- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT00818350
Activity Study of Sunitinib In Metastatic Pretreated Urothelial Cancer
Phase II Study of Sunitinib in Metastatic and Pretreated Urothelial Cancer
Gemcitabine and cisplatin represent the standard first-line chemotherapy in metastatic bladder carcinoma. This regimen has replaced in most centers the MVAC combination showing a similar efficacy but less toxicity.
Almost all responding patients relapse within the first year, with a median survival of 12 months. Prognosis is very poor in patients who display progressive disease after receiving combination cisplatin-based chemotherapy.
No standard has yet been established for second-line treatment and well designed trials of second-line chemotherapy for metastatic transitional carcinoma of the urothelium should be given high priority.
Several drugs have been used in second line for metastatic disease with poor results.
The investigators have planned a Phase II study, open-label, single arm design to evaluate the activity and safety of sunitinib in metastatic urothelial carcinoma, pretreated with standard regimen (cisplatin-gemcitabine).
No previous studies have been published with sunitinib in metastatic bladder cancer.
연구 개요
상세 설명
OBJECTIVES
- PRIMARY To determine the antitumor efficacy ( response rate) of sunitinib
- SECONDARY To determine: safety, duration of response, Quality of life (QoL), progression free survival (PFS) and overall survival (OS).
PLAN OF TREATMENT Patients received sunitinib at a starting dose of 50 mg per day in repeated 6-week cycles for 4 consecutive weeks followed by 2 weeks off treatment.
Sunitinib was self-administered orally once daily without regard to meals. Dose reduction for toxicity was allowed to 37.5 until 25 mg/day depending on the type and severity of toxicity encountered.
Sunitinib treatment was continued until disease progression, unacceptable toxicity or withdrawal of consent.
EVALUATION
Baseline evaluations included:
- medical history
- physical examination;
- tumor assessment (total body TC and bone scan )
- assessment of ECOG PS
- QoL assessment
- Assessment of left ventricular ejection fraction by echocardiography
- ECG
- Laboratory measurements. Assessment of efficacy and safety
- Evaluation according RECIST criteria every 2 cycles (12 weeks) with TC
- Safety according NCI version 3 every cycle
- QoL every cycle EORTC-QOL-C30.• RESOURCE UTILIZATION ASSESSMENTS
EORTC QLQ-C30 questionnaire, developed by the EORTC for the measurement of quality of life in cancer patients in clinical trials.
For the analysis, the raw scores of the questionnaire are transformed into a 100-point scale. For the functional scales, the computed scores range from 0 to 100, with the higher scores representing a higher level of functioning. For the item scales relative to physical symptoms and financial impact, higher scores represent a higher level of symptoms or problems .
STATISTICAL METHODS
Benefit anticipated (%): >30% of response rate. Test size: 5%. Power 80%. Sample size: 25 patients.
연구 유형
등록 (실제)
단계
- 2 단계
- 1단계
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- cytological confirmation of UROTHELIAL carcinoma
- Failure of Cisplatin-gemcitabine regimen as first-line
- Presence of measurable metastases
- Performance status 0-1 ECOG
- Age of 18 years or older
- Written informed consent
- Adequate organ function ( based on tests of hematologic, hepatic, renal and cardiac function).
Exclusion Criteria:
- administration of a previous biological therapy ( sorafenib , bevacizumab or mTor Inhibitor)
- brain metastases
- significant cardiac events within the 6 months prior to study drug administration.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 단일 그룹 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
---|---|
실험적: SUNITINIB
|
50 MG ORAL, DAYS 1-28 FOLLOWED BY 2 WEEKS RESTING
다른 이름들:
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
---|---|
To determine the antitumor efficacy ( response rate) of sunitinib
기간: 12 weeks
|
12 weeks
|
2차 결과 측정
결과 측정 |
기간 |
---|---|
QOL
기간: 6 WEEKS
|
6 WEEKS
|
TOXICITY ACCORDING NCI VERSION 3 CRITERIA
기간: EVERY WEEK
|
EVERY WEEK
|
공동 작업자 및 조사자
수사관
- 수석 연구원: DI LORENZO GIUSEPPE, PHD, Campania Younger Oncologists Association
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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. .
SUNITINIB에 대한 임상 시험
-
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.완전한
-
Case Comprehensive Cancer CenterNational Cancer Institute (NCI)종료됨상세불명의 성인 고형 종양, 프로토콜 특정 | 전이성 암 | 인지/기능적 효과미국
-
Case Comprehensive Cancer CenterNational Cancer Institute (NCI)완전한
-
Washington University School of MedicinePfizer완전한