Trattamento e Prevenzione Secondaria del Tromboembolismo Venoso (TEV) in Partecipanti Adulti con Tumori Solidi ed Ematologici (ROXI-CAT-II)
Uno studio in 2 parti, di Fase 3, multicentrico, randomizzato, in aperto, controllato con attivo, per valutare l'efficacia e la sicurezza di REGN7508, un anticorpo monoclonale contro il fattore XI, per il trattamento e la prevenzione secondaria del tromboembolismo venoso in partecipanti con tumori solidi ed ematologici (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)
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 3
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Clinical Trials Administrator
- Numero di telefono: 844-734-6643
- Email: clinicaltrials@regeneron.com
Luoghi di studio
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Sofia, Bulgaria, 1618
- Reclutamento
- Arensia Exploratory Medicine, Multiprofile Hospital for Active Treatment Sveta Sofia
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Busan, Corea del Sud, 48108
- Reclutamento
- Inje University, Haeundae Paik Hospital
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Seoul, Corea del Sud, 06351
- Reclutamento
- Samsung Medical Center
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Seoul, Corea del Sud, 3080
- Reclutamento
- Seoul National University Hospital
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Seoul, Corea del Sud, 03722
- Reclutamento
- Yonsei University Health System, Severance Hospital
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Gyeonggi-do
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Yongin-si, Gyeonggi-do, Corea del Sud, 16995
- Reclutamento
- Yonsei University Health System, Yongin Severance Hospital
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Kanagawa
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Isehara-Shi, Kanagawa, Giappone, 259-1193
- Reclutamento
- Tokai University Hospital
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Tokyo
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Shinjuku, Tokyo, Giappone, 160-0023
- Reclutamento
- Tokyo Medical University Hospital
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Yamaguchi
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Ube, Yamaguchi, Giappone, 755-8505
- Reclutamento
- Yamaguchi University Hospital
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Bucharest
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Bucharest, Bucharest, Romania, 022328
- Reclutamento
- Institute of Oncology Bucharest
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Cluj
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Cluj-Napoca, Cluj, Romania, 400015
- Reclutamento
- Arensia Exploratory Medicine, The Oncology Institute "Prof. Dr. Ion Chiricuta"
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Florida
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Hialeah, Florida, Stati Uniti, 33013
- Ritirato
- Bioresearch Partner- Hialeah Hospital
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New York
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New York, New York, Stati Uniti, 10021
- Reclutamento
- Memorial Sloan Kettering Cancer Center
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Texas
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El Paso, Texas, Stati Uniti, 79902
- Ritirato
- El Paso Medical Research Institute (Medresearch Inc)
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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
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: 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 |
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Comparatore attivo: Apixaban
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Administered per the protocol |
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Sperimentale: REGN7508
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Administered per the protocol
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Lasso di tempo: Approximately 6 months
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Part 1 |
Approximately 6 months
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Severity of TEAEs
Lasso di tempo: 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)]
Lasso di tempo: 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
Lasso di tempo: Up to approximately 3.5 years
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Part 2 |
Up to approximately 3.5 years
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Percent inhibition of Factor XI functional Coagulant activity (FXI:C)
Lasso di tempo: 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)
Lasso di tempo: Approximately 3 months
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Part 1 |
Approximately 3 months
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Functional REGN7508 concentration
Lasso di tempo: Approximately 3 months
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Part 1 |
Approximately 3 months
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Factor XI (FXI) concentration
Lasso di tempo: Approximately 3 months
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Part 1 |
Approximately 3 months
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Occurrence of Anti-Drug Antibody (ADA) to REGN7508
Lasso di tempo: 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
Lasso di tempo: 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])
Lasso di tempo: 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])
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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)]
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: Up to 3.5 approximately years
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Part 2 |
Up to 3.5 approximately years
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Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Direttore dello studio: Clinical Trial Management, Regeneron Pharmaceuticals
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
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- R7508-CAT-2396
- 2024-519299-16-00 (Ctis)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
Periodo di condivisione IPD
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
Criteri di accesso alla condivisione IPD
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
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- ICF
- CODICE_ANALITICO
- RSI
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 .