E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Uveal melanomas with specific hepatic tropism |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 13.1 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10030052 |
E.1.2 | Term | Ocular melanomas |
E.1.2 | System Organ Class | 10015919 - Eye disorders |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To determine whether the intra-arterial administration of fotemustine, compared to its intravenous administration, is improving the Overall Survival in patients suffering form uveal melanoma metastetized to the liver. |
|
E.2.2 | Secondary objectives of the trial | |
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
♦ Patients with histologically or cytologically confirmed, surgically incurable or unresectable liver metastases from uveal melanoma. Unresectable defined as no possibility to resect completely all tumour lesions.
♦ No detectable extra-hepatic diseases are allowed.
♦ Patients must not have received any prior systemic chemotherapy or radiotherapy for metastatic disease.
♦ Age greater than or equal to 18 years.
♦ Patients must have WHO (ECOG) performance status of 0, 1 or 2.
♦ Patients must have adequate hematologic, renal and liver function as defined by laboratory values below performed within 14 days, inclusive, prior to study randomization:
1. Absolute neutrophil count (ANC) ≥ 2.0 x 109/l.
2. Platelet count ≥ 100 x 109/l.
3. Hemoglobin ≥ 10 g/dl (> 6.2 mmol/l).
4. Urea and serum creatinine < 1.5 times upper limit of laboratory normal (ULN).
5. Total serum bilirubin < 1.5 times ULN.
6. ALAT or ASAT < 5 times ULN.
7. Alkaline phosphatase < 5 times ULN.
8. Gammaglutamyltransferase (GGT) < 5 times ULN.
9. LDH < 5 times ULN.
♦ Patients must have recovered from any effects of major surgery.
♦ Patients should not have suffered from previous (unless a DFS interval of at least 5 years) or suffer from concurrent malignancies at other sites with the exception of surgically cured carcinoma insitu of the cervix and basal or squamous cell carcinoma of the skin.
♦ No severe cardiac disease including uncontrolled angina pectoris and myocardial infarction within 6 months, uncontrolled high blood pressure.
♦ No investigational drugs within 4 weeks before randomization.
♦ Absence of any other uncontrolled severe medical condition including active gastro duodenal ulcer, diabetes, active or uncontrolled infection, evolutive intracranial hypertension.
♦ Patients should not be pregnant or nursing.
♦ Women of childbearing potential should be using an effective method of contraception. Women of childbearing potential must have a negative urine pregnancy test 24 hours prior to randomization and be practicing medically approved contraceptive precautions.
♦ Men should use an effective method of contraception.
♦ Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial
♦ Before patient registration/randomization, written informed consent must be given according toICH/GCP, and national/local regulations. |
|
E.4 | Principal exclusion criteria | |
E.5 End points |
E.5.1 | Primary end point(s) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
The secondary end-points of this phase III trial are:
♦ Progression free survival (PFS).
♦ Response rate (RR).
♦ Duration of objective response.
♦ Pattern of progression.
♦ Treatment related toxicities and catheter-related complications. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 20 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
|
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
End of study occurs when all of the following criteria have been satisfied:
1. Thirty days after all patients have stopped protocol treatment
2. The trial is mature for the analysis of the primary endpoint as defined in the protocol
3. The database has been fully cleaned and frozen for this analysis |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 7 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 7 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |