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DOSE-ESCALATION AND PHARMACOKINETIC STUDY A Phase I, Dose-Escalation and Pharmacokinetic Study of Oral Clofarabine

ドキュメント内 Normal = Times New Roman 12pt (ページ 37-44)

Administered Daily for 5 Days in Adult Patients with Refractory Solid Tumors

5.3.5.3 複数の試験成績を合わせて解析した報告書

5.3.5.4 その他の臨床試験報告書 11 -18 / 25

5.3.5.4.1 CLO34100405 11 -18 / 25

Final Clinical Study Report – CLO34100405

A Phase III Randomized, Double-Blind, Controlled Study Comparing Clofarabine and Cytarabine vs Cytarabine Alone in Adult Patients 55 Years and Older with Acute Myelogenous Leukemia (AML) who have Relapsed or are Refractory after Receiving up to Two Prior Induction Regimens

5.3.6 市販後の使用経験に関する報告書 19 -21 / 25

5.3.6.1 PSUR 1 19 / 25

Evoltra® PERIODIC SAFETY UPDATE REPORT

5.3.6.2 PSUR 2 19 / 25

Evoltra® (clofarabine) PERIODIC SAFETY UPDATE REPORT

5.3.6.3 PSUR 3 19 / 25

Evoltra@ (Clofarabine) EU/1/06/334/001-004 Periodic Safety Update Report 3

5.3.6.4 PSUR 4 19 / 25

PSUR 4: PERIODIC SAFETY UPDATE REPORT for ACTIVE SUBSTANCE(S): Clofarabine

5.3.6.5 PSUR 5 19 / 25

Evoltra@, 1mg/m1 concentrate for solution for infusion EU/1/06/334/001-004

Periodic Safety Report 5

5.3.6.6 PSUR 6 20 / 25

6th PERIODIC SAFETY UPDATE REPORT for Evoltra® / Clolar® (clofarabine) 1 mg/ml concentrate for solution for infusion

5.3.6.7 PSUR 7 20 / 25

7th PERIODIC SAFETY UPDATE REPORT for Evoltra® / Clolar®

エボルトラ点滴静注20mg モジュール2.1 CTDの目次(第2部から第5部)

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巻/巻数 (clofarabine) 1 mg/ml concentrate for solution for infusion

5.3.6.8 PSUR 8 21 / 25

8th PERIODIC SAFETY UPDATE REPORT for Evoltra® / Clolar® (clofarabine) 1 mg/ml concentrate for solutioli for infusion

5.3.7 患者データ一覧表及び症例記録 22 -24 / 25

5.3.7.1 用量設定の根拠となった主要な試験及び主要な有効性の検証試験の

症例一覧

22 / 25

5.3.7.1.1 ID99-383 22 / 25

Listing of Individual Patient Data Summary – ID99-383

5.3.7.1.2 CLO-212 22 / 25

Listing of Individual Patient Data Summary – CLO-212

5.3.7.1.3 CLO-222 22 / 25

Listing of Individual Patient Data Summary – CLO-222

5.3.7.1.4 BIOV-111 22 / 25

Listing of Individual Patient Data Summary – BIOV-111

5.3.7.1.5 CLO05908 22 / 25

Listing of Individual Patient Data Summary – CLO05908

5.3.7.1.6 CLOAML10508 22 / 25

Listing of Individual Patient Data Summary – CLOAML10508

5.3.7.2 実施された臨床試験において副作用が観察された症例の一覧表 22 / 25

5.3.7.2.1 ID99-383 22 / 25

Listing of Adverse Reactions – ID99-383

5.3.7.2.2 CLO-212 22 / 25

Listing of Adverse Reactions – CLO-212

5.3.7.2.3 CLO-222 22 / 25

Listing of Adverse Reactions – CLO-222

5.3.7.2.4 BIOV-111 22 / 25

Listing of Adverse Reactions – BIOV-111

5.3.7.2.5 CLO05908 22 / 25

Listing of Adverse Reactions – CLO05908

5.3.7.2.6 CLOAML10508 22 / 25

Listing of Adverse Reactions – CLOAML10508

5.3.7.3 実施された臨床試験において重篤な有害事象が観察された症例の一

覧表

22 / 25

5.3.7.3.1 ID99-383 22 / 25

エボルトラ点滴静注20mg モジュール2.1 CTDの目次(第2部から第5部)

2.1 - 38

巻/巻数 Listing of Serious Adverse Events – ID99-383

5.3.7.3.2 CLO-212 22 / 25

Listing of Serious Adverse Events - CLO-212

5.3.7.3.3 CLO-222 22 / 25

Listing of Serious Adverse Events – CLO-222

5.3.7.3.4 BIOV-111 22 / 25

Listing of Serious Adverse Events – BIOV-111

5.3.7.3.5 CLO05908 22 / 25

Listing of Serious Adverse Events – CLO05908

5.3.7.3.6 CLOAML10508 22 / 25

Listing of Serious Adverse Events – CLOAML10508

5.3.7.4 実施された臨床試験において臨床検査異常変動が観察された症例の

一覧表

22 - 24 / 25

5.3.7.4.1 ID99-383 22 / 25

Listing of Clinical Laboratory Abnormalities – ID99-383

5.3.7.4.2 CLO-212 23 / 25

Listing of Clinical Laboratory Abnormalities - CLO-212

5.3.7.4.3 CLO-222 24 / 25

Listing of Clinical Laboratory Abnormalities – CLO-222

5.3.7.4.4 BIOV-111 24 / 25

Listing of Clinical Laboratory Abnormalities – BIOV-111

5.3.7.4.5 CLO05908 24 / 25

Listing of Clinical Laboratory Abnormalities – CLO05908

5.3.7.4.6 CLOAML10508 24 / 25

Listing of Clinical Laboratory Abnormalities – CLOAML10508

5.4 参考文献

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5.4.2 松尾恵太郎、 新しい診断と治療のABC 急性白血病、第1章 概念・

分類と疫学、疫学.大野竜三 編.最新医学社. 2006:20-2.

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5.4.3 木崎昌弘、カラーテキスト血液病学、第9章 造血器腫瘍と関連疾患

B. 急性白血病.押味和男 編著 中央医学社.2007:312-329.

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エボルトラ点滴静注20mg モジュール2.1 CTDの目次(第2部から第5部)

2.1 - 39

巻/巻数

5.4.4 厚生労働省平成20年度患者調査、閲覧第4表、推計患者数、性 ×

傷病小分類別[白血病のみ]、政府統計の総合窓口

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5.4.5 堀部敬三、厚生労働省科学研究費補助金 (効果的医療技術の確立推

進臨床研究事業)総括研究報告書:小児造血器腫瘍の標準的治療法 の確立に関する研究.平成14年度総括・分担研究報告書、 p1-8.

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5.4.6 小児白血病・リンパ腫の診療ガイドライン 2007年版、各論 急性リ

ンパ性白血病.日本小児血液学会編. 金原出版. 2007:20-32.

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5.4.9 Gaynon PS, Qu RP, Chappell RJ, Willoughby MLN, Tubergen DG, Steinherz PG,et al. Survival after relapse in childhood acute lymphoblastic leukemia:impact of site and time to first relapse--the Children’s Cancer Group Experience. Cancer 1998; 82; 1387-1395.

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5.4.10 Borgmann A, von Stackelberg A, Hartmann R, Ebell W, Klingebiel T, Peters C, et al. Unrelated donor stem cell transplantation compared with chemotherapy for children with acute lymphoblastic leukemia in a second remission: a matched-pair analysis. Blood. 2003; 101; 3835-3839.

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What determines the outcome of adolescents and young adults with acute lymphoblastic leukemia treated on cooperative group protocol? A

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5.4.12 Boissel N, Auclerc MF, Lheritier V, Perel Y, Thomas X, Leblanc T, et al:

Should adolescents with acute lymphoblastic leukemia be treated as old children or young adults? Comparison of the French FRALLE-93 and LALA-94 trials. J Clin Oncol. 2003; 21; 774-780.

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5.4.13 未承認薬使用問題検討会議:資料6;ワーキンググループ検討結果

報告書, 平成17年10月31日

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5.4.14 King KM, Damaraju V, Mowles DA, Lang T, Vickers MF, Young JD, et al.

Clofarabine and fludarabine cytotoxicity in cultured leukemic cell lines can be correlated with the activity of the human equilibrative nucleoside transport process hENT1. Proc Am Assoc Cancer Res. 2003; 44: Abstract

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エボルトラ点滴静注20mg モジュール2.1 CTDの目次(第2部から第5部)

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巻/巻数 LB-115.

5.4.15 Parker WB, Chaddix SC, Chang C-H, White EL, Rose LM, Brockman RW, et al. Effects of 2-chloro-9-(2-deoxy-2 fluoro-β-D-arabinofuranosyl)adenine on K562 cellular metabolism and the inhibition of human ribonucleotide reductase and DNA polymerases by its 5’ triphosphate. Cancer Research.

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5.4.16 Xie C, and Plunkett W. Metabolism and Actions of chloro-9-(deoxy 2-fluoro-beta-D-arabinofuranosyl)-adenine in human lymphoblastoid cells.

Cancer Research. 1995; 55:2847-2852.

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5.4.17 Hijiya N, Metzger M, Pounds S, Schmidt JE, Razzouk BI, Rubinitz JE, et al. Severe cardiopulmonary complications consistent with systemic inflammatory response syndrome caused by leukemia cell lysis in childhood acute myelomonocytic or monocytic leukemia. Pediatr Blood Cancer 2005; 44(1): 63-69.

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5.4.18 Ek T, Jarfelt M, Mellander L, and Abrahamsson J. Proinflammatory cytokines medeiate the systemic inflammatory response associated with high-dose Cytarabine treatment in children. Med Pediatr Oncol. 2001; 37:

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5.4.19 Pavlakis N, Bell, DR, Millward M, Levi JA Fatal Pulmonary Toxicity Resulting from Treatment with Gemcitabine. Cancer, 1997:80(2):286-291.

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5.4.20 Winkler U, Jensen M, Manzke O, Schulz H, Diehl V, Engert A. Cytokine-Release Syndrome in Patients With B-Cell Chronic Lymphocytic Leukemia and High Lymphocyte Counts After Treatment With Anti-CD20

Monoclonal Antibody (Rituximab, IDEC-C2B8). Blood. 1999, 94(7): 2217-2224.

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5.4.21 Harris RE, Sather HN, and Feig SA. High-dose cytosine arabinoside and L asparaginase in refractory acute lymphoblastic leukemia: the Children's Cancer Group experience. Med Pediatr Oncol. 1998; 30(4): 233-239.

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5.4.22 Leahey A, Kelly K, and Rorke LB. A phase I/II study of Idarubicin (Ida) with continuous infusion Fludarabine (F-ara-A) and Cytarabine (ara-C) for refractoly or recurrent pediatric acute myeloid leukemia (AML). J Pediatr Hematol Oncol. 1997; 19(4): 304-308.

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5.4.23 Furman WL, Stewart CF, Kirstein M, Kepner JL, Bernstein ML, Kung F, et al. Protracted intermittent schedule of topotecan in children with refractory acute leukemia: a pediatric oncology group study. Clin Oncol. 2002; 20(6):

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エボルトラ点滴静注20mg モジュール2.1 CTDの目次(第2部から第5部)

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巻/巻数 1617-1624.

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5.4.25 Adamson PC, Zimm S, Ragab AH, Balis F, Steinberg SM, Kamen BA et al.

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5.4.28 King KM, Damaraju LD, Vickers MF, Yao SY, Lang T, Tackberry TE, et al. A comparison of the transportability, and its role in cytotoxicity, of Clofarabine, Cladribine, and Fludarabine by recombinant human nucleoside transporters produced in three model expression systems. Mol. Pharmacol.

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巻/巻数 Peterson C, et al. Biochemical pharmacology and resistance to

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5.4.40 Takahashi T, Kanazawa J, Akinaga S, Tamaoki T, and Okabe M. Antitumor activity of 2-chloro-9-(2-deoxy-2-fluoro-β-D-arabinofuranosyl)adenine, a novel deoxyadenosine analog, against human colon tumor xenografts by oral administration. Cancer Chemother Pharmacol. 1999; 43: 233-240.

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5.4.41 Reichelova V, Liliemark J, and Albertioni F. Liquid chlomatographic study of acid stability of 2’-arabino-fluoro-2’-deoxyadenosine, 2-chloro-2’-deoxyadenosine and related analogues. J. Pharmaceutical & Biomedical Analysis. 1995; 13(4/5): 711-714.

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