Patologia: Carcinoma della vescica
Osservazionale-Sperimentale: Sperimentale
Monocentrico-Multicentrico: Multicentrico
Randomizzato: Sì
Fase di studio: 1, II
Richiesta mandatoria di tessuto: Sì
Linee di trattamento: Adiuvante/neoadiuvante
Criteri di inclusione:
The main inclusion criteria include but are not limited to the following:
- Must provide blood samples per protocol, to enable V940 production, and circulating tumor deoxyribonucleic acid testing
- Has an Eastern Cooperative Oncology Group performance status of 0 to 2 assessed within 7 days before randomization
- Must provide a formalin-fixed paraffin-embedded tumor tissue sample for next generation sequencing
Adjuvant Cohort:
- Has MIUC
- Has dominant histology of urothelial carcinoma (UC)
- Has high-risk pathologic disease after radical resection
- For participants who have not received cisplatin-based neoadjuvant chemotherapy, are ineligible to receive cisplatin according to protocol pre-defined criteria
Perioperative Cohort:
- Has MIBC
- Has a histological diagnosis of UC
- Is deemed eligible for RC and PLND and agrees to undergo curative intent standard RC and PLND and neoadjuvant and adjuvant treatment per protocol
- Is ineligible to receive cisplatin according to protocol pre-defined criteria.
Criteri di esclusione:
The main exclusion criteria include but are not limited to the following:
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
- Has known additional malignancy that is progressing or has required active treatment ≤3 years prior to study randomization
- Has current pneumonitis/interstitial lung disease
- Has active infection requiring systemic therapy
- Has active hepatitis B and hepatitis C virus infection
Adjuvant Cohort:
- Has received prior systemic anticancer therapy
- Has received prior neoadjuvant therapy, with the exception of neoadjuvant cisplatin-based chemotherapy for MIUC
- Has severe hypersensitivity to either V940 or pembrolizumab (MK-3475) and/or any of their excipients
Perioperative Cohort:
- Has received any prior systemic treatment, cancer vaccine treatment, chemoradiation, and/or radiation therapy treatment for MIBC
- Has severe hypersensitivity to either V940, pembrolizumab, or EV and/or any of their excipients
- Has ongoing sensory or motor neuropathy
- Has active keratitis or corneal ulcerations.
Trattamento sperimentale:
Adjuvant Cohort: Pembrolizumab + V940
Perioperative Cohort: Pembrolizumab + V940 + EV and Surgery
Trattamento di controllo:
Adjuvant Cohort: Pembrolizumab + Placebo
IRCCS A.O.U. San Martino - IST
Largo Rosanna Benzi 10 - 16132 Genova - GE
Oncologia Medica I
Riferimento: Dr. Giuseppe Fornarini
Email: giuseppe.fornarini@hsanmartino.it
IRCCS Istituto Nazionale dei Tumori
Via Venezian 1 - 20133 Milano - MI
S.S. Oncologia Medica 1
Riferimento: Dr. Giuseppe Procopio
Telefono: 0223904450
Email: giuseppe.procopio@istitutotumori.mi.it
Ospedale San Raffaele di Milano
Via Olgettina 60 - 20132 Milano - MI
Unità di Oncologia Medica
Riferimento: Prof. Andrea Necchi
Email: necchi.andrea@hsr.it
Fondazione Policlinico A. Gemelli
Largo Agostino Gemelli 8 - 00168 Roma - RM
Email: oncomedsperimentali@policlinicogemelli.it
AORN Cardarelli
Via A Cardarelli 9 - 80131 napoli - NA
UOC Oncoogia
Riferimento: Dr.ssa Sarah Scagliarini
Telefono: 0817472221
Email: sarah.scagliarini@aocardarelli.it
Numero di iscrizione a registro: 2023-505658-17
Data di inserimento: 24.06.2024
Data di aggiornamento: 23.12.2024
Merck Sharp & Dohme LLC
Riferimento: Dr. Info non applicabile
Telefono: 00000
Email: na@na.it
Localita: na