Toposar

Retinoblastoma, Testicular Neoplasms, Sarcoma + 17 more

Treatment

4 FDA approvals

20 Active Studies for Toposar

What is Toposar

Etoposide

The Generic name of this drug

Treatment Summary

Etoposide is a medication derived from the podophyllotoxin plant used to treat cancer. It works by forming a complex with DNA and topoisomerase II, which prevents the repair of DNA and blocks the entry into the mitotic phase of cell division, leading to cell death. Etoposide is most effective during the G2 and S phases of the cell cycle.

VePesid

is the brand name

Toposar Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

VePesid

Etoposide

1983

31

Approved as Treatment by the FDA

Etoposide, also known as VePesid, is approved by the FDA for 4 uses which include Non-Small Cell Lung Cancer and Non-Small Cell Lung Carcinoma (NSCLC) .

Non-Small Cell Lung Cancer

Used to treat Non-Small Cell Lung Carcinoma (NSCLC) in combination with null

Non-Small Cell Lung Carcinoma (NSCLC)

Used to treat Non-Small Cell Lung Carcinoma (NSCLC) in combination with null

Non-Hodgkin's Lymphoma (NHL)

Used to treat Non-Hodgkin's Lymphoma (NHL) in combination with null

Non-Hodgkin's Lymphoma

Used to treat Non-Hodgkin's Lymphoma (NHL) in combination with null

Effectiveness

How Toposar Affects Patients

Etoposide is a drug used to treat cancer. It stops cell growth by blocking DNA synthesis, and affects cells going through the S and G2 phases of the cell cycle. At high concentrations, it causes cells to die during mitosis. At lower concentrations, it prevents cells from entering prophase. Etoposide works by damaging DNA strands or creating free radicals.

How Toposar works in the body

Etoposide works by damaging the DNA of cancer cells. It does this by blocking the enzyme that lets cells repair their DNA. This prevents cancer cells from dividing and reproducing, leading to their death. Etoposide is most effective on cells in certain stages of cell division, specifically the S and G2 phases. In addition to its anti-tumor effects, it can also have a carcinogenic effect when it blocks the beta isoform of the enzyme.

When to interrupt dosage

The measure of Toposar is contingent upon the distinguished illness, for example Gestational Trophoblastic Disease, recalcitrant Testicular cancer and Retinoblastoma. The dosage amount can be found in the table below, contingent upon the technique of delivery (e.g. Capsule - Oral or Capsule, liquid filled - Oral).

Condition

Dosage

Administration

Retinoblastoma

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Testicular Neoplasms

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Sarcoma

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Carcinoma, Merkel Cell

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Neoplasms

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Advance Directives

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Sarcoma

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Ovarian Cancer

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Non-Small Cell Lung Cancer

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Thymus Neoplasms

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Multiple Myeloma

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Neuroblastoma

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Acute Myeloid Leukemia

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Non-Hodgkin's Lymphoma

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Acute Lymphoblastic Leukemia

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Sarcoma

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Small Cell Lung Cancer

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Gestational Trophoblastic Disease

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Prostate Cancer

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Hodgkin Disease

, 20.0 mg/mL, 50.0 mg, 100.0 mg, 50.0 mg/mL, 100.0 mg/mL, 150.0 mg/mL

Injection, solution, concentrate, , Intravenous, Injection, solution, concentrate - Intravenous, Injection - Intravenous, Injection, Liquid, Liquid - Intravenous, Oral, Capsule - Oral, Capsule, Solution, Solution - Intravenous, Injection, solution - Intravenous, Injection, solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral

Warnings

There are 20 known major drug interactions with Toposar.

Common Toposar Drug Interactions

Drug Name

Risk Level

Description

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Etoposide is combined with 2-Methoxyethanol.

9-(N-methyl-L-isoleucine)-cyclosporin A

Major

The risk or severity of adverse effects can be increased when Etoposide is combined with 9-(N-methyl-L-isoleucine)-cyclosporin A.

Abetimus

Major

The risk or severity of adverse effects can be increased when Etoposide is combined with Abetimus.

Acteoside

Major

The risk or severity of adverse effects can be increased when Etoposide is combined with Acteoside.

Aldosterone

Major

The risk or severity of adverse effects can be increased when Etoposide is combined with Aldosterone.

Toposar Toxicity & Overdose Risk

Taking too much of this drug may lead to hair loss, constipation, diarrhea, nausea and vomiting, and even cancer in some cases.

Toposar Novel Uses: Which Conditions Have a Clinical Trial Featuring Toposar?

There are 1617 active studies investigating the potential of Toposar to alleviate Neuroblastoma (NB), Merkel cell cancer and Non-Small Cell Lung Cancer.

Condition

Clinical Trials

Trial Phases

Acute Myeloid Leukemia

267 Actively Recruiting

Phase 2, Phase 3, Phase 1, Phase 4, Not Applicable, Early Phase 1

Ovarian Cancer

13 Actively Recruiting

Phase 1, Phase 2, Not Applicable, Phase 3

Small Cell Lung Cancer

50 Actively Recruiting

Phase 2, Phase 3, Phase 1, Not Applicable, Early Phase 1

Sarcoma

1 Actively Recruiting

Phase 2

Advance Directives

0 Actively Recruiting

Neuroblastoma

0 Actively Recruiting

Sarcoma

0 Actively Recruiting

Retinoblastoma

5 Actively Recruiting

Phase 2, Phase 1

Testicular Neoplasms

0 Actively Recruiting

Carcinoma, Merkel Cell

0 Actively Recruiting

Hodgkin Disease

0 Actively Recruiting

Gestational Trophoblastic Disease

1 Actively Recruiting

Phase 2

Multiple Myeloma

6 Actively Recruiting

Phase 1, Phase 2

Thymus Neoplasms

1 Actively Recruiting

Phase 1

Acute Lymphoblastic Leukemia

120 Actively Recruiting

Phase 1, Phase 2, Phase 3, Not Applicable, Early Phase 1, Phase 4

Neoplasms

0 Actively Recruiting

Prostate Cancer

68 Actively Recruiting

Not Applicable, Phase 3, Phase 2, Phase 1, Early Phase 1

Non-Small Cell Lung Cancer

358 Actively Recruiting

Not Applicable, Phase 2, Phase 3, Phase 1, Phase 4, Early Phase 1

Sarcoma

0 Actively Recruiting

Non-Hodgkin's Lymphoma

115 Actively Recruiting

Phase 1, Phase 2, Not Applicable, Phase 3, Early Phase 1, Phase 4

Patient Q&A Section about toposar

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is Toposar used for?

"Toposar is used to treat cancer of the lung or testicles. It is usually given in combination with other cancer medicines as part of a chemotherapy treatment."

Answered by AI

How do I give etoposide?

"Etoposide should not be given rapidly via intravenous injection, as this has been reported to cause hypotension as a possible side effect. Reactions may occur at the injection site during administration of etoposide."

Answered by AI

What is the use of fosaprepitant?

"Aprepitant and fosaprepitant injection are used to prevent nausea and vomiting in adults and children caused by certain cancer chemotherapy treatments."

Answered by AI

Is etoposide a chemotherapy drug?

"Etoposide is a cancer treatment drug, it can be given under the brand names Etopophos or Vepesid. It is used to treat various types of cancer."

Answered by AI

Clinical Trials for Toposar

Image of Henry Ford Cancer- Detroit in Detroit, United States.

SG + Immunotherapy for Lung Cancer

18+
All Sexes
Detroit, MI

The goal of this clinical trial is to learn if the combination of sacituzumab govetican (SG) and atezolizumab/durvalumab is effective in controlling cancer tumor growth in adults with extensive stage small cell lung cancer. These drugs are FDA approved individually in different cancers. This combination is evaluated in breast cancer and showed promising combination. The effectiveness of this treatment combination will be measured by changes in tumor size and appearance of new tumors. Participants in the trial will: * receive treatment SG and immunotherapy every 21 days for up to 2 years or until it is no longer works for the patient. * CT scans at 6weeks for first 6 cycles and then every 9-12 weeks and MRI brain every 12 weeks. * provide tissue (optional) and blood for additional testing (learn about the cancer).

Phase 2
Waitlist Available

Henry Ford Cancer- Detroit

Gilead Sciences

Image of National Institutes of Health Clinical Center in Bethesda, United States.

CD22 CAR T-cells for Acute Lymphoblastic Leukemia

3 - 65
All Sexes
Bethesda, MD

Background: Acute lymphoblastic leukemia (ALL) is a type of blood cancer. Chimeric antigen receptor (CAR) therapy involves taking immune cells (T cells) from a person and modifying them to better target cancer cells. CAR T-cell therapy that targets a marker called CD19 has been show to can cure ALL in many children and adults. But in about 50% of patients, the ALL comes back within a year. Researchers want to find out if a second treatment with CAR T-cell therapy that targets a different marker, CD22, can keep the cancer away longer. Objective: To see if CD22 CAR T-cell therapy can keep ALL away longer. Eligibility: People aged 3 to 65 years who have no signs of cancer after CD19 CAR T-cell treatment for ALL. Design: Participants will be screened. They will have imaging scans and tests of their heart function. A sample of tissue (biopsy) will be collected from their bone marrow. They will have a fluid sample collected from the area around their spinal cord. Participants will undergo collection of their white blood cells (T cells) during a procedure called leukapheresis. Blood will be taken from their body through a vein. The blood will pass through a machine that separates out the T cells. The remaining blood will be returned to the body through a different vein. The cells will be altered in a lab to create CD22 CAR T-cell therapy. Participants will take drugs over 4 consecutive days to prepare their body for the CAR T-cell therapy; then they will receive their modified T cells through a tube inserted into a vein. Some people may need to stay in the hospital during treatment. Participants will have follow-up visits for 2 years.

Phase 2
Waitlist Available

National Institutes of Health Clinical Center

Sara K Silbert, M.D.

Have you considered Toposar clinical trials?

We made a collection of clinical trials featuring Toposar, we think they might fit your search criteria.
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Image of UCLA / Jonsson Comprehensive Cancer Center in Los Angeles, United States.

Telisotuzumab Vedotin + Osimertinib for Non-Small Cell Lung Cancer

18+
All Sexes
Los Angeles, CA

This phase II trial tests how well telisotuzumab vedotin and osimertinib works for the treatment of non small cell lung cancer that is growing, spreading, or getting worse (progressive) and for which no treatment is currently available (incurable). Telisotuzumab vedotin is a monoclonal antibody, called telisotuzumab, linked to a toxic agent, called vedotin. Telisotuzumab is a form of targeted therapy because it attaches to specific molecules (receptors) on the surface of tumor cells, known as c-Met receptors, and delivers vedotin to kill them. Osimertinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving telisotuzumab vedotin and osimertinib may be effective for treating progressive, incurable non small cell lung cancer.

Phase 2
Waitlist Available

UCLA / Jonsson Comprehensive Cancer Center

Jonathan W Goldman, MD

AbbVie

Image of University of California Davis Comprehensive Cancer Center in Sacramento, United States.

Olutasidenib + Azacitidine for Acute Myeloid Leukemia

18+
All Sexes
Sacramento, CA

This phase II trial studies how well giving olutasidenib with azacitidine, followed by olutasidenib maintenance, works in treating patients with IDH1-mutated acute myeloid leukemia (AML) who have received prior treatment with venetoclax plus a hypomethylating agent (HMA-Ven). Olutasidenib and azacitidine may inhibit the growth of cancer cells by blocking certain enzymes required for cell growth. Maintenance therapy can help prevent or delay cancer from coming back. Olutasidenib with azacitidine followed by olutasidenib maintenance may be effective in treating patients with IDH1-mutated AML who have received prior HMA-Ven.

Phase 2
Recruiting

University of California Davis Comprehensive Cancer Center

Brian Jonas, MD

Image of University of Michigan Comprehensive Cancer Center in Ann Arbor, United States.

Self-Monitoring Platform for Cancer

18+
All Sexes
Ann Arbor, MI

This clinical trial evaluates the usefulness of a self-monitoring platform for tracking medication safety events and concerns in patients with lung, colorectal, breast, and prostate cancer. Patients receiving oral anticancer agents often encounter challenges in managing complex treatment regimens, potentially life-threatening toxicities, and drug-drug and drug-food interactions at home. To achieve the goal of medication safety, they need to become "vigilant partners" in medication and toxicity self-monitoring, including timely reporting of medication events to clinicians when their care transitions back home. In this study, patients use an online self-monitoring platform to track their experiences or concerns about taking their medications, including their experiences with symptoms. This platform may be a useful way for patients to track problems they have when taking their medications at home and may help them take better care of their health.

Recruiting
Has No Placebo

University of Michigan Comprehensive Cancer Center

Yun Jiang

Have you considered Toposar clinical trials?

We made a collection of clinical trials featuring Toposar, we think they might fit your search criteria.
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Image of CTCA at Western Regional Medical Center in Goodyear, United States.

Immunotherapy Biomarkers for Non-Small Cell Lung Cancer

18+
All Sexes
Goodyear, AZ

This phase II trial tests the impact of biomarkers in predicting initial treatment (first-line) PD1 or PD-L1 (PD\[L\]-1)-based immunotherapy response and in selecting second-line treatment in patients with stage IIIB-IV non-small cell lung cancer (NSCLC). Response and survival rates in advanced stage NSCLC, unlike other cancers, rely on response to first-line therapy. Immunotherapy with PD(L)1-based therapy, may induce changes in body's immune system and may interfere with the ability of tumor cells to grow and spread. While immunotherapy has improved survival rate, the prognosis remains poor with most patients receiving chemotherapy after immunotherapy. Many types of tumors tend to lose cells or release different types of cellular products including their deoxyribonucleic acid (DNA) which is referred to as circulating tumor DNA (ctDNA) into the bloodstream before changes can be seen on scans. Health care providers can measure the level of ctDNA in blood or other bodily fluids to determine which patients are at higher risk for disease progression or relapse. The first part of this trial, studying samples of blood and tissue in the laboratory from patients receiving immunotherapy may help doctors learn more about the effects PD(L)1-based therapy on cells. It may also help doctors understand how well patients respond to treatment and may help develop new individualized treatment strategies. The second part of this trial also tests the effect of second-line immunotherapy, such as tremelimumab and durvalumab or adagrasib and bevacizumab, in treating patients with NSCLC with specific genetic mutations that is growing, spreading or getting worse (progressive). Tremelimumab is a monoclonal antibody that may interfere with the ability of tumor cells to grow and spread. A monoclonal antibody is a type of protein that can bind to certain targets in the body, such as molecules that cause the body to make an immune response (antigens). Immunotherapy with monoclonal antibodies, such as durvalumab, may help the body's immune system attack the tumor, and may interfere with the ability of tumor cells to grow and spread. Adagrasib, a type of targeted therapy, may stop the growth of tumor cells by blocking a protein needed for tumor cell growth and may kill them. Bevacizumab is in a class of medications called antiangiogenic agents. It works by stopping the formation of blood vessels that bring oxygen and nutrients to tumor. This may slow the growth and spread of tumor. Giving second-line immunotherapy, tremelimumab and durvalumab or adagrasib with bevacizumab, may be safe, tolerable, and/or effective in treating patients with stage IIIB/IV NSCLC with specific genetic mutations.

Phase 2
Waitlist Available

CTCA at Western Regional Medical Center (+12 Sites)

Ravi Salgia

Image of Princess Margaret Cancer Centre in Toronto, Canada.

Trauma-Focused CALM for Ovarian Cancer

18+
Female
Toronto, Canada

The goal of this clinical trial is to investigate if CALM-TF (Trauma-Focused Managing Cancer and Living Meaningfully) is effective in treating traumatic stress symptoms in women with advanced ovarian cancer. It will also learn whether the efficacy differs at new diagnosis versus at recurrence. The main questions it aims to answer are: 1. What is the effectiveness of CALM-TF in reducing traumatic stress symptoms in patients with newly diagnosed or recurrent advanced ovarian cancer, as measured at 3 and 6 months? 2. What are the effects of CALM-TF on depression, quality of life, and patient-perceived benefit of the intervention compared to usual care alone? 3. What are patient perceptions of their care experiences as explored through qualitative interviews? Researchers will compare CALM-TF to usual standard of care (which includes regular conversations with medical teams and meetings with social workers) to see if CALM-TF works to treat traumatic stress. Participants will: * Receive 3-6 sessions of CALM-TF over 3-6 months (45-60 minutes each) via video call, telephone, or in-person based on preference, OR receive usual care only * Complete questionnaires at baseline, 3 months, and 6 months * Continue to receive their standard cancer care throughout the study * Some participants may be invited to participate in qualitative interviews at 6 months

Phase 3
Waitlist Available

Princess Margaret Cancer Centre

Gary Rodin, MD

Image of Memorial Sloan Kettering Cancer Center David H, Koch Center lor Cancer Care in New York, United States.

ANS014004 + EGFR-TKI for Non-Small Cell Lung Cancer

18+
All Sexes
New York, NY

Protocol Title A Study to Evaluate ANS014004 in Combination with EGFR-TKI in Patients with EGFR Mutation-Positive Locally Advanced or Metastatic Non-Small Cell Lung Cancer The main purpose of this research study is to Find a safe and tolerable dose of two investigational drugs, ANS014004 and PLB1004, when used together. Learn how effective this drug combination is at treating a type of lung cancer called "EGFR mutation-positive non-small cell lung cancer (NSCLC)" that has spread to other parts of the body (locally advanced or metastatic). This study is trying to answer the following questions: Safety \& Dosing: What are the side effects of combining ANS014004 and PLB1004? What is the best dose to use that patients can tolerate well? Effectiveness: Can this combination of drugs help shrink patients' tumors or stop them from growing? Background Information For patients with advanced lung cancer that has a specific gene change called an "EGFR mutation," targeted therapies known as EGFR-TKIs are a standard treatment. While these treatments often work well at first, most tumors eventually stop responding to the drug (this is called "acquired resistance"). The investigational drug ANS014004 is designed to block a protein called MET, which is one of the ways that tumors become resistant to EGFR-TKIs. The researchers believe that by combining ANS014004 with the EGFR-TKI PLB1004, they may be able to prevent or delay resistance, offering patients a more effective and longer-lasting treatment option. How will the study be conducted? This study is divided into two parts: Part 1 (Dose Escalation and Optimization): A small number of participants will receive different dose levels of ANS014004 combined with a fixed dose of PLB1004. The goal is to find the safest and most tolerable dose combination. Part 2 (Phase II Study): Once a recommended dose is identified, more participants will be enrolled to further evaluate how well the drug combination works against the cancer. Throughout the study, participants' health will be closely monitored, and their tumors will be measured regularly using imaging scans (like CT scans) to see how they respond to the treatment.

Phase 1 & 2
Waitlist Available

Memorial Sloan Kettering Cancer Center David H, Koch Center lor Cancer Care

Beijing Pearl Biotechnology Limited Liability Company

Image of Mayo Clinic in Florida in Jacksonville, United States.

In-Home Treatment for Cancer

18+
All Sexes
Jacksonville, FL

This phase II trial studies whether providing cancer treatment in the home is preferred over the traditional clinic setting and if it improves treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas. Typically, drug-related cancer care is provided at a medical center which causes patients to have to spend considerable time away from their family, friends, and familiar surroundings. This may add to the physical, emotional, social, and financial burden for patients and their families during this difficult time in their lives. The Cancer Connected Access and Remote Expertise (CARE) Beyond Walls (CCBW) program uses a specialized care team trained to provide cancer treatment in the patient's home setting. It is designed to support remote connection between the home health team and providers and Mayo clinic. This may be preferred over the traditional clinic setting which may improve treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas.

Phase 2
Recruiting

Mayo Clinic in Florida

Roxana S. Dronca, MD

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