Volrustomig 在高危局部晚期宫颈癌女性中的研究 (eVOLVE-Cervical) (eVOLVECervical)
一项针对 Volrustomig 的 III 期、随机、双盲、安慰剂对照、多中心、全球研究,研究对象为接受铂类同步放化疗 (eVOLVE-Cervical) 治疗后未取得进展的高危局部晚期宫颈癌女性
This is a phase III, randomized, double-blind, placebo-controlled, multi-center, global study to explore the efficacy and safety of volrustomig in women with high-risk LACC (FIGO 2018 stage IIIA to IVA cervical cancer) who have not progressed following platinum-based CCRT.
研究概览
详细说明
Women with locally advanced cervical cancer will be randomized in a 1:1 ratio to receive treatment with Volrustomig or Placebo.
研究类型
注册 (估计的)
阶段
- 第三阶段
联系人和位置
学习联系方式
- 姓名:AstraZeneca Clinical Study Information Center
- 电话号码:1-877-240-9479
- 邮箱:information.center@astrazeneca.com
学习地点
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Beijing、中国、100730
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Beijing、中国、100142
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Beijing、中国、100026
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Changde、中国、415000
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Changsha、中国、410008
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Changsha、中国、410013
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Chengdu、中国、610041
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Chengdu、中国、610044
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Chongqing、中国、400030
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Fuzhou、中国、350014
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Ganzhou、中国、341000
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Guangzhou、中国、510060
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Guangzhou、中国、510120
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Hangzhou、中国、310022
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Harbin、中国、150081
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Kunming、中国、650118
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Lanzhou、中国、730050
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Lanzhou、中国、730000
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Linyi、中国、276001
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Luzhou、中国、646000
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Nanchang、中国、330006
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Nanchang、中国、330029
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Shandong、中国
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Shanghai、中国、200032
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Shanghai、中国、200080
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Shenyang、中国、110004
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Shenzhen、中国、518036
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Shenzhen、中国、518116
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Tianjin、中国、300060
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Wuhan、中国、430022
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Wuhan、中国、430030
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Xi'an、中国、710061
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Yibin、中国、610500
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Yinchuan、中国、750004
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Zhengzhou、中国、450008
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Zhengzhou、中国、450052
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Zhuzhou、中国、412007
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Aarhus N、丹麦、8200
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København Ø、丹麦、2100
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Odense、丹麦、5000
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Ontario
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Hamilton、Ontario、加拿大、L8V 1C3
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London、Ontario、加拿大、N6A 5W9
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Toronto、Ontario、加拿大、M4N 3M5
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Toronto、Ontario、加拿大、M5G 2M9
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Quebec
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Montreal、Quebec、加拿大、H3G 1A4
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Montreal、Quebec、加拿大、H2X 0C1
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Ste-Foy、Quebec、加拿大、G1V 4G2
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Calicut、印度、673601
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Jaipur、印度、302017
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Lucknow、印度、226003
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Madurai、印度、625107
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Mohali、印度、160055
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Nagpur、印度、440001
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Nashik、印度、422009
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Nashik、印度、422011
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New Delhi、印度、110029
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Vadodara、印度、391760
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Changhua、台湾、50006
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Kaohsiung City、台湾、833
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Kaohsiung City、台湾、81362
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New Taipei City、台湾、220
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Taichung、台湾、40447
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Taichung、台湾、40705
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Tainan、台湾、704
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Taipei、台湾、11217
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Taipei、台湾、10449
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Taoyuan、台湾、333
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Adana、土耳其(türkiye)、01250
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Ankara、土耳其(türkiye)、06490
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Ankara、土耳其(türkiye)、06100
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Cordaleo、土耳其(türkiye)、35575
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Istanbul、土耳其(türkiye)、32098
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Istanbul、土耳其(türkiye)、34214
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Coyoacán、墨西哥、04380
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Culiacán、墨西哥、80040
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Guadalajara、墨西哥、44650
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Guadalajra、墨西哥、44260
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Mexico City、墨西哥、03240
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Monterrey、墨西哥、64460
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México、墨西哥、04700
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México、墨西哥、14080
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Barretos、巴西、14784-400
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Belo Horizonte、巴西、30130-100
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Curitiba、巴西、80730-150
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Fortaleza、巴西、60430-230
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Fortaleza、巴西、60336-045
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Goiânia、巴西、74110-060
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Ijuí、巴西、98700-000
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Natal、巴西、59075-740
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Porto Alegre、巴西、90619-900
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Porto Alegre、巴西、98850-170
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Porto Alegre、巴西、90570-060
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Porto Velho、巴西、76834-899
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Recife、巴西、52010-075
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Rio de Janeiro、巴西、20220-410
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Salvador、巴西、40050 410
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São Paulo、巴西、01246-000
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São Paulo、巴西、1323001
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São Paulo、巴西、01323-000
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Teresina、巴西、64049-200
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Berlin、德国、13353
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Bonn、德国、53127
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Hamburg、德国、20246
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Leipzig、德国、04103
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Bari、意大利、70124
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Bologna、意大利、40138
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Catania、意大利、95126
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Florence、意大利、50141
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Lecco、意大利、23900
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Milan、意大利、20141
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Milan、意大利、20159
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Milan、意大利、20133
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Monza、意大利、20900
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Naples、意大利、80131
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Roma、意大利、161
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Rome、意大利、00168
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Turin、意大利、10128
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Oslo、挪威、424
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Trondheim、挪威、7030
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Fukuoka、日本、812-8582
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Ginowan-shi、日本、901-2725
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Hidaka-shi、日本、350-1298
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Kagoshima、日本、890-8520
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Kurume-shi、日本、830-0011
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Kōtoku、日本、135-8550
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Maebashi、日本、371-8511
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Matsuyama、日本、791-0280
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Morioka、日本、028-3695
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Nagoya、日本、464-8681
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Osaka、日本、541-8567
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Sapporo、日本、003-0804
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Sapporo、日本、060-8638
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Shinjuku-ku、日本、160-8582
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Suita-shi、日本、565-0871
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Sunto-gun、日本、411-8777
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Toon-Shi、日本、791-0295
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Bialystok、波兰、15-027
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Gdansk、波兰、80-214
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Gliwice、波兰、44-101
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Krakow、波兰、30-348
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Lodz、波兰、90-513
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Poznan、波兰、61-866
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Warsaw、波兰、02-781
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Wroclaw、波兰、53-413
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San Juan、波多黎各、00927
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Bangkok、泰国、10400
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Bangkok、泰国、10330
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Bangkok、泰国、10700
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Muang、泰国、50200
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Udon Thani、泰国、41330
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Concepción、秘鲁、12125
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Lima、秘鲁、LIMA 29
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Lima、秘鲁、Lima 34
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Lima、秘鲁、15036
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Lima、秘鲁、15038
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Lima、秘鲁、15102
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Lima、秘鲁、Lima39
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Alabama
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Birmingham、Alabama、美国、35233
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Arizona
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Phoenix、Arizona、美国、85016
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Tucson、Arizona、美国、85711
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Arkansas
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Little Rock、Arkansas、美国、72205
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California
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La Jolla、California、美国、92093
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West Hollywood、California、美国、90048
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Georgia
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Atlanta、Georgia、美国、30322
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Augusta、Georgia、美国、30912
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Savannah、Georgia、美国、31405
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Illinois
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Melrose Park、Illinois、美国、60160
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Indiana
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Indianapolis、Indiana、美国、46202
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Louisiana
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New Orleans、Louisiana、美国、70112
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New Orleans、Louisiana、美国、70121
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Shreveport、Louisiana、美国、71103
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New York
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New York、New York、美国、10016
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Syracuse、New York、美国、13210
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Ohio
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Cleveland、Ohio、美国、44195
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Columbus、Ohio、美国、43210
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Oregon
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Eugene、Oregon、美国、97401
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Pennsylvania
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Philadelphia、Pennsylvania、美国、19107
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Rhode Island
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Providence、Rhode Island、美国、02905
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Texas
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Dallas、Texas、美国、75390
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Fort Worth、Texas、美国、76104
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Houston、Texas、美国、77030
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Tyler、Texas、美国、75702
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Virginia
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Charlottesville、Virginia、美国、22908
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Fairfax、Virginia、美国、22031
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Richmond、Virginia、美国、23298
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A Coruña、西班牙、15009
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Barcelona、西班牙、08036
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Barcelona、西班牙、8035
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Córdoba、西班牙、14004
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Girona、西班牙、17007
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Hospitalet deLlobregat、西班牙、08907
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Madrid、西班牙、28034
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Madrid、西班牙、28040
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Madrid、西班牙、28041
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Madrid、西班牙、28046
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Palma de Mallorca、西班牙、07010
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Valencia、西班牙、46010
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Valencia、西班牙、46009
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Daegu、韩国、42601
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Goyang-si、韩国、10408
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Gyeonggi-do、韩国、13605
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Seoul、韩国、03080
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Seoul、韩国、06351
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Seoul、韩国、5505
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Seoul、韩国、03722
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
For inclusion in the study, patients should fulfill the following criteria:
- Female.
- Aged at least 15 years at the time of screening. Note: Participants < 18 years of age: physical changes should be aligned with Tanner Stage III.
- Body weight > 35 kg.
- Histologically documented FIGO 2018 Stage IIIA to IVA cervical adenocarcinoma, cervical squamous carcinoma, or cervical adenosquamous carcinoma, with no evidence of metastatic disease.
- Initial staging procedures performed no more than 56 days prior to the first dose of CCRT.
- Provision of FFPE tumor sample to assess the PD-L1 expression.
- Must not have progressed following CCRT, participants with persistent disease after definitive CCRT must not be amenable to other available therapies with curative intent.
- WHO/ECOG performance status of 0 or 1; duration of life expectancy of ≥ 12 weeks.
- Adequate organ and bone marrow function.
- Capable of providing signed informed consent.
Exclusion Criteria:
Patients should not enter the study if any of the following exclusion criteria are fulfilled:
- Diagnosis of small cell (neuroendocrine) or mucinous adenocarcinoma of cervical cancer.
- Evidence of metastatic disease.
- Intent to administer a fertility-sparing treatment regimen.
- History of organ transplant or allogenic stem cell transplant.
- History of active primary immunodeficiency or active or prior documented autoimmune or inflammatory disorders.
- Uncontrolled intercurrent illness.
- History of another primary malignancy except for a) Malignancy treated with curative intent with no known active disease ≥2 years before the first dose of study intervention; b) Adequately treated nonmelanoma skin cancer or lentigo maligna, or carcinoma in situ without evidence of disease.
- Unresolved toxicities from previous CCRT except for irreversible toxicity that is not reasonably expected to be exacerbated.
- Prior history or presence of vesicovaginal, colovaginal, or rectovaginal fistula.
- History of anaphylaxis to any biologic therapy or vaccine.
- Current or prior use of immunosuppressive medication within 14 days before the first dose of the study intervention is excluded. The following are exceptions to this criterion: a) Intranasal, inhaled, topical steroids, or local steroid injections (eg, intraarticular injection); b) Steroids as premedication for hypersensitivity reactions (eg, CT scan premedication or chemotherapy premedication) or a single dose for palliative purpose (eg, pain control); c) Physiologic doses of oral corticosteroids, ie, not exceeding 10 mg/day of prednisone (or equivalent) in the preceding 14 days.
- Patients who have undergone a previous hysterectomy, including a supracervical hysterectomy, or will have a hysterectomy as part of their initial cervical cancer therapy.
- Any prior (besides prior CCRT) or concurrent treatment for cervical cancer.
- Major surgical procedures within 4 weeks prior to the first dose of the study intervention or still recovering from prior surgery.
- Exposure to immune mediated therapy prior to the study for any indication.
- Receipt of live attenuated vaccine within 30 days prior to the first dose of the study intervention.
- Participants with a known allergy or hypersensitivity to the study intervention, or any excipients of the study intervention.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:四人间
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
安慰剂比较:Placebo
Placebo |
IV Infusion
其他名称:
|
|
实验性的:Volrustomig
Volrustomig |
IV Infusion |
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Progression-free Survival (PFS) based on the investigator assessment in all randomized participants (FAS)
大体时间:Up to approximately 7 years
|
PFS is defined as the time from date of randomization until RECIST 1.1- defined radiological progression or histopathologically confirmed progression as assessed by the Investigator or death due to any cause, whichever occurs earlier. |
Up to approximately 7 years
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Overall Survival (OS) in all randomized participants
大体时间:Up to approximately 7 years
|
OS defined as time from randomization until the date of death due to any cause. |
Up to approximately 7 years
|
|
Objective Response Rate (ORR) in all randomized participants
大体时间:Up to approximately 7 years
|
ORR is defined as the proportion of participants who have a CR or PR, as determined by Investigator per RECIST 1.1 |
Up to approximately 7 years
|
|
Duration of Response (DoR) in all randomized participants
大体时间:Up to approximately 7 years
|
DoR in participants with a CR or PR: Time from date of first detection of CR or PR until the date of RECIST 1.1-defined radiological progression or histopathologically confirmed progression. |
Up to approximately 7 years
|
|
Time to First Subsequent Therapy or death (TFST) in all randomized participants
大体时间:Up to approximately 7 years
|
TFST: The time from randomization until the start date of the first subsequent anti-cancer therapy after discontinuation of randomized treatment, or death due to any cause. |
Up to approximately 7 years
|
|
Time to second progression or death (PFS2) in all randomized participants
大体时间:Up to approximately 7 years
|
PFS2: The time from randomization to the earliest of the progression event (following the initial Investigator-assessed progression), after first subsequent therapy, or death. The date of second progression will be recorded by the Investigator in the eCRF and defined according to local standard clinical practice. |
Up to approximately 7 years
|
|
PFS by BICR in all randomized participants
大体时间:Up to approximately 7 years
|
Endpoints based on the PFS by BICR assessment according to RECIST 1.1. |
Up to approximately 7 years
|
|
The incidence of local progression, and distant disease progression as the first documented progression event in all randomized participants
大体时间:Up to approximately 7 years
|
Incidence of Local Progression, and Distant Disease Progression: Number and percentage of participants who develop local progression, distant disease recurrence. |
Up to approximately 7 years
|
|
PK of volrustomig
大体时间:Up to approximately 7 years
|
Concentration of volrustomig in serum and PK parameters as data allow. |
Up to approximately 7 years
|
|
The immunogenicity of volrustomig
大体时间:Up to approximately 7 years
|
Incidence of ADAs against volrustomig in serum. |
Up to approximately 7 years
|
|
Incidence of adverse events of volrustomig compared to placebo
大体时间:Up to approximately 7 years
|
An AE is defined as the development of any untoward medical occurrence (other than progression of the malignancy under evaluation) in a patient or clinical study participant administered a medicinal product, and which does not necessarily have a causal relationship with this treatment. |
Up to approximately 7 years
|
|
Participant-reported disease-related symptoms
大体时间:Up to approximately 7 years
|
Change from baseline as measured by the European Organization for Research and Treatment of Cancer IL318 (EORTC IL318, Symptom Experience subscale of the EORTC Quality of Life Questionnaire Symptom Specific Scale for Cervical Cancer (EORTC QLQ-CX24)). The score of scale for EORTC IL318 is from 1-4. |
Up to approximately 7 years
|
|
Participant-reported physical functioning
大体时间:Up to approximately 7 years
|
Change from baseline of physical functioning as measured by the Patient Reported Outcomes Measurement Information System - Short Form - Physical Functioning 8c (PROMIS SF-PF 8c). The score of scale for PROMIS SF-PF 8c is from 1-5. |
Up to approximately 7 years
|
|
Participant-reported global health status/Quality of Life
大体时间:Up to approximately 7 years
|
Change from baseline of Global Health Status/ Quality of Life (GHS/QoL) as measured by the European Organization for Research and Treatment of Cancer IL172 (EORTC IL172). The score of scale for EORTC IL172 is from 1-7. |
Up to approximately 7 years
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- D7984C00002
- GOG-3092 (其他标识符:Gynecologic Oncology Group Foundation)
- ENGOT-cx19/GEICO (其他标识符:European Network for Gynaecological Oncological Trial groups)
- 165663 (注册表标识符:FDA-IND)
- 2023-504374-38-00 (其他标识符:EU CT)
- 2023 (美国 NIH 拨款/合同)
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
IPD 计划说明
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD 共享时间框架
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD 共享访问标准
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
IPD 共享支持信息类型
- 研究方案
- 树液
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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