Yükleniyor... / Loading...
Trabectedin Plus Olaparib in Metastatic or Advanced Sarcomas (TOMAS)
Bu çalışma, ameliyatla çıkarılamayan veya metastatik sarkom (sarcoma) yani yumuşak doku ve kemik tümörü olan hastalarda Trabectedin ve Olaparib ilaçlarının birlikte kullanımını incelemiştir. Çalışmaya, önceki tedavilere rağmen ilerleyen hastalığı olan hastalar alınmıştır. Faz 1 aşamasında yürütülmüş ve tamamlanmıştır.
Yukarıdaki özet, resmî kaydın sade dile aktarılmış halidir. Orijinal İngilizce başlık referans için gösterilir.
Kriterler ClinicalTrials.gov kaydından orijinal İngilizce haliyle alınmıştır. Uygunluk kararını yalnızca deneyi yürüten ekip verebilir.
Inclusion Criteria: * written informed consent * histologically documented and not surgically resectable or metastatic sarcomas which progressed after first or further line treatments for relapsing disease * Measurable disease as defined by RECIST v1.1. * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0/1. ECOG PS 2 are eligible if depends solely on orthopedic problems * Estimated life expectancy of ≥ 4 months * Age ≥18 years * Adequate organ function: Hemoglobin \> 10.0 g/dl; Absolute neutrophil count (ANC) \>1,500/mm3; Platelet count \>= 100,000/μl; Total bilirubin \< 1.5 times the upper limit of normal (ULN); ALT and AST \< 2.5 x ULN (\< 5 x ULN for patients with liver involvement of their cancer); Alkaline phosphatase \< 2.5 x ULN; PT-INR/PTT \< 1.5 x ULN; Serum creatinine \< 1.5 x ULN or creatinine clearance ≥ 50 ml/min; Albumin \> 25 g/l; Creatine phosphokinase (CPK) \< 2.5 x ULN Exclusion Criteria: * Involvement in the planning and/or conduct of the study * Previous enrolment in the present study * Participation in another clinical study with an investigational product during the last month * Persistent toxicities (≥CTCAE grade 2) with the exception of alopecia, caused by previous anticancer therapies * Dementia or significantly altered mental status * Patients with any severe and/or uncontrolled medical conditions * HIV infection * Active clinically serious infections (\> grade 2 NCI-CTCAE version 4.03). * Active viral hepatitis (HBV or HCV infection) * Symptomatic metastatic brain or meningeal tumors (unless the patient is \> 6 months from definitive therapy, does not require corticosteroid treatment, has a negative imaging study within 4 weeks of study entry and is clinically stable with respect to the tumor at the time of study entry). * Patients with seizure disorders requiring medication (such as steroids or anti-epileptics) * Pregnant or breast-feeding patients. Women of childbearing potential must have a negative pregnancy test performed within 7 days before the start of treatment. Both men and women enrolled in this trial must use adequate barrier birth control measures during the course of the trial and 5 months after last dose of study drug * Patients with evidence or history of bleeding diathesis * Patients undergoing renal dialysis * Patients unable to swallow oral medications * Uncontrolled diabetes (fasting glucose \> 2 x ULN) * Patients receiving chronic, systemic treatment with corticosteroids or another immunosuppressive agent (except corticosteroids with a daily dosage equivalent to prednisone ≤ 20 mg for adrenal insufficiency). Topical or inhaled corticosteroids are permitted * Patients with a history of another malignancy within 5 years prior to study entry, except curatively treated non-melanotic skin cancer or in-situ cervical cancer or other solid tumors curatively treated with no evidence of disease for ≥5 years. * Anticancer chemotherapy or immunotherapy during the study or within 4 weeks of treatment start * Radiotherapy during study or within 3 weeks of start of study drug. (Palliative radiotherapy allowed) * Major surgery within 4 weeks of start of study * Prior exposure to the study drugs or their analogues * Patients with known hypersensitivity to trabectedin, olaparib or to their excipients * Patients can receive a stable dose of bisphosphonates for bone metastases before and during the study as long as these were started at least 4 weeks prior to treatment with the study drugs * Substance abuse, medical, psychological or social conditions that may interfere with the patient's participation in the study or evaluation of the study results * A history of noncompliance to medical regimens or inability or unwillingness to return for scheduled visits * Corrected QT interval on the 12-lead ECG (QTc) \>470 msec (Bazett Formula) * use of strong CYP3A4 inhibitors/inducers * Patients with myelodysplastic syndrome/acute myeloid leukemia