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Neoplasm Metastasis clinical trials

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NCT ID: NCT05043714 Recruiting - Metastatic Cancer Clinical Trials

Study of NG-641 in Combination With Nivolumab in Metastatic or Advanced Epithelial Tumours

NEBULA
Start date: December 1, 2021
Phase: Phase 1
Study type: Interventional

This is a phase 1a/1b, multicentre, open-label, non-randomized study of NG-641 in combination with nivolumab (or standard of care PD-1 inhibition) in patients with metastatic or advanced epithelial tumours. The purpose is to characterize the safety and tolerability of NG-641 in combination with nivolumab in patients with metastatic or advanced epithelial tumours and to determine the recommended dose of NG-641 in combination with nivolumab for further development in patients with metastatic or advanced epithelial tumours

NCT ID: NCT05034497 Recruiting - Clinical trials for Leptomeningeal Metastasis

Intraventricular Administration of Rhenium-186 NanoLiposome for Leptomeningeal Metastases

ReSPECT-LM
Start date: December 6, 2021
Phase: Phase 1
Study type: Interventional

This is an open-label Phase I clinical study that will administer a single dose of 186RNL via intraventricular catheter for treatment of Leptomeningeal Metastases (LM).

NCT ID: NCT05033691 Recruiting - Clinical trials for Non-small Cell Lung Cancer

A Study to Evaluate the Efficacy of Osimertinib With Early Intervention SRS Treatment Compared to the Continuation of Osimertinib Alone, in Patients With EGFR Mutated NSCLC and Asymptomatic Brain Metastases

Start date: March 9, 2021
Phase: N/A
Study type: Interventional

This study involves patients with EGFR-mutated NSCLC and asymptomatic brain metastases. This is an open-label, randomized study, comparing the continuation of Osimertinib treatment alone to Osimertinib treatment combined with early intervention stereotactic radiosurgery (SRS). The current first line of care for EGFR-mutated NSCLC is administration of Osimertinib, a small molecule that penetrates the blood brain barrier (BBB) well and controls majority, but not all, of the brain metastases. We hypothesize that relatively early intervention with SRS to brain metastases that are still visualized by MRI 2 months-post initiation of Osimertinib treatment, LUNG- will improve long term brain control, cognitive abilities and potentially overall survival. Patients with EGFR-mutated NSCLC and asymptomatic brain metastases will be treated with Osimertinib for 2 months. Brain MRI scans will be collected pre-Osimertinib and 2 months after treatment start. Patients with asymptomatic brain metastases present after 2 months of Osimertinib will be randomized into one of two study arms. Arm A patients will be treated with SRS while continuing Osimertinib, while arm B patients will continue with Osimertinib alone. Patients will be assessed based on brain and whole body progression by RECIST. Patients will also be assessed for CNS-PFS and body-PFS, cognitive function, Quality of life and overall survival status via routine follow-up tests.

NCT ID: NCT05027711 Recruiting - Hepatic Metastasis Clinical Trials

Magnetic Resonance-guided Adaptive Stereotactic Body Radiotherapy for Hepatic Metastases

MAESTRO
Start date: August 12, 2021
Phase: Phase 2
Study type: Interventional

Stereotactic body radiotherapy (SBRT) is an established local treatment method for patients with hepatic oligometastases. Liver metastases often occur in close proximity to radiosensitive organs at risk (OARs). This limits the possibility to apply sufficiently high doses needed for optimal local control. MR-guided radiotherapy (MRgRT) is expected to hold potential to improve hepatic SBRT by offering superior soft-tissue contrast for enhanced target identification as well as the benefit of daily real-time adaptive treatment. The MAESTRO trial therefore aims to assess the potential advantages of adaptive, gated MR-guided SBRT (MRgSBRT) compared to conventional SBRT at a standard linac using an ITV (internal target volume) approach (ITV-SBRT).

NCT ID: NCT05023772 Recruiting - Neoplasm Metastasis Clinical Trials

Laser Interstitial Thermal Ablation and Stereotactic Radiosurgery for Patients With Spine Metastases

Start date: September 2, 2021
Phase: N/A
Study type: Interventional

The purpose of this research is to combine two complementary modes of treatment, spinal interstitial laser ablation and stereotactic spine radiosurgery (SSRS) for the treatment for spinal tumors near the spinal cord with an objective to improve tumor control, improve pain control, preserve function, and improve quality of life. We will also assess how effective these combined modes of treatment are in patients with spinal metastasis with an epidural component.

NCT ID: NCT05021328 Recruiting - NSCLC Clinical Trials

Toripalimab Combined With Anlotinib and SBRT in Patients With Untreated Brain Metastases of Driven Gene-negative NSCLC

Start date: October 1, 2021
Phase: Phase 1
Study type: Interventional

The purpose of this study is to explore the efficacy and safety of toripalimab combined with anlotinib and SBRT for non-driver gene mutation untreated brain metastases non-small Cell Lung Cancer.

NCT ID: NCT05018702 Recruiting - Clinical trials for HER2-positive, Metastatic Breast Cancer

ARX788 in HER2-positive Breast Cancer Patients With Brain Metastases

Start date: July 14, 2021
Phase: Phase 2
Study type: Interventional

A Phase 2 Study of ARX788 in HER2-positive, Metastatic Breast Cancer Patients whose Disease is resistant or refractory to Tyrosine kinase inhibitors (TKI).

NCT ID: NCT05013892 Recruiting - Brain Metastases Clinical Trials

NTS-WBRT in Brain Metastases

Start date: February 8, 2022
Phase: Phase 2
Study type: Interventional

This research is being done to assess the quality of life and symptom burden in participants who receive (normal tissue sparing whole brain radiation therapy (NTS-WBRT). This research study involves: - NTS-WBRT (normal tissue sparing whole brain radiation therapy) - Memantine standard of care drug

NCT ID: NCT05013463 Recruiting - Clinical trials for Multiple Sclerosis, Secondary Progressive

Hydroxychloroquine and Indapamide in SPMS

Start date: October 1, 2021
Phase: Phase 2
Study type: Interventional

The purpose of this clinical trial is to determine if HCQ in a dose of 400mg daily and indapamide in a dose of 2.5mg daily can help in reducing the progression of disability in people with secondary progressive multiple sclerosis. The number of participants in this study will be 35. A maximum of 42 people with SPMS will be included. The trial is funded through internal funding through the University of Calgary. There is no sponsorship from any pharmaceutical industry.

NCT ID: NCT05012254 Recruiting - Lung Cancer Clinical Trials

Nivolumab and Ipilimumab Plus Chemotherapy for Patients With Stage IV Lung Cancer With Brain Metastases

NIVIPI-Brain
Start date: November 18, 2021
Phase: Phase 2
Study type: Interventional

This is an open-label, non-randomised, phase II, multicenter clinical trial. 71 stage IV or recurrent, non-small cell lung cancer patients with synchronous brain metastases will be enrolled in this trial to evaluate the efficacy of Nivolumab plus Ipilimumab plus two cycles of platinum-based chemotherapy as first line treatment.