12 weeks at the start of investigational medicinal product (IMP) treatment.
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GIC6: Adequate organ function, evidenced by the following laboratory results within 30 days of the start of IMP:
- Absolute neutrophil count ≥ 1,500/mm3
- Platelet count ≥ 100,000/mm3
- Hemoglobin ≥ 9.0 g/dL with no blood transfusion in the past 28 days
- Total bilirubin ≤ 1.5 x the upper limit of normal (ULN)
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3.0 x ULN
- Estimated Creatinine clearance (using Cockcroft-Gault formula) ≥ 60 mL/min for small molecules and >30 mL/min for monoclonal antibodies unless otherwise specified in the Arm Specific Eligibility.
These cut-off values may be modified with supporting data for specific drug regimens.
- GIC7: Non-Pregnant: Serum or urine pregnancy test must be negative within 14 days of IMP treatment start in women of childbearing potential. Pregnancy testing does not need to be pursued in patients who are judged as postmenopausal before enrollment, or who have undergone bilateral oophorectomy, total hysterectomy, or bilateral tubal ligation. If male, they must agree to refrain from donating sperm during treatment.
- GIC8: Contraception: Women of childbearing potential and men must be willing to use adequate contraception for the duration of protocol treatment. Additional information regarding contraception for the specific treatment arm will be added to the drug arm description. Adequate contraception is defined as one highly effective form (i.e., abstinence, (fe)male sterilization) OR two effective forms (e.g., non-hormonal IUD and condom / occlusive cap with spermicidal foam / gel / film / cream / suppository).
- GIC9: Prior therapy effects: Resolution of all acute toxic effects of prior therapy, including radiotherapy, to grade ≤1 and neuropathy to grade ≤2 (except toxicities not considered a safety risk for the patient) and recovery from surgical procedures.
- GIC10: Participant compliance: Patients who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
- Additional arm specific inclusion criteria as needed by drug arm regimen
General Exclusion Criteria (GEC):
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GEC1: Wash out periods: Other anticancer therapy within the following period:
- chemotherapy or investigational agents, 3 weeks
- mitomycin C and nitrosoureas, 6 weeks
- if radiotherapy is less than 5 days, 1 week wash out; if >5 days, then 2 weeks washout
- for radionuclides, contact Study PI or Study Chaperone to determine washout
- targeted therapy, 2 weeks
- MAbs, ADCs, and immunotherapy, 3 weeks
- endocrine therapy, no washout needed
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GEC2: Concurrent therapy with other Investigational Products.
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GEC3: Prior history of drug/regimen hypersensitivity: History of infusion-related reactions and/or hypersensitivity to IMP or excipients of the study drug/drugs which led to permanent discontinuation of the treatment.
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GEC4: Uncontrolled intercurrent illness including active infection, diabetes, adrenal insufficiency, pulmonary embolism, stroke in the past 6 months, or psychiatric illness/social situations that would limit compliance with study requirements.
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GEC5: Cardiovascular disease: History (within 6 months prior to start IMP) of clinically significant cardiovascular disease such as unstable angina, congestive heart failure (CHF), myocardial infarction, uncontrolled hypertension, cardiac arrhythmia requiring medication, or baseline corrected QT by Fridericia's formula (QTcF) length > 470 msec for men and women. The QTcF cut-off value may be modified with supporting data for specific drug regimens.
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GEC6: CNS tumoral spread: Active uncontrolled/symptomatic central nervous system cancer/spinal cord compression. Previously treated and clinically stable lesions, as per Investigator's judgment, are permitted. Exception: Newly discovered asymptomatic lesions that are not life threatening and do not require urgent local treatment to ensure patient safety, including new parenchymal lesions or leptomeningeal disease, if the treating physician determines that immediate CNS specific treatment is not required and is unlikely to be required during the first cycle of therapy, after consultation with study regimen chaperones, may be permitted. This criteria can be modified in specific drug regimens.
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GEC7: Liver disease: Patients with clinically significant history of liver disease, including viral or other known hepatitis, current alcohol abuse, or cirrhosis.
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GEC8: Recent major surgery within 4 weeks prior to start IMP treatment
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GEC9: Pregnancy or breastfeeding
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GEC10: Individuals accommodated in an institution because of regulatory or legal order; prisoners or participants who are legally institutionalized.
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GEC11: Other conditions, which in the opinion of the investigator, would compromise the safety of the patient or the patient's ability to complete the study.
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GEC12: Concomitant malignancies: A diagnosis of a malignancy in the 2 years prior to starting study treatment other than the disease under study. Exceptions include indolent or definitively treated malignancy not expected to require treatment during the study, affect the safety of participants, or affect the endpoints of the trial.
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Additional arm specific exclusion criteria as needed by drug arm regimen
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Sperimentale: PRE1 ALX148 (Evorpacept) + Fam-Trastuzumab Deruxtecan-Nxki (T-DXd, Enhertu®)
The combination of T-DXd and ALX148 aims to explore the anti-tumoral effects of trastuzumab, of the topoisomerase inhibitor DXd and of the CD47-blocking agent ALX148. The rationale for this combination is that ALX148 is hypothesized, based on preclinical data, to facilitate antibody-dependent cellular phagocytosis (ADCP) of HER2 expressing (>HER2 1+) breast cancer binding T-DXd while cancer cell intrinsic or bystander cytotoxicity of T-DXd will result in the release of neoantigens promoting immune mediated antitumor activity in the tumor microenvironment. |
Starting dose Dose Level 1 30mg/kg IV Q3W; Dose Level Minus 1 20 mg/kg IV Q3W (if needed); Dose Level 2 45 mg/kg IV Q3W;
Altri nomi:
5.4 mg/kg IV Q3W; allowed to dose reduce after DLT observation period
Altri nomi:
|
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Sperimentale: PRE2 Zanidatamab (Ziihera®, ZW25, zani) + Tucatinib (TUKYSA®)
Zanidatamab is a bispecific IgG1-like antibody directed against two distinct HER2 epitopes. It induces formation of receptor clusters and internalization resulting in downregulation. It also inhibits growth factor-dependent and -independent tumor cell proliferation and potently activates ADCC, ADCP, and CDC. FDA approved for metastatic HER2+ bile duct cancer. Tucatinib is a highly selective, small molecule tyrosine kinase inhibitor (TKI) of HER2 compared to other TKI's (i.e., EGFR). It is well tolerated, crosses the blood brain barrier and can treat CNS disease. FDA approved for HER2+ breast cancer. Given the promising clinical data for each of these drugs which have different mechanisms, the effect of zanidatamab after T-DXd (Enhertu®) in breast cancer patients, and the favorable toxicity profile of both drugs, we hypothesize that the combination of tucatinib and zanidatamab will be well tolerated and more efficacious than either drug alone for the treatment of HER2+ breast cancer. |
20 mg/kg IV Q2W on Day 1 and Day 15 of each 28 day cycle
Altri nomi:
Dose Level 1: 300 mg PO BID daily; Dose Leve Minus 1: 250 mg PO BID daily
Altri nomi:
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Sperimentale: PRE4 TTX-MC138
TTX-MC138 is an antisense oligonucleotide targeting miR-10b. MicroRNA-10b (miR-10b) was identified in metastatic cell lines and tumors from participants with metastatic breast cancer and has been shown to regulate the ability of metastatic tumor cells to survive outside of the primary tumor and to migrate and invade surrounding tissue. miRNA-10b is critical to tumor growth and is a master regulator of metastatic cell viability in a range of cancers, including breast, pancreatic, ovarian, colon cancer, glioblast. This is a PRE-ISPY PHASE II study of TTX-MC138 as interception treatment in patients with Stage I-III adenocarcinoma of the colon or rectum (Cohort A) who have documented minimal residual disease by tumor informed ctDNA, that was collected following completion of standard therapy with curative intent. |
4.8 mg/kg Q4W IV on Day 1 for up to 12 cycles as interception therapy |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Incidence of Adverse Events related to the treatment
Lasso di tempo: Start of treatment to 30 days post treatment (estimated 12 -18 months)
|
Evaluate the number of adverse events related to the treatment according to the current version of CTCAE during the trial. |
Start of treatment to 30 days post treatment (estimated 12 -18 months)
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For Phase Ib Part 1 study design: Incidence of Dose Limiting Toxicities (DLTs) at each dose level
Lasso di tempo: DLT observation period: Start of treatment to end of Cycle 1
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To determine the safety and tolerability of new agents/regimens in participants with certain advanced solid tumors and breast cancer. DLT rate (number of participants who experience a protocol defined DLT/total number of DLT cohort participants at that dose). |
DLT observation period: Start of treatment to end of Cycle 1
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For select drug arms, Maximum Tolerated Dose (MTD)
Lasso di tempo: Start of treatment to the date of last participant at end of DLT observation period at highest dose level (estimated 6 months)
|
The maximum dose level (mg/kg) which is not eliminated. |
Start of treatment to the date of last participant at end of DLT observation period at highest dose level (estimated 6 months)
|
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For Phase Ib Part 1 drug arms, Recommended Phase 2 Dose (RP2D)
Lasso di tempo: Start of treatment to the date of last participant at highest dose level (estimated 6 months)
|
Using all available data, computation of RP2D (mg/kg), which may not be the MTD. |
Start of treatment to the date of last participant at highest dose level (estimated 6 months)
|
|
Overall Response Rate (ORR)
Lasso di tempo: Start of treatment to 12 months
|
To obtain preliminary efficacy data of the new agents/regimens in participants with certain advanced solid tumors and breast cancer. |
Start of treatment to 12 months
|
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Duration of Response (DOR)
Lasso di tempo: Start of treatment to 12 months
|
To obtain preliminary efficacy data of the new agents/regimens in participants with certain advanced solid tumors and breast cancer. |
Start of treatment to 12 months
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Progression Free Survival (PFS) - descriptive
Lasso di tempo: Start of treatment to 12 months
|
To provide descriptive assessment of Progression Free Survival (PFS) of the new agents/regimens with certain advanced solid tumors and breast cancer |
Start of treatment to 12 months
|
|
Clinical Benefit Rate (CBR) at 6 months
Lasso di tempo: Start of treatment to 6 months
|
To obtain preliminary Clinical Benefit Rate (CBR) at 6 months of participants treated with the new agents/regimens. |
Start of treatment to 6 months
|
Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Investigatore principale: Paula R Pohlmann, MD, MSc, PhD, M.D. Anderson Cancer Center
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
- Fase I
- Fase II
- Fase 2
- RNA
- ALX148
- Evorpact
- T-DXd
- Prove I-SPY
- Quantum Leap Collaborazione sanitaria
- QLHC
- Tucatinib
- Enhertu
- microRNA
- QL
- Tukysa
- IO SPIO
- I-SPY2
- I-SPY1
- PRE-ISPIA
- PRE-I-SPIA
- I-SPY Fase 1
- I-SPY Fase 1b
- I-SPY-P1
- IO SPIO
- ISPYP1
- Piattaforma I-SPY Fase 1
- ISPY2
- ISPY1
- Piattaforma di fase 1
- Piattaforma oncologica di fase 1
- T-DXd ingenuo
- PRE1
- PRE2
- PRE3
- Zanidatamab
- PRE
- Pre-I-Spy Fase 1
- Fase 1b pre-i-spy
- Ziihera
- K-SPY
- KSPY
- QuantumLeap
- PRE-ISPY NCT
- PRE-ISPY Network
- PRE-ISPY Phase 2
- PRE-ISPY Phase 1
- PRE-ISPY Phase I
- miRNA-10b
- PRE-I-SPY Phase 2
- PRE-I-SPY Phase II
- preispy
- PRE4
- PRE5
- PRE6
- TTX-MC138
Termini MeSH pertinenti aggiuntivi
- Processi patologici
- Neoplasie per sede
- Neoplasie
- Malattie intestinali
- Neoplasie per tipo istologico
- Neoplasie gastrointestinali
- Neoplasie dell'apparato digerente
- Malattie dell'apparato digerente
- Malattie gastrointestinali
- Neoplasie intestinali
- Malattie del retto
- Neoplasie, ghiandolari ed epiteliali
- Malattie del colon
- Processi neoplastici
- Malattie della pelle
- Malattie del seno
- Carcinoma
- Condizioni patologiche, segni e sintomi
- Malattie della pelle e del tessuto connettivo
- Neoplasie Rettali
- Neoplasie colorettali
- Neoplasia, Residuo
- Neoplasie del colon
- Neoplasie mammarie
- Metastasi neoplastica
- Adenocarcinoma
- Neoplasie mammarie triplo negativo
- Tucatinib
- Zanidatamab
- ALX148
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- I-SPY-P1
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .