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Идёт набор NCT06948448

A Study to Evaluate the Safety and Efficacy of Two Dose Levels of ONO-4578 With Opdivo®, in Combination With mFOLFOX6 and Bevacizumab Versus Standard of Care in Participants With Non-MSI-H/dMMR, PD-L1 Positive Advanced Colorectal Cancer

Фаза II С лечением Colorectal Cancer

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: ONO-4578, Opdivo®, Oxaliplatin, 5-Fluorouracil.
Кому может быть актуально
Состояния в реестре: Colorectal Cancer. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США, Канада, Франция, Италия, Япония +1
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Официальное название

A Randomized, Open Label, Multicenter, Phase 2 Study to Evaluate the Safety and Efficacy of Two Dose Levels of ONO-4578 With Opdivo® in Combination With mFOLFOX6 and Bevacizumab Versus Standard of Care for First-line Treatment of Non-MSI-H/dMMR, PD-L1 Positive Advanced Colorectal Cancer

Обзор

The purpose of this study is to evaluate the safety and efficacy of two dose levels of ONO-4578 with Opdivo® when added to mFOLFOX6 and bevacizumab versus SOC as first-line treatment for advanced CRC.

Подробное описание

Potential participants will be consented and screened for study eligibility. Eligible participants will be randomized in a 1:1:1 ratio to one of the three study intervention arms. Study intervention will be administered in 28-day treatment cycles and continued until disease progression, intolerable toxicity, Investigator decision or withdrawal of consent by the participant, or termination of the study by the Sponsor.

Вмешательства

  • Препарат ONO-4578
    ONO-4578 tablets once a day
  • Препарат Opdivo®
    Specified dose on specified days
  • Препарат Oxaliplatin
    Specified dose on specified days
  • Препарат 5-Fluorouracil
    Specified dose on specified days
  • Препарат Bevacizumab
    Specified dose on specified days
  • Препарат Leucovorin
    Specified dose on specified days

Первичные конечные точки

  • Overall Response Rate (ORR) per Blinded Independent Central Review (BICR) [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Number of participants with Adverse Events (AEs) [Срок оценки: From first dose to 28 days post last dose]
  • Number of participants with Serious Adverse Events (SAEs) [Срок оценки: From first dose to 28 days post last dose]
Вторичные конечные точки (12)
  • Overall Response Rate (ORR) per Investigator assessment [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Overall Survival (OS) [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Progression-Free Survival (PFS) by BICR [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Progression-Free Survival (PFS) by Investigator assessment [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Best overall response (BOR) by BICR [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Best overall response (BOR) by Investigator assessment [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Duration of response (DOR) by BICR [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Duration of response (DOR) by Investigator assessment [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Disease Control Rate (DCR) by BICR [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Disease Control Rate (DCR) by Investigator assessment [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Time to Response (TTR) by BICR [Срок оценки: From randomization to the end of treatment (Up to 39 months)]
  • Time to Response (TTR) by Investigator assessment [Срок оценки: From randomization to the end of treatment (Up to 39 months)]

Критерии участия

Критерии включения

  • Histologically confirmed advanced (locally advanced or metastatic) colorectal cancer not amenable to curative resection
  • ECOG Performance Status of 0-1
  • No prior systemic treatment for advanced local or mCRC
  • Participants whose tumor is positive for PD-L1 expression as determined at a central laboratory

Критерии исключения

  • Participants with high microsatellite instability (MSI-High), or mismatch repair deficient (dMMR) tumor
  • Participants with BRAF V600E mutation
  • Unable to swallow tablets.
  • Participants with complication or history of interstitial lung disease, pneumonitis or pulmonary fibrosis
  • Participants with an active, known or suspected autoimmune disease.
  • Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways.

Other protocol-defined inclusion/exclusion criteria apply

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Открытое
Основная цель
Лечение

Центры проведения

США · 11 центров
  • Mayo Clinic Arizona — Phoenix
  • USC Norris Comprehensive Cancer Center — Los Angeles
  • Rocky Mountain Cancer Centers, LLP — Lone Tree
  • Mayo Clinic Florida — Jacksonville
  • Advent Health — Orlando
  • May Clinic Rochester — Rochester
  • The Ohio State University Comprehensive Cancer Center — Columbus
  • Thomas Jefferson University, Sidney Kimmel Cancer Center — Philadelphia
  • … и ещё 3 центра
Франция · 8 центров
  • CHU Besançon - Hôpital Jean Minjoz — Besançon
  • CHU Bordeaux - Hôpital Haut-Lévêque — Pessac
  • Chru De Nantes Hotel-Dieu — Nantes
  • Hôpital de la Timone — Marseille
  • Hôpital Européen Georges Pompidou — Paris
  • Hôpital Saint-Antoine — Paris
  • Centre Leon Berard — Lyon
  • CHU Poitiers - Hôpital la Milétrie — Poitiers
Испания · 7 центров
  • Institut Catala d'Oncologia (H. Germans Trias I Pujol, ICO-Barcelona) — Badalona
  • Hosptial Universitari Vall d'Hebron — Barcelona
  • Hospital Universitario Reina Sofia — Córdoba
  • Hospital Universitario 12 de Octubre — Madrid
  • Hospital Universitario Virgen del Rocio — Seville
  • Hospital Regional Universitario de Malaga — Málaga
  • Hospital General Universitario de Valencia — Valencia
Италия · 6 центров
  • Azienda Socio Sanitaria Territoriale Niguarda — Milan
  • Istituto Clinico Humanitas — Milan
  • Istituto Europeo di Oncologia — Milan
  • AOU Uni degli Studi Della Campania Lugi Vanvitelli — Naples
  • Istituto Nazionale Tumori Fondazione G. Pascale — Naples
  • IOV-Istituto Oncologico — Padova
Япония · 4 центра
  • Kobe City Medical Center General Hospital — Hyōgo
  • National Hospital Organization Osaka National Hospital — Osaka
  • Osaka General Medical Center — Osaka
  • Osaka International Cancer Institute — Osaka
Канада · 3 центра
  • The Ottawa Hospital Cancer Centre — Ottawa
  • Princess Margaret Cancer Centre- University Health Network — Toronto
  • Jewish General Hospital — Montreal

Идентификаторы

NCT: NCT06948448 · ONO-4578-10 · jRCT2051250119

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗