Malignancies other than RCC within years prior to Cycle , Day
Patients may have received one and only one cycle of chemotherapy prior to enrolling on Cancer and Leukemia Group B (CALGB) , which must have included carboplatin or cisplatin and etoposide; if a patient has had one cycle of cisplatin (or carboplatin)/etoposide prior to registration, the patient must have had all of the prior to registration tests prior to starting their first cycle of chemotherapy; additionally, these patients also must have met all of the eligibility criteria prior to receiving the first cycle of chemotherapy; registration to CALGB must take place within - days after the start of the non-protocol therapy; failing to do all of the above will make the patient NOT eligible for CALGB
Patients must not have unequivocal disease progression (by RECIST v.) during the first cycle; patients must have disease assessed using the same method as baseline within +/- days of the day scheduled assessment (between days - of cycle , or days - of cycle ); all disease must be assessed and documented on the follow-up tumor assessment form (RECIST .)
Phase ONLY: Subject has had any prior anti-cancer therapy other than: Hormonal, non-myelosuppressive, biologic, targeted, or immune therapy (must be completed ? weeks prior to Cycle Day -). One line of cytotoxic chemotherapy (must be completed ? weeks prior to Cycle Day -). Adjuvant/neoadjuvant radiotherapy (must be completed ? months prior to Cycle Day -, with field not involving > % of bone marrow reserve).
Phase ONLY: Subject has had any prior chemotherapy, radiotherapy, investigational anti-cancer agents or biologic therapy for the disease under study. Single non-target lesion irradiation with intent of symptom palliation is allowed if ? weeks prior Cycle Day -.
Previous treatment with radiotherapy or immunotherapeutic agents in the weeks prior to study drug administration (Cycle Day )
Use of immunosuppressant medications in the weeks prior to study drug administration (Cycle Day )
Demonstrated adequate organ function within days of Cycle Day (CD).
Antithymocyte globulin or similar anti-T cell antibody therapy ? weeks prior to Cycle Day
Treatment with Epstein-Barr virus cytotoxic T lymphocytes or chimeric antigen receptor (CAR) T cells directed against B cells within weeks of Cycle Day
Receipt of investigational treatment within weeks of scheduled Cycle Day (CD) dosing.
Treatment with any anti-cancer agent days prior to Cycle, Day other than aPD- based therapy
The following laboratory results must be met during screening and also immediately before study drug administration on Cycle Day :
Prior standard or investigational anti-cancer therapy as specified: Radioimmunoconjugate within weeks prior to Day of Cycle ; Monoclonal antibody or antibody-drug conjugate within weeks prior to Day of Cycle ; Radiotherapy, chemotherapy, hormonal therapy, or targeted small-molecule therapy within weeks prior to Day of Cycle
Patients receiving cancer therapy within weeks prior to Cycle Day (CD).
Known uncontrolled brain, leptomeningeal or epidural metastases (unless treated and well controlled for at least weeks prior to Cycle Day ). Controlled brain metastases that require continuous high dose corticosteroid use within weeks of Cycle Day .
Subject must have adequate organ function as defined below. The following parameters must be evaluated within days prior to Cycle Day (monotherapy run-in period):
Malignancies other than disease under study within years prior to Day of Cycle
Average transfusion requirement of ? units per days of packed RBCs confirmed for a minimum of days immediately preceding Cycle Day .
Use of an ESA within the weeks prior to Cycle Day .
Receipt of anti-cancer therapy days prior to Cycle Day
Platelet count >= X ^/L within days of starting cycle day treatment
Non-tolerable > Grade neuropathy or evidence of unstable neurological symptoms within weeks of Cycle Day .
Autologous or allogenic transplant within the days prior to Cycle Day .
Has persistent phosphate level greater than upper limit of normal (ULN) during screening (within days of treatment and prior to Cycle Day ) and despite medical management
Research MRI sequences performed at Massachusetts General Hospital Charlestown Navy Yard must be completed =< days of cycle day
Progressive disease on bendamustine within months of cycle , day
Treatment with systemic steroids for > weeks prior to cycle day of study therapy; prior radiation therapy, with the exception of an abbreviated course (not more than days) if used for superior vena cava (SVC) syndrome
Chemotherapy or targeted therapy within days prior to cycle day of protocol therapy
Previous radiotherapy within days of Cycle Day .
Completion of ASCT within days prior to Day of Cycle.
Radio-immunoconjugate within weeks prior to Day of Cycle .
Prior treatment of PTCL with systemic anti-lymphoma therapies, investigational agents, radiation; exception: may have received cycle of CHOP-like therapy (e.g. CHOP, CHOEP, EPOCH); these participants must initiate day cycle of CHEP-BV no less than days from prior CHOP-like therapy
Episode of significant cardiovascular/cerebrovascular acute disease within months prior to Cycle Day
Malignancies other than UC within years prior to Cycle , Day
Severe infections within weeks prior to Cycle , Day
Failed prior alloSCT within the past months from Cycle Day
Prior treatment with bicalutamide (Casodex) or nilutamide (Nilandron) within weeks of Cycle , Day
Prior treatment with -alpha reductase inhibitors within weeks of Cycle , Day
At least week since the last systemic therapy regimen prior to Cycle Day . Subjects on a stable dose of hydroxyurea for at least weeks prior to Cycle Day may continue on hydroxyurea until Cycle Day . Subjects must have recovered to NCI CTCAE v. . < Grade from all acute toxicities (excluding Grade toxicities that are not considered a safety risk by the Sponsor and Investigator) or toxicity must be deemed irreversible by the Investigator.
Ongoing treatment with an anticancer agent for CMML not contemplated in this protocol. Subjects on a stable dose of hydroxyurea for at least weeks prior to Cycle Day may continue on hydroxyurea until Cycle Day .
Cytotoxic therapy within days prior to cycle day (D)
The tumor site selected for injection cannot have been irradiated within weeks of Cycle Day (CD)
Any radiation treatment to metastatic site within days of Cycle , Day
Be willing to provide peripheral blood samples at screening and day of cycle and cycle for correlative studies
Obtained within days prior to cycle , day : serum bilirubin =< . x ULN
Within days of cycle day : Platelets >= ,/mcL
Prior to dosing with urine sample obtained on Cycle Day , if it has been > days since obtaining the serum pregnancy test results.
Patients who have not recovered from side effects of prior systemic therapy prior to cycle day
Receipt of anti-cancer therapy prior to Cycle Day : no chemotherapy, radiation therapy, small molecule tyrosine kinase inhibitor (TKI), or hormonal therapy for the treatment of cancer within days or half-lives (whichever is shorter) of Cycle Day . No immune therapy or other biologic therapy (other monoclonal antibodies or antibody-drug conjugates [ADCs]) for the treatment of cancer within days of Cycle Day .
Administration of intravesical BCG within weeks before cycle , day
Patients who received prior systemic anti-cancer therapy (chemotherapy with delayed toxicity, extensive radiotherapy, immunotherapy, biologic therapy, or vaccine therapy) within the last weeks prior to day of cycle . Patients are permitted to be on dabrafenib and trametinib at start of therapy without wash-out period prior to day of cycle . Dosing will change to protocol determined dose levels on day of cycle .
Patients must have no clinical evidence of leptomeningeal or brain metastasis causing spinal cord compression that are symptomatic, untreated, not stable for >= weeks prior to day of cycle (must be documented by imaging), or requiring corticosteroids to manage metastasis-related symptoms. Subjects who have been off of corticosteroids for at least weeks prior to day of cycle or are on a stable dose of =< mg per day of a prednisone equivalent for > month prior to day of cycle can be enrolled. Subjects must also be off of enzyme-inducing anticonvulsants for > weeks prior to day of cycle .
Patients whose disease is refractory (defined as evidence of disease progression while on drug or within months of its discontinuation) to more than lines of chemotherapy given for CRPC. Any number of chemotherapies to which the patients disease is not refractory are allowed, as long as time on treatment did not exceed months (counted from day of cycle to day of the last cycle of treatment).
Be taking prednisone at a dose of =< mg/day, days prior to starting treatment (cycle day [(CD])
Lymphoma that is not amenable for mandatory pre- and cycle day (CD) post-treatment biopsy
Minor surgical procedure within calendar days prior to cycle day
Adequate haematological and end-organ function, as per the local institutions reference ranges, within hrs prior to day of cycle of treatment defined by the following:
Ability and availability to complete all prescribed biopsies (prior to the first evofosfamide dose and between day of Cycle and day of Cycle )
Fewer than days before Cycle Day since any prior chemotherapy (less than days in the case of mitomycin or a nitrosourea)
Participation in another investigational drug trial concurrently or within days of Cycle Day , or a vaccine trial within days of Cycle Day
Prior to dosing with urine sample obtained on Cycle Day , if it has been > days since obtaining the serum pregnancy test results.
Only participants whose lymphoma is untreated are allowed for the dose-finding portion; for the dose expansion cohort both untreated and participants who have received a maximum of one cycle of combination chemotherapy, including rituximab-containing regimens R-cyclophosphamide, doxorubicin hydrochloride, vincristine sulfate, prednisone (CHOP) and R-EPOCH, prior are eligible; the start of previous chemotherapy cycle must occur at least days prior and days maximum to beginning treatment under this protocol, and such cycle will count towards the maximum of cycles under this study (i.e. cycle off study will count as cycle )
Last cycle of most recent salvage therapy within weeks of enrollment
Prior systemic anti-myeloma therapy within days of Cycle Day
Immunosuppressive therapy within weeks of Cycle Day
Daily corticosteroid requirement within weeks of Cycle Day
Neutrophil count >= . x ^/l at cycle day of docetaxel cisplatin and -FU (TPF)
Platelet count >= x ^/l at cycle day of TPF
Platelets >= ,/mcL, during screening and on cycle , day
Has an active infection requiring systemic therapy which is not expected to have resolved by cycle day dosing
Patients whose disease is refractory (defined as evidence of disease progression while on drug or within months of its discontinuation) to more than lines of chemotherapy; any number of chemotherapies to which the patients disease is not refractory are allowed, as long as time on treatment did not exceed months (counted from day of cycle to day of the last cycle of treatment)
Flutamide (Eulexin) treatment within weeks of cycle , day and bicalutamide (Casodex) or nilutamide (Nilandron) within weeks of cycle day (exceptions: if progression is documented prior to this time interval, or if patient is deemed by the treating physician to be highly unlikely to respond to AR inhibitor withdrawal (e.g. if PSA did not decline for months in response to AR inhibitor given as a second line or later intervention, or if patient has symptoms attributable to disease progression) only a day washout prior to cycle , day will be required for any of them
Consents to whole blood collection prior to initiating therapy, on cycle day , and at cystectomy for support of correlative research studies
Current or recent (within calendar days prior to cycle , day ) use of dipyridamole, ticlopidine, clopidogrel, or cilostazol
Availability of a frozen biopsy core prior to cycle , day
Chemotherapy or hormonal therapy for anti-cancer treatment within days prior to Cycle Day .
Immunotherapy or biological therapy (e.g., monoclonal antibodies) within days prior to Cycle Day , unless pre-approval is obtained from the Sponsor Medical Monitor.
Cytotoxic chemotherapy or non-hormonal targeted therapy within days of Cycle Day is not permitted.
Subjects screened between to weeks after last cycle of chemotherapy
Patients who received prior systemic anti-cancer therapy (chemotherapy with delayed toxicity, extensive radiation therapy, immunotherapy, biologic therapy, or vaccine therapy) within the last weeks prior to day of cycle ; patients are permitted to be on dabrafenib and trametinib standard of care at start of therapy without wash-out period prior to day of cycle ; dosing will change to protocol determined dose levels on day of cycle
Patients must be willing to use the Optune device >= hours/day for at least days in a -day cycle, and keep head shaved throughout treatment
Histologically confirmed solid tumor malignancy for which platinum-based chemotherapy on a -day cycle or day cycle is being recommended
Chemotherapy within weeks of Cycle Day
Severe infection within weeks prior to Day of Cycle
Minimum intervals required to be off treatment prior to Cycle Day :
Cancer-related exclusion criteria:\r\n* Patients with known MSI-high status or unknown MSI status are not eligible for study entry\r\n* Patients with BRAF VE mutations are not eligible for the study\r\n* Surgical procedure (surgical resection, wound revision or any other major surgery) or significant traumatic injury within days prior to enrollment, or anticipation of need for major surgical procedure during the course of the study. Minor surgical procedure within days (including placement of a vascular access device) of study cycle day \r\n** Study-related biopsies are NOT considered surgical procedures under the exclusion criteria\r\n* Untreated central nervous system (CNS) metastases. Treatment of brain metastases, either by surgical or radiation techniques, must have been completed at least weeks prior to initiation of study treatment\r\n* Treatment with any investigational agent or approved therapy within days (cycle day )\r\n* Malignancies other than CRC within years prior to cycle day with the exception of those with a negligible risk of metastasis or death (e.g., expected -year overall survival > %) treated with expected curative outcome (such as adequately treated carcinoma in situ of the cervix, basal or squamous cell skin cancer, localized prostate cancer treated surgically with curative intent, ductal carcinoma in situ treated surgically with curative intent)\r\n* Prior radiation therapy within days prior to study cycle day and/or persistence of radiation-related adverse effects. However, palliative radiation therapy (as long as it does not involve target lesions) is permitted on the study\r\n* Prior allogeneic bone marrow transplantation or solid organ transplant for another malignancy in the past\r\n* Spinal cord compression not definitively treated with surgery and/or radiation\r\n* Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures\r\n* Uncontrolled tumor related pain. Patients who require narcotic pain medication during screening should be on a stable dose regimen prior to cycle day
Exclusion criteria based on organ function or medical history:\r\n* History of clinically significant cardiac or pulmonary dysfunction including the following:\r\n** Inadequately controlled hypertension (that is defined as systolic blood pressure > mmHg and/or diastolic blood pressure > mmHg that is treated or untreated)\r\n** History of myocardial infarction within months prior to first dose of study drug in cycle\r\n** Prior history of hypertensive crisis or hypertensive encephalopathy\r\n** History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, idiopathic pneumonitis, evidence of active pneumonitis on screening chest computed tomography (CT) scan or non-infectious pneuomonitis requiring steroids\r\n* Significant vascular disease (e.g., aortic aneurysm requiring surgical repair or recent arterial thrombosis) within months of cycle day \r\n* History of stroke or transient ischemic attack within months prior to cycle day \r\n* Serious non-healing wound, active ulcer or untreated bone fracture\r\n* History of abdominal fistula or gastrointestinal perforation within months prior to cycle day \r\n* History of hemoptysis (?one teaspoon of bright red blood per episode), or any other serious hemorrhage or at risk of bleeding (gastrointestinal history of bleeds, gastrointestinal ulcers, etc.). INR > . and aPTT > . x ULN within days prior to cycle day . History or evidence of inherited bleeding diathesis or significant coagulopathy at risk of bleeding\r\n* Life expectancy of < weeks\r\n* Any previous venous thromboembolism >= grade \r\n* Proteinuria at screening as demonstrated by urine dipstick >= + or -hour. proteinuria > . g\r\n* Left ventricular ejection fraction (LVEF) below institutional lower limit of normal\r\n* Uncontrolled serious medical or psychiatric illness\r\n* Pregnant or lactating, or intending to become pregnant during the study. Women who are not post-menopausal (>= continuous months of amenorrhea with no identified cause other than menopause) or surgically sterile must have a negative serum pregnancy test within days prior to cycle day
Patients must have cHL that has not been previously treated (patients who have received one dose [day cycle ] of standard doxorubicin hydrochloride [adriamycin], bleomycin, vinblastine and dacarbazine [ABVD] or doxorubicin hydrochloride, vinblastine, dacarbazine [AVD] may be enrolled as long as they completed all the required standard of care baseline studies before enrollment and initiate study therapy by day cycle )
At cycle day pre-dosing: Creatinine > x ULN
Surgery or local prostatic intervention (excluding a prostatic biopsy) less than days of Cycle Day .
Pediatric patients ? day old on Cycle Day (CD)
Immunosuppressive therapy within weeks of Cycle , Day
Maintenance should commence within days of recovery of peripheral blood counts after consolidation cycle ; patients must begin consolidation cycle within days of recovery to be eligible for further therapy
Immunosuppressive therapy within weeks of Cycle , Day
Willingness to provide the biologic specimens is required by the protocol; this is part of the mandatory correlative research component; these specimens include:\r\n- PHASE I: peripheral blood for plasma pharmacokinetic analysis and peripheral blood mononuclear cell (PBMC) polymer assessment from - h after drug administration on days and of cycle as well as day of cycle ; urine for assessment of ABT- renal clearance for h after administration of drugs on days and of cycle as well as day of cycle ; and a pretreatment peripheral blood sample for possible sequencing of the BRCA, BRCA loci as well as possible pharmacogenomic analysis
Participants who have undergone a major surgical procedure or trauma within weeks prior to cycle , day ; all wounds must be fully healed on cycle , day
Patients who have had chemotherapy or immunotherapy within weeks ( weeks for nitrosoureas or mitomycin C) or radiotherapy within weeks prior to cycle day ; patients who have had tyrosine kinase inhibitors (such as Braf or MEK inhibitors) within days of cycle day
Participation in an investigational anti-cancer study within weeks prior to cycle day
Patients must have begun cycle (carfilzomib mg/m^) and must not have received any dose reduction for toxicity in the last cycle of treatment, immediately preceding progression
Participants who are untreated or who received a maximum of one () cycle of combination chemotherapy, including rituximab-containing regimens, prior are eligible; the start of previous chemotherapy cycle must occur at least days prior to beginning treatment under this protocol, and such cycle will count towards the total maximum of cycles under this study
Has had minor surgery (i.e., simple excision, tooth extraction) < days prior to the first dose of study drug (Cycle , Day ).
Patient must be randomized within weeks of the first day of the last cycle of chemotherapy
Clinically significant bleeding within days of Cycle Day (Treatment Groups B and C only).
Subject has received radiotherapy or radiosurgery within days prior to Cycle Day ;
Clinically significant bleeding within days of Cycle Day
Agree to provide core biopsies at baseline and at Cycle Day
Receipt of any anti-cancer drug/biologic or investigational treatment within days prior to Cycle Day except hormone therapy, which can be given up to days prior to Cycle Day ; recovery of treatment related toxicity consistent with other eligibility criteria
Radiation therapy within weeks prior to Cycle , Day
Malignancies other than disease under study within years prior to Cycle , Day
Prior anti-cancer therapy within weeks prior to Day of Cycle
Prior radiation therapy within weeks prior to Day of Cycle
A bone marrow biopsy must be performed within four weeks prior to Cycle Day treatment to establish the baseline fibrosis score;
Patients must have been off of chemotherapy for at least weeks prior to day of cycle ; informed consent can be signed at any time prior to the start of therapy
Significant cardiac event within months before Cycle Day .
Current or recent (within calendar days prior to cycle , day ) use of dipyramidole, ticlopidine, clopidogrel, or cilostazol
For participants with relapsed or refractory FL: prior allogeneic or autologous stem cell transplantation, anthracycline therapy, treatment with fludarabine or alemtuzumab within months prior to Day of Cycle , treatment with a monoclonal antibody, radioimmunoconjugate, or antibody-drug conjugate within weeks prior to Day of Cycle , radiotherapy, chemotherapy, hormonal therapy, or targeted small-molecule therapy within weeks prior to Day of Cycle
Participant has received anti-myeloma treatment within weeks before Cycle Day
Any radiation treatment to metastatic site within days of Cycle , Day
Administration of intravesical bacillus Calmette-Guerin (BCG) within weeks before cycle , day
Any approved anti-cancer therapy within weeks prior to enrollment with the following exceptions: \r\n* Palliative radiotherapy for bone metastases must be completed > days prior to baseline imaging and > days prior to cycle day of treatment\r\n* Hormone replacement therapy or oral contraceptives are permitted \r\n* Administration of intravesical bacillus Calmette-Guerin (BCG) > weeks before cycle , day is allowed
Any approved anti-cancer therapy within weeks prior to enrollment o Administration of intravesical bacillus Calmette-Guerin (BCG) > weeks before cycle , day is allowed
Subject consents to hospitalization for first (Cycle Day ) dose of CC- and for hours after.
Participation in an investigational anti-cancer study within weeks prior to cycle day
Severe infections within weeks prior to Cycle , Day
Received crizotinib within days of the first dose of brigatinib (Day , Cycle ).
Thromboembolism within months of cycle , day
No treatment with cytotoxic therapy or monoclonal antibodies within days prior to cycle day
No treatment with a steroid intended to treat myeloma within days prior to cycle day
Severe infections within weeks prior to Cycle Day
Radiation therapy for treatment of the primary tumor within weeks of cycle , day
Radiation or radionuclide therapy for treatment of metastatic CRPC tumor within or weeks, respectively, of cycle , day
Prior flutamide (Eulexin) treatment within weeks of cycle , day (patients whose PSA did not decline for three or more months in response to antiandrogen given as a second line or later intervention will require only a two week washout prior to cycle , day )
Bicalutamide (Casodex), nilutamide (Nilandron) within weeks of cycle day (patients whose PSA did not decline for three or more months in response to antiandrogen given as a second line or later intervention will require only a two week washout prior to cycle , day )
Subjects must have platelet count greater than , per microliter at baseline and at the start of study (day , cycle ) visit
Radiotherapy or systemic therapy within weeks of Cycle Day (CD)
Cytotoxic therapy or monoclonal antibodies within days prior to cycle day
At least weeks must elapse between the completion of the last chemotherapy, immunotherapy, glucocorticoid therapy, radiotherapy or experimental therapy and administration of the first vaccine; completion is defined as last day of any treatment/therapy, not last day of last cycle
Use of systemic corticosteroids ? weeks before Cycle Day .
Received the last dose of previous treatment / therapy before Day of cycle :
Subject has adequate biological parameters as demonstrated by the following blood counts at screening (obtained ? days prior to starting Cycle Day ):
Subject has the following blood chemistry levels at screening (obtained ? days prior to starting Cycle Day ):
Significant or symptomatic amounts of ascites should be drained prior to Cycle Day
At least days must have elapsed prior to Day Cycle , since any radiotherapy, immunotherapy or following major surgery; any surgical incision should be completely healed. At least days must have elapsed prior to Day Cycle since \limited palliative radiotherapy\, defined as a course of therapy encompassing <% total bone marrow volume and not exceeding GY.
Patients who have had any chemotherapy regimens, biologic, or targeted therapies within the weeks prior to Cycle Day
Any malignancy within years prior to Cycle , Day
Anti-cancer therapy within the period immediately before Cycle Day
Malignancies other than UC within years prior to Cycle , Day
Systemic cytotoxic therapies or radiotherapy ? days prior to day cycle
For two weeks prior to day cycle , administration of specified cytochrome P A (CYPA) inducers
At least days must have elapsed prior to day cycle , from chemotherapy, radiotherapy, immunotherapy or following major surgery and any surgical incision should be completely healed. At least days must have elapsed prior to Day Cycle for \limited palliative radiotherapy\, defined as a course of therapy encompassing < % total bone marrow volume and not exceeding Gy.
Adequate bone marrow, liver, and renal function within the days prior to Day of Cycle of study drug up until pre-dose of Cycle
Participants with persistent phosphate greater than upper limit of normal during screening (within days prior to Day of Cycle up until pre-dose of Cycle ) and despite medical management of phosphate levels
Small molecular cell cycle inhibitors >= weeks from registration
Antithymocyte globulin or similar anti-T cell antibody therapy ? weeks prior to Cycle Day
Severe infections within weeks prior to Cycle , Day
Neutrophil count < . ^/liter (L) prior to dosing on Cycle Day
Platelet count ? ^/L prior to dosing on Cycle Day
Prior anti-cancer therapy or radiotherapy within weeks prior to Day of Cycle
? weeks for cytotoxic therapy (except hydroxyurea, which is permitted at doses of ?g/day during the first weeks of Cycle ) prior to CD.
Treatment with demethylating agents within days prior to Cycle , Day
Participation in an investigational anti-cancer study =< weeks prior to cycle day
CYCLE II PORTION ONLY: Only participants with a nausea score >= at least once on the diary assessment from cycle can be randomized for cycle
CYCLE II PORTION ONLY: Participants must be scheduled to receive the same chemotherapy regimen as received at cycle
CYCLE II PORTION ONLY: Must not have received Akynzeo at cycle
CYCLE II PORTION ONLY: Must still meet all the exclusion criteria for cycle
th or later cycle of intravenous carboplatin or oxaliplatin infusion planned or months after the first cycle of agent (whichever is of longer duration) =< days after registration
Study participation will occur during the first cycle of day temozolomide course
History of intra-abdominal inflammatory process within months prior to Day of Cycle
Treatment with any HCV anti-viral therapy within weeks prior to Cycle Day
Prior anti-cancer therapy within weeks prior to Cycle , Day
If currently menstruating, must know the date of the first day of their latest menstrual cycle
Inclusion Criteria:\n\n Cycle :\n\n The following inclusion criteria must be checked prior to inclusion at Cycle :\n\n . Patient read, understood and signed the written informed consent before any study\n related activity, agreeing to participate in the study and to comply with study\n requirements.\n\n . Female patient of at least years of age.\n\n . Histologically or cytologically confirmed breast cancer, including recurrent or\n metastatic.\n\n . Nave to moderately or highly emetogenic antineoplastic agents.\n\n . Scheduled to receive at least consecutive cycles of an AC combination regimen.\n\n Notes:\n\n . additional not emetogenic, minimally or low emetogenic antineoplastic agents are\n permitted at any time after start of AC combination on Day .\n\n . additional highly or moderately emetogenic antineoplastic agents are only allowed\n on Day after the start of AC combination, provided their administration is\n completed within hours from the start of the AC combination administration.\n\n . ECOG Performance Status of or .\n\n . Patient shall be: a) of non-childbearing potential or b) of childbearing potential\n using reliable contraceptive measures and having a negative urine pregnancy test\n within hours prior to dose of investigational product.\n\n Notes:\n\n . Female patients of non-childberaring potential are defined as being in\n post-menopausal state since at least year; or having documented surgical\n sterilization or hysterectomy at least months before study participation.\n\n . Reliable contraceptive measures include implants, injectables, combined oral\n contraceptives, intrauterine devices, vasectomized partner or complete (long\n term) sexual abstinence;\n\n . Hematologic and metabolic status adequate for receiving a cycle of AC chemotherapy\n based on investigator's assessment.\n\n . If the patient has a known hepatic or renal impairment, she may be enrolled in the\n study at the discretion of the Investigator.\n\n . Able to read, understand, follow the study procedure and complete the patient diary.\n\n All inclusion criteria will be checked at screening visit (Visit of Cycle ); inclusion\n criteria will be re-checked at Day (Visit ).\n\n Cycles to :\n\n The following inclusion criteria must be checked prior to inclusion at each repeated cycle:\n\n . Participation in the study during the next cycle of chemotherapy is considered\n appropriate by the Investigator and does not pose unwarranted risk to the patient.\n\n . Scheduled to receive an AC chemotherapy regimen or AC chemotherapy together with other\n chemotherapies as defined in Inclusion criterion # for Cycle .\n\n . Patient shall be: a) of non-childbearing potential or b) of childbearing potential\n using reliable contraceptive measures and having a negative urine pregnancy test\n within hours prior to dosing of investigational product.\n\n . Adequate hematologic and metabolic status for receiving a cycle of AC chemotherapy\n according to the Investigator's opinion.\n\n All inclusion criteria will be checked at screening visit (Visit ); inclusion criterion #\n will be re-checked at Day (Visit ).\n\n Exclusion Criteria:\n\n Cycle :\n\n The following exclusion criteria must be checked prior to inclusion at Cycle :\n\n . Lactating patient.\n\n . Current use of illicit drugs or current evidence of alcohol abuse.\n\n . Scheduled to receive moderately or highly emetogenic antineoplastic agent in addition\n to the AC regimen, from hours after the start of the AC chemotherapy on Day and up\n to Day of Cycle .\n\n . Received or is scheduled to receive radiation therapy to the abdomen or the pelvis\n within week prior to the start of AC chemotherapy administration on Day or between\n Days to , inclusive.\n\n . Any vomiting, retching, or nausea (grade as defined by National Cancer Institute)\n within hours prior to the start of AC chemotherapy administration on Day .\n\n . Symptomatic primary or metastatic central nervous system (CNS) malignancy.\n\n . Active peptic ulcer disease, gastrointestinal obstruction, increased intracranial\n pressure, hypercalcemia, an active infection or any illness or medical conditions\n (other than malignancy) that, in the opinion of the Investigator, may confound the\n results of the study, represent another potential etiology for emesis and nausea\n (other than chemotherapy-induced nausea and vomiting [CINV]) or pose unwarranted risks\n in administering the study drugs to the patient.\n\n . Known hypersensitivity or contraindication to hydroxytryptamine type (-HT)\n receptor antagonists (e.g., palonosetron, ondansetron, granisetron, dolasetron,\n tropisetron, ramosetron), to dexamethasone, or to neurokinin- (NK) receptor\n antagonists (e.g., aprepitant, rolapitant).\n\n . Known contraindication to the IV administration of mL % glucose solution.\n\n . Participation in a previous clinical trial involving IV fosnetupitant or oral\n netupitant administered alone or in combination with palonosetron.\n\n . Any investigational drugs taken within weeks prior to Day , and/or is scheduled to\n receive any investigational drug (other than those planned by the study protocol)\n during the present study.\n\n . Systemic corticosteroid therapy within hours prior to the start of AC chemotherapy\n administration on Day , except the dexamethasone provided as additional study drug.\n However, topical and inhaled corticosteroids are permitted.\n\n . Scheduled to receive bone marrow transplantation and/or stem cell rescue therapy\n during the study participation.\n\n . Other than as administered as part of the study protocol, any medication with known or\n potential antiemetic activity within hours prior to the start of AC chemotherapy\n administration on Day , including:\n\n - -HT receptor antagonists (e.g., ondansetron, granisetron, dolasetron,\n tropisetron, ramosetron, palonosetron)\n\n - NK receptor antagonists (e.g., aprepitant, fosaprepitant, rolapitant or any\n other new drug of this class)\n\n - benzamides (e.g., metoclopramide, alizapride)\n\n - phenothiazines (e.g., prochlorperazine, promethazine, fluphenazine, perphenazine,\n thiethylperazine, chlorpromazine)\n\n - benzodiazepines (except if the subject is receiving such medication for sleep or\n anxiety and has been on a stable dose for at least seven days prior to Day ).\n\n - butyrophenones (e.g., haloperidol, droperidol)\n\n - anticholinergics (e.g., scopolamine, with the exception of inhaled\n anticholinergics for respiratory disorders, e.g., ipratropium bromide)\n\n - antihistamines (e.g., cyclizine, hydroxyzine, diphenhydramine, chlorpheniramine)\n\n - domperidone\n\n - mirtazapine\n\n - olanzapine\n\n - prescribed cannabinoids (e.g., tetrahydrocannabinol or nabilone)\n\n - Over The Counter (OTC) antiemetics, OTC cold or OTC allergy medications.\n\n . Scheduled to receive any strong or moderate inhibitor of CYPA during the efficacy\n assessment period (Day to Day , inclusive) or its intake within week prior to Day\n .\n\n . Scheduled to receive any CYPA inducer during the efficacy assessment period (Day \n to Day , inclusive) or its intake within weeks prior to Day , with the exception\n of corticosteroids (for which exclusion criterion # applies).\n\n . History or predisposition to cardiac conduction abnormalities, except for incomplete\n right bundle branch block.\n\n . History of risk factors for Torsades de Pointes (heart failure, hypokalemia, family\n history of Long QT Syndrome).\n\n . Severe or uncontrolled cardiovascular diseases, including myocardial infarction within\n months prior to Day , unstable angina pectoris, significant valvular or pericardial\n disease, history of ventricular tachycardia, symptomatic Congestive Heart Failure\n (CHF) New York Heart Association (NYHA) class III-IV, and severe uncontrolled arterial\n hypertension.\n\n All exclusion criteria with the exception of criteria #, #, and # will be checked at\n screening visit (Visit ). Exclusion criteria #, #, and # will be checked at Day \n (Visit ) only.\n\n Exclusion criteria #, #, #, #, #, #, and # need to be re-checked at Day (Visit\n ).\n\n Cycles to :\n\n The following exclusion criteria must be checked prior to inclusion at each repeated cycle:\n\n . Scheduled to receive moderately or highly emetogenic antineoplastic agent in addition\n to the AC regimen, from hours after the start of the AC chemotherapy on Day of\n current cycle and up to Day of the next cycle.\n\n . Active infection or uncontrolled disease that may pose unwarranted risks in\n administering the study drugs to the patient.\n\n . Started any of the prohibited medications.\n\n . Any vomiting, retching, or nausea (grade ? as defined by National Cancer Institute)\n within hours prior to the start of AC chemotherapy administration on Day .\n\n . Received or is scheduled to receive radiation therapy to the abdomen or the pelvis\n within week prior to the start of AC chemotherapy administration on Day or between\n Days to .\n\n . Symptomatic primary or metastatic CNS malignancy.\n\n . Any illness or medical condition that, in the opinion of the investigator, may\n confound the results of the study or pose unwarranted risks in administering the\n investigational product or dexamethasone to the patient.\n\n All exclusion criteria, with exception of criterion #, will be checked at screening visit\n (Visit ). Exclusion criterion # will be checked at Day (Visit ) only. Exclusion\n criteria #, # and # need to be re-checked at Day (Visit ).
Patient must start everolimus mg plus exemestane mg treatment on Cycle Day of trial
Patients that may need dose reduction to commence cycle treatment
Washout period prior to Day Cycle :
Patients must have had treatment with temozolomide, lomustine (CCNU) or PCV (procarbazine, lomustine [CCNU], vincristine) chemotherapy prior to histopathologic transformation to glioblastoma or prior to identification of one of the genetic alterations specified; notes or records from the treating oncologist are required for documentation of treatment history; prior treatment with at least one of the following chemotherapy schedules is required to be eligible:\r\n* At least one week course of continuous daily temozolomide\r\n* At least six -day cycles given in one of the following schedules:\r\n** Daily for days of a -day cycle\r\n** Daily for days of a -day cycle\r\n** Daily for days of a -day cycle\r\n** Alternating days on/ days per -day cycle\r\n** Continuous daily dosing of a -day cycle\r\n* Other schedules of temozolomide may be considered after discussion with the overall principal investigator\r\n* At least cycles of PCV or lomustine (CCNU) chemotherapy