Sac-TMT in Salivary Gland Cancers (Saint-Tropez)
Phase 2 Study of Sacituzumab Tirumotecan (Sac-TMT) in Salivary Gland Cancers - Saint-Tropez (LACOG 1824) Trial
This is a Phase 2, open-label, non-randomized, parallel, two-cohort study evaluating the efficacy and safety of Sacituzumab Tirumotecan (Sac-TMT, MK-2870) monotherapy in patients with advanced, recurrent, or metastatic salivary gland carcinomas who have received no more than 3 prior non-curative systemic treatment regimens. The study evaluates the activity of Sac-TMT separately in two independent cohorts based on tumor histology: Cohort 1 for Adenoid Cystic Carcinoma (ACC) and Cohort 2 for Non-Adenoid Cystic Carcinoma (non-ACC).
Обзор исследования
Статус
Статус
Условия
Условия
Вмешательство/лечение
Вмешательство/лечение
Подробное описание
Malignant salivary gland neoplasms are rare and heterogeneous malignancies with limited systemic treatment options and no widely established standard-of-care in advanced settings. Trophoblast cell surface antigen 2 (TROP-2) is broadly expressed in epithelial salivary gland carcinomas, making it a promising therapeutic target. Sacituzumab tirumotecan (Sac-TMT / MK-2870) is an antibody-drug conjugate (ADC) targeting TROP-2 coupled with a topoisomerase 1 inhibitor payload (KL610023).
This study aims to evaluate the clinical activity, safety, and patient-reported outcomes of Sac-TMT in two parallel, non-comparative cohorts:
Cohort 1: Patients with advanced/metastatic Adenoid Cystic Carcinoma (ACC). Cohort 2: Patients with advanced/metastatic Non-Adenoid Cystic Carcinoma (non-ACC).
Participants receive Sac-TMT at a dose of 4 mg/kg via intravenous (IV) infusion on Days 1 and 15 of each 28-day cycle for up to 12 cycles (approximately 1 year), or until disease progression, unacceptable toxicity, or withdrawal of consent. The primary objective is to evaluate the Objective Response Rate (ORR) according to RECIST 1.1 in each cohort. Secondary objectives include assessment of ORR by Independent Central Review (ORR-ICR), Disease Control Rate (DCR), Duration of Response (DoR), Progression-Free Survival (PFS), 6- and 12-month PFS, Overall Survival (OS), safety and tolerability, compliance, post-progression therapies, and Patient-Reported Outcomes (EORTC QLQ-C30 and EORTC QLQ-H&N43). Exploratory research will assess ctDNA dynamics and potential predictive/resistance biomarkers in baseline and serial blood and tissue samples.
Тип исследования
Тип исследования
Регистрация (Оцененный)
Регистрация
Фаза
Фаза
- Фаза 2
Контакты и местонахождение
Контакты исследования
Контакты исследования
- Имя: Head of Clinical Operations
- Номер телефона: +55 (51) 3384.5334
- Электронная почта: laura.voelcker@lacog.group
Учебное резервное копирование контактов
- Имя: Project Manager
- Номер телефона: +55 (51) 3384.5334
- Электронная почта: lacog1824@lacog.group
Места учебы
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Ceará
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Fortaleza, Ceará, Бразилия, 60335-480
- CRIO - Centro Regional Integrado de Oncologia
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Контакт:
- Amanda Lima Sena
- Электронная почта: tarcilo.crio@gmail.com
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Главный следователь:
- Iane Pinto Figueiredo Lima
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Estado de Bahia
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Salvador, Estado de Bahia, Бразилия, 40050-410
- Santa Casa de Misericórdia da Bahia - Hospital Santa Izabel (Oncoclínicas)
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Главный следователь:
- Daniel Brito
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Контакт:
- Nivana Borges do Sacramento
- Номер телефона: +557122038476
- Электронная почта: nivana.sacramento@santacasaba.org.br
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Federal District
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Brasília, Federal District, Бразилия, 70710-904
- CETTRO - Centro de Câncer de Brasília (Onco Vida - Oncoclínicas)
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Контакт:
- Jade Tayline Boscolo de Aragao
- Номер телефона: +556130276200
- Электронная почта: jade.aragao@oncoclinicas.com
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Главный следователь:
- Janice Rodrigues Farias
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INCA - Instituto Nacional de Câncer
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Rio de Janeiro, INCA - Instituto Nacional de Câncer, Бразилия, 20230-130
- INCA - Instituto Nacional de Câncer
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Контакт:
- Luana Aguiar Mesquita Cerva
- Номер телефона: +552132076569
- Электронная почта: luana.cerva@inca.gov.br
-
Главный следователь:
- Daniel Gonçalves Kischinhevsky
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Minas Gerais
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Belo Horizonte, Minas Gerais, Бразилия, 30360-680
- Oncocentro de Minas Gerais (Oncoclínicas)
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Контакт:
- Thayara Christi Soares
- Номер телефона: +5531998266045
- Электронная почта: thayara.soares@oncoclinicas.com
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Главный следователь:
- Aline Lauda Freitas Chaves
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Paraná
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Londrina, Paraná, Бразилия, 86015-520
- HCL - Hospital do Câncer de Londrina
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Контакт:
- Elaine Lins
- Номер телефона: +5543991069442
- Электронная почта: pesquisa.elainecbc@hcl.org.br
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Главный следователь:
- Mariana Lopes Zanatta
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Rio Grande do Norte
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Natal, Rio Grande do Norte, Бразилия, 59062-000
- Liga Norte Riograndense Contra o Câncer
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Контакт:
- Ana Paula Ferreira Costa
- Номер телефона: +558440095595
- Электронная почта: anapaula.costa@liga.org.br
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Главный следователь:
- Andrea Juliana Pereira de Santana Gomes
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Бразилия, 90050-170
- ISCMPA - Santa Casa de Porto Alegre
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Контакт:
- Igor Cesar Santos de Miranda
- Электронная почта: igor.miranda@santacasa.org.br
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Главный следователь:
- Jamille Rizzardi Lava
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Rio de Janeiro
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Rio de Janeiro, Rio de Janeiro, Бразилия, 22250-905
- CTTB - Centro de Tratamento de Tumores Botafogo (Oncoclínicas)
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Контакт:
- Thamires Cristine de Souza Castro Almeida
- Номер телефона: +5521974680316
- Электронная почта: thamires.almeida@oncoclinicas.com
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Главный следователь:
- Marina Xavier Reis
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Santa Catarina
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Lages, Santa Catarina, Бразилия, 88501-001
- ANIMI - Unidade de Tratamento Oncológico
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Контакт:
- Mariane Cabral
- Электронная почта: mariane.animi@gmail.com
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Главный следователь:
- Maitê de Liz Vassen Schurmann
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São Paulo
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Barretos, São Paulo, Бразилия, 14784-400
- Hospital de Amor de Barretos
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Контакт:
- Pedro Gabriel França Santos
- Номер телефона: +551733216637
- Электронная почта: pedro.santos@hospitaldeamor.com.br
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Главный следователь:
- Flávio Augusto Ferreira da Silva
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Campinas, São Paulo, Бразилия, 13083-881
- Universidade Estadual de Campinas (UNICAMP)
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Контакт:
- Elcio dos Santos
- Номер телефона: +5519998171210
- Электронная почта: elcioss@unicamp.br
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Главный следователь:
- Lígia Traldi Macedo
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São Paulo, São Paulo, Бразилия, 01509-001
- A.C. Camargo Cancer Center
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Контакт:
- Arianni Di Petta
- Номер телефона: +5511979985081
- Электронная почта: arianni.petta@accamargo.org.br
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Главный следователь:
- Thiago Bueno de Oliveira
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São Paulo, São Paulo, Бразилия, 01246-000
- ICESP - Instituto do Câncer do Estado de São Paulo
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Главный следователь:
- Milena Perez Mak
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Контакт:
- Erika Assis Rodrigues
- Номер телефона: +551138933555
- Электронная почта: erika.arodrigues@hc.fm.usp.br
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São Paulo, São Paulo, Бразилия, 04538-135
- CPO - Centro Paulista de Oncologia (Oncoclínicas)
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Контакт:
- Maraisa Cristina da Costa
- Номер телефона: +11971445373
- Электронная почта: maraisa.costa@oncoclinicas.com
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Главный следователь:
- Nathalia Gimenes
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Критерии участия
Критерии приемлемости
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Полы, имеющие право на обучение
Описание
Inclusion Criteria:
-
Provided written informed consent for the study (or prescreening phase, as applicable).
-
Histologically- or cytologically confirmed diagnosis of malignant salivary gland neoplasm (assessed by central pathology):
- Cohort 1: Adenoid cystic carcinoma (ACC) of the salivary gland.
- Cohort 2: Non-adenoid cystic carcinoma (non-ACC) of the salivary gland.
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Advanced disease, defined as locally advanced or recurrent disease not amenable to curative treatment, and/or metastatic disease.
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Documented disease progression within 6 months prior to enrollment.
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Received no more than 3 prior lines of non-curative intent systemic treatment regimens. Note: Patients with salivary duct carcinoma must have been tested for HER2 status; if HER2 positive (IHC 3+ or gene amplified), prior HER2-targeted therapy is required.
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Measurable disease as defined by RECIST v1.1.
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Aged 18 years or older at the time of signing informed consent.
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ECOG Performance Status of 0 or 1.
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Adequate organ function within 14 days prior to treatment initiation:
- Absolute Neutrophil Count (ANC) >= 1,500/uL;
- Platelets >= 100,000/uL;
- Hemoglobin >= 9.0 g/dL (without transfusion or growth factor support within 2 weeks);
- Measured or calculated creatinine clearance >= 30 mL/min;
- Total bilirubin <= 1.5 x ULN (or direct bilirubin < ULN for total bilirubin > 1.5 x ULN);
- AST and ALT <= 2.5 x ULN (<= 5 x ULN if liver metastases present);
- Serum albumin >= 3.0 g/dL (without albumin transfusion within 72 hours);
- INR/PT/aPTT <= 1.5 x ULN (unless receiving therapeutic anticoagulation).
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Provision of archival FFPE tumor tissue sample or fresh biopsy.
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Recovery from adverse events due to prior anticancer therapies to Grade <= 1 or baseline.
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Participants with treated HIV, HBV, or HCV are eligible if meeting protocol-specified antiviral stability and disease control parameters.
-
Adherence to protocol-specified contraceptive requirements for male participants and participants of childbearing potential.
Exclusion Criteria:
- History of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing.
- Uncontrolled or significant cardiovascular or cerebrovascular disease within 6 months prior to first dose (e.g., NYHA Class III/IV heart failure, unstable angina, myocardial infarction, uncontrolled symptomatic arrhythmia, QTcF > 480 ms).
- Prior treatment with a TROP2-targeted ADC or a topoisomerase 1 inhibitor-containing ADC.
- Systemic anticancer therapy within 2 weeks before the first dose of study intervention.
- Radiotherapy within 7 days before the first dose (except <= 10 fractions of palliative radiotherapy for non-CNS disease).
- Administration of a live or live-attenuated vaccine within 30 days before the first dose.
- Current use of strong CYP3A4 inducers or inhibitors requiring a 2-week washout prior to enrollment.
- Concurrent enrollment in another therapeutic clinical trial.
- Receipt of an investigational agent or device within 4 weeks before the first dose.
- History of additional active malignancy within the past 3 years (except adequately treated non-melanoma skin cancer, carcinoma in situ, or low-risk prostate cancer).
- Active, untreated, or unstable CNS metastases and/or carcinomatous meningitis.
- Active infection requiring systemic therapy.
- Severe hypersensitivity (Grade >= 3) to study intervention or its excipients.
- Major surgery or significant traumatic injury within 4 weeks before the first dose.
- History of noninfectious pneumonitis/ILD requiring steroids or current clinically meaningful pneumonitis/ILD.
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Нерандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Нет (открытая этикетка)
Количество рук
Оружие и интервенции
Группа участников / АрмияГруппа участников / Армия |
Вмешательство/лечениеВмешательство/лечение |
|---|---|
|
Экспериментальный: Cohort 1: Adenoid Cystic Carcinoma (ACC)
Participants with advanced, recurrent, or metastatic adenoid cystic carcinoma (ACC) of the salivary gland who have received no more than three prior non-curative systemic treatment regimens. Participants receive Sacituzumab Tirumotecan (Sac-TMT) monotherapy at 4 mg/kg via intravenous (IV) infusion on Days 1 and 15 of each 28-day cycle for up to 12 cycles, or until disease progression, unacceptable toxicity, or withdrawal of consent. |
Sacituzumab tirumotecan (Sac-TMT / MK-2870) is an antibody-drug conjugate (ADC) targeting TROP-2. Administered via intravenous (IV) infusion at a dose of 4 mg/kg on Days 1 and 15 of each 28-day cycle for up to 12 cycles.
Другие имена:
|
|
Экспериментальный: Cohort 2: Non-Adenoid Cystic Carcinoma (Non-ACC)
rticipants with advanced, recurrent, or metastatic non-adenoid cystic carcinoma (non-ACC) of the salivary gland who have received no more than three prior non-curative systemic treatment regimens. Participants receive Sacituzumab Tirumotecan (Sac-TMT) monotherapy at 4 mg/kg via intravenous (IV) infusion on Days 1 and 15 of each 28-day cycle for up to 12 cycles, or until disease progression, unacceptable toxicity, or withdrawal of consent. |
Sacituzumab tirumotecan (Sac-TMT / MK-2870) is an antibody-drug conjugate (ADC) targeting TROP-2. Administered via intravenous (IV) infusion at a dose of 4 mg/kg on Days 1 and 15 of each 28-day cycle for up to 12 cycles.
Другие имена:
|
Что измеряет исследование?
Первичные показатели результатов
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Objective Response Rate (ORR) in Cohort 1 (ACC)
Временное ограничение: Up to 12 cycles (approximately 12 months).
|
Proportion of participants with a best overall response of complete response (CR) or partial response (PR) as determined by RECIST 1.1 in the Adenoid Cystic Carcinoma cohort. |
Up to 12 cycles (approximately 12 months).
|
|
Objective Response Rate (ORR) in Cohort 2 (Non-ACC)
Временное ограничение: Up to 12 cycles (approximately 12 months).
|
Proportion of participants with a best overall response of complete response (CR) or partial response (PR) as determined by RECIST 1.1 in the Non-Adenoid Cystic Carcinoma cohort. |
Up to 12 cycles (approximately 12 months).
|
Вторичные показатели результатов
Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Objective Response Rate by Independent Central Review (ORR-ICR)
Временное ограничение: From enrollment through disease progression or end of treatment, assessed up to 12 cycles (approximately 12 months).
|
Percentage of participants with a confirmed best overall response of complete response (CR) or partial response (PR) as determined by an Independent Central Review (ICR) according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). |
From enrollment through disease progression or end of treatment, assessed up to 12 cycles (approximately 12 months).
|
|
Disease Control Rate (DCR)
Временное ограничение: From enrollment through disease progression or end of treatment, assessed up to 12 cycles (approximately 12 months).
|
Percentage of participants with a best overall response of complete response (CR), partial response (PR), or stable disease (SD) according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). |
From enrollment through disease progression or end of treatment, assessed up to 12 cycles (approximately 12 months).
|
|
Duration of Response (DoR)
Временное ограничение: From first documented response until disease progression or death, assessed up to 40 months.
|
Time from the first documented objective response (complete response [CR] or partial response [PR]) to the date of first documented disease progression according to RECIST v1.1 or death due to any cause, evaluated in responders only. |
From first documented response until disease progression or death, assessed up to 40 months.
|
|
Progression-Free Survival (PFS)
Временное ограничение: From treatment initiation until disease progression or death, assessed up to 40 months.
|
Time from treatment initiation to first documented disease progression according to RECIST v1.1 (as evaluated by investigator assessment) or death due to any cause, whichever occurs first. |
From treatment initiation until disease progression or death, assessed up to 40 months.
|
|
6-Month Progression-Free Survival (6-Month PFS)
Временное ограничение: At 6 months.
|
Percentage of participants alive and progression-free at 6 months after enrollment according to RECIST v1.1, estimated using the Kaplan-Meier method. |
At 6 months.
|
|
12-Month Progression-Free Survival (12-Month PFS)
Временное ограничение: At 12 months.
|
Percentage of participants alive and progression-free at 12 months after enrollment according to RECIST v1.1, estimated using the Kaplan-Meier method. |
At 12 months.
|
|
Overall Survival (OS)
Временное ограничение: From treatment initiation until death, assessed up to 40 months.
|
Time from treatment initiation to death from any cause. |
From treatment initiation until death, assessed up to 40 months.
|
|
Incidence of Treatment-Emergent Adverse Events (TEAEs)
Временное ограничение: From baseline through 30 days after the last dose of study treatment (approximately 13 months).
|
Number of participants with treatment-emergent adverse events (TEAEs) of any grade and Grade 3 or higher, characterized and graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI CTCAE v5.0). |
From baseline through 30 days after the last dose of study treatment (approximately 13 months).
|
|
Change From Baseline in Health-Related Quality of Life Using EORTC QLQ-C30
Временное ограничение: Baseline, every 6 weeks up to 24 weeks.
|
Assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30). The questionnaire includes functional scales, symptom scales, and a global health status/QoL scale. All domain and item scores are linearly transformed to a 0 to 100 scale. For functional scales and global health status, higher scores represent better quality of life and higher level of functioning. For symptom scales, higher scores represent greater symptom burden/severity. |
Baseline, every 6 weeks up to 24 weeks.
|
Соавторы и исследователи
Спонсор
Спонсор
Следователи
Следователи
- Главный следователь: William Nassib William Junior, CPO - Centro Paulista de Oncologia (Oncoclínicas)
- Главный следователь: Aline Lauda Freitas Chaves, Oncocentro de Minas Gerais (Oncoclínicas)
Даты записи исследования
Изучение основных дат
Начало исследования (Оцененный)
Начало исследования
Первичное завершение (Оцененный)
Первичное завершение
Завершение исследования (Оцененный)
Завершение исследования
Даты регистрации исследования
Первый отправленный
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Первый опубликованный
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее опубликованное обновление
Последнее отправленное обновление, отвечающее критериям контроля качества
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
Другие идентификационные номера исследования
- LACOG 1824
Планирование данных отдельных участников (IPD)
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Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .