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by Estudio Clínico Chile
Etapa actual del estudio en Chile: Reclutamiento (buscando participantes para el estudio clínico)
DESCRIPCIÓN
Este estudio esta diseñado para evaluar la seguridad y eficacia de cabozantinib junto a atezolizumab versus una segunda terapia hormonal de última generación en pacientes con cáncer de próstata metastásico resistente a castración que haya sido tratado con una y sólo una terapia hormonal de última generación.
Tumor Primario: Próstata
Fase: 3
Ramas de tratamiento:
- A: ATEZOLIZUMAB + CABOZANTINIB
- B: ABIRATERONA O ENZALUTAMIDA
Criterios de inclusión: 2L, E IV, progresando a abir o enzal
Inclusion Criteria:
- Men with histologically or cytologically confirmed adenocarcinoma of the prostate
- Prior treatment with one, and only one, NHT (eg, abiraterone, apalutamide, darolutamide, or enzalutamide) for castration-sensitive locally advanced (T3 or T4) or mCSPC, M0 CRPC, or mCRPC
- Surgical or medical castration, with serum testosterone ≤ 50 ng/dL (≤ 1.73 nmol/L) at screening
- Measurable (extrapelvic soft tissue) metastatic disease per Investigator assessment defined by at least one of the following: measurable visceral disease (eg, adrenal, kidney, liver, lung, pancreas, spleen) per RECIST 1.1; OR measurable extrapelvic adenopathy (ie, adenopathy above the aortic bifurcation)
- Progressive disease at study entry as defined by specific criteria for prostate specific antigen (PSA) progression OR soft tissue disease progression in the opinion of the Investigator (Note: subjects with bone disease progression alone are not eligible)
- Age ≥ 18 years old or meeting country definition of adult, whichever is older, on the day of consent
- ECOG performance status of 0 or 1
- Recovery to baseline or ≤ Grade 1 per Common Terminology Criteria for Adverse Events (CTCAE) v5 from toxicities related to any prior treatments, unless AE(s) are clinically nonsignificant and/or stable on supportive therapy in the opinion of the Investigator
- Adequate organ and marrow function based upon specific laboratory assessments obtained within 21 days prior to randomization
- Understanding and ability to comply with protocol requirements
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