E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
patients with a recurrent glioblastoma multiforme following preceding surgery, radiation therapy and chemotherapy |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study is to demonstrate the anti-tumor activity of Cetuximab treatment in patients with a recurrent glioblastoma multiforme (that either carries or does not carry an amplified/mutated EGFR gene). Anti-tumor activity will be defined as an objective CR or PR (with a duration of at least 4 weeks) following the adapted WHO criteria for tumor response in CNS tumors (MacDonald criteria). |
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E.2.2 | Secondary objectives of the trial |
Safety & toxicity, duration of response, 6-mths and median TTP, and overall survival. |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1.Recurrent GBM (de novo or secondary) after previous treatment by neurosurgery, radiotherapy and temozolomide chemotherapy. 2.Availability of pretreatment tumor tissue for IHC and FISH analysis of the EGF- Receptor and gene. 3.Measurable disease on GdMRI of the brain. 4.Proven disease progression on sequential GdMRI prior to study entry. 5.Life expectancy of at least 3 months and WHO-PS > 2. 6.A stable dose of corticosteroids for at least 1 week before study entry. 7.Standard phase II exclusion criteria for cytotoxic drug studies and Cetuximab studies. 8. Informative result from EGFR FISH analysis on pretreatment GBM tissue.
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E.4 | Principal exclusion criteria |
Standard phase II exclusion criteria for cytotoxic drug studies and Cetuximab studies.
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint of this study is to demonstrate the anti-tumor activity of Cetuximab treatment in terms of objective tumor response. Anti-tumor response will be evaluated according to the Macdonald criteria. This will be done in patients with a recurrent GBM that either carries or does not carry an amplified/mutated EGFR gene (= 2 treatment strata). |
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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 | Yes |
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 | Information not present in EudraCT |
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) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
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.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
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
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Definition if the end of the trial is the last visit of the last subject undergoing the trial and is provided as such in the protocol. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |