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Carcinoma clinical trials

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NCT ID: NCT02351128 Completed - Clinical trials for Carcinoma, Merkel Cell

Treatment of Unresecable and/or Metastatic Merkel Cell Carcinoma by Somatostatine Analogues

PHRC-Merkel
Start date: April 2015
Phase: Phase 2
Study type: Interventional

The purpose of this trial is to evaluate the efficacy of lanreotide on locally evolving and/or metastatic MCC in a national prospective multicentre phase II study (centres belonging to the skin cancer task force of the French Society of Dermatology namely "Groupe de Cancérologie Cutanée de la Société Française de Dermatologie"). This one-arm study, for which the primary endpoint is overall response to lanreotide, will follow an A'Hern plan in one step (A'Hern RP. Sample size tables for exact single-stage phase II designs. Stat Med 2001, 20:859-66) with main evaluation at 12 weeks on a population of 35 patients. The investigators make assumption that a 40% success rate at 3 months would be desirable, but if it was 20% or less the treatment would be unacceptable. It gives a trial size of 35 patients with a cut-off of 12 patients. Over 12 patients lanreotide will be considered as effective. The lanreotide treatment (Somatuline LP 120 mg injected subcutaneously every 28 days) will be provided by IPSEN Pharma laboratory. An ancillary immunohistochemistry study on somatostatine receptors 2,3,5, dopamine receptors 1,2 and polyomavirus MCPyV will bring new data on this neuroendocrine tumour and potentially provide new therapeutic perspectives. The results of this study may : - determine whether somatostatin analogues may help to treat locally advanced and/or metastatic MCC; - address whether there is a correlation between positive SPECT-CT (octreoscan) assessment and therapeutic response to lanreotide; - evaluate the place of TEP-CT and SPECT-CT for MCC evaluation/staging; - evaluate in future studies, with the ancillary data, other analogues or hybrid molecules; - consider, if positive results are obtained from this study, somatostatin analogues as adjuvant treatment after surgery of primary MCC.

NCT ID: NCT02350712 Completed - Clinical trials for Squamous Cell Carcinoma of the Head and Neck

Patritumab With Cetuximab and a Platinum Containing Therapy for Patients With Head and Neck Cancer

Start date: December 2014
Phase: Phase 1
Study type: Interventional

The purpose of this study is to test a study drug called patritumab. Patritumab may work when combined with other medications that are approved in the UK for treating Squamous Cell Carcinoma of the Head and Neck (SCCHN), called cetuximab, cisplatin or carboplatin. It is hoped that patritumab may have some benefit in treating patients with cancer. This study will help identify how much patritumab can be given in combination with cetuximab, and cisplatin or carboplatin. This study will show how safe and how well tolerated patritumab is when these medications are given together.

NCT ID: NCT02348008 Completed - Clinical trials for Clear Cell Renal Carcinoma

Phase Ib and Phase II Studies of MK-3475 in Combination + for Renal Cell Carcinoma:

Start date: March 2015
Phase: Phase 1/Phase 2
Study type: Interventional

This is an open label, multi-institutional, single arm study of dose escalation phase Ib cohort, followed by a phase II cohort of anti-PD-1 antibody MK-3475 in combination with bevacizumab. No randomization or blinding is involved.

NCT ID: NCT02347332 Completed - Clinical trials for Recurrent or Metastatic Head and Neck Carcinoma

Phase III Study of Vinflunine Plus Methotrexate Versus Methotrexate Alone in Patients With Head and Neck Cancer

Start date: April 25, 2014
Phase: Phase 3
Study type: Interventional

For patients relapsing after platinum-based therapy, few data are available. The current use of cetuximab associated with radiotherapy in localized disease and associated with platinum-based chemotherapy in the first-line setting stresses the need for new therapeutic options at later stages of SCCHN.Vinca-alkaloids demonstrated activity in SCCHN. Vinflunine demonstrated superior antitumour activity to vinorelbine in preclinical animal models. Recent preliminary phase I results of the vinflunine plus methotrexate combination in SCCHN, based on a clinical review, show encouraging antitumour activity and an acceptable safety profile. Therefore the combination of vinflunine and methotrexate appears a promising salvage regimen after platinum failure. The present study has been designed as a multicenter, randomised phase III study which will compare the combination of IV vinflunine with methotrexate to methotrexate alone in SCCHN patients having failed platinum-based therapy.

NCT ID: NCT02339558 Completed - Clinical trials for Recurrent Nasopharynx Carcinoma

Nivolumab in Treating Patients With Recurrent and/or Metastatic Nasopharyngeal Cancer

Start date: July 21, 2015
Phase: Phase 2
Study type: Interventional

This phase II trial studies how well nivolumab works in treating patients with nasopharyngeal cancer that has returned after a period of improvement (recurrent) and/or has spread to other parts of the body (metastatic). Monoclonal antibodies, such as nivolumab, may block tumor growth in different ways by targeting certain cells.

NCT ID: NCT02337946 Completed - Clinical trials for Colorectal Carcinoma

Safety and Efficacy Study of mFOLFOX6 + Panitumumab Combination Therapy and 5-FU/LV + Panitumumab Combination Therapy in Participants With Chemotherapy-naïve Unresectable Advanced Recurrent Colorectal Carcinoma

SAPPHIRE
Start date: October 16, 2014
Phase: Phase 2
Study type: Interventional

The purpose of this study is to exploratorily examine efficacy and safety in the participants with chemotherapy-naïve unresectable, advanced/recurrent colorectal carcinoma of Kirsten rat sarcoma-2 virus (KRAS) wild-type who have been treated with 6 cycles (2 weeks/cycle) of first-line mFOLFOX6 + panitumumab combination therapy and then assigned to two groups i.e., a group receiving 5-FU/LV + panitumumab combination therapy and a group receiving mFOLFOX6 + panitumumab combination therapy.

NCT ID: NCT02337465 Completed - Prostate Carcinoma Clinical Trials

KV-CBCT and Ultrasound Imaging in Guiding Radiation Therapy in Patients With Prostate, Liver, or Pancreatic Cancer

Start date: September 22, 2015
Phase: N/A
Study type: Interventional

This clinical trial studies if kilo-voltage cone beam computed tomography (KV-CBCT) and ultrasound imaging works in guiding radiation therapy in patients with prostate, liver, or pancreatic cancer. Computer systems, such as KV-CBCT and ultrasound imaging, allow doctors to create a 3-dimensional picture of the tumor may help in planning radiation therapy and may result in more tumor cells being killed.

NCT ID: NCT02335918 Completed - Clinical trials for Squamous Cell Carcinoma of the Head and Neck (SCCHN)

A Dose Escalation and Cohort Expansion Study of Anti-CD27 (Varlilumab) and Anti-PD-1 (Nivolumab) in Advanced Refractory Solid Tumors

Start date: January 2015
Phase: Phase 1/Phase 2
Study type: Interventional

This is a study to determine the clinical benefit (how well the drug works), safety, and tolerability of combining varlilumab and nivolumab (also known as Opdivo® , BMS-936558). Both drugs target the immune system and may act to promote anti-cancer effects.

NCT ID: NCT02334709 Completed - Clinical trials for Carcinoma, Renal Cell

Phase I/II Trial of Stereotactic Body Radiotherapy With Concurrent Fixed Dose Tyrosine Kinase Inhibitors in Metastatic Renal Cell Carcinoma: Dose Limiting Toxicity and Abscopal Effect.

Start date: February 2014
Phase: Phase 1/Phase 2
Study type: Interventional

Tyrosine kinase inhibitors (TKIs) are often used in the standard treatment for patients with metastasized renal cell carcinoma. In addition to their ability to specifically inhibit tumor growth, TKIs also interfere with the vascularisation of the tumor. Unfortunately, most patients do not obtain long-lasting clinical benefit from this treatment. The goal of the current study is to enhance the effect of TKIs by combining them with stereotactic radiotherapy treatment of one of the metastases. This type of radiotherapy allows us to precisely irradiate the tumor with minimal effect on the surrounding healthy tissue. Recently it has been demonstrated that this type of radiotherapy stimulates the immune system to attack the tumor. By combining stereotactic radiotherapy with TKIs we expect to observe a reduction of metastases in a bigger population of patients. In the first part of our study we focus on the safety of the combination therapy. In the second part we will evaluate the combined treatment response.

NCT ID: NCT02332551 Completed - Hepatic Carcinoma Clinical Trials

Percutaneous Irreversible Electroporation to Treat Liver Cancer Close to the Gallbladder

Start date: January 1, 2015
Phase: N/A
Study type: Interventional

The purpose of this study is to investigate the safety and efficacy of irreversible electroporation for unresectable Hepatic carcinoma close to the gallbladder, also Progress Free Survival (PFS) will be recorded.