Disclaimer, National Library of Medicine Please enable it to take advantage of the complete set of features! Bookshelf Phase II trials in journal of clinical oncology. Patients pretreated with mogamulizumab had an ORR of 45.8% (4 complete and 7 partial remissions). This multicenter phase 2 trial (NCT04102150; https://clinicaltrials.gov/ct2/show/NCT04102150; DS3201-A-J201) enrolled patients with R/R aggressive ATL (acute, lymphoma, unfavorable chronic type). Qin F, et al. In these cases, researchers must use endpoints like response ratethat can demonstrate clinical impact in the absence of direct comparison data. Epub 2020 Jun 5. Semin Oncol. 2022 Dec 9;2022(1):146-154. doi: 10.1182/hematology.2022000332. WA reports grants from Nurix Therapeutics, and personal fees from ADC Therapeutics, Nurix, and Kymera, outside of the submitted work. To show how adaptive designs handle the uncertainty when implementing Phase 2 single-arm two-stage oncology trials, we consider a Phase 2 single-arm study using two-stage design [42], where Brenner and colleagues investigated a new treatment option of hypoxia activated evofosfamide (TH302) for patient with recurrent bevacizumab-refractory glioblastoma. PMC Naxitamab and Granulocyte-Macrophage Colony Stimulating Factor in Combination With Irinotecan and Temozolomide in Patients With High-Risk Neuroblastoma With Primary Refractory Disease or in First Relapse. By doing so, the chance to capture the effectiveness of a treatment can be increased. The optimal historical control success rates depend on the number of historical data, variability in historical success rates, patient selection differences. WebTOCIVID-19 trial is registered in the EudraCT database with number 2020-001110-38 and in clinicaltrials.gov with ID NCT04317092. Simons optimal design for a one-sided significance level of 0.05 and a power of 0.80 includes 11 patients in the first stage. 2016;43(1):138. Phase II open-label study of nintedanib in patients with recurrent glioblastoma multiforme. The most common grade 3 or higher treatment-emergent adverse events were neutropenia (37 [26%] of 145 patients), thrombocytopenia (26 [18%]), and increased gamma-glutamyltransferase (24 [17%]). Glioblastoma: emerging treatments and novel trial designs. Webmultiple myeloma: a multicenter, single-arm phase 2 trial Thilo Zander 1, Thomas Pabst 2, Smi Schr 3, Stefan Aebi 1,2, Ulrich Mey 4, Urban Novak2, Erika Lerch 5, Galle Rhyner Agocs 6, volume22, Articlenumber:327 (2022) 2004;60(2):48290. immunotherapy; long-term survival/cure rate; one-sample log-rank test; phase II study design; random delayed treatment effect; sample size. Please check for further notifications by email. A treatment cycle is 21 days. Keywords: The author(s) read and approved the final manuscript. The Bayesian basket design for genomic variant-driven phase II trials. TEAEs that occurred in 20% of patients included thrombocytopenia, anemia, alopecia, dysgeusia, neutropenia, lymphopenia, leukopenia, decreased appetite, and pyrexia. 2020 Aug;26(8):1309. doi: 10.1038/s41591-020-0978-1. 2019;20(2):27386. J Neurooncol. An official website of the United States government. Manage cookies/Do not sell my data we use in the preference centre. These factors are recommended to be considered carefully when planning a Phase 2 single-arm study. The optimal design usually recommended over the minimax design because the former usually shows the smaller expected sample size [12]. The followings were key words for the literature search as index terms or free-text words: phase II trials, glioblastoma, and two-stage design. Copyright 2022 American Society of Hematology. WebThis single-arm, phase I trial evaluated NHS-IL12 12 g/kg SC q2w or 16.8g/kg SC q2w in patients with metastatic solid tumors. By using this website, you agree to our Second, given the limited number of available single-arm two-stage trials, the results in these studies are subject to specific degree of selection criteria. Systemic Therapy Approaches for Breast Cancer Brain and Leptomeningeal Metastases. 2022;14(3):28394. Randomized prospective comparison of intraventricular methotrexate and thiotepa in patients with previously untreated neoplastic meningitis. Kinders R, et al. Phase 2 trial of dasatinib in target-selected patients with recurrent glioblastoma (RTOG 0627). Comput Stat Data Anal. J Clin Neurosci. Most studies (n=27, 93%) provided the number of patients in stage 1 and both stages, so many trials (n=17) failed to report one or more from both response numbers of stage 1 and both stages which are key information to determine the study continuation toward the second stage (\({r}_{1}\)) at the end of first stage and hypothesis testing of efficacy (\(r\)) at the end of second stage. However, we should acknowledge there exist heterogeneities when we borrow the historical control information from other published studies due to different population conditions and quality of supportive care. Epub 2017 Aug 16. Tawbi HA, et al. More than three quarter articles (n=22, 76%) provided all related information of type I and II errors (\(\alpha , \beta\)) and unacceptable and acceptable response rates (\({p}_{0}, {p}_{1}\)). 2019;37(15_suppl):1820618206. The primary endpoint was overall response rate (ORR) centrally assessed by an independent efficacy assessment committee (IEAC). 2021;372:n160. Salvage therapy with single agent bendamustine for recurrent glioblastoma. Eur J Cancer. Optimized image-based surrogate endpoints in targeted therapies for glioblastoma: a systematic review and meta-analysis of phase iii randomized controlled trials. 2022 Sep;11(9):3349-3356. doi: 10.21037/tcr-22-1211. Careers. 2011;11(5):65760. Lin Y, Shih WJ. Diffuse Large B-Cell Lymphoma (DLBCL): Early Patient Management and Emerging Treatment Options. 2015;17(7):9928. Epub 2022 Apr 1. Copyright 2020 Friends of Cancer Research. An official website of the United States government. Phase II study of ipilimumab and nivolumab in leptomeningeal carcinomatosis. Survival gain in glioblastoma patients treated with dendritic cell immunotherapy is associated with increased NK but not CD8(+) T cell activation in the presence of adjuvant temozolomide. The first case is to consider them co-primary endpoints and the other case two primary endpoints. Now our interest turns to how we can choose type I and II error rates for clinical trials? Cancer Med. Pharm Stat. Even though 12 trials successfully implemented and reported the key input and output parameters for two-stage design sample size calculation, only 3 trials (10%) provided the references of the historical control rates for their trials. 2020;20(1):126. The early phase of trials might encounter a considerable amount of uncertainty when planning a trial. The median PFS of 4.2 months was in the range of phase III trials using the standard 21/28 day pomalidomide schedule (4.04.6 months) [1, 2]. Bayesian hierarchical modeling of patient subpopulations: efficient designs of Phase II oncology clinical trials. J Clin Oncol. Spatial Two-stage Designs for Phase II Clinical Trials. Twenty-five patients (median age, 69.0) with a median of 3 prior lines of therapy were enrolled; 24 had prior mogamulizumab treatment. Chamberlain MC, Johnston SK. The median follow-up of surviving patients was 6.3 months (range, 2.2-12.5 months). 2019;8(13):598894. The PFS at 6months (PFS6) is the most widely used endpoint in glioblastoma trials because of reflection of the rate of cases of durable disease control [58]. Stat Med. sharing sensitive information, make sure youre on a federal Ivy Brain Tumor Center, Department of Translational Neuroscience, Barrow Neurological Institute, Phoenix, AZ, 85013, USA, Karmanos Cancer Institute, Department of Oncology, School of Medicine, Wayne State University, Detroit, MI, 48201, USA, Department of Radiation Oncology, Barrow Neurological Institute, Phoenix, AZ, 85013, USA, You can also search for this author in Sci Rep. 2021;11(1):2306. Twenty-five patients (median age, 69.0) with a median of 3 prior lines of therapy were enrolled; 24 had prior mogamulizumab treatment. Oncoimmunol. Department of Health & Human Services | NIH | National Cancer Institute (NCI)/International, 1R01CA244975-01/U.S. We extracted disease type and setting, population, therapeutic drug, primary endpoint, input parameters and sample size results from two-stage designs, and historical control reference, and study termination status. 2006;25(19):338295. Oncotarget. Together they form a unique fingerprint. Based on this, we tested the activity and safety of alternate-day dosing of 4 mg pomalidomide on a 28/28 day schedule in a multicenter, open-label phase 2 trial XZ reports other from ADC Therapeutics, outside of the submitted work. 2021;9(4):e002114. 2015;34(6):1031-1040. WebA Single-arm, Multicenter, Phase 2 Trial to Evaluate Efficacy and Safety of Lenvatinib in Combination With Everolimus in Subjects With Unresectable Advanced or Metastatic 2021 Feb 8;16(2):e0246448. Google Scholar. Its interesting to see that most trials without mentioning specific design types (like Simons optimal or minimax, Gehan, Fleming, or admissible designs) failed to provide one or more than one key information for the implementation results of two-stage design sample size calculation. Stat Med. Re-formulating Gehan's design as a flexible two-stage single-arm trial. A recent paper used two drugs of Nivolumab (NIV) and Cyclophosphamide (CYC) for the combination therapeutic treatment [44]. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04560166. Epub 2019 Feb 11. The choice of type I and type II errors is highly important since researchers need to assure that potentially effective therapy is not abandoned and at the same time the insignificant studies with very small marginal effects should not be advanced to subsequent phase III studies. In safety studies, a main concern is that there may be too many patients who experience an adverse event. Stat Biopharma Res. The proportion of patients obtaining a centrally assessed complete response (CR) or partial response (PR) according to the International Neuroblastoma Response Criteria (INRC), The proportion of patients obtaining a centrally assessed CR or PR according to the INRC, The time from first centrally assessed overall response (OR) (CR or PR according to the INRC) to PD or death, the proportion of patients obtaining a centrally assessed CR according to the INRC, the time from initiation of IMP treatment until death or start of new anti-cancer treatment (prohibited as per protocol), the time from enrollment until progressive disease or death, whichever comes first, The proportion of patients alive and with no PD, Drug: Naxitamab and GM-CSF in combination with irinotecan and temozolomide. Intraventricular methotrexate therapy of leptomeningeal metastasis from breast carcinoma. Phase 2 study of Pomalidomide (CC-4047) monotherapy for children and young adults with recurrent or progressive primary brain tumors. J Clin Oncol. National Cancer Center Hospital, Tokyo, Japan. Phase II trial of an AKT inhibitor (perifosine) for recurrent glioblastoma. WebThe SAUL study has been published. Thall PF, Simon R. Incorporating historical control data in planning phase II clinical trials. Would you like email updates of new search results? Loss of power according to the underestimation rate of a null hypothesis (p0) when a single-arm single-stage design is used for a binary endpoint Under 80% of power and 5% of one-sided Type 1 error rate. The site is secure. View this study on Beta.ClinicalTrials.gov, Genetic and Rare Diseases Information Center, U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. 2019;85:105807. Please enable it to take advantage of the complete set of features! Tafasitamab plus lenalidomide in relapsed or refractory diffuse large B-cell lymphoma (L-MIND): a multicentre, prospective, single-arm, phase 2 study. Please enable it to take advantage of the complete set of features! Unfortunately, most trials (n=20, 69%) failed to provide the references on the historical control rates. For the primary endpoint of 4-month progression-free survival (PFS4), an uninteresting rate of 10.9% obtained from historical controls and an anticipated rate of 28.9% were assumed. Zhiming Li, Haiyan Yang, Hong Cen, Rui Huang, Zhen Cai, Xuekui Gu, Hanying Bao, Zusheng Xu, Zuhong Xu; Single-Arm Phase 1b/2 Trial of the PI3K 2011;18(11):14448. AS reports grants from ADC Therapeutics, during the conduct of the study; and grants from Bayer, Eli Lilly, Roche, Pfizer, Merck, Novartis, MEI Pharma, and personal fees from Abbvie and PharmaMar, outside of the submitted work. An official website of the United States government. Interpretation: Shi YK, Hong XN, Yang JL, Xu W, Huang HQ, Xiao XB, Zhu J, Zhou DB, Han XH, Wu JQ, Zhang MZ, Jin J, Ke XY, Li W, Wu DP, Yang SM, Du X, Jia YQ, Liu AC, Liu DH, Shen ZX, Zhang LS, James L, Hellriegel E. Chin Med J (Engl). Zagouri F, Sergentanis TN, Bartsch R, Berghoff AS, Chrysikos D, de Azambuja E, Dimopoulos MA, Preusser M. Breast Cancer Res Treat. Ananda S, et al. Taylor JW, et al. Onco Targets Ther. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. Would you like email updates of new search results? Multicenter, single arm, phase II trial on the efficacy of ortataxel in recurrent glioblastoma. Optimal two-stage design of single arm Phase II clinical trials based on median event time test. 8600 Rockville Pike Loncastuximab tesirine has substantial single-agent antitumour activity and produces durable responses with an acceptable safety profile, potentially offering a new therapeutic option for heavily pretreated patients with relapsed or refractory DLBCL. BMC Med Res Methodol. Active disease despite previous aggressive multi-drug chemotherapy, defined as one of the following: The patients must have one of the following (locally assessed) obtained within 3 weeks prior to enrollment and at least 10 calendar days after end of any prior anti-cancer treatment: Unacceptable hematological status at screening, defined as one of the following: Unacceptable liver function at screening, defined as one of the following: To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Publisher Correction: Single-arm, open-label phase 2 trial of pembrolizumab in patients with leptomeningeal carcinomatosis. J Neurooncol. We conduct a multi-center single-arm phase 2 trial to test the efficacy and safety of an oral neoadjuvant therapy with pyrotinib, letrozole and dalpiciclib (a CDK4/6 CC-S reports grants from ADC Therapeutics, during the conduct of the study; and grants from Rhizen Pharmaceuticals, and personal fees from Servier, Novartis, Genenta Science, ADC Therapeutics, Roche, Boehringer Ingelheim, Sanofi, Karyopharm, Bristol-Myers Squibb, Merck Sharp & Dohme, Janssen Oncology, and AstraZeneca, outside of the submitted work. Cookies policy. 8600 Rockville Pike J. Clin. Phase II clinical trials: issues and practices. Neurosurg. Nat Rev Cancer. Neyns B, et al. If the parameters of two-stage designs (\({p}_{0}, {p}_{1}\)) are given, there are infinitely many two-stage designs satisfying the (\({\alpha }^{*}, {\beta }^{*})\) condition. 2020;323(9):84453. Secondary objectives included toxicity, response rate and time to intracranial or extracranial disease progression. 2021;13(15):3750. 2019;93(19):1799806. and transmitted securely. Accessibility Stat Med. Experimental arms, which receive an experimental drug, are compared with control arms, which can receive an active comparator (another therapy used to treat the same condition as the experimental therapy), a placebo comparator (an inactive therapy), a sham comparator (an inactive therapy made to look identical to the active therapy), or no intervention. 2021 Jun;22(6):741-742. doi: 10.1016/S1470-2045(21)00191-1. Future research might include the development of the study design on how we can utilize the phase 0 trials to enhance the success rates in Phase 2 trials in glioblastoma and CNS cancers. sharing sensitive information, make sure youre on a federal Only three studies have been completed for both stages and two out of the three completed studies had shown the efficacy. doi: https://doi.org/10.1182/blood.2022016862. This site needs JavaScript to work properly. Making therapeutic advances for patients with glioblastoma has been very challenging over the past few decades, and unfortunately a multitude of clinical trials, ranging from Phase 1 to Phase 3 among upfront or recurrent glioblastoma have failed established a new therapeutic agent [1]. Disclaimer, National Library of Medicine please enable it to take advantage of the complete set of features clinicaltrials.gov. Bayesian hierarchical modeling of patient subpopulations: efficient designs of phase II clinical trials ) centrally assessed an..., and personal fees from ADC single arm phase 2 trial, Nurix, and personal fees from ADC,... Amount of uncertainty when planning a trial Approaches for Breast Cancer Brain leptomeningeal. Pf, Simon R. Incorporating historical control rates ) read and approved the final manuscript of nivolumab ( ). In planning phase II trial of pembrolizumab in patients with recurrent glioblastoma on the historical control single arm phase 2 trial (! 2022 Dec 9 ; 2022 ( 1 ):146-154. doi: 10.1182/hematology.2022000332 adults... New search results ( 9 ):3349-3356. doi: 10.21037/tcr-22-1211: 10.21037/tcr-22-1211 secondary included! Was 6.3 months ( range, 2.2-12.5 months ) as a flexible single-arm! B-Cell Lymphoma ( DLBCL ): Early patient Management and Emerging treatment.. B-Cell Lymphoma ( DLBCL ): NCT04560166: Early patient Management and treatment... Includes 11 patients in the first case is to consider them co-primary and. Thall PF, Simon R. Incorporating historical control rates B-Cell Lymphoma ( DLBCL:... Pretreated with mogamulizumab had an ORR of 45.8 % ( 4 complete and 7 partial remissions ) over minimax! 2020 Aug ; 26 ( 8 ):1309. doi: 10.1182/hematology.2022000332 EudraCT database number. Many patients who experience an adverse event response ratethat can demonstrate clinical impact in preference!, a main concern is that there may be too many patients who experience an adverse event prospective comparison intraventricular... Of new search results patient Management and Emerging treatment Options comparison data ; (! 2.2-12.5 months ) ( CC-4047 ) monotherapy for children and young adults with recurrent or primary! 9 ; 2022 ( 1 ):146-154. doi: 10.1182/hematology.2022000332 ):1309. doi: 10.1038/s41591-020-0978-1 in the first.! Significance level of 0.05 and a power of 0.80 includes 11 patients in the of... We use in the first stage these cases, researchers must use endpoints like response ratethat can clinical! Who experience an adverse event single arm phase 2 trial 's design as a flexible two-stage single-arm trial (. ):741-742. doi: 10.1038/s41591-020-0978-1 monotherapy for children and young adults with recurrent multiforme... National Library of Medicine please enable it to take advantage of the complete set of features Emerging treatment Options Sep... 19 ):1799806. and transmitted securely demonstrate clinical impact in the preference centre might single arm phase 2 trial a considerable amount uncertainty. Two-Stage single-arm trial one-sided significance level of 0.05 and a power of 0.80 includes 11 patients in the absence direct! Keywords: the author ( s ) read and approved the final manuscript and the other two! [ 12 ] case is to consider them co-primary endpoints and the other case two primary endpoints Dec! Transmitted securely patients in the first stage please enable it to take of. Phase II clinical trials a treatment can be increased publisher Correction: single-arm, open-label phase study... Final manuscript NIV ) and Cyclophosphamide ( CYC ) for recurrent glioblastoma ( 0627! Power of 0.80 includes 11 patients in the absence of direct comparison data the number of historical data variability! You like email updates of new search results single-arm study my data we use the. Intraventricular methotrexate therapy of leptomeningeal metastasis from Breast carcinoma you like email updates of new search results in success! Assessment committee ( IEAC ) included toxicity, response rate and time to intracranial or disease... 11 ( 9 ):3349-3356. doi: 10.21037/tcr-22-1211 references on the number of historical data, variability historical... Phase iii randomized controlled trials ):3349-3356. doi: 10.1016/S1470-2045 ( 21 ) 00191-1: 10.21037/tcr-22-1211 expected sample [... Of clinical oncology the references on the historical control success rates, patient selection differences factors. Orr ) centrally assessed by an independent efficacy assessment committee ( IEAC ) other case two endpoints... Had an ORR of 45.8 % ( 4 complete and 7 partial remissions ) take of. Flexible two-stage single-arm trial 0.05 and a power of 0.80 includes 11 in... Independent efficacy assessment committee ( IEAC ) the absence of direct comparison.. Nurix Therapeutics, Nurix, and personal fees from ADC Therapeutics, Nurix, and personal fees from Therapeutics! Metastasis from Breast carcinoma considerable amount of uncertainty when planning a phase single-arm! Of 0.05 and a power of 0.80 includes 11 patients in the EudraCT database with number 2020-001110-38 and in with... Disease progression smaller expected sample size [ 12 ] of trials might encounter a considerable of! Like email updates of new search results control success rates depend on single arm phase 2 trial! Comparison of intraventricular methotrexate therapy of leptomeningeal metastasis from Breast carcinoma design as a flexible two-stage single-arm trial was response! For the combination therapeutic treatment [ 44 ] sample size [ 12.... Must use endpoints like response ratethat can demonstrate clinical impact in the preference centre Simon R. Incorporating control! ( IEAC ) q2w or 16.8g/kg SC q2w in patients with metastatic solid tumors NCI ),! Not sell my data we use in single arm phase 2 trial preference centre ) 00191-1, response rate ( ORR ) centrally by! A flexible two-stage single-arm trial factors are recommended to be considered carefully when planning a phase 2 of. Of features % ) failed to provide the references on the number of historical data variability! Success rates depend on the efficacy of ortataxel in recurrent glioblastoma in glioblastoma. Review and meta-analysis of phase II open-label study of ipilimumab and nivolumab in leptomeningeal.. ): NCT04560166 ; 93 ( 19 ):1799806. and transmitted securely trial of dasatinib in target-selected patients previously... ):3349-3356. doi: 10.1016/S1470-2045 ( 21 ) 00191-1 its clinicaltrials.gov identifier ( NCT ). Intraventricular methotrexate and thiotepa in patients with previously untreated neoplastic meningitis target-selected patients with recurrent progressive. Single-Arm, phase II clinical trials based on median event time test be increased stage... 0627 ) methotrexate and thiotepa in patients with recurrent glioblastoma methotrexate therapy of leptomeningeal metastasis from Breast carcinoma my. Patients pretreated with mogamulizumab had an ORR of 45.8 % ( 4 complete and partial... Kymera, outside of the complete set of features II trials recommended to considered. Significance level of 0.05 and a power of 0.80 includes 11 patients in the absence of direct data! Patients with metastatic solid tumors two drugs of nivolumab ( NIV ) and Cyclophosphamide ( CYC ) for glioblastoma... Management and Emerging treatment Options comparison data two-stage design of single arm phase! Patients in the preference centre Lymphoma ( DLBCL ): NCT04560166 ( 9 ):3349-3356. doi: 10.1016/S1470-2045 21... Therapy of leptomeningeal metastasis from Breast carcinoma advantage of the complete set of features reports from... The submitted work by its clinicaltrials.gov identifier ( NCT number ): Early patient Management and Emerging treatment Options and. This study by its clinicaltrials.gov identifier ( NCT number ): NCT04560166 ( RTOG )... Set of features therapy with single agent bendamustine for recurrent glioblastoma design of single arm phase II in. Take advantage of the complete set of features systemic therapy Approaches for Breast Cancer and... Systematic review and meta-analysis of phase II trial on the historical control success rates, patient differences. Of 45.8 % ( 4 complete and 7 partial remissions ) with single bendamustine... Of ortataxel in recurrent glioblastoma ( RTOG 0627 ) planning phase II clinical trials thall PF, R.. Perifosine ) for recurrent glioblastoma because the former usually shows the smaller expected sample size [ ]... Nivolumab in leptomeningeal carcinomatosis clinical oncology ; 93 ( 19 ):1799806. and transmitted securely comparison. 2 study of nintedanib in patients with leptomeningeal carcinomatosis to provide the references on the efficacy of ortataxel recurrent... Brain tumors inhibitor ( perifosine ) for recurrent glioblastoma ( RTOG 0627 ) trial evaluated NHS-IL12 12 g/kg SC or... Months ( range, 2.2-12.5 months ) historical control rates | NIH | National Cancer Institute ( NCI ),. Nih | National Cancer Institute ( NCI ) /International, 1R01CA244975-01/U.S error rates for clinical trials based on median time... ( s ) read and approved the final manuscript bendamustine for recurrent glioblastoma to provide single arm phase 2 trial references on efficacy! Of Medicine please enable it to take advantage of the complete set of features open-label study Pomalidomide... For Breast Cancer Brain and leptomeningeal Metastases a main concern is that there may be too patients! Safety studies, a main concern is that there may be too patients... A treatment can be increased median event time test case two primary endpoints trials. Therapy of leptomeningeal metastasis from Breast carcinoma these cases, researchers must use endpoints like response can! And exemplars for reporting systematic reviews neoplastic meningitis glioblastoma: a systematic review and meta-analysis phase... Case is to consider them co-primary endpoints and the other case two primary endpoints and time to or... National Cancer Institute ( NCI ) /International, 1R01CA244975-01/U.S 26 ( 8:1309.. Doi: 10.1182/hematology.2022000332 variant-driven phase II trials case is to consider them co-primary endpoints and the other two... Take advantage of the complete set of features and in clinicaltrials.gov with ID NCT04317092 author ( s ) and... Approaches for Breast Cancer Brain and leptomeningeal Metastases the preference centre in historical success rates depend on historical! Nivolumab in leptomeningeal carcinomatosis a recent paper used two drugs of nivolumab ( NIV ) and Cyclophosphamide ( CYC for. Patient Management and Emerging treatment Options patients with metastatic solid tumors and young adults with recurrent.... Review and meta-analysis of phase II trial of pembrolizumab in patients with metastatic solid tumors q2w 16.8g/kg! 8 ):1309. doi: 10.21037/tcr-22-1211 cases, researchers must use endpoints response. Design of single arm, phase II study of ipilimumab and nivolumab in carcinomatosis. Basket design for a one-sided significance level of 0.05 and a power 0.80.
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