Jackson

Researchers are evaluating whether adding immunotherapy drugs brentuximab vedotin and nivolumab to standard chemotherapy, with or without radiation, can improve survival for patients aged 5 to 60 years with newly diagnosed stage I or II classical Hodgkin lymphoma. This phase III trial compares outcomes in groups based on their early response to initial chemotherapy, aiming to understand if immunotherapy can lead to better progression-free survival and overall survival compared to standard treatment alone. The study also looks at side effects, quality of life, and long-term health impacts across different patient groups. Participants first receive two cycles of standard ABVD chemotherapy every 28 days, followed by imaging to classify their response as rapid or slow early responders and their risk status as favorable or unfavorable. Based on these factors, patients are assigned to one of eight treatment arms that include either continued standard chemotherapy regimens or immunotherapy with brentuximab vedotin and nivolumab, sometimes combined with involved-site radiation therapy. Treatments are given intravenously or orally depending on the drugs, and cycles typically last 28 days. Imaging and blood samples are collected regularly throughout the study. Throughout the trial, participants undergo frequent scans such as FDG-PET, CT, MRI, and PET-CT to monitor their disease status. Blood samples and questionnaires assess treatment effects and quality of life. After completing treatment, patients have scheduled follow-up visits every 3 months for the first year, then every 6 months for two years, and annually up to 12 years to track long-term outcomes, side effects, and survival. The main measurements focus on progression-free survival, overall survival, treatment-related adverse events, and patient-reported experiences.

Researchers are evaluating the safety, side effects, and best dose of the drug cabozantinib combined with standard chemotherapy in treating patients newly diagnosed with osteosarcoma. This study aims to compare the effect of adding cabozantinib to the usual chemotherapy drugs methotrexate, doxorubicin, and cisplatin. Cabozantinib is a kinase inhibitor that may slow tumor growth by blocking signals involved in blood vessel formation and growth pathways. The trial includes both phase II and phase III components and involves patients with localized or metastatic high-grade osteosarcoma, including those with pelvic tumors or unresectable disease. During the feasibility phase, patients received cabozantinib orally and standard chemotherapy intravenously in a series of induction, consolidation, and maintenance cycles over several months. In the efficacy phase, patients are randomized into groups receiving either standard chemotherapy alone or combined with cabozantinib, with treatment cycles lasting 35 days each followed by local control procedures like surgery. The study monitors the impact of adding cabozantinib on event-free survival and overall survival. All participants undergo imaging (X-ray, CT, MRI, PET or bone scan) and blood sample collection at diagnosis and throughout the trial. Participants are closely monitored through scans and blood tests at various time points to assess treatment effects and safety. Researchers measure dose-limiting toxicities during the initial 6 weeks and track event-free survival and overall survival for up to five years after completing treatment. The study also collects tumor tissue and blood samples to study tumor DNA and assess response to therapy. Patient-reported outcomes on therapy-specific side effects and symptom burden are evaluated to understand tolerability. The total participation duration varies based on treatment cycles and long-term follow-up assessments.

Researchers are investigating the addition of an immunotherapy drug called durvalumab to standard chemotherapy treatment in patients with MammaPrint High 2 Risk (MP2) stage II-III hormone receptor positive, HER2 negative breast cancer. This phase III trial aims to compare the effectiveness of usual chemotherapy alone versus chemotherapy combined with durvalumab. Immunotherapy with durvalumab may help the immune system attack cancer cells and prevent tumor growth and spread, while chemotherapy drugs like paclitaxel, doxorubicin, and cyclophosphamide work to stop cancer cells from growing or dividing. Previous studies suggest patients with an MP2 result might respond better to this combined treatment approach. Participants first undergo MammaPrint testing to confirm MP2 status before randomization into two groups. One group receives paclitaxel intravenously on days 1 and 8 every 14 days for 6 cycles, followed by doxorubicin and cyclophosphamide intravenously on day 1 every 14 days for 4 cycles. The other group receives the same chemotherapy schedule plus durvalumab intravenously over 60 minutes on specified cycles during both chemotherapy phases. Mammography is performed during screening, and optional tissue and blood samples are collected for future studies. Throughout the study, participants are monitored through various assessments including imaging, physical exams, laboratory tests, and quality of life questionnaires focusing on fatigue and physical and mental health. Researchers track breast cancer event-free survival and other outcomes such as treatment side effects and response rates. After completing treatment, patients are followed for up to 10 years or until death to evaluate long-term outcomes and safety.

Researchers are evaluating the addition of nivolumab to the usual treatment of paclitaxel and ramucirumab in patients with advanced or locally unresectable stomach or esophageal adenocarcinoma. This phase II/III trial aims to determine if adding nivolumab improves progression-free survival and overall survival compared to paclitaxel and ramucirumab alone. The study also assesses response rates, disease control, safety, tolerability, and quality of life in participants with PD-L1 CPS 21 1 advanced gastric or esophageal cancer. Participants are randomly assigned to one of two treatment groups. The first group receives nivolumab IV on day 1 of each 28-day cycle, ramucirumab IV on days 1 and 15, and paclitaxel IV on days 1, 8, and 15. The second group receives ramucirumab IV on days 1 and 15 and paclitaxel IV on days 1, 8, and 15 of each cycle. Treatment continues every 28 days until disease progression or unacceptable side effects occur. Optional blood samples may be collected during the study. Imaging with CT and MRI is performed throughout. Participants undergo scans and assessments at baseline and during treatment to monitor cancer progression and treatment effects. They also complete questionnaires on quality of life and symptoms. After treatment ends, participants are followed up at 30, 60, and 90 days and then every 6 months for up to 3 years. Researchers measure progression-free survival and overall survival as primary outcomes, along with other safety and patient-reported measures.

Researchers are evaluating how well chemotherapy given before surgery and radiation therapy works compared to surgery and radiation therapy alone in treating patients with nasal and paranasal sinus squamous cell carcinoma that can be removed by surgery. This phase II randomized trial focuses on patients with locally advanced resectable tumors classified as T3 or T4a stages, aiming to preserve important structures like the skull base and orbit, and to improve overall survival. The study also examines additional outcomes such as progression-free survival, the accuracy of imaging predictions, and the effects of tobacco use on treatment and symptoms. Participants are randomly assigned to one of two groups. One group undergoes standard surgery followed by image-guided intensity-modulated radiation therapy (IMRT) daily for 30 treatments starting 4-6 weeks after surgery, with additional chemotherapy (cisplatin or carboplatin) if certain high-risk features are present. The other group receives up to three cycles of chemotherapy including docetaxel and cisplatin (or carboplatin if cisplatin is not suitable), followed by surgery within six weeks. After surgery, they receive the same radiation therapy and additional chemotherapy as needed. The study includes correlative biomarker and questionnaire analyses. Throughout the study, participants have evaluations including magnetic resonance imaging (MRI) and positron emission tomography/computed tomography (PET/CT) scans before registration and during treatment. After completing therapy, patients are followed every three months for up to two years, then every six months up to five years to monitor structure preservation and survival outcomes. Researchers also assess treatment side effects, physical and psychological symptoms, and tobacco use behaviors during this time.

The goal of this trial is to determine the efficacy of advanced cognitive training for cancer survivors suffering from cancer- and cancer-treatment-related cognitive dysfunction. For millions of cancer survivors, cognitive dysfunction is a prevalent, severe, and persistent problem that has long been associated with poor work-related and health-related outcomes. Evidence suggests that a significant subset of breast cancer survivors (BCS) incur cognitive changes that may persist for years after treatment. Unfortunately, the scientific basis for managing these cognitive changes is extremely limited. Available evidence from pilot studies, including our work, suggests that advanced cognitive training, which is based on the principles of neuroplasticity (ability of brain neurons to re-organize and form new neural networks), may be a viable treatment option. However, previous trials to date have been limited by lack of attention-controlled designs, small samples of BCS, or limited outcome measures. Therefore, to overcome limitations of past studies and build on our pilot results, the purpose of this 2-group, double-blind, randomized controlled trial is to conduct a full-scale efficacy trial to compare advanced cognitive training to attention control in BCS.

Researchers are collecting blood and tissue samples from people with and without cancer to study and evaluate tests that could help detect cancer early. The goal is to create a blinded reference set of samples to validate blood-based tests for early detection of multiple types of cancer, including leukemia, lymphoma, breast, lung, and others. The study also aims to assess how well these tests perform at the time of initial cancer diagnosis, considering different tumor types and cancer stages. Participants complete a baseline questionnaire and provide blood samples at registration and again 12 months later. Those diagnosed with cancer may also provide tissue samples at these times. The study includes patients aged 40 to 75 years, with cancer diagnoses at various stages or individuals without cancer. Special procedures are in place for patients with high suspicion of certain cancers before confirmation. During the study, researchers collect detailed information through questionnaires, blood draws, and tissue sampling to analyze test accuracy. Participants are monitored for up to one year after registration to follow outcomes. The primary measure is providing this blinded set of blood samples to help validate future cancer detection tests, supporting research that could improve early diagnosis and treatment.

Researchers are evaluating different treatment combinations for younger patients with intermediate risk acute myeloid leukemia (AML) in this phase II MyeloMATCH trial. The study compares three regimens: cytarabine with daunorubicin, cytarabine with daunorubicin plus venetoclax, and venetoclax with azacitidine. The goal is to see if adding venetoclax improves the elimination of AML cells by at least 20% compared to the standard cytarabine and daunorubicin treatment. Participants are randomly assigned to one of three treatment groups. One group receives daunorubicin intravenously on days 2-4, continuous intravenous cytarabine on days 2-8, and oral venetoclax daily on days 1-11, with possible reinduction cycles. Another group receives azacitidine intravenously or subcutaneously on days 1-7 or days 1-5 and 8-9, plus oral venetoclax daily for 28 days, repeated for 2 cycles. The last group receives daunorubicin intravenously on days 1-3 and continuous intravenous cytarabine on days 1-7, with possible reinduction. Treatments continue unless disease progresses or unacceptable side effects occur. During the study, participants undergo bone marrow aspirations and blood sample collections to monitor response. Follow-up visits occur 4 weeks after treatment, then every 3 months for the first year, every 6 months in the second year, and yearly afterward. Researchers measure how well the treatments eliminate measurable residual disease and assess remission rates, side effects, survival outcomes, and treatment responses based on genetic features.

Researchers are investigating treatments for patients newly diagnosed with AL amyloidosis, a condition involving abnormal protein deposits in organs. This phase III trial compares the effects of adding a stem cell transplant with melphalan chemotherapy after initial treatment with a combination of daratumumab, cyclophosphamide, bortezomib, and dexamethasone (Dara-VCD) versus continuing Dara-VCD chemotherapy alone. The goal is to evaluate differences in major organ deterioration progression-free survival, overall survival, organ response, toxicity, and quality of life between the two approaches. Participants first receive induction therapy with Dara-VCD drugs over three 28-day cycles. Those who respond to induction are randomized to one of two consolidation treatments: either continued Dara-VCD chemotherapy or high-dose melphalan chemotherapy followed by autologous stem cell transplant. After consolidation, all participants receive maintenance therapy with daratumumab monthly for up to 18 cycles unless disease progresses or toxicity occurs. The study also collects tissue and blood samples for disease and response assessments. Throughout the study, participants undergo regular examinations including echocardiography, bone marrow biopsies, imaging scans (CT, MRI, or PET-CT), and blood and urine tests. Physical function, fatigue, and patient-reported symptoms are assessed with questionnaires. Follow-up visits occur every 3 to 6 months for up to 4 years after registration. The main outcome measured is the time without major organ deterioration or disease progression, assessed for up to four years from randomization.

Researchers are evaluating treatment options for older patients with newly diagnosed acute myeloid leukemia (AML) or younger patients unfit for standard treatment who have a mutation in the IDH2 gene. This phase II trial compares the effectiveness of ASTX727 and venetoclax alone versus ASTX727, venetoclax, and enasidenib combined. The goal is to see if adding enasidenib can improve the rate of complete remission without measurable residual disease in this patient group. Participants are randomly assigned to one of two treatment groups. One group receives ASTX727 orally once daily on days 1 to 5 and venetoclax orally once daily on days 1 to 28 of each 28-day cycle. The second group receives the same treatment plus enasidenib orally once daily on days 1 to 28 of each cycle. Treatment continues in 28-day cycles until disease progression or unacceptable side effects occur. Throughout the trial, patients undergo blood sample collection, bone marrow aspiration, and biopsy. During the study, participants have regular assessments including blood tests, bone marrow evaluations, and monitoring for side effects. After treatment ends, follow-up visits occur monthly for the first year, every two months in the second year, every three months in the third year, and every six months until five years after enrollment or death. The primary outcome measured is the rate of complete remission without measurable residual disease from baseline up to five years after treatment begins.