EGFR 유도 진행성 고형암 환자에서 BCA101 단독요법 및 병용요법의 안전성 및 내약성 연구
EGFR 유도 진행성 고형 종양 환자의 이중 기능 EGFR/TGFβ 융합 단백질 BCA101 단일 요법 및 병용 요법에 대한 인간 최초, 1/1b상, 공개 라벨, 다기관 연구
The investigational drug to be studied in this protocol, BCA101, is a first-in-class compound that targets both EGFR with TGFβ. Based on preclinical data, this bifunctional antibody may exert synergistic activity in patients with EGFR-driven tumors.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
This is a Phase 1/1b, open-label study, which consists of dose escalation parts (Part A) followed by expansion cohorts (Part B) for both single agent BCA101 and combination BCA101 plus pembrolizumab.
The study population in dose escalation (Part A) of single agent BCA101 consists of subjects with EGFR-driven advanced solid tumors refractory to standard of care or for whom no standard of care is available. Dose escalation (Part A) of combination BCA101 and pembrolizumab consists of subjects with either Squamous Cell Carcinoma of the Head and Neck (HNSCC) or Squamous Cell Carcinoma of the Anal Canal (SCCAC) whose tumors are refractory to standard of care or for whom no standard of care is available.
Once the maximum tolerated dose (MTD) / recommended dose (RD) of single agent BCA101 is determined, the study will continue with expansion cohorts (Part B) with select tumor types. Expansion cohorts for single agent BCA101 will include cutaneous squamous cell carcinoma. Planned expansion cohorts for the combination of BCA101 and pembrolizumab include: 1) HNSCC and 2) SCCAC.
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 1단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: David Bohr
- 전화번호: 6178000335
- 이메일: info@bicara.com
연구 장소
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California
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La Jolla, California, 미국, 92093
- 모병
- Moores Cancer Center UC San Diego Health
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수석 연구원:
- Assuntina Sacco, MD
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연락하다:
- Moores UCSD Cancer Center Clinical Trials Office
- 전화번호: 858-822-5354
- 이메일: d1ghosh@health.ucsd.edu
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Los Angeles, California, 미국, 90095
- 모병
- UCLA
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수석 연구원:
- Deborah Wong, MD
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연락하다:
- UCLA Clinical Trials Office
- 전화번호: 310-794-8783
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Los Angeles, California, 미국, 90033
- 모병
- Keck School of Medicine of USC
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수석 연구원:
- Gino In, MD
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연락하다:
- Clinical Trials Office
- 전화번호: 323-442-1900
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Sacramento, California, 미국, 95817
- 모병
- University of California, Davis Comprehensive Cancer Center
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수석 연구원:
- Andrew Birkeland, MD
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연락하다:
- Clinical Trials Office
- 전화번호: 916-703-9184
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Florida
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Tampa, Florida, 미국, 33612
- 모병
- H. Lee Moffitt Cancer Center and Research Institute, Inc
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수석 연구원:
- Christine Chung, MD
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연락하다:
- Clinical Trials Office
- 전화번호: 813-945-3563
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Massachusetts
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Boston, Massachusetts, 미국, 02115
- 모병
- Dana Farber/Partners Cancer Care Inc
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연락하다:
- DFCI Clinical Trials Hotline
- 전화번호: 877-338-7425
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수석 연구원:
- Michael Dennis, MD
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New York
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New York, New York, 미국, 10032
- 모병
- Columbia University Herbert Irving Comprehensive Cancer Center
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연락하다:
- CPDM Nurse Navigator
- 전화번호: 212-342-5162
- 이메일: cancerclinicaltrials@cumc.columbia.edu
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수석 연구원:
- Catherine Shu, MD
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New York, New York, 미국, 10017
- 모병
- Memorial Sloan Kettering
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연락하다:
- 전화번호: 646-608-3759
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수석 연구원:
- Eric Sherman, MD
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North Carolina
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Charlotte, North Carolina, 미국, 28204
- 모병
- Levine Cancer Institute
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수석 연구원:
- Daniel Carrizosa, MD
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연락하다:
- 전화번호: 980-442-3213
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Ohio
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Cleveland, Ohio, 미국, 44195
- 모병
- Cleveland Clinic
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연락하다:
- 전화번호: 866-223-8100
- 이메일: TaussigResearch@ccf.org
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수석 연구원:
- Tamara Sussman, MD
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Pennsylvania
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Pittsburgh, Pennsylvania, 미국, 15232
- 모병
- UPMC Hillman Cancer Center
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수석 연구원:
- Dan Zanberg, MD
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연락하다:
- Clinical Trials Office
- 전화번호: 412-755-2930
- 이메일: brodeurs@upmc.edu
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Rhode Island
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Providence, Rhode Island, 미국, 02903
- 모병
- Rhode Island Hospital
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수석 연구원:
- Ariel Birnbaum, MD
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연락하다:
- Brown Health Clinical Trials Office
- 전화번호: 401-444-5113
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South Carolina
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Charleston, South Carolina, 미국, 29425
- 모병
- Medical University of South Carolina, Hollings Cancer Center
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연락하다:
- Carly Fecio
- 전화번호: 8437923479
- 이메일: fecio@musc.edu
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수석 연구원:
- John Kaczmar, MD
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연락하다:
- 전화번호: 843-792-9300
- 이메일: nealli@musc.edu
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Tennessee
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Nashville, Tennessee, 미국, 37232
- 모병
- Vanderbilt University Medical Center
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수석 연구원:
- Jennifer Choe, MD, PhD
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연락하다:
- Vanderbilt Clinical Research Center
- 전화번호: 615-322-2312
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Texas
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Houston, Texas, 미국, 77030
- 모병
- MD Anderson Cancer Center
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연락하다:
- Beryl Tross
- 전화번호: 713-745-0774
- 이메일: bmtross@mdanderson.org
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수석 연구원:
- Van Morris, MD
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Ontario
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Toronto, Ontario, 캐나다, M5G 2M9
- 모병
- Princess Margaret Cancer Centre
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연락하다:
- 전화번호: 18007110500
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수석 연구원:
- Phillippe Bedard, MD
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Quebec
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Montreal, Quebec, 캐나다
- 모병
- Centre hospitalier de l'Université de Montréal (CHUM)
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연락하다:
- 전화번호: (514) 890-8000
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수석 연구원:
- Antoine Desilets, MD
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New South Wales
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Camperdown, New South Wales, 호주, 2050
- 모병
- Chris O'Brien Lifehouse
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수석 연구원:
- Jenny Lee, MBBS, FRACP
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연락하다:
- 전화번호: (02) 8514 0000
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Waratah, New South Wales, 호주, 2298
- 모병
- Calvary Mater Newcastle
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연락하다:
- 전화번호: +61 2 40143590
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수석 연구원:
- Fiona Day
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Victoria
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Heidelberg, Victoria, 호주, 3084
- 모병
- Austin Hospital
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연락하다:
- 전화번호: +61394965000
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수석 연구원:
- Alesha Thai, MBBS, FRACP, PhD
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Melbourne, Victoria, 호주, 3000
- 모병
- Peter MacCallum Cancer Centre
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연락하다:
- 전화번호: +61 3 8559 5000
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수석 연구원:
- Danny Rischin, MD
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Patient must have measurable disease amendable to biopsy and be willing to undergo both a pre-treatment and on-treatment biopsy, as well as provide archival tumor if available from the primary tumor (a paraffin embedded tumor tissue block sufficient to obtain at least 10 sections of 4 to 5 micrometer thickness).
- Patient must have a performance status of ≤1 on the Eastern Cooperative Oncology Group Performance Scale.
- Patients must have evaluable or measurable disease (computed tomography [CT]/magnetic resonance imaging [MRI] scans performed within 21 days before the screening visit are acceptable) demonstrating measurable disease, i.e., at least 1 unidimensional measurable lesion as defined by Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1) and Immune Response Evaluation Criteria in Solid Tumors (iRECIST).
- Tumor eligibility:
PART B (Cohort expansion):
-
Single agent BCA101 - patients with the following tumor type will be eligible:
• Expansion Cohort 1: Cutaneous Squamous Cell Carcinoma (CSCC) - i. patients must have received (or been intolerant to or ineligible for) prior anti-PD-1 therapy in the metastatic or locally advanced setting.
ii. No prior history of treatment with anti-EGFR antibodies in the unresectable/metastatic setting (prior treatment with radiotherapy in the adjuvant setting is allowed).
-
Combination BCA101 and pembrolizumab - patients with the following tumor types will be eligible:
• Expansion Cohort 2: Head and Neck Squamous Cell Carcinoma (HNSCC), metastatic or unresectable, recurrent with a Combined Positive Score (CPS) equal to or greater than 1, as determined by an CLIA-approved laboratory test. Primary tumor locations of oropharynx, oral cavity, hypopharynx, or larynx. Participants may not have a primary tumor site of nasopharynx (any histology).
i. Patients must have no prior systemic therapy administered in the recurrent or metastatic setting (with the exception of systemic therapy completed >6 months prior if given as part of multimodal treatment for locally advanced disease) or prior history of immune checkpoint inhibitors with the exception of neoadjuvant therapy (>6 months prior to study drug initiation). No prior history of anti-EGFR antibodies (with the exception of radiosensitizing agents and multimodal treatment for locally advanced disease).
ii. Patients must provide tissue for PD-L1 biomarker analysis from a core or excisional biopsy (fine needle aspirate is not sufficient): A newly obtained biopsy (within 90 days prior to start of study treatment) is preferred but an archival sample is acceptable.
iii. Patients must have results from testing of human papillomavirus (HPV) status for oropharyngeal cancer
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Expansion Cohort 3: Squamous Carcinoma of the Anal Canal (SCAC), locally advanced/unresectable or metastatic.
i. Patients must have received (or been intolerant to or ineligible for) at least 1 prior line of chemotherapy and received no more than 2 prior lines of systemic treatments for treatment of unresectable and/or metastatic disease. No prior history of immune checkpoint inhibitors.
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Expansion Cohort 5: Squamous Non-Small Cell Lung Cancer (SqNSCLC) i. Patients must have a histologically or cytologically confirmed diagnosis of stage IV (AJCC 8th edition) squamous NSCLC. Patients with mixed histology (e.g., adenosquamous) are not allowed.
ii. Patients must have progressed on one prior systemic therapy in the metastatic setting.
iii. No prior history of treatment with anti-EGFR antibodies in the metastatic setting.
• Expansion Cohort 6: Head and Neck Squamous Cell Carcinoma (HNSCC), metastatic or unresectable, recurrent with a Combined Positive Score (CPS) less than 1, as determined by PD-L1 IHC 22C3 pharmDx.
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Randomized to either ficerafusp alfa alone or in combination with pembrolizumab • Expansion Cohort 9: Colorectal cancer (CRC) i. Patients must have received at least 2 and no more than 3 prior lines of systemic therapy including two standard treatment regimens.
Exclusion Criteria:
- For Part A: Exposure to anti-EGFR antibodies within 4 weeks of the first dose of study drug.
- Prior treatment with any anti-TGFβ therapy.
- Prior history of Grade ≥ 2 intolerance or hypersensitivity reaction to cetuximab or other anti-EGFR therapy or other murine proteins or prior discontinuation of therapy in the setting of toxicity related to treatment.
- Pregnant or breastfeeding women.
- Any condition requiring systemic treatment with either corticosteroids (>10 mg daily of prednisone or equivalent) or other immunosuppressive medication within 14 days prior to the first dose of study drug, with the exception of topical, intranasal, intrabronchial, or ocular steroids.
- Known history of a hematologic malignancy (or solid tumor other than the ones indicated for this study), unless the patient has undergone potentially curative therapy with no evidence of that disease for 2 years. Does not include tumors with a negligible risk of metastasis or death (e.g. adequately treated basal or squamous cell carcinoma, stage 1 prostate cancer, or carcinoma in situ of the cervix or carcinoma in situ of the breast). Subjects enrolling in the CSCC cohort may have chronic lymphocytic leukemia as long as the patient is not on active treatment.
- Known cases of human immunodeficiency virus (HIV) are excluded if patients have a CD4+ T-cell (CD4+) count <250 cells/uL. To ensure that effective antiretroviral therapy (ART) is tolerated and that toxicities are not confused with investigational drug toxicities, trial participants should be on established ART for at least four weeks and have an HIV viral load less than 400 copies/mL prior to enrollment.
- Patients with chronic HBV infection with active disease who meet the criteria for anti-HBV therapy and are not on a suppressive antiviral therapy prior to initiation of study treatment
- Patients with a known history of hepatitis C who have not completed curative antiviral treatment or have a HCV viral load above the limit of quantification
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: BCA101 Monotherapy
Route: IV Infusion Frequency: QW Current Dose: 1500mg |
EGFR/TGFβ fusion monoclonal antibody
다른 이름들:
|
|
실험적: BCA101 + pembrolizumab
Route: IV Infusion Frequency: Q3W Dose: 200mg |
EGFR/TGFβ fusion monoclonal antibody
다른 이름들:
anti-PD-1 |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Safety of BCA101 alone and BCA101 in combination with pembrolizumab: Incidence and severity of AEs and SAEs
기간: 24 months
|
Incidence and severity of AEs and SAEs |
24 months
|
|
Tolerability of BCA101 alone and BCA101 in combination with pembrolizumab: Incidence and severity of AEs and SAEs
기간: 24 months
|
Incidence and severity of AEs and SAEs |
24 months
|
|
Incidence of Dose Limiting Toxicities (DLTs)
기간: 21 days
|
Incidence of DLTs during the first cycle of treatment with BCA101 monotherapy or the combination of BCA101 and pembrolizumab. |
21 days
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Objective Response Rate
기간: 24 months
|
Determine objective response rate in each part of the study, per RECIST v1.1 and iRECIST |
24 months
|
|
Clinical Benefit Rate
기간: 24 months
|
Determine clinical benefit rate in each part of the study, per RECIST v1.1 and iRECIST |
24 months
|
|
Progression free survival
기간: 24 months
|
Determine PFS in each part of the study, per RECIST v1.1 and iRECIST |
24 months
|
|
Duration of Response
기간: 24 months
|
Determine duration of response in each part of the study, per RECIST v1.1 and iRECIST |
24 months
|
|
Overall Survival
기간: 24 months
|
Determine survival rates in each part of the study. |
24 months
|
|
AUC of BCA101 and pembrolizumab
기간: 24 months
|
AUC |
24 months
|
|
Cmax of BCA101 and pembrolizumab
기간: 24 months
|
Cmax |
24 months
|
|
Tmax of BCA101 and pembrolizumab
기간: 24 months
|
Tmax |
24 months
|
|
Concentration vs time profile of BCA101 and pembrolizumab
기간: 24 months
|
Ctrough |
24 months
|
|
Half-life of BCA101 and pembrolizumab
기간: 24 months
|
Half-life |
24 months
|
|
Immunogenicity of BCA101 and pembrolizumab
기간: 24 months
|
Incidence and titer of anti-drug-antibodies |
24 months
|
공동 작업자 및 조사자
협력자
협력자
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
- 비뇨생식기 질환
- 생식기 질환
- 내분비계 질환
- 비뇨생식기 신생물
- 부위별 신생물
- 신생물
- 여성 비뇨 생식기 질환
- 여성 비뇨 생식기 질환 및 임신 합병증
- 장 질환
- 조직학적 유형에 따른 신생물
- 위장관 신생물
- 소화계 신생물
- 소화기계 질환
- 위장병
- 장 신생물
- 직장 질환
- 생식기 질환, 여성
- 내분비샘 신생물
- 췌장 질환
- 신생물, 선상 및 상피
- 결장 질환
- 난소 질환
- 부속기 질환
- 생식기 신생물, 여성
- 생식선 장애
- 암종
- 신생물, 편평 세포
- 난소 신생물
- 암종, 난소 상피
- 두경부의 편평 세포 암종
- 대장 신생물
- 암종, 편평 세포
- 췌장 신생물
- 두경부 신생물
- 펨브 롤리 주맙
기타 연구 ID 번호
기타 연구 ID 번호
- BCA101X1101
- KEYNOTE-E28 (기타 식별자: Merck Sharp & Dohme LLC)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .