E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Newly diagnosed pontine glioma |
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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 objective of this study is to investigate the efficacy of the concomitant use of nimotuzumab together with standard radiotherapy on the median progression-free survival in children and adolescents suffering from intrinsic pontine gliomas. |
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E.2.2 | Secondary objectives of the trial |
Safety, quality of life and life situation |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
Histology and staging of disease: •Newly diagnosed diffuse intrinsic pontine glioma documented by MRI and measurable in at least one dimension •Histology is not required for this study as tumour biopsy is not recommended General conditions: •Age ≥ 3 years to ≤ 20 years, both gender •Life expectancy ≥ 4 weeks •Performance status ECOG ≥ 3 or Karnofsky/Lansky status ≥ 40 % •Sufficient hematological, renal, and hepatic function according to the following definitions: Absolute leukocyte count ≥ 2.0 x 109/l Hemoglobin ≥ 10 g/dl Platelets ≥ 50 x 109/l Bilirubin total ≤ 2.5 x ULN ALT/AST ≤ 5.0 x ULN Creatinine i. S. ≤ 1.5 x ULN
Prior/intial examinations (within 14 days prior to the start of therapy): •MRI of the head (estimation of index lesion) •Clinical internal and neurological examination; body weight, height, surface, performance status by ECOG, Karnofsky or Lansky •Blood cell count, blood gas analysis; serum analysis for electrolytes (Na, K, Ca, Mg), chloride, phosphate, creatinine, BUN, AST, ALT, bilirubin, GGT, LDH, lipase, total protein, CRP, blood sugar; coagulation test (Quick, PTT, TT); urine analysis •EKG, echocardiography in case of positive cardiac history •Pregnancy test in females of childbearing age Other criteria: •Planned day of first antibody application within 14 days after MRI •Written and signed informed consent from patient/parents/legal guardian(s) after explanation by the physician •Negative pregnancy test in females of childbearing age •Treatment in a study center •Availability of the patient during the study treatment and the ability to comply with the study plan
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E.4 | Principal exclusion criteria |
None of the following conditions are permitted for a study patient: •Pontine glioma as secondary malignancy •Low grade brain stem glioma (i.e. focal, cervicomedullar, tectal brain stem glioma) •Other severe underlying disease or pre-existing serious conditions which bears the risk of an inadequate study treatment (e.g. severe mental retardation, severe statomotoric retardation, severe cerebral palsy, congenital syndromes) •Prior antineoplastic therapy, inclusively chemotherapy, immunotherapy, radiotherapy •Prior administration of a recombinant human or mural antibody or known hypersensitivity to antibodies •Simultaneous antineoplastic therapy other than the study treatment •Participation in another therapeutic study or experimental treatment involving the underlying cancer disease •Pregnancy, lactation and inadequate contraception in females of childbearing age as well as inadequate contraception in males
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is the median progression free survival time (PFS) of the concomittant therapy of the antibody OSAG 101 and the standard local radiotherapy in newly diagnosed diffuse intrinsic pontine glomas, also named event free survival time (EFS), after the date of diagnosis. A progression in the disease is defined based on RECIST criteria.
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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 | Yes |
E.6.13.1 | Other scope of the trial description |
Quality of life and life situation |
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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 | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
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 | Yes |
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 | Information not present in EudraCT |
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 |
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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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The end of the trial for a single patient is onset of tumor progression or the last visit of the patient in week 36. Therefore the end of the whole trial is either onset of progression of the last patient in the clinical trial or the last visit of the last patient in week 36. |
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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 | 4 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 6 |