bluuebunny/crossref_metadata_2025_split huggingface dataset:
A phase Ib, open-label, dose-finding study of ruxolitinib in patients (pts) with primary myelofibrosis (PMF), post-polycythemia vera-myelofibrosis (PPV-MF), or post-essential thrombocythemia-myelofibrosis (PET-MF) and baseline platelets (PLTs) 50 to <100 x 109/l.
Authors: Gisslinger Heinz , McMullin Mary Frances , Jaekel Nadja , Miller Carole Brennan , Verstovsek Srdan , Harrison Claire N , Barosi Giovanni , Kiladjian Jean-Jacques , Al-Ali Haifa-Kathrin , Weber Denis , Hu Jing , Sirulnik L. Andres , Vannucchi Alessandro M. 
Published: March 2020

TPS6642^ Background: Ruxolitinib, a potent and selective oral JAK1/2 inhibitor, has demonstrated rapid and durable reductions in splenomegaly and improved MF-related symptoms and quality of life in 2 phase 3 studies in pts with PMF, PPV-MF, or PET-MF. There is considerable experience in pts who develop thrombocytopenia on study, and ruxolitinib is well-tolerated with dose adjustment. However, there is limited experience in pts with baseline thrombocytopenia as those with low PLTs (< 100 x 109/L) were excluded from the phase 3 protocols. EXPAND (Evaluating RuXolitinib in Patients with Low Baseline PlAtelet CouNts Diagnosed With Myelofibrosis) will evaluate the safety of ruxolitinib and establish the maximum safe starting dose (MSSD) in thrombocytopenic pts with MF. Methods: This is a phase 1b, open-label, dose-finding study (NCT01317875) in pts with PMF, PPV-MF, or PET-MF and baseline PLT 50-100 x 109/L. A Bayesian logistic regression model with escalation with overdose control will be used to guide dose-escalation decisions. The study consists of 2 phases: dose-escalation and safety-expansion. The starting dose is ruxolitinib 5 mg twice daily (BID) with a maximum of 15 mg BID. In the dose-escalation phase, cohorts will be: 5 mg BID, 5 mg am/10 mg pm, 10 mg BID, 10 mg am/15 mg pm, and 15 mg BID; only pts with PLT 75-100 x 109/L (1st stratum) will initially be enrolled. Once safety is established at the first 2 dose levels (5 mg BID; 5 mg am/10 mg pm), pts with PLT 50-75 x 109/L will be included (2nd stratum). Each dose level in the 2nd stratum will be open only if both that dose and the following one are deemed safe in the 1st stratum. In the safety-expansion phase, 20 pts (10 from each stratum) additional to those treated at the MSSD during dose escalation will be treated at the respective MSSD for their stratum. In cohort 1 (n = 4), 3 pts were evaluable as they completed > 28 days of treatment; 1/4 pts discontinued after 6 doses due to disease progression. No dose-limiting toxicities were observed. The second cohort (5 mg am/10 mg pm) has completed enrollment (n = 3) and is ongoing.
Randomized phase II open-label study of abiraterone acetate (AA) plus low-dose prednisone (P) with or without exemestane (E) in postmenopausal women with ER+ metastatic breast cancer (MBC) progressing after letrozole or anastrozole therapy.
Authors: O'Shaughnessy Joyce , Yu Margaret K. , Kearney Jill , Larsen Julie S. , Molina Arturo , Johnston Stephen R. D. 
Published: March 2020

TPS666 Background: AA plus P treatment in men with metastatic castration-resistant prostate cancer has demonstrated a survival advantage over P alone. Circulating adrenal steroids including DHEA and DHEA-sulfate can stimulate proliferation of breast cancer cell lines in a low-estrogen environment. Thus, it is hypothesized that depletion of adrenal androgens as well as estrogens by AA, a potent CYP17 inhibitor, inhibits tumor growth by disruption of ER-dependent growth signaling. In a previously reported phase I study of AA in patients (pts) with breast cancer (Basu, ASCO 2011), 2/21 pts who were ER+ were on study for ≥ 11 months; 1 had a confirmed PR and continued on treatment > 14 months. Mechanism-based adverse event of grade 3/4 hypokalemia occurred in 4 pts and was managed with potassium supplementation and low dose corticosteroids. Methods: In the current study, 300 postmenopausal women with ER+ Her2- MBC progressing after letrozole or anastrozole are randomized to either AA 1000 mg + P 5 mg daily or AA + P + E 25 mg daily vs E. Disease must have been sensitive to a non-steroidal aromatase inhibitor (AI) prior to study entry. Subjects are stratified by number of prior therapies and by AI use in adjuvant or metastatic setting. Central review of tissue is required prior to randomization. Gene expression profiling (GEP) (AR, ER, PR, Her2, CYP17, Ki-67, CYP 19, and 3-β-HSD) will be performed on FFPE archival tissue. Pre- and post-treatment circulating tumor cells and fresh tumor biopsies will also be obtained for GEP in a subset of pts. Primary endpoint is PFS. Secondary endpoints are OS, ORR, patient reported outcomes, changes in endocrine markers, and PK characterization of AA and E. Subjects randomized to E may crossover to AA + P at time of disease progression. One interim analysis is scheduled after 50% of PFS events have occurred. After review of interim data, the Data Review Committee will make recommendations regarding study continuation. 23pts from 45 active sites have been randomized as of January 24,2012. (ClinicalTrials.gov Identifier: NCT01381874)
Denosumab versus placebo as adjuvant treatment for women with early-stage breast cancer who are at high risk of disease recurrence (D-CARE): An international, randomized, double-blind, placebo-controlled phase III clinical trial.
Authors: Goss Paul Edward , Barrios Carlos H. , Bell Richard , Finkelstein Dianne M , Iwata Hiroji , Martin Miguel , Braun Ada H. , Ke Chunlei , Maniar Tapan , Coleman Robert Edward 
Published: March 2020

TPS670 Background: Bone is a common site of distant recurrence in women with early-stage breast cancer, and represents approximately 40% of all first recurrences. Tumor cells in bone release growth factors and cytokines that stimulate osteoclast-mediated bone resorption through the RANK ligand (RANKL) pathway. In preclinical studies, RANKL inhibition significantly delays skeletal tumor formation, reduces skeletal tumor burden, and prolongs survival of tumor-bearing mice. Denosumab is a fully human monoclonal antibody that binds to RANKL with high affinity and specificity. It is approved for the prevention of skeletal-related events in patients with established bone metastases from a variety of solid tumors. The purpose of the D-CARE trial is to evaluate the ability of denosumab to prolong bone metastasis-free survival (BMFS) and disease-free survival (DFS) in the adjuvant breast cancer setting. Methods: Approximately 4,500 women with stage II or III breast cancer, at high risk for recurrence and with known hormone and HER-2 receptor status, are eligible. Standard-of-care adjuvant or neoadjuvant chemo-, endocrine, or HER-2 targeted therapy, alone or in combination must be planned. Exclusion criteria include: a prior history of breast cancer (except DCIS or LCIS) or distant metastasis, oral bisphosphonate (BP) use within 1 year of randomization or any intravenous BP use. Patients are randomized 1:1 to receive denosumab 120 mg or placebo subcutaneously monthly for 6 months, then every 3 months for a total of 5 years of treatment. All patients receive vitamin D (≥ 400 IU) and calcium (≥ 500 mg) supplements. Primary endpoint of this event-driven trial is BMFS. Secondary endpoints include DFS and overall survival. Safety, quality of life assessments, breast density, and biomarkers are additional endpoints. The trial, sponsored by Amgen Inc. and registered with the ClinicalTrials.gov identifier NCT01077154, began enrolling patients in June 2010 and is expected to complete in October 2016. Paul Goss and Dianne Finkelstein supported in part by the Avon Foundation New York.
Vinorelbine plus cisplatin versus gefitinib in resected non-small cell lung cancer haboring activating EGFR mutation (WJOG6410L).
Authors: Tada Hirohito , Takeda Koji , Nakagawa Kazuhiko , Okamoto Isamu , Mitsudomi Tetsuya , Ichinose Yukito , Sugio Kenji , Tsuboi Masahiro , Nakanishi Yoichi ,   West Japan Oncology Group
Published: March 2020

TPS7110 Background: Vinorelbine plus cisplatin after completely resected stage II-III non-small cell lung cancer (NSCLC) is a standard therapy. Stage IV non-small cell lung cancer (NSCLC) harboring mutations in the epidermal growth factor receptor (EGFR) is quite sensitive to tyrosine kinase inhibitors (TKIs). Three randomized trials demonstrated that gefitinib is superior to platinum based chemotherapy in progression free survival. Retrospective analysis of adjuvant TKIs therapy for patient with resected lung cancer harboring EGFR mutation showed favorable trend toward improvement in disease free survival (DFS) and overall survival (OS). (J Thorac Oncol. 2011;6: 569–575) BR19 comparing adjuvant gefitinib vs. placebo for completely resected NSCLC without any selection of biomarker was closed early and did not show any benefit of adjuvant gefitinib, even in the EGFR mutation positive cohort. The randomized trial in adjuvant therapy with erlotinib vs. placebo for patients with overexpression of EGFR protein has complete enrolment already. We conduct the first randomized phase III trial comparing adjuvant gefitinib with chemotherapy in patients with completely resected stage II-III NSCLC harboring EGFR mutations. Methods: Patients who have undergone complete resection and have EGFR mutation, deletions in exon 19, or L858R point mutation at exon 21 and without T790M mutation are randomly assigned gefitinib 250mg a day for 2 years or vinorelbine 25mg/m2 days 1 and 8, plus cisplatin 80mg/m2 day 1, every 3 weeks for 4 courses. The primary endpoint is DFS and secondary endpoints are OS and safety. On the basis of previous studies, we assume the hazard ratio of DFS is 0.65. To demonstrate this improvement in DFS, 230 patients in total would be needed during 3-year accrual period. This trial has begun from September 12 among 22 institutes in Japan. Until now (January 31. 2012), 13 cases have been enrolled. Five cases were enrolled in latest 1 month.
ASPIRATION: Phase II study of continued erlotinib beyond RECIST progression in Asian patients (pts) with epidermal growth factor receptor (EGFR) mutation-positive non-small cell lung cancer (NSCLC).
Authors: Park Keunchil , Tsai Chun-Ming , Ahn Myung-ju , Yu Chong-Jen , Kim Sang-We , Sriuranpong Virote , Kuo Han Pin , Lee Jong-Seok , Kang Jin Hyoung , Lin Meng-Chih , Geater Sarayut Lucien , Chang Gee-Chen , Seetalarom Kasan , So Ping Fai Peter , Lai Ruay-Sheng , Cheng Ashley Chi Kin , Cho Eun Kyung , Chen Shang-Hung , Hsia Te-Chun , Mok Tony 
Published: March 2020

TPS7614 Background: First-line erlotinib (an EGFR tyrosine-kinase inhibitor) significantly increased progression-free survival (PFS) vs chemotherapy in phase III trials of pts with EGFR mutation-positive NSCLC. Discontinuation of erlotinib on RECIST disease progression (PD) may lead to rapid disease flare-up; continued erlotinib beyond RECIST PD may extend clinical benefit by slowing progression of this life-threatening disease. We describe ASPIRATION, a large, Asian, multicenter, single-arm, open-label, phase II trial (NCT01310036), which will increase understanding of first-line erlotinib and erlotinib continuation beyond RECIST PD in pts with EGFR-mutated NSCLC. Methods: Pts (n=204) ≥18 yrs with stage IV/recurrent NSCLC, ≥1 measurable lesion (≥10mm), ECOG performance status (PS) 0-2 and positive EGFR mutation status established by local pathology laboratory (that underwent voluntarily QA/QC) are eligible. All pts receive erlotinib 150mg/day. Tumor response is evaluated using RECIST (v1.1). The primary endpoint is PFS. At investigator's discretion, pts may continue on erlotinib beyond RECIST PD, e.g. if they have slow PD (>6 months of partial response/stable disease), asymptomatic minimal PD, or new brain metastasis controlled locally. Pts should not continue erlotinib if they have extracranial PD with symptoms; rapid PD and/or worsening of PS; or life-threatening complications. Pts continuing erlotinib who present with second RECIST PD will discontinue. Secondary endpoints include objective response rate, disease control rate, overall survival, and safety. For the exploratory biomarker study, pre-treatment tumor tissue blocks are collected; remaining tissue (after EGFR mutation testing for eligibility) will be analyzed centrally to study the association of biomarkers and clinical outcomes. Pre-treatment and post-treatment plasma and serum samples will be obtained at various time points for biomarker assays, including EGFR mutations and other candidate NSCLC biomarkers. Recruitment began in Apr 2011; the estimated final data collection for the primary endpoint is Dec 2014.
Prophylactic cranial irradiation after reaching complete response, partial response, or stable disease in non-small cell lung cancer patients treated with epidermal growth factor receptor tyrosine kinase inhibitors (ProACT).
Authors: Tufman Amanda , Belka Claus , Kuenzel Heike , Huber Rudolf M. 
Published: March 2020

TPS7617 Background: Patients with non-small cell lung cancer (NSCLC) who respond to treatment with epidermal growth factor receptor tyrosine kinase inhibitors (EGFR TKIs) seem to be at increased risk of central nervous system relapse, and may benefit from prophylactic cranial irradiation (PCI) more than other NSCLC patients. Methods: This study investigates the safety and efficacy of combining PCI with EGFR TKIs in stage IV NSCLC. Patients with stage IV NSCLC, no evidence of brain metastases, and an indication for first or later line therapy with an EGFR TKI will be enrolled. Those with complete response (CR), partial response (PR), or stable disease (SD) following 6 weeks of therapy and no evidence of brain metastases on MRI will be treated with PCI. Neurocognitive function, depression indices, quality of life, symptoms, and ability to function independantly will be assessed at baseline, before PCI, and at 6 week and then 3 month intervals following PCI. MRI will be repeated 6 weeks following PCI and at 3 month intervals, and serum markers of blood brain barrier permeability (neuron-specific enolase (NSE), protein S100 beta) will be assessed at all visits. Safety data will be formally reviewed after the first 10 patients. The primary endpoint for efficacy is overall survival. Secondary endpoints include progression free survival, site of progression, quality of life and neurological disability. Planed subgroup analyses based on mutation status, line of treatment with TKIs, comorbidity, precise histology and molecular biology will be carried out.
Phase I/II study of investigational agent MLN8237 (alisertib) plus rituximab with or without vincristine in patients (pts) with relapsed/refractory (rel/ref) aggressive diffuse large B-cell lymphoma (DLBCL)/transformed follicular lymphoma (TFL).
Authors: Persky Daniel Oscar , Kelly Kevin R. , Lee Peter , Park Steven I. , Zhang Bin , Leonard E. Jane , Benaim Ely , Friedberg Jonathan W. 
Published: March 2020

TPS8109 Background: DLBCL and TFL are aggressive subtypes of non-Hodgkin lymphoma (NHL), with poor prognosis in the rel/ref setting. Alternatives to standard rituximab-based treatments are needed. MLN8237 is an oral, selective inhibitor of Aurora A kinase – a key mitotic regulator overexpressed/amplified in various human cancers, including lymphomas (Hamada et al, 2003; Yakushijin et al, 2004; Qi et al, 2011). Emerging data from a phase 2 study suggest that MLN8237 has single agent activity in aggressive NHL (Friedberg et al, ASH 2011). MLN8237 + rituximab (MR) ± vincristine (MRV) has also shown activity in preclinical B-cell NHL models (Mahadevan et al, ASH 2011). Further clinical evaluation of these regimens in rel/ref B-cell NHL is warranted. Methods: This single-arm phase 1/2 study (ClinicalTrials.gov #NCT01397825) aims to assess the safety, efficacy, and pharmacokinetics of, and determine a recommended phase 2 dose (RP2D) and schedule for, MR and MRV in adults with CD20+ rel/ref DLBCL/TFL after 1–4 prior regimens (including ASCT) and ECOG PS 0–2. Pts with other aggressive B-cell lymphomas may also enroll in phase 1. ~100 pts will be recruited at 22 sites in the US, UK, Italy, and Spain, and study duration will be ~2 years. In part 1, a safety lead-in cohort will receive MR (table), with the RP2D determined as when <2 dose limiting toxicities (DLT) occur in 6 pts in cycle 1. MRV dose escalation (part 2) will then follow a 3+3 design. Phase 2 enrollment (part 3) will follow a Simon optimal 2-stage design, with pts receiving MRV at the RP2D determined in part 2. The primary phase 2 objective is overall response rate by IWG criteria. Responders may continue MLN8237 if clinical benefit is seen and if the regimen is tolerable. Enrollment as of 20 Jan 2012 is 6 evaluable pts. [Table: see text]
ELOQUENT-1: A phase III, randomized, open-label trial of lenalidomide/dexamethasone with or without elotuzumab in subjects with previously untreated multiple myeloma (CA204-006).
Authors: Dimopoulos Meletios A. , Facon Thierry , Richardson Paul Gerard Guy , Orlowski Robert Z. , San-Miguel Jesùs F. , Lonial Sagar , Anderson Kenneth Carl , Moreau Philippe , Reece Donna Ellen , Singhal Anil , Shazer Ronald L. , Kopit Justin , Palumbo Antonio Pierangelo 
Published: March 2020

TPS8113 Background: Elotuzumab (Elo) is a humanized monoclonal IgG1 antibody targeting the cell surface glycoprotein CS1, which is highly expressed on >95% of MM cells. In a MM xenograft mouse model, the combination of Elo + lenalidomide (Len) significantly reduced tumor volume in a synergistic manner compared with either agent alone. In a phase 2 study (N=73) of Elo (10 or 20 mg/kg) in combination with Len and low-dose-dexamethasone (Dex) in pts with RR MM, the 10 mg/kg dose group (n=36) demonstrated objective response rates (ORR) of 92% in all pts, and 100% in pts who had received only 1 prior therapy (n=16). The higher response rate in pts with fewer prior lines of therapy provides a rationale for investigating this combination earlier in the disease course. This randomized, open-label, phase 3 trial will determine if the addition of Elo to Len/Dex improves progression-free survival (PFS) in pts with newly diagnosed, untreated MM. Methods: Pts (N=750) with newly diagnosed symptomatic MM ineligible for stem cell transplant will be randomized in a 1:1 ratio to receive 28-day cycles of Len 25 mg PO (days1-21) and Dex 40 mg PO (days 1, 8, 15 and 22) with or without Elo. Elo dose and schedule is 10 mg/kg IV on days 1, 8, 15, 22 in the first 2 cycles and on days 1 and 15 of cycles 3-18 followed by 20 mg/kg on day 1 of cycle 19 onward. Dex 8 mg IV + 28 mg PO is used during the weeks with Elo. Treatment will continue until disease progression, death, or withdrawal of consent. Pts will be followed up for response every 4 weeks until progressive disease and for survival every 16 weeks. The primary endpoint is PFS (90% power for a hazard ratio [experimental to control arm] of 0.74) and the secondary endpoints are ORR and overall survival. Exploratory endpoints are safety, time to response, duration of response, time to subsequent therapy, health-related quality of life, and pharmacokinetics and immunogenicity of Elo. Potential biomarkers will also be assessed. As of January 1, 2012, 13 pts were enrolled and 9 pts were treated. NCT01335399.
Recruitment in a randomized, double-blind, placebo-controlled study to assess siltuximab (CNTO 328), an anti-IL-6 monoclonal antibody, in patients with multicentric Castleman’s disease.
Authors: Van Rhee Frits , Capra Marcelo , Wong Raymond , Vermeulen Jessica , Safer Karim , Todorovic Marija , Rhoten Patricia , Van De Velde Helgi 
Published: March 2020

TPS8117 Background: Multicentric Castleman’s disease (MCD) is a rare lymphoproliferative disorder in which dysregulated production of interleukin (IL)-6 results in lymph node enlargement and debilitating symptoms, including systemic inflammatory manifestations (eg, fever, fatigue, weight loss), autoimmune phenomena, and markedly abnormal laboratory findings (eg, anemia, hyper-γ-globulinemia, hypoalbuminemia, thrombocytosis, increases in acute-phase proteins such as CRP, ESR, fibrinogen). There is currently no approved systemic treatment for MCD in the US or EU. Siltuximab (CNTO 328) is a chimeric mAb with high affinity for soluble IL-6. In a previous phase 1 study, high objective tumor response rate (64%) has been observed in patients with MCD (van Rhee F et al. Blood 2008;112:1008), and the long-term safety profile looks favourable (Kurzrock R et al. Blood 2011;118:3959). These results have prompted a randomized, double-blind, placebo-controlled study to definitively assess the efficacy and safety of siltuximab in combination with best supportive care (BSC) compared with BSC in patients with MCD. Methods: Eligibility includes HIV- and HHV-8-negative, symptomatic, measurable MCD patients. Patients with prior lymphoma or prior exposure to treatment targeting IL-6 or its receptor are excluded. Patients can be enrolled when receiving stable doses of corticosteroids (<1 mg/kg/d of prednisone or equivalent). Patients will be randomized in a 1:2 ratio to placebo + BSC or to 11 mg/kg siltuximab + BSC and will receive siltuximab/placebo in a 1-hour IV infusion every 3 weeks. The primary objective is to evaluate durable tumor and symptomatic response in the intent-to-treat population. Secondary objectives include additional efficacy measures, safety, patient reported outcomes, and pharmacologic assessment. Status: 67/78 patients have been randomly assigned. This is the first randomized, placebo-controlled study to be conducted in MCD. The rarity of the disease has posed unique challenges, and various enrollment strategies have been successfully implemented, with projected completion of enrollment in March 2012.