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    The EU Clinical Trials Register currently displays   37701   clinical trials with a EudraCT protocol, of which   6178   are clinical trials conducted with subjects less than 18 years old.
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    Summary
    EudraCT Number:2005-003325-67
    Sponsor's Protocol Code Number:TTD-05-02
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2005-11-21
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2005-003325-67
    A.3Full title of the trial
    Estudio aleatorizado, multicéntrico, fase III, para estudiar la eficacia y seguridad de bevacizumab solo o en combinación con capecitabina y oxaliplatino, como terapia de mantenimiento, tras tratamiento inicial de quimioterapia con capecitabina, oxaliplatino y bevacizumab en pacientes con adenocarcinoma colorrectal metastásico
    A.3.2Name or abbreviated title of the trial where available
    TTD-MACRO
    A.4.1Sponsor's protocol code numberTTD-05-02
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorGrupo para el Tratamiento de Tumores Digestivos
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Information not present in EudraCT
    D.2.1.1.1Trade name Avastin 25 mg/ml concentrado para solución para perfusión
    D.2.1.1.2Name of the Marketing Authorisation holderRoche Registration Limited
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameBevacizumab
    D.3.4Pharmaceutical form Intravenous infusion
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNBEVACIZUMAB
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product Information not present in EudraCT
    D.3.11.8Extractive medicinal product Information not present in EudraCT
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product Yes
    D.3.11.13.1Other medicinal product typeFármaco antiangiogénico
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Information not present in EudraCT
    D.2.1.1.1Trade name Avastin 25 mg/ml concentrado para solución para perfusión
    D.2.1.1.2Name of the Marketing Authorisation holderRoche Registration Limited
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameBevacizumab
    D.3.4Pharmaceutical form Intravenous infusion
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNBEVACIZUMAB
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product Information not present in EudraCT
    D.3.11.8Extractive medicinal product Information not present in EudraCT
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product Yes
    D.3.11.13.1Other medicinal product typeFármaco antiangiogénico
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Information not present in EudraCT
    D.2.1.1.1Trade name Eloxatin 5 mg/ml polvo para solución para perfusión
    D.2.1.1.2Name of the Marketing Authorisation holderSANOFI–SYNTHELABO, S.A
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameOxaliplatino
    D.3.4Pharmaceutical form Powder for solution for infusion
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNOXALIPLATINO
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product Information not present in EudraCT
    D.3.11.8Extractive medicinal product Information not present in EudraCT
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product Yes
    D.3.11.13.1Other medicinal product typefármaco antineoplásico
    D.IMP: 4
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Information not present in EudraCT
    D.2.1.1.1Trade name Xeloda 150 mg comprimido con cubierta pelicular
    D.2.1.1.2Name of the Marketing Authorisation holderRoche Registration Limited
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namecapecitabina
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNCAPECITABINA
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number150
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product Information not present in EudraCT
    D.3.11.8Extractive medicinal product Information not present in EudraCT
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product Yes
    D.3.11.13.1Other medicinal product typecistostático
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Adenocarcinoma colorrectal metastásico
    MedDRA Classification
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Supervivencia libre de progresión
    E.2.2Secondary objectives of the trial
    Supervivencia global
    Índice de respuesta global, evaluado con los criterios de evaluación de la respuesta en tumores sólidos (RECIST)
    Tiempo hasta la respuesta
    Duración de la respuesta
    Número de ciclos de tratamiento
    Número de pacientes que han necesitado reducciones de dosis de cualquier de los fármacos
    Perfil de seguridad de los tratamientos, valorado en función del número y tipo de acontecimientos adversos notificados
    E.2.3Trial contains a sub-study Information not present in EudraCT
    E.3Principal inclusion criteria
    .- Pacientes que hayan otorgado su consentimiento informado escrito antes de realizar cualquier procedimiento de selección específico del estudio.
    .- Pacientes capaces de comprender los requerimientos del estudio, y desear participar en él, durante todo el estudio.
    .- Pacientes de ambos sexos, no hospitalizados, con edad igual o superior a 18 años, en el día de la inclusión en el estudio.
    .- Pacientes ambulatorios, con un estado funcional ECOG ≤ 2
    .- Pacientes con adenocarcinoma de colon o recto confirmado histológicamente, con enfermedad metastática.
    .- Pacientes con al menos una lesión medible, de acuerdo a los criterios RECIST
    .- Pacientes con una esperanza de vida mayor de tres meses
    .- Mujeres y varones potencialmente fértiles (< de 2 años desde la última menstruación en mujeres) que utilicen un método efectivo de contracepción (anticonceptivos orales, sistemas anticonceptivos intrauterinos, métodos de barrera anticonceptivos en combinación con espermicidas o esterilidad obtenida quirúrgicamente)
    E.4Principal exclusion criteria
    .-Pacientes tratados previamente con Bevacizumab
    .- Pacientes que hayan recibido previamente un tratamiento sistémico (por ejemplo, quimioterapia citostática o inmunoterpia activa/pasiva) para el tratamiento de una enfermedad avanzada o metastática.
    .- Historia de otra enfermedad neoplásica (en los últimos dos años antes de la aleatorización), con la excepción de la indicación de este estudio, y carcinomas curados de células basales de la piel y de cervix in situ.
    .- Historia o indicios, en la exploración física de enfermedades del sistema nervioso central (por ejemplo tumor cerebral primario, convulsiones no controladas con tratamiento médico estándar, metástasis cerebrales o cualquier tipo o historia de ictus).
    .- Historia de incapacidad psiquiátrica que el investigador considere clínicamente significativa, que impida al paciente otorgar el consentimiento informado o interfiera con el cumplimiento de la ingesta de la medicación oral.
    .- Enfermedad cardiovascular clínicamente significativa (es decir activa), por ejemplo, hipertensión no controlada, angina inestable, insuficiencia cardiaca congestiva de grado II o superior de la New York Heart Association (NYHA), arritmias cardiacas severas que requieran mediación, o enfermedad vascular periférica grado II o superior. Además, aquellos pacientes que hayan sufrido un infarto de miocardio ≤ 6 meses antes de la aleatorización, o un accidente cerebrovascular ≤ 6 meses antes de la aleatorización serán excluidos.
    .- Falta de integridad física del tracto gastrointestinal superior, síndrome de mala absorción o incapacidad para tomar medicación oral.
    .- Pacientes sometidos a trasplante alojénico que requieran tratamiento inmunosupresor
    .- Fracturas óseas no cicatrizadas, heridas o úlceras severas.
    .- Indicaciones de diátesis hemorrágica o coagulopatía.
    .- Infecciones intercurrentes no controladas, severas u otras enfermedades concomitantes severas y no controladas.
    .- Fallo renal moderado o severo (aclaramiento de creatinina menor de 30 ml/min (calculado con al fórmula de Cockroft-Gault) o creatinina sérica ≥ 2 mg/dl o 177 mol/l.
    .- Cualquiera de los siguientes valores de laboratorio:
    .- Recuento absoluto de neutrófilos (RAN) ≤ 1.5 x 109/l
    .- Recuento de plaquetas ≤ 100 x 109/l
    .- Hemoglobina ≤ 9 g/dl (puede ser transfundida para mantener o superar este nivel)
    .- Índice internacional normalizado ≥ 1,5
    .- Bilirrubina total ≥ 1,5 veces el límite superior de la normalidad (LSN). ALAT (SGPT) y/o ASAT (SGOT) ≥2,5 x LSN o ≥ 5 x ULN en caso de metástasis hepáticas.
    .- Fosfatasa alcalina >2,5 x LSN o > 5 x ULN en caso de metástasis hepáticas, o > 10 x ULN en caso de metástasis óseas.
    .- Historia de reacciones adversas severas inesperadas al tratamiento con fluoropirimidinas o déficit conocido de dihidropirimidina deshidrogenasa (DPD).
    .- Pacientes sometidos a procedimientos de cirugía mayor, biopsias abiertas o aquellos que hayan tenido lesiones traumáticas significativas dentro de los 28 días anteriores al comienzo del tratamiento del estudio, o pacientes en los que esté previsto un procedimiento de cirugía mayor que necesariamente tenga que realizarse durante el curso del estudio. Aspirados con agujas finas en los 7 días anteriores al comienzo del estudio.
    .- Uso reciente o actual (dentro de los diez días anteriores al comienzo del tratamiento del estudio) de anticoagulantes orales o parenterales a dosis completas o agentes trombolíticos. El uso de dosis bajas de warfarina está permitido, con un INR ≤ 1.5
    .- Tratamiento crónico diario con dosis altas de aspirina (>325 mg/día) o tratamiento con fármacos anti-inflamatorios no esteroideos (que inhiban la función plaquetaria a dosis utilizadas para el tratamiento de enfermedades inflamatorias crónicas.
    .- Embarazo (prueba de embarazo positiva en suero) o lactancia.
    .- Pacientes con alergia conocida a las proteínas de células ováricas de hámster chino o cualquier otro anticuerpo recombinante humano o humanizado, o a cualquier excipiente de la formulación de Bevacizumab o a cualquier otro fármaco del estudio.
    .- Pacientes que hayan recibido algún fármaco, agente o procedimiento en investigación, o que hayan participado en otro estudio de investigación durante los 30 días anteriores al comienzo del tratamiento con la medicación del estudio.
    .- Evidencia de otra enfermedad, disfunción metabólica, hallazgo en el examen físico o hallazgo en las pruebas de laboratorio clínico que originen una sospecha razonable de que exista una condición o enfermedad que contraindique el uso de un fármaco en investigación o ponga al paciente en un riesgo elevado de complicaciones del tratamiento.
    E.5 End points
    E.5.1Primary end point(s)
    Tiempo hasta la progresión
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Information not present in EudraCT
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo Information not present in EudraCT
    E.8.2.3Other Information not present in EudraCT
    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.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial 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
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months6
    E.8.9.1In the Member State concerned days
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero Information not present in EudraCT
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) Information not present in EudraCT
    F.1.1.3Newborns (0-27 days) Information not present in EudraCT
    F.1.1.4Infants and toddlers (28 days-23 months) Information not present in EudraCT
    F.1.1.5Children (2-11years) Information not present in EudraCT
    F.1.1.6Adolescents (12-17 years) Information not present in EudraCT
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Information not present in EudraCT
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Information not present in EudraCT
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state350
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2005-12-02
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2005-11-16
    P. End of Trial
    P.End of Trial StatusOngoing
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