Breast Protocol Title SAKK 25/14 Eribulin as 1st line treatment in elderly patients ( ≥70 years) with advanced breast cancer: A multicenter phase II trial Diagnosis Eligibility Study Design 2 Metastatic Breast cancer in elderly patients HER2 neg - Female Age ≥ 70 - Locally advanced or metastatic HER2 neg , endocrine positive or negative - Adenocarcinoma of the breast. - Measureable or evaluable disease - At least 6 months since adjuvant chemotherapy - No prior chemotherapy for metastatic disease Female patients eligible for primary ALND or sentinel lymph node procedure with frozen section and either newly diagnosed or recurrent breast cancer in the conserved breast, chest wall or axilla Female patients eligible for primary ALND or sentinel ARM A No Tachosil lymph node procedure with frozen section and either newly diagnosed or recurrent breast cancer in the conserved ARM B Tachosil breast, chest wall or axilla Wieder offen ab 02.12.2016 Eribulin mesilate 1.1mg/m d1, d8 every 3 weeks until PD PI: PD Dr. Roger Von Moos CRC: Gillian Roberts SAKK 23-13 Impact of a surgical sealing patch on lymphatic drainage after axillary lymphnode dissection for breast cancer. A multicentre randomized phase III trial Closed for Accrual 13.12.2016 PI: PD Dr. Roger Von Moos CRC: Gillian Roberts / Marianne Sieber Version 16/12 Studien Onkologie Seite 1 von 19 Breast Protocol Title SAKK 21/12 A stratified multicenter Phase II trial of transdermal CR1447 (4 –OH testosterone ) in endocrine negative – androgen receptor positive metastatic or locally advanced breast cancer Diagnosis Eligibility Study Design Locally advanced or metastatic, histologically confirmed breast adenocarcinoma requiring therapy and not suitable for local treatment Stratum A endocrine responsive HER2 neg BC ER pos (≥1%) PRpos (≥1%) HER2 neg ER pos (≥1%), PRneg, HER2 neg or ERneg, PRpos(≥1%), HER2 neg Stratum B triple neg (ERneg Prneg Her2 neg and ARpos BC CR1447 400mg per day applied to the haunches and thighs Metastatic triple neg Breast cancer - Women or men ≥18 years Incurable locally advance or metastatic TNBC No prior chemotherapy or targeted systemic therapy Radiation therapy for metastatic disease is permitted - Prior chemotherapy (including taxanes) in the neoadjuvant or adjuvant setting is allowable if treatment was completed ≥ 12 months prior to randomisation - Measurable disease - ECOG 0 or 1 Atezolizumab (840mg q2w) + 2 Nab paclitaxel 100mg/m qw) PI: PD Dr. Roger Von Moos CRC: Gillian Roberts ROCHE WO29522 A phase III mulitcenter randomised placebo controlled study of atezolizumab ( Anti-PDL1Antibody) in combination with nab paclitaxel compared with placebo with nab paclitaxel with previously untreated metastatic triple neg breast cancer PI: PD Dr. Roger Von Moos CRC: Gillian Roberts IBCSG 14-01 AURORA Aiming to Understand the Molecular Aberrations in Metastatic Breast Cancer PI: Dr. Michael Schwitter CRC: Gillian Roberts Version 16/12 Studien Onkologie Metastatic breast cancer Versus Placebo + Nab paclitaxel (100mg/m2qw) Inclusion: - Women or men with metastatic or locally relapsed breast cancer manageable with systemic therapy. - Patient agrees to provide newly collected metastatic lesion tissue sample and blood samples Exclusion: - Received more than 1 line of systemic therapy (any type) in the metastatic setting - Bone only metastatic disease Seite 2 von 19 IBCSG PALLAS Palbociclib Collaborative Adjuvant Study A randomized phase III trial of Palbociclib with standard adjuvant endocrine therapy versus standard adjuvant endocrine therapy alone for hormone receptor positive (HR+)/ human epidermal growth factor receptor 2(HER2) negative early breast cancer Premenopausal or Postmenopausal women or men with Stage II (Stage II A limited to a maximum of 1000 patients) or Stage III early invasive breast cancer. Multicentric and or multifocal and or invasive early invasive cancer ER+ and or PR+ and HER2 neg. Inclusion Arm A Palbociclib ( 2 years ) + Premenopausal women or men with Stage II or Stage endocrine ( 5 years) III early invasive breast cancer Arm B Endocrine ( 5 years) Multicentric and or multifocal and or invasive early invasive cancer ER+ and or PR+ and HER2 neg Exclusion Stage I or IV breast cancer Advanced triple negative EGFR positive breast cancer, Inclusion Histologically proven diagnosis of TNBCin metastatic or locally advanced non operable stage EGFR expression in primary tu or metastases of at least (1+) in immunohistochemistry, assessed by central pathologist Exclusion Previous radiotherapy for the metastatic disease(palliative radiotherapy of only non target lesions is allowed P:I Dr M Schwitter CRC Gillian Roberts Open 11.11.2016 SAKK 24/14 Anti EGFR immunoliposomes loaded with doxorubicin in patients with advanced triple negative EGFR positive breast cancer A multicentre single arm phase II trial Initiation 27.01.2017 Version 16/12 Studien Onkologie First-line treatment with antiEGFR-IL-dox, given at a dose of 50 mg/m2 intravenous, on day 1 of each cycle, cycle length is 28 days. Seite 3 von 19 Lung Protocol Title SAKK 15/12 Early prophylactic cranial irradiation with hippocampal avoidance in patients with limited disease small-cell lung cancer Diagnosis Eligibility Limited disease SCLC - Age 18-75 Karnofsky Index ≥ 60% Fluency in either German, French or Italian Newly diagnosed cytologically or histologically confirmed diagnosis of SCLC within 6 weeks before registration Stage IV with or without bone metastasis - Histologically or cytologically confirmed advanced stage IV non-small cell lung carcinoma - Age ≥ 18 years - ECOG performance status 0-2 - Measurable or evaluable disease - Availability of tumour tissue for translational research - Life expectancy of at least 3 months - No EGFR or ALK mutation PI: PD Dr.Daniel R. Zwahlen CRC: Gabriela Manetsch ETOP Splendour A randomised, open-label phase III trial evaluating the addition of denosumab to standard first-line anticancer treatment in advanced NSCLC PI: Dr. Michael Mark CRC: Alexandra Jori / Franziska Hellmann Version 16/12 Studien Onkologie Study Design Standard treatment with chemotherapy (Cisplatin or Carboplatin, Etopside) and thoracic radiotherapy in combination with early prophylactic cranial irradiation (hippocampal avoidance) under assessed neurocognitive function. SAE: 5d/24h Arm A: 4 – 6 cycles of doublet chemotherapy + best supportive care. Arm B: 4 – 6 cycles of doublet chemotherapy + denosumab 120 mg, s.c. every 3-4 weeks. SAE: 7d/24h Seite 4 von 19 Lung Protocol Title Diagnosis LungART NSCLC compeletely resected + N2 Phase III study comparing post-operative Nodal involvement conformal radiotherapy to no post-operative radiotherapy in patients with completely resected non-small lung cancer and mediastinal N2 Involvement PI: PD Dr. Daniel Zwahlen CRC: Gillian Roberts SAKK 16/14 NSCLC III A(N2) operabel Anti-PD-L1 antibody MEDI4736 in addition to neoadjuvant chemotherapy in patients with stage IIIA(N2) NSCLC Eligibility Inclusion: - Age ≥ 18 years - Histological evidence of non-small cell lung cancer - Complete resection by lobectomy, bilobectomy or pneumonectomie - Mediastinal lymph node exploration Exclusion: - Documented metastases - Major pleural or pericardial - Synchronous contra-lateral lung cancer - Previous chest radiotherapy - Clinical progression during post-operativ chemotherapy Inclusion: NSCLC IIIA, müssen Cisplatin haben können im ersten Zyklus, Operabilität, measurable disease Exclusion: N3 disease, any previous treatment, known CNS Metastasen PI: Dr. Michael Mark CRC: Gabriela Manetsch CA209-227 Stage IV or recurrent NSCLC Open-Label Phase 3 Trial of Nivolumab, or Nivolumab plus Ipilimumab, or Nivolumab plus platinum doublet chemotherapy versus platinum doublet Chemotherapy in Subjects with Chemotherapy-Naïve Stage IV or Recurrent NSCLC PDL Status Study Design - Arm with post-operative radiotherapy Arm without post-operative radiotherapy 3 Zyklen Chemotherapie (Cisplatin und Taxotere) alle 3 Wochen 2 Zyklen Immuntherapie alle 2 Wochen Operation Bei R0 Immuntherapie für 24 Mt alle 2 Wochen Bei R1/R2 Radiotherapie und dann Immuntherapie für 24 Mt alle 2 Wochen 6 Arme Therapie Momentan geschlossen PI: Dr. Michael Mark CRC: Gabriela Manetsch Version 16/12 Studien Onkologie Seite 5 von 19 Gastrointestinal Protocol Title N1048 Rectum Prospect Ph II/III trial of Neoadjuvant FOLFOX with selective Use of Combined Modality Chemoradioth.versus Preop. combined Modality Chemoradioth for loc. Advancen rectal cancer Undergoing low anterior Resect. with total Mesorectal Excision Diagnosis Advanced rectal adenocarcinoma - - PI: PD Dr. Roger Von Moos CRC: Franziska Hellmann SAKK 41/13 Adjuvant aspirin treatment in PIK3CA mutated colon cancer patients. A randomized, doubleblinded, placebo-controlled, phase III trial PI: PD Dr. Roger von Moos CRC: Franziska Hellmann Version 16/12 Studien Onkologie Eligibility PIK3CA mutated CRC adenocarcinoma Inclusion: Age ≥ 18 years ECOG: 0-2 Stage: T2N1,T3N0,T3N1 Patient for sphincter-sparing surg.resection prior to init. of neoadjuv. therapy according to the primary surgeon Exclusion: Stage T4 Need for abdomioperineal at baseline RO resection not possible sympt. bowel obstruction Chemotherapy within 5 years pelviv radiation, other invasive malignancy ≤ 5 yearsr invasive malignancy ≤ 5 year Inclusion: - Stage II (pT3/T4 N0 cM0) or stage III (pTx pN+ cM0) colon cancer. - Availability of cancer tissue central - PIK3CA mutation in exons 9 or 20 - RO resection within 10 weeks maximum before registr. Exclusion: Rectal cancer (defined as distance - from anal verge to proximal/oral tumor edge ≤15 cm) - Presence of any bleeding disorder - uncontrolled cardiovascular disease (NYHA III or IV) Study Design Standardarm: Chemo- Radio (5FUCMT+ 28 day 1.8 Gy) then Surgery, followed with FOLFOX Exp.Arm :FOLFOX when response ≥ 20% followeb by Surgery When response ≤ 20% or Progression followed by Chemo- Radio ( 5FUCMT+ 28 day1.8 Gy) followed with FOLFOX or 5FUCMT depending on surgery result SAE: 5d/24h Arm A: Aspirin 100 mg daily for 3 Years and Standard chemo if indicated ARM B: Placebo daily for 3 Years and Standard chemo if indicated Seite 6 von 19 Gastrointestinal Protocol Title Diagnosis MK 3475-062 Magenstudie A randomized, active-controlled, partially blinded, biomarker select, Phase III clinical trial of Pembolizumab as monotherapy and in combination with Cisplatin+5FU versus Placebo+Cisplatin+5FU as first line treatment in subjects with advanced gastric or gastroesophagela junction adenocarcinoma Advanced Gastric or Gastroesophagel Junction Adenocarcinoma X- Biotech 2012- PT023 A Phase III Double--‐blinded, Placebo Controlled Study of Xilonix™ or Improving Survival in mCRC mCRC or unresectabl after Standard-therapy Closed for accrual PI: Dr. Sara Bastian CRC: Franziska Hellmann SAKK 41/14 Active -2 Physical activity program in patients with mCRC who receive palliative first- line chemotherapy. A multicenter open label randomized com^ntrolled phase lll trial PI: PD Dr. Roger von Moos CRC: Franziska Hellmann Version 16/12 Studien Onkologie Eligibility - Inclusion: Be HER2/neu negative and PD-L1 positive - measurable disease as defined by RECIST 1.1 - Have provided tumor tissue sample deemed adequate for PD-L1 biomarker analysis - Exclusion: squamous cell or undifferentiated gastric cancer. - previous therapy for locally advanced or metastatic gastric/GEJ cancer. Subjects may have received prior neoadjuvant or adjuvant therapy as long as it was completed at least 6 months prior to randomization - Inclusion: mCRC or unresectable and which is refractory to standard therapy. To be considered refractory, a - subject must have experienced progression (or intolerance) after treatment with standard - approved regimens including, oxaliplatin, irinotecan flouropyrimidine, bevacizumab, and cetuximab or panitumumab if KRAS wildtype - Exclusion: mechanical obstruction - Uncontrolled medical disorder or active infection - Uncontrolled significant cardiovascular disease - Uncontrollen Hypertension >140mmHg syst. >90 mmHg diast. - Inclusion: Age 18-75 (80 If WHO is 0-1) mCRC first line - Adjuvant chemo has been compleated more than 4 for inoperable or metastatic disease months before inclusion - measurbale disease Recist 1:1, inf noe measurabel metast. But CEA > at least > 2 x ULN) - Exclusion: Cycle ergometer stress test shows signs of ischemic heart disease or high grade arrhythm. - NYHA II, recent Myocardinf., unstabile AP, uncontrolled Hypertension, COPD or GOLD > Stadium II - Inability to ride a cycle ergometer - Inability to perform 50 Watt on a cycle ergometer Study Design Arm 1: Pembrolizumab 200 mg Monotherapy Q3W Arm 2: Pembrolizumab 200 mg fixed dose Q3W + Cisplatin 80 mg/m2 Q3W + 5-FU* 800 mg/m2/day continuous IV infus. Days 1-5 (120 hours) Arm 3: Placebo Q3W +Cisplatin 80 mg/m2 Q3W + 5-FU* 800 mg/m2/day continuous IV infus. Days 1-5 (120 hours) Subjects randomized to MABp1 or placebo will receive 7.5 mg/kg Q2W Arm A: Standard palliative chemotherapy and structueren phyical exercise intervention ( 12 weeks cycling training twice a week and pedometer) Arm B: Standard palliative Ch Emotherapy Seite 7 von 19 Gastrointestinal Protocol Title SAKK Prodige 32 Systematic surgery vs. monitoring and salvage surgery in operable oesophageal cancer in complete clinical response after chemoradiation Strategic multicenter randomised phase II-III trial PI: Dr. Sara Bastian CRC: Franziska Hellmann Version 16/12 Studien Onkologie Diagnosis Eligibility Stage cT2 N1-3 M0 or cT3-T4a N0 or N1-3 M0 Squam. cell carcinoma or adenoca. of thoracic oesophag. or gastro-oesphjunct. (Siewert type I or II) - Inclusion: Age ≥ 18 years < 75 years - Stage cT2 N1-3 M0 or cT3-T4a N0 or N1-3 M0 Siewert type I or II - Patient deemed operable curative-intent and programmed for first chemoradioth. following multidisciplinary meeting - Exclusion: Cancer of the cervical esophagus (15 to 19 cm from the dental arches) - Weight loss at registration > 15 % without recovery after nutritional care - Severe comorbidity threatening short-term life prognosis Study Design Arm A: Systematic surgery Arm B: Monitoring and salvage surgery in case of resectable locoregional recurrence Seite 8 von 19 Urogenital Protocol Title SAKK 01/10 Carboplatin chemotherapy and involved node radiotherapy in stage IIA/B seminoma Diagnosis Eligibility Study Design histologically confirmed seminoma treated with inguinal orchidectomy Classical seminoma treated with orchidectomy inguinal Tumor stage pT1-4 cN1-2 M0 Exclusion: mixed histology seminoma, any prior abdominal radiotherapy 1Cycle Carboplatin Stage IIA 30 Gy radiotherapy Stage IIB 36 Gy radiotherapy metastatic prostate carcinoma high risk newly diagnosed patients or with histologic confirmed prostate adenocarcinoma previously treated and relapsed, intention to treat with long term hormone therapy, adequate organ function. Exclusion: prior systemic therapy for advanced prostate carcinoma metast. brain disease, clin. significant cardiovascular disease, gastrointestinal bleeding Newly diagnosed M1 Arm A: Hormone therapy Arm G: Hormone therapy + Abiraterone Arm H: Hormone therapy + Radiotherapy to prostate All other patients Arm A: Hormone therapy Arm G: Hormone therapy + Abiraterone Castration resistant prostate cancer PTEN Loss in archival tumor send to St. Gallen Progression after at least one taxane based chemotherapy and at least one therapy with a newer hormonal agent Exclusion: prior treatment with any platinum Weekly carboplatin AUC 3 . One cycle 28 days Fresh tumorbiopsie at baseline and optional during the first cycle PI: PD Dr. Richard Cathomas CRM: Gabriela Manetsch STAMPEDE Systemic Therapy in Advancing or Metastatic Prostate Cancer: Evaluation of Drug Efficacy MOMENTAN Geschlossen!!! PI: PD Dr. Räto Strebel CRM: Gabriela Manetsch Pro-Plat Studie Single arm open label phase II pilot study of carboplatin in patients with metastatic castration-resistant prostate cancer and PTEN LOSS PI: PD Dr. Richard Cathomas CRM: Gabriela Manetsch Version 16/12 Studien Onkologie Seite 9 von 19 Urogenital Protocol Title CAINTA Randomised phase II Cabazitaxel dose Individualisation and neutropenia prevention Trial Diagnosis Eligibility Castration resistant prostate cancer Inclusion:indication for 3 weekly cabazitaxel therapy, may progressed during or after have abiraterone and TAK700 or enzelutamid Exlcusion: previous cabazitaxel completion of docetaxel therapy Study Design ARM A: Cabazitaxel every three weeks 25mg /m2 ARM B: Cycle 1 25mg/m2 Cycle > 2 PK-guided dose every three weeks PI: PD Dr. Richard Cathomas CRC: Gabriela Manetsch SAKK 63/12 Prospective cohort study with collection of clinical data and serum of patients with prostate disease PI: PD DR. Räto Strebel CRC: Alexandra Jori / Gabriela Manetsch SAKK 08/14 Investigation of Metformin in patients with castration resistand prostate cancer in combination with Enzelutamid vs. Enzelutamid alone (IMPROVE TRIAL) Eligible for biopsy Inclusion: Depending on allocated group Exlcusion: Other concurrent active malignancy Psychiatric disorder Castration resistant prostate cancer Inclusion: Progression, agree to participate in the 3 mandatory translational part Exlcusion: Novel treatment Cohort study with a prospective collection and biobanking of sera from 5 patient groups with specific indications for PSA-testing, and with longitudinal followup. Arm A: Enzelutamide and Metformin Arm B: Enzelutamide alone PI: PD Dr. Richard Cathomas CRC: Gabriela Manetsch Version 16/12 Studien Onkologie Seite 10 von 19 Urogenital Protocol Title Diagnosis ABI-RE Studie Response to abiraterone An open label Biomarker Driven Phase II Clinical Trial of Abiraterone Acetate (AA) ReChallenge in patients with metastatic castration-resistant prostate cancer and prior response to AA Eligibility Study Design Inclusion: confirmed biochemical response to prior abiraterone , any other therapy Exclusion: TAK 700 , know brain metastasis Biomarker sampling, Abiraterone täglich 1000mg, Tagebuch Measurable or evaluable Lesion, known PD-L1 status, no more than two chemotherapy regime, no more than three regimes Pembrolizumab 200mg every three weeks PI: PD Dr. Richard Cathomas CRC: Gabriela Manetsch Merck -3475 199-0 multinational open-label of pembrolizumab in subjects with metastatic castration-resistant prostate cancer previously treated with docetaxelbased chemotherapy Catration restistant prostate cancer Temporarily closed PI: PD Dr. Richard Cathomas CRC: Gabriela Manetsch Version 16/12 Studien Onkologie Seite 11 von 19 Haematologie Protocol Title HD 17 Therapieoptimierungsstudie in der Primärtherapie des intermediären Hodgkin Lymphoms: Therapiestratifizierung mittels FDG-PET Diagnosis Hodgkin Lymphom Nur noch wenige Patienten können eingeschlossen werden. Es müssen Slots reserviert werden. Eligibility Study Design Age 18 - 60 Stage IA-B, IIA-B with risk faktors Exclusion: Composite Lymphoma , COPD with insufficiency, symptomatic cardiac disease, long-time therapy with steroids, prior RT 2 x BEACOPP esc. + 2 x ABVD Age 18-85 Confirmed FL CD20+; grade 13a, stage III+IV in need of systemic therapy. Exclusion: tumor bulk requiring fast response, previous systemic therapy, concomitant disease requiring anticoagulation with warfarin or equivalent Overexpression of cyclin D1 protein or evidence of t(11;14)(q13;q32), refractory or relapsed in need of therapy, measurable disease. Exclusion: Prior therapy with ibrutinib or Bortezomib, anticoagulation with warfarin or equivalent Measurable disease for MM, progression after at least two months of lenalidomid therapy Exclusion: CNS involved, previous G4 AE due to lenalidomid treatment Ibrutinib /placebo 560mg/d for 24 months starting 14 days before rituximab Rituximab 375mg/m2 weekly (4 weeks)and afterwards in 8-weekly intervals for 12 further infusions – if restaging after 12 weeks shows less than MR or restaging after 24 /52 weeks less than PR → off study. Randomisation: PET-4 (+/-) + 30 Gy IF-RT PET-4 (+) + 30 Gy IN-RT or Follow- up SAE: 5d/24h PI: PD Dr. Ulrich Mey CRC: Franziska Hellmann SAKK 35/14 Follikuläres Lymphom Rituximab with or without Ibrutinib for untreated patients with advanced follicular lymphoma in need of therapy. A randomized, double-blinded, SAKK and NLG collaborative Phase II trial. PI: PD Dr. Ulrich Mey CRM: Gisela Mayer SAKK 36/13 mantle cell lymphoma Combination of ibrutinib and bortezomib followed by ibrutinib maintenance to treat patients with relapsed and refractory mantle cell lymphoma; a multicentre Phase I/II trial. PI: PD Dr. Ulrich Mey CRM: Gisela Mayer SAKK 39/10 Nelfinavir and lenalidomide/dexamethasone in patients with progressive multiple myeloma that have failed lenalidomidecontaining therapy. A single arm phase I/II trial progressive multiple myeloma Phase I: Ibrutinib daily (dose dipending on DLT) and Bortezomib 1,3mg/m2 d1, 4,8, 11 q3wk Phase II: Ibrutinib daily (dose established in part I) and Bortezomib 1,3mg/m2 d1, 4,8, 11 For max. 6 cycles Lenalidomid D1-21 Dexamethasone D1, 8, 15, 22 Nelfinavir D1-21 until PD or toxicity PI: PD Dr. Ulrich Mey CRM: Gisela Mayer Version 16/12 Studien Onkologie Seite 12 von 19 Haematologie Protocol Title SAKK 39/13 FORTUNE, SAE 24/5 Nelfinavir as bortezomib-sensitizing drug in patients with proteasome inhibitornonresponsive myeloma. A multicenter phase II trial. Diagnosis Non responsive myeloma Eligibility Study Design PD after or during Lenalidomidcontaining therapy, mesurable disease for MM Exclusion: CNS involved, previous G4 AE due to lenalidomid treatment Lenalidomid D1-21 Dexamethasone D1, 8, 15, 22 Nelfinavir D1-21 until PD or toxicity - Age ≥ 18 , Newly diagnosed MM, monocl. plasma cells in bone marrow ≥ 10% and/or byopsy –proven Plasmacytoma. - Monocl. protein in serum and/or urine - Measurable disease for MM Phase 3: Arm: Denosumab 120 mg s/c + Placebo i/v über 15 Min. Q4w PI: PD Dr. Ulrich Mey CRM: Gisela Mayer SAKK 35/15 A phase I trial of obinutuzumab in combination with venetoclax in previously untreated follicular lymphoma patients. Teilnahme zugesagt PI: PD Dr. Ulrich Mey CRM: Gisela Mayer SAKK CLL13 A phase I trial of obinutuzumab in combination with venetoclax in previously untreated follicular lymphoma patients. Teilnahme zugesagt PI: PD Dr. Ulrich Mey CRM: Gisela Mayer AMGEN 20090482 SAE: 7d/24h newly diagnosed multiple A Randomized, Double-Blind, Multicenter Study myeloma of Denosumab Compared With Zoledronic Acid (Zometa) in the Treatment of Bone Disease in Subjects with Newly Diagnosed Multiple Myeloma Einschluss geschlossen PI: Dr. Sara Bastian CRC: Franziska Hellmann Version 16/12 Studien Onkologie Arm B: Placebo s/s + Zoledronic acid 4 mg i/v über 15 Min. Q4w Seite 13 von 19 Phase 1 Protocol Title Novartis A phase 1b/II multicenter study of the combination of LEE011 and BYL719 with letrozole in adult patients with advanced ER+ breast cancer Diagnosis Eligibility Study Design Phase 1b expansion dose No prior systemic treatment in the advanced (metastatic locally advanced ) setting with the exception of treatment with letrozole for a max.duration of one month prior to starting study treatment. At least one measurable lesion At our site the following Arm is open Arm 2 Dose expansion, Cohort 2(300mg BYL719 evening dosing +2.5mgLetrozole) Histol.confirmed, neg. Cytologie before start of treatment, patient have recurrent high-risk NMIBC for PD.Exclusion:Severe incontinence, allergy to PPD test, residual urinary bladder volume after micturition >150ml, uncontrollable urinary tract infection, metastatic disease Installation of VPM1002BC (Urologe) Retention of IMP at least 1h Observation at leat 4h solid tumors BRCAm ovarian cancer, BRCAm HER2-neg. breast cancer, SLCL (relapsed >12 wks after first line platinum based ctx) ATM neg. gastric cancer, measurable disease. Exclusion: prior PDL1, anti-CTLA4 therapy or PARP-inhibitor, known brain metastasis Olaparib 300mg BID run in w1 – 4 therafter MEDI14736 – Infusion q4wks and Olaparib continuos until PD advanced solid tumor Histol. confirmed advanced/recurrent solid tumors who failed standard therapy orno effective therapy is available, measurable disease patient must have a port a cath Exclusion: not recovered AE ≤ G1, inability to swallow oral medication, symptomatic brain metastasis, known HIV, hepatitis BD treatment with > 2 antihypertensive medication Dose escalation of: BAL101553 as a 48-hour continuos infusion on D1, 8, 15 q4wk and oral BAL101553 D15-21 of C2 (instead of D15 Infusion) Advanced ER + Breast cancer Amendment 5 open on 02.12.2016 P.I PD Dr. Roger von Moos CRC: Gillian Roberts SAKK 06/14 Recurrent non –muscle A phase I/II open label clinical trial invasive bladder cancer assessing safety and efficacy of intravesical installation of VPM1002BC in patients with recurrent non-muscle invasive bladder cancer after standard BCG therapy PI: PD DR. Räto Strebel CRC: Gabriela Manetsch AstraZeneca A phase I/II Study of MEDI4736 (Anti PD-L1 Antibody) in Combination with Olaparib (PARP inhibitor) in Patients with advanced Solid Tumors PI: Dr. Sara Bastian CRC: Gisela Mayer CDI-CS-003/SAKK 67/15 An open-label Phase 1/2a study of BAL101553 administered as intravenous 48hour infusion in adult patients with advanced solid tumors. PI: PD DR. Roger von Moos CRC: Gisela Mayer Version 16/12 Studien Onkologie Seite 14 von 19 Novartis CMCSZ2102 A Phase 1b/II, open label, multicenter study of MCS110 in combination with PDR001 in patients with advanced malignancies Advanced solid tumors Phase Ib : advanced : Melanoma Endometrial cancer Pancreatic cancer Triple negative breast cancer Phase II PD1/PD-L1treatment naïve TNBC PD1/PD-L1treatment naïve pancreatic cancer PD1/PD-L1treatment naïve endometrial cancer PD1/PD-L1treatment resistant melanoma advanced adenocarcinoma lower and middle rectum Inclusion: - Stage 2 and 3 according AJCC 2012, mrT3/4 N0, mrTx N1-2 cM0 - Age 18-75 - A multi-disciplinary tumor board recommends neoadjuvant radio-chemotherapy and - Surgery Exclusion: - Any prior treatment for rectal cancer. Major surgery or significant traumatic injury within 28 days before registration (colostomy - accepted). Concomitant strong CYP3A4 inhibitors PI: PD DR. Roger von Moos CRC: Gillian Roberts Open ca. Jan / feb 2017 SAKK 41/16 A multicenter phase Ib trial (RECAP). Neoadjuvant treatment with Regorafenib andCapecitabine combined with radiotherapy in locallyadvanced rectal cancer. Ist bei der Ethik zur Einreichung PI: Iannis Metaxas CRC Franziska Hellmann Version 16/12 Studien Onkologie (caudal end is defined at max. of 12 cm from anal verge measured by endoscop Regorafenib 40-120 mg per day Dose level 1–3 d1-14 & d22-35 Dose level -1 d1-5, 8-12 & d2226, 29-33 followed by surgery Capecitabine 825 mg/m2 bid d1-38 Radiotherapy 1.8 Gy per day in 28fractions Followed by surgery Seite 15 von 19 Melanome Protocol Title AMGEN 20110266: 24/ 7 A Phase 2, Multicenter, Randomized, Openlabel Trial Assessing the Efficacy and Safety of Talimogene Laherparepvec Neoadjuvant Treatment Plus Surgery Versus Surgery Alone for Resectable, Stage IIIB to IVM1a Melanoma Diagnosis Melanoma (stage IIIb -IVM1a) Eligibility Histologically stage IIIB, IIIC or IVM1a, at least on injectable lesion ≥ 10mm, measurable disease, LDH ≤ 1.0 ULN Exclusion: primary ocular or mucosal melanoma, active hepatitis B or C,prior therapy with tumor vaccine Study Design Arm 1: Talimogene laherparepvec (T-vec) max. 4.0 ml for 6 doses followed by surgery Arm 2: surgical resection PI: PD Dr. Roger von Moos CRC: Gisela Mayer AMGEN 20120328 A Phase 3b, Multicenter, Open-label, SingleArm, Expanded Access Protocol of Talimogene Laherparepvec for the Treatment of Subjects in Europe With Unresectable Stage IIIB to IVM1c Melanoma Melanoma (stage IIIb + IVM1c) Unresected melanoma stage IIIB to IVM1c, no other satisfactory alternative therapy, at least on injectable lesion ≥ 10mm, LDH ≤ 1.5 ULN Exclusion: greater than 3 visceral metastasis (does not incl. lung or nodal metastasis, bone metastasis, primary ocular or mucosal melanoma, active hepatitis B or C First dose Talimogene Previous treatment with T-vec Questionnaire and physical assessment (telefonic) every 3 months laherparepvec (T-vec) max. 4.0 ml of 6 10 PFU/ml, therafter max. 4.0ml 8 of 10 PFU/ml q2wks for at least 6 months or until unacceptable toxicity Screening geschlossen PI: PD Dr. Roger von Moos CRC: Gisela Mayer AMGEN 20120139: Survival Studie Melanoma (stage IIIb -IVM1a) PI: PD Dr. Roger von Moos CRC: Gisela Mayer Version 16/12 Studien Onkologie Seite 16 von 19 Gynäkologie Protocol Title SAKK INOVATYON Phase III international, randomized study of Trabectedin (Yondelis) plus PLD Versus Carboplatin plus PLD in Patients with ovarian cancer progressing within 6-12 months of last platinum PI: PD Dr. Roger von Moos CRC: Franziska Hellmann / Gillian Roberts Mito 16b – MANGO – OV2b A mulitcenter Phase III randomized study with second line chemotherapy plus or minus bevacizumab in patients with platinum sensitive epithelial ovarian cancer recurrence after a bevacizumab / chemotheraoy first line Accrual reached Diagnosis ovarian cancer progressing within 6-12 months of last platinum Eligibility - Epithelial ovarian, epithelial fallopian tube cancer or primary peritoneal cancer - Progression free interval 6-12 mt. from 1. Day of platinum based chemotherapy - May have received up to two platinum –based chemotherapy at least one must have contained Taxane Exclusion: none respond to last platinum –based therapy or last relaps occurred <6 mt or >12 mt from last does platinum Epithelial Ovarcarinom, eileiterkarzinom , Peritoneal ca. Rezidiv oder progression mindestens 6 Monatenach dem letzten Chemotheraoiezyklus einer Erstlinientherapie bestehend aus carboplatin und Paclitaxel einschliesslich Bevacizumab. Study Design A: PLD 30mg/m2 +Carboplatin on Day 1 Q4wo (Kontrollarm) B: PLD 30 mg/ m2 +Trabectedin (Yondelis) 1.1 mg/m2 on Day 1 q3wo Up to 6 Cycles or PD SAE: 7d/24h Arm 1 6 Zyklen standard chemotherapie Arm 2 Bevacizumab 10mg / kg alle 2 Wochen oder 15mg/kg alle 3 Wochen + 6 Zykeln standard chemotherapie, nache den initialen 6 Behandlungszyklen, Bevacizumab mono bis progression PI: PD Dr. Roger von Moos CRC: Gisela Mayer Version 16/12 Studien Onkologie Seite 17 von 19 Palliative Care Protocol Title Diagnosis SAKK 96/12 Metastatic Breast or Prostate cancer Prevention of Symptomatic Skeletal events (castration resistant) stage IV, all subtypes with Denosumab Administered every 4 allowed except small cells Weeks versus every 12 Weeks Eligibility Age ≥ 18 years; Patients must have ≥ 3 bone metastases; WHO performance status 0-2; calcium levels in the normal range; Histologically or cytological confirmed diagnosis; prostate cancer receive or is receiving antineoplastic treatment; Patients with prostate cancer must have evidence of disease progression on continuous androgen deprivation therapy (CRPC); Liver transaminases within normal range Study Design Bone metastases from castration resistant prostate cancer or from breast cancer. Arm A (standard Arm): Denosumab 120 mg (Xgeva®) sc. q4w Arm B (reduced Arm): 3x Denosumab 120 mg (Xgeva®) sc. q4w followed by Denosumab 120 mg (Xgeva®) sc. q12w Both Arms are supplemented with 500 mg Calcium and 400U Vitamin D PI: PD Dr. Roger von Moos CRC: Alexandra Jori / Gabriela Manetsch Version 16/12 Studien Onkologie SAE: 5d/24h Seite 18 von 19 Beobachtungsstudien Protocol Title QoliTrap Beobachtungsstudie zur Erfassung der Lebensqualität bei Patienten mit metas. kolorektalem Karzinom unter Zaltrap® (Aflibercept)Therapie in Kombination mit FOLFIRI Diagnosis Metast. Colorect. carcinoma Eligibility Inclusion: Geplante Behandlung mit Aflibercept in Kombination mit FOLFIRI Study Design Fragebögen betreffend Lebensqualität, jede 2. Woche vor Therapiebeginn für mind. 12 Wochen SAE: 7d/24h CRC: Franziska Hellmann Version 16/12 Studien Onkologie Seite 19 von 19