Descrizione riassuntiva della sperimentazione (Fonte di dati: BASEC)
Il s’agit d’une étude ouverte randomisée (1:1), avec deux bras. L’étude a pour objectif
d’étudier si l’ajout de champs TTFields, appliqués au moyen du système NovoTTF-200T,
à l’administration de gemcitabine et de nab-paclitaxel dans le cadre d’un traitement de
première ligne chez des patients atteints d’un cancer du pancréas localement avancé et
non résécable, améliore de façon significative les résultats cliniques des patients, par
rapport au traitement par chimiothérapie seule.
Il est prévu qu’environ 556 patients âgés de 18 ans et plus ayant reçu un diagnostic de
cancer du pancréas localement avancé participent à cette recherche aux États-Unis, au
Canada, en Israël et en Europe. Cette étude devrait durer 48 mois. La durée prévue de la
participation de chaque patient est de 10 mois environ.
Malattie studiate(Fonte di dati: BASEC)
l’adénocarcinome du pancréas localement avancé
Health conditions
(Fonte di dati: WHO)
Pancreas Adenocarcinoma
Malattia rara
(Fonte di dati: BASEC)
No
Interventi esaminati (p. es. medicamento, terapia, campagna)
(Fonte di dati: BASEC)
le traitement du cancer du pancréas avec une chimiothérapie standard (gemcitabine et nab-paclitaxel) en association avec des champs TTFields ou avec une chimiothérapie standard (gemcitabine et nab-paclitaxel) seule
Interventions
(Fonte di dati: WHO)
Device: NovoTTF-200T;Drug: Gemcitabine;Drug: nab paclitaxel
Criteri per la partecipazione alla sperimentazione
(Fonte di dati: BASEC)
1. 18 ans et plus
2. Diagnostic histologique/cytologique d’adénocarcinome du pancréas de novo
3. Maladie localement avancée et non résécable
Criteri di esclusione
(Fonte di dati: BASEC)
1. Traitement palliatif antérieur de la tumeur (par ex., chirurgie, radiothérapie)
2. Cancer nécessitant un traitement antitumoral au cours des 5 ans précédant l’inclusion
3. Comorbidités graves
Inclusion/Exclusion Criteria
(Fonte di dati: WHO)
Inclusion Criteria:
1. 18 years of age and older
2. Life expectancy of = 3 months
3. Histological/cytological diagnosis of de novo adenocarcinoma of the pancreas
4. Unresectable, locally advanced stage disease according to the following criteria:
- Head/uncinate process:
1. Solid tumor contact with SMA>180°
2. Solid tumor contact with the CA>180°
3. Solid tumor contact with the first jejunal SMA branch
4. Unreconstructible SMV/PV due to tumor involvement or occlusion (can be d/t
tumor or bland thrombus)
5. Contact with most proximal draining jejunal branch into SMV
- Body and tail
1. Solid tumor contact of >180° with the SMA or CA
2. Solid tumor contact with the CA and aortic involvement
3. Unreconstructible SMV/PV due to tumor involvement or occlusion (can be d/t
tumor or bland thrombus)
- No distant metastasis, including non-regional lymph node metastasis
- No borderline resectable (per Al-Hawary MM, et al., Radiology 201414)
5. ECOG score 0-2
6. Amenable and assigned by the investigator to receive therapy with gemcitabine and
nab-paclitaxel
7. Able to operate the NovoTTF-200T System independently or with the help of a caregiver
8. Signed informed consent form for the study protocol
Exclusion Criteria:
1. Prior palliative treatment (e.g. surgery, radiation) to the tumor
2. Cancer requiring anti-tumor treatment within the 5 years before inclusion, excluding
treated stage I prostate cancer, in situ cervical or uterus cancer, in situ breast
cancer and non-melanomatous skin cancer.
3. Serious co-morbidities:
1. Clinically significant (as determined by the investigator) hematological, hepatic
and renal dysfunction, defined as: Neutrophil count < 1.5 x 10^9/L and platelet
count < 100 x 10^9/L; bilirubin > 1.5 x Upper Limit of Normal (ULN); AST and/or
ALT > 2.5 x ULN; and serum creatinine > 1.5 x ULN.
2. History of significant cardiovascular disease unless the disease is well
controlled. Significant cardiac disease includes second/third degree heart block;
significant ischemic heart disease; poorly controlled hypertension; congestive
heart failure of the New York Heart Association (NYHA) Class II or worse (slight
limitation of physical activity; comfortable at rest, but ordinary activity
results in fatigue, palpitation or dyspnea).
3. History of arrhythmia that is symptomatic or requires treatment. Patients with
atrial fibrillation or flutter controlled by medication are not excluded from
participation in the trial.
4. History of cerebrovascular accident (CVA) within 6 months prior to randomization
or that is not stable.
5. Active infection or serious underlying medical condition that would impair the
ability of the patient to receive protocol therapy.
6. History of any psychiatric condition that might impair patient's ability to
understand or comply with the requirements of the study or to provide consent.
4. Concurrent anti-tumor therapy beyond gemcitabine and nab-paclitaxel
5. Implantable electronic medical devices in the torso, such as pacemakers
6. Known severe hypersensitivities to medical adhesives or hydrogel, or to one of the
chemotherapies used in this trial.
7. Pregnancy or breast-feeding (female patients with reproductive potential and their
partners must accept to use effective contraception throughout the entire study period
and for 3 months after the end of treatment). All patients who are capable of becoming
pregnant must take a pregnancy test which is negative within 72 hours before beginning
treatment. The definition of effective contraception is left up to the decision of the
investigator.
8. Unable to follow the protocol for medical, psychological, familial, geographic or
other reasons.
9. Admitted to an institution by administrative or court order.
-
Altre informazioni sulla sperimentazione
Data di registrazione della sperimentazione
6 dic 2017
Inserimento del primo partecipante
10 feb 2018
Stato di reclutamento
Active, not recruiting
Titolo scientifico
(Fonte di dati: WHO)
Pivotal, Randomized, Open-label Study of Tumor Treating Fields (TTFields, 150kHz) Concomitant With Gemcitabine and Nab-paclitaxel for Front-line Treatment of Locally-advanced Pancreatic Adenocarcinoma
Tipo di sperimentazione
(Fonte di dati: WHO)
Interventional
Disegno della sperimentazione
(Fonte di dati: WHO)
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label).
Fase
(Fonte di dati: WHO)
Phase 3
Punti finali primari
(Fonte di dati: WHO)
Overall survival
Punti finali secondari
(Fonte di dati: WHO)
Progression-free survival;Local progression-free survival;Objective response rate;One-year survival rate;Quality of life;Pain-free survival;Puncture-free survival;Resectability rate;Toxicity profile
Contatto per informazioni
(Fonte di dati: WHO)
Please refer to primary and secondary sponsors
Risultati della sperimentazione
(Fonte di dati: WHO)
Sintesi dei risultati
ancora nessuna informazione disponibile
Collegamento ai risultati nel registro primario
ancora nessuna informazione disponibile
Informazioni sulla disponibilità dei dati dei singoli partecipanti
ancora nessuna informazione disponibile
Siti di esecuzione della sperimentazione
Siti di esecuzione in Svizzera
(Fonte di dati: BASEC)
Friburgo, Winterthur
Paesi di esecuzione
(Fonte di dati: WHO)
Australia, Austria, Belgium, Brazil, Canada, China, Croatia, Czechia, France, Germany, Hong Kong, Hungary, Israel, Italy, Korea, Mexico, Poland, Republic of, Spain, Switzerland, United States
Contatto per maggiori informazioni sulla sperimentazione
Dati della persona di contatto in Svizzera
(Fonte di dati: BASEC)
Dr. Marc Küng
+41263062260
marc.kueng@h-fr.ch
Contatto per informazioni generali
(Fonte di dati: WHO)
Doris Lang
+1 603 206 2337
clinicaltrials@novocure.com
Contatto per informazioni scientifiche
(Fonte di dati: WHO)
Doris Lang
+1 603 206 2337
clinicaltrials@novocure.com
Autorizzazione da parte della commissione d’etica (Fonte di dati: BASEC)
Nome della commissione d’etica che rilascia l’autorizzazione (nel caso di studi multicentrici solo la commissione direttiva)
Commission
cantonale d’Éthique de la Recherche sur l’être humain Vaud (CER-VD)
Data di autorizzazione da parte della commissione d’etica
10.12.2018
Altri numeri di identificazione delle sperimentazioni
Numero di identificazione della sperimentazione della commissione d’etica (BASEC-ID)
(Fonte di dati: BASEC)
2017-02012
Secondary ID (Fonte di dati: WHO)
EF-27
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