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臨床試驗計畫

計劃書編號17000139BLC3001
試驗執行中

2021-01-01 - 2029-10-31

Phase III

召募中7

ICD-10C67.0

膀胱三角惡性腫瘤

ICD-10Z51.12

來院接受抗腫瘤免疫療法

ICD-9188.0

膀胱三角惡性腫瘤

一項第 3 期、多中心的隨機分配試驗,針對患有肌肉侵犯性膀胱泌尿上皮癌(MIBC),且未接受根除性膀胱切除術的參加者,評估TAR-200 併用Cetrelimab 相對於同步化學放射治療的療效

  • 試驗申請者

    嬌生股份有限公司

  • 試驗委託 / 贊助單位名稱

    嬌生股份有限公司

  • 臨床試驗規模

    多國多中心

  • 更新日期

    2026/02/01

試驗主持人及試驗醫院

實際收案人數

0 召募中

試驗主持人 林柏宏 血液腫瘤科

協同主持人

實際收案人數

0 召募中

實際收案人數

0 召募中

試驗主持人 楊晨洸 泌尿科

協同主持人

實際收案人數

0 召募中

試驗主持人 蔡育賢 血液腫瘤科

協同主持人

實際收案人數

0 召募中

試驗主持人 蒙恩 泌尿科

協同主持人

實際收案人數

0 召募中

試驗主持人 黃書彬 泌尿科

協同主持人

實際收案人數

0 召募中

適應症

肌肉侵犯性膀胱泌尿上皮癌

試驗目的

The purpose of study is to compare bladder intact event-free survival (BI-EFS) in participants receiving TAR-200 in combination with cetrelimab versus concurrent chemoradiotherapy.

藥品名稱

錠劑
靜脈輸注液
靜脈輸注液
靜脈輸注液
靜脈輸注液

主成份

TAR-200
Cetrelimab
Gemcitabine
Cisplatin

劑型

110
246
246
246
246

劑量

NA

評估指標

從隨機分配至首次膀胱完整無事件存活期 (bladder intact event-free survival,BI-EFS) 事件所經過的時間,包括經組織學證實具有肌肉侵犯性膀胱癌 (muscle-invasive bladder cancer,MIBC)、淋巴結或轉移性疾病的臨床證據 (依據實體腫瘤療效反應評估標準 [Response Evaluation Criteria in Solid Tumors,RECIST] 第 1.1 版標準評估)、根除性膀胱切除術 (radical cystectomy,RC),或因任何原因死亡。

主要納入條件

INCLUSION CRITERIA
• Ineligible for or have elected not to undergo radical cystectomy
• All adverse events associated with any prior surgery and/or intravesical therapy must have resolved to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 Grade less than (<) 2 prior to randomization
• Eastern Cooperative Oncology Group (ECOG) performance status Grade 0, 1, or 2
• Thyroid function tests are within the normal range per investigator assessment (or stable on hormone supplementation). Investigators may consult an endocrinologist for participant eligibility assessment in the case of equivocal or marginal test results
• Adequate bone marrow, liver, and renal function: Bone marrow function (without the support of cytokines or erythropoiesis-stimulating agent in preceding two weeks): Absolute neutrophil count (ANC) greater than or equal to (>=) 1,500/cubic millimeters (mm^3); Platelet count >=80,000/mm^3; Hemoglobin >=9.0 grams per deciliter (g/dL); Liver function: (Total bilirubin less than or equal to (<=) 1.5 * upper limit of normal (ULN) or direct bilirubin <= ULN for participants with total bilirubin levels greater than (>)1.5*ULN (except participants with Gilbert's Syndrome, who must have a total bilirubin < 3.0 mg/dL), and Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) less than or equal to (<=) 2.5* institutional ULN); Renal function: Creatinine clearance >=30 mL/min using the Cockcroft-Gault formula. 24-hour creatinine clearance test will also be accepted for estimating renal function in situations where Cockcroft-Gault formula is not a good predictor of estimating adequate renal function

主要排除條件

EXCLUSION CRITERIA
• Must not have had urothelial carcinoma or histological variant at any site outside of the urinary bladder. Ta/T1/Carcinoma in situ (CIS) of the upper urinary tract (including renal pelvis and ureter) is allowable if treated with complete nephroureterectomy more than 24 months prior to initiating study
• Must not have diffuse CIS based on cystoscopy and biopsy. Diffuse, or multi-focal, CIS is defined as the presence of at least 4 distinct CIS lesions in the bladder at the time of the Screening re-TURBT
• Participants must not have evidence of cT4b, or N1-3, or M1 disease based on local radiology staging (chest, abdomen, and pelvis must be performed using Computed tomography [CT] or Magnetic resonance imaging [MRI]) within 42 days prior to randomization
• Presence of any bladder or urethral anatomic feature that, in the opinion of the investigator, may prevent the safe placement, indwelling use, or removal of TAR 200
• Evidence of bladder perforation during diagnostic cystoscopy. Participant is eligible if perforation has healed prior to randomization

試驗計畫預計收納受試者人數

  • 台灣人數

    25 人

  • 全球人數

    550 人