A Study of LY2157299 in Participants With Hepatocellular Carcinoma
2020년 12월 21일 업데이트: Eli Lilly and Company
Phase 2 Study of LY2157299 in Patients With Hepatocellular Carcinoma
The purpose of this study is to estimate the median time to progression in participants with hepatocellular carcinoma (HCC) when treated with LY2157299 as monotherapy and in combination with sorafenib or ramucirumab.
연구 개요
상세 설명
The study consists of four Parts: Part A where HCC participants with an increased alpha-fetoprotein (AFP) level will be treated with either 160 milligrams (mg) LY2157299 or 300 mg LY2157299. Part B where HCC participants with a normal AFP level will be treated with 300 mg LY2157299, Part C where treatment-naïve HCC participants will be treated with 160 mg LY2157299 + sorafenib or 300 mg LY2157299 + sorafenib, and Part D where HCC participants will be treated with either 160 mg or 300 mg LY2157299 + ramucirumab.
Participants who continue to receive benefit from treatment at the time that the study is considered completed, may enter the treatment extension period and continue to receive the study treatment. The end of the study is the date of last visit or last scheduled procedure for the last active subject in the study.
연구 유형
중재적
등록 (실제)
204
단계
- 2 단계
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Auckland, 뉴질랜드, 1023
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Berlin, 독일, 13353
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Erlangen, 독일, 91054
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Göttingen, 독일, 37075
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Köln, 독일, 50937
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Mainz, 독일, 55131
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Münster, 독일, 48149
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Arkansas
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Fayetteville, Arkansas, 미국, 72703
- Highlands Oncology Group
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California
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San Francisco, California, 미국, 94158
- University of California, San Francisco
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District of Columbia
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Washington, District of Columbia, 미국, 20007
- Georgetown University Medical Center
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Florida
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Orlando, Florida, 미국, 32806
- MD Anderson Cancer Center Orlando
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Illinois
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Chicago, Illinois, 미국, 60611
- Northwestern University
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Indiana
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Indianapolis, Indiana, 미국, 46202
- Indiana Univ Melvin & Bren Simon Cancer Center
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Massachusetts
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Burlington, Massachusetts, 미국, 01805
- Lahey Clinic Medical Center
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New York
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New York, New York, 미국, 10065
- Memorial Sloan Kettering Cancer Center
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New York, New York, 미국, 10021
- Weill Cornell Medical College
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Pennsylvania
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Philadelphia, Pennsylvania, 미국, 19107
- Thomas Jefferson University
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Barcelona, 스페인, 08035
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Madrid, 스페인, 28007
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Bari, 이탈리아, 70124
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Rome, 이탈리아, 00168
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Rozzano, 이탈리아, 20089
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Brest, 프랑스, 29609
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Caen, 프랑스, 14033
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Clichy, 프랑스, 92110
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Creteil, 프랑스, 94010
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Lille, 프랑스, 59037
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Lyon, 프랑스, 69317
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Marseille, 프랑스, 13273
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Montpellier, 프랑스, 34295
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Paris, 프랑스, 75012
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Pessac, 프랑스, 33604
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Saint Etienne, 프랑스, 42055
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Saint Herblain, 프랑스, 44805
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Strasbourg, 프랑스, 67085
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Vandoeuvre Les Nancy, 프랑스, 54511
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Greenslopes, 호주, 4120
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Heidelberg, 호주, 3084
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St. Leonards, 호주, 2065
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Western Australia
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Nedlands, Western Australia, 호주, 6009
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
Inclusion Criteria:
- Have histological evidence of a diagnosis of HCC not amenable to curative surgery
- Part A: Serum alpha fetoprotein greater than or equal to 1.5 Upper Limits of Normal, Part B: Serum alpha fetoprotein less than 1.5 Upper Limits of Normal. Not applicable for Part C or D
- Child-Pugh Stage: A or B7 for Parts A & B, A for Part C, and D
- Have the presence of measurable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1). A lesion that has been previously treated by local therapy will qualify as a measurable or evaluable lesion if there was demonstrable progression following locoregional therapy
- Have given written informed consent prior to any study-specific procedures
- Have adequate hematologic, hepatic and renal function
- Have a performance status of equal to or less than 1 on the Eastern Cooperative Oncology Group (ECOG) scale
- For Parts A & B: Have received sorafenib and have progressed or were intolerant to sorafenib or are ineligible for sorafenib treatment. For Part C: not received previous systemic treatment. For Part D: have received sorafenib and have progressed or were intolerant to sorafenib or are ineligible for sorafenib treatment or have not received prior systemic treatment.
- For Parts A, B, and D: have discontinued sorafenib for at least 2 weeks
- Are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures
- Males and females with reproductive potential must agree to use medically approved contraceptive precautions during the trial and for 3 months following the last dose of study drug
- Females with childbearing potential must have had a negative serum pregnancy test less than or equal to 7 days prior to the first dose of study drug
- Are able to swallow capsules or tablets
Exclusion Criteria:
- Are currently enrolled in, or discontinued within the last 28 days from a clinical trial involving an investigational drug or device or not approved use of a drug or device (other than the study drug used in this study), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study
- Known HCC with fibro-lamellar or mixed histology
- Presence of clinically relevant ascites
- History of liver transplant requiring increased immunosuppressive therapy. (Participants on maintenance immunosuppressive therapy after liver transplant are eligible for Part A & B)
- Have received more than 1 line of systemic treatment in Parts A, B and D
Have moderate or severe cardiac disease:
- Have the presence of cardiac disease, including a myocardial infarction within 6 months prior to study entry, unstable angina pectoris, New York Heart Association (NYHA) Class III/IV congestive heart failure, or uncontrolled hypertension
- Have documented major electrocardiogram (ECG) abnormalities at the investigator's discretion
- Have major abnormalities documented by echocardiography with Doppler
- Have predisposing conditions that are consistent with development of aneurysms of the ascending aorta or aortic stress
- Have serious preexisting medical conditions that, in the opinion of the investigator, that cannot be adequately controlled with appropriate therapy or would preclude participation in this study
- Females who are pregnant or lactating
- Have a history of any other cancer (except non-melanoma skin cancer or carcinoma in-situ of the cervix) unless in complete remission and off all therapy for that disease for a minimum of 3 years. At the discretion of the investigator, hormone-refractory prostate cancer participants who are stable on GnRH agonist therapy and breast cancer participants who are stable on antiestrogen therapy may have that treatment continued
- Have active infection that would interfere with the study objectives or influence study compliance
- For Part C, have a known hypersensitivity to sorafenib or its excipients
For Part D, have a serious illness or medical condition(s), including but not limited to the following:
- The participant has undergone major surgery within 28 days prior to randomization or has undergone central venous access device placement within 7 days prior to randomization
- The participant has uncontrolled arterial hypertension ≥150 / ≥90 millimeters of mercury (mm Hg) despite standard medical management
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Part A Cohort 1-160 milligram (mg) LY2157299
Per the protocol, following an interim analysis, the decision was taken to no longer randomize participants to the 160 mg LY2157299 arm. As of May 25,2012, all newly enrolled participants will receive 300 mg LY2157299. 80 mg LY2157299 given orally twice daily (BID) for 14 days followed by 14 days off (28-day cycle). Participants will continue to receive until disease progression, unacceptable toxicity, or another withdrawal criterion is met. |
구두로 관리
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실험적: Part A Cohort 2 - 300 mg LY2157299
150 mg LY2157299 given orally BID for 14 days followed by 14 days off (28-day cycle). Participants will continue to receive until disease progression, unacceptable toxicity, or another withdrawal criterion is met. |
구두로 관리
구두로 관리
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실험적: Part B - 300 mg LY2157299
150 mg LY2157299 given orally BID for 14 days followed by 14 days off (28-day cycle). Participants will continue to receive until disease progression, unacceptable toxicity, or another withdrawal criterion is met. |
구두로 관리
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실험적: Part C Cohort 1 - 160 mg LY2157299 + 800 mg Sorafenib
80 mg LY2157299 given orally BID on Days 1 to 14 in combination with 400 mg Sorafenib BID on days 1 to 28 (28-day cycle). Participants will continue to receive until disease progression, unacceptable toxicity, or another withdrawal criterion is met. |
구두로 관리
구두로 관리
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실험적: Part C Cohort 2 - 300 mg LY2157299 + 800 mg Sorafenib
150 mg LY2157299 given orally BID on Days 1 to 14 in combination with 400 mg Sorafenib BID on days 1 to 28 (28-day cycle). Participants will continue to receive until disease progression, unacceptable toxicity, or another withdrawal criterion is met. |
구두로 관리
구두로 관리
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실험적: Part D Cohort 1 - 160 mg LY2157299 + 8 mg/kg Ramucirumab
80 mg LY2157299 given orally BID on days 1 to 14 in combination with ramucirumab 8 mg/kilogram (kg) intravenous (IV) on days 1 and 15 (28-day cycle). Participants will continue to receive until disease progression, unacceptable toxicity, or another withdrawal criterion is met. |
구두로 관리
IV 투여
다른 이름들:
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실험적: Part D Cohort 2 - 300 mg LY2157299 + 8 mg/kg Ramucirumab
150 mg LY2157299 given orally BID on days 1 to 14 in combination with ramucirumab 8 mg/kg IV on days 1 and 15 (28-day cycle). Participants will continue to receive until disease progression, unacceptable toxicity, or another withdrawal criterion is met. |
구두로 관리
IV 투여
다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Change From Baseline in Relationship of Biomarker Alpha-fetoprotein (AFP) to Overall Survival (OS)
기간: Baseline, discontinuation from any cause (Up to 83 months)
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Biomarker response was defined as a > 20% decrease in the biomarker AFP from baseline during 8 weeks of treatment.
Data presented is median overall survival of those participants who achieved the defined biomarker response.
Participants enrolled in Part A had a baseline AFP level of >1.5 upper limit normal (ULN).
Participants enrolled in Part B had baseline AFP level <1.5 ULN.
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Baseline, discontinuation from any cause (Up to 83 months)
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Change From Baseline in Relationship of Biomarker Transforming Growth Factor - Beta (TGF-β) to Overall Survival (OS)
기간: Baseline,discontinuation from any cause (Up to 83 months)
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Biomarker response was defined as a > 20% decrease in the biomarker TGF-B from baseline.
Data presented is median overall survival of those participants who achieved biomarker response.
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Baseline,discontinuation from any cause (Up to 83 months)
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Time to Progression (TTP)
기간: Randomization to date of first measured progressive disease (Up to 36 Weeks)
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TTP is measured from the date of first dose to the first date of progression of disease based on the investigator review of tumor response using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1).
Progression is defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum on study (including the baseline sum if that is the smallest).
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
The appearance of 1 or more new lesions is also considered progression.
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Randomization to date of first measured progressive disease (Up to 36 Weeks)
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Population Pharmacokinetics (PK) Mean Population Clearance of Galunisertib
기간: Cycle (C) 1: Day (D)1: Predose, 0.5-2 hours(h) Postdose; D14: Predose, 0.5-2, 3-5 h, Postdose; D15 Morning; D22 Morning; Predose C2 and C3 Predose D1
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Population mean (between-subject coefficient variance [CV %]) apparent clearance.
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Cycle (C) 1: Day (D)1: Predose, 0.5-2 hours(h) Postdose; D14: Predose, 0.5-2, 3-5 h, Postdose; D15 Morning; D22 Morning; Predose C2 and C3 Predose D1
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Recommended Dose for Phase 3 Hepatocellular Carcinoma (HCC) Trials
기간: Cycle 1 (28 Days)
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Cycle 1 (28 Days)
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Overall Survival (OS)
기간: Randomization to date of death from any cause (Up to 83 months)
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OS duration is measured from the date of first dose to the date of death from any cause.
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Randomization to date of death from any cause (Up to 83 months)
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Progression Free Survival (PFS)
기간: Randomization to measured progressive disease or death from any cause (Up to 45 Weeks)
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PFS duration is measure from the date of first dose to the first date of objective progression of disease or death from any cause.
Progression is defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum on study (including the baseline sum if that is the smallest).
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
The appearance of 1 or more new lesions is also considered progression.
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Randomization to measured progressive disease or death from any cause (Up to 45 Weeks)
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Percentage of Participants Achieving an Objective Response (Response Rate)
기간: Randomization to measured progressive disease (Up to 36 Weeks)
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The percentage of participants who achieved best overall response of either Complete Response (CR) or Partial Response (PR).
The overall response rate for each dose with be estimated by dividing the number of confirmed responders by the number of participants who received at least one dose of study drug.
Per RECIST v.1.0
criteria CR is defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to < 10 millimeter (mm).
Tumor-marker results must have normalized.
PR is defined as at least 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters.
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Randomization to measured progressive disease (Up to 36 Weeks)
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Duration of Tumor Response (DoR)
기간: Time of response to measured progressive disease or death from any cause (Up to 84 Weeks)
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DoR is measured from the date of the first objective status assessment of a Complete Response (CR) or Partial Response (PR), as determined by RECIST v1.1, to the first date of objective progression of disease or death from any cause.
CR is defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to < 10 millimeter (mm).
Tumor-marker results must have normalized.
PR is defined as at least 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters.
Progression is defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum on study (including the baseline sum if that is the smallest).
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
The appearance of 1 or more new lesions is also considered progression.
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Time of response to measured progressive disease or death from any cause (Up to 84 Weeks)
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Time to Treatment Failure (TTF)
기간: Randomization to the date of discontinuation of study treatment due to adverse event, progression of disease, or death from any cause (Up to 75 Weeks)
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TTF is measured from the date of first dose until the date of discontinuation of study treatment due to adverse event, progression of disease, or death from any cause.
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Randomization to the date of discontinuation of study treatment due to adverse event, progression of disease, or death from any cause (Up to 75 Weeks)
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Change From Baseline in Functional Assessment of Cancer Therapy, Hepatobiliary (FACT-Hep) Sub-scores and Total Score
기간: Baseline, Day 1 Cycle 4
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FACT-Hep consists of 45 items in five subscales (1) physical well-being (PWB) score rage 0 -28; (2) social well-being (SWB) score range 0-28; (3) emotional well-being (EWB) score range 0-24; (4) functional well-being (FWB) score range 0-28; and (5) the hepatobiliary cancer subscale (HCS) Score range 0-72; FACT-Hep score range 1-180, and Trial-Outcome Index (TOI) score range 1-128, to assess health related quality of life in participants with cancer.
Higher scores reflect a better health state.
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Baseline, Day 1 Cycle 4
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Time to Worsening (TTW) of Symptoms (FACT-Hep)
기간: Baseline to the worsening of symptoms (up to 567 days)
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Time to worsening of symptoms used minimally important differences to evaluate Physical Well Being (PWB), Functional Well Being (FWB), Hepatocellular Cancer Symptoms (HCS), National Comprehensive Cancer Network (NCCN)/FACT Hepatocellular Symptoms (FHS), Trial-Outcome Index (TOI).
PWB time to worsening was defined as participants who had change in a subscale of ≥ 2 point decrease from baseline; FWB time to worsening was defined as participants who had change in a subscale of ≥ 2 point decrease from baseline; HCS time to worsening was defined as participants who had change in a subscale of ≥ 5 point decrease from baseline; FHS time to worsening was defined as participants who had change in a subscale of ≥ 2 point decrease from baseline; TOI time to Worsening was defined as participants who had change in the subscale of ≥ 7 point decrease from baseline.
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Baseline to the worsening of symptoms (up to 567 days)
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
- Giannelli G, Santoro A, Kelley RK, Gane E, Paradis V, Cleverly A, Smith C, Estrem ST, Man M, Wang S, Lahn MM, Raymond E, Benhadji KA, Faivre S. Biomarkers and overall survival in patients with advanced hepatocellular carcinoma treated with TGF-betaRI inhibitor galunisertib. PLoS One. 2020 Mar 25;15(3):e0222259. doi: 10.1371/journal.pone.0222259. eCollection 2020. Erratum In: PLoS One. 2020 Jun 25;15(6):e0235580. PLoS One. 2021 Jun 17;16(6):e0253671.
- Addepalli A, Kalyani S, Singh M, Bandyopadhyay D, Mohan KN. CalPen (Calculator of Penetrance), a web-based tool to estimate penetrance in complex genetic disorders. PLoS One. 2020 Jan 29;15(1):e0228156. doi: 10.1371/journal.pone.0228156. eCollection 2020. Erratum In: PLoS One. 2020 Jun 25;15(6):e0235547.
- Faivre S, Santoro A, Kelley RK, Gane E, Costentin CE, Gueorguieva I, Smith C, Cleverly A, Lahn MM, Raymond E, Benhadji KA, Giannelli G. Novel transforming growth factor beta receptor I kinase inhibitor galunisertib (LY2157299) in advanced hepatocellular carcinoma. Liver Int. 2019 Aug;39(8):1468-1477. doi: 10.1111/liv.14113. Epub 2019 Jun 3.
- Li S, Yang F, Ren X. Immunotherapy for hepatocellular carcinoma. Drug Discov Ther. 2015 Oct;9(5):363-71. doi: 10.5582/ddt.2015.01054.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2011년 3월 30일
기본 완료 (실제)
2019년 6월 6일
연구 완료 (실제)
2019년 12월 24일
연구 등록 날짜
최초 제출
2010년 11월 1일
QC 기준을 충족하는 최초 제출
2010년 11월 23일
처음 게시됨 (추정)
2010년 11월 24일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2021년 1월 12일
QC 기준을 충족하는 마지막 업데이트 제출
2020년 12월 21일
마지막으로 확인됨
2020년 1월 1일
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- 13665
- H9H-MC-JBAK (기타 식별자: Eli Lilly and Company)
- 2010-022338-10 (EudraCT 번호)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
예
IPD 계획 설명
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
IPD 공유 기간
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later.
Data will be indefinitely available for requesting.
IPD 공유 액세스 기준
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
- CSR
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. .
암종, 간세포에 대한 임상 시험
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Taichung Veterans General Hospital완전한심장 독성 | 비소세포폐암 (MeSH 용어: Carcinoma, Non-Small-Cell Lung) | 의약품 관련 부작용 및 이상반응 (MeSH 용어) | Egfr 티로신 키나아제 억제제대만
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Fondazione del Piemonte per l'Oncologia모병유방암 | 난소 암 | 대장암 | 흑색종(피부암) | 비소세포폐암 (MeSH 용어: Carcinoma, Non-Small-Cell Lung)이탈리아
LY2157299에 대한 임상 시험
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Sidney Kimmel Comprehensive Cancer Center at Johns...Eli Lilly and Company; National Capital Foundation모집하지 않고 적극적으로
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Abramson Cancer Center of the University of Pennsylvania완전한
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Eli Lilly and CompanyAstraZeneca완전한전이성 췌장암스페인, 미국, 대한민국, 프랑스, 이탈리아
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Eli Lilly and Company완전한