E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
malignant nerve sheath tumor |
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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 |
To assess response in patients with MPNST treated with Imatinib. Response is defined as at least stable disease according to RECIST criteria. |
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E.2.2 | Secondary objectives of the trial |
• To assess time to progression (TTP). • To assess overall survival • To assess of safety and tolerability.
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1. Patients >=18 years of age. 2. Histologically documented diagnosis of malignant MPNST 3. Unresectable local MPNST or metastatic MPNST and therefore incurable with any conventional multimodality approach 4. Karnofsky Index must be at least 70 % 5. Adequate end organ function defined as the following: Total bilirubin < 1.5 UNL, GPT and GOT < 2.5 UNL (or < 5 UNL if liver metastases are present) creatinine <1.5 UNL, ANC > 1.5 x 109/l, platelets > 100x109/l, 6. Written, informed consent. 7. Life expectancy of at least 6 months.
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E.4 | Principal exclusion criteria |
1. Patient has received any other investigational agents within 28 days of first day of study drug dosing. 2. Chemotherapy and or radiotherapy in between the last 6 weeks before study entry. 3. Patient has received radiotherapy to 25 % of the bone marrow. 4. Surgery in between the last 14 days before study entry. 5. History of malignancy of any organ system, treated or untreated, within the past 5 years whether or not there is evidence of local recurrence or metastases, with the exception of localized basal cell carcinoma of the skin. 6. Patient with Grade III/IV cardiac problems as defined by the New York Heart Association Criteria. (i.e., congestive heart failure, myocardial infarction within 6 months of study) 7. Female patients who are pregnant or breast feeding. 8. Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, including women whose career, lifestyle, or sexual orientation precludes intercourse with a male partner and women whose partners have been sterilized by vasectomy or other means, UNLESS they meet the following definition of post-menopausal: 12 months of natural (spontaneous) amenorrhea or 6 months of spontaneous amenorrhea with serum FSH levels >40 mIU/m or 6 weeks post surgical bilateral oophorectomy with or without hysterectomy OR are using a highly effective method of birth control. A highly effective method of birth control is defined as those which result in a low failure rate (i.e. less than 1% a year) when used consistently and correctly. The following methods are fulfilling the criteria of a highly effective method of birth control: · Surgical sterilization (e.g., bilateral tubal ligation, vasectomy) · Implants · Injectables · Combined oral contraception · Some IUDs Acceptable methods of contraception may include total abstinence at the discretion of the investigator in cases where the age, career, lifestyle, or sexual orientation of the patient ensures compliance. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception. Reliable contraception should be maintained throughout the study and for 4 weeks after study drug discontinuation. Women of childbearing potential must have a negative serum pregnancy test ≤ 48 hours prior to the administration of study medication. 9. Patient has a severe and/or uncontrolled medical disease (i.e., uncontrolled diabetes, chronic renal disease, or active uncontrolled infection). 10. The concurrent use of warfarin or acetaminophen are not allowed with imatinib and need to be replaced by other medications (e.g. by low molecular heparins in case of warfarin). 11. Patient has known chronic liver disease (i.e., chronic active hepatitis, and cirrhosis). 12. Patient has a known diagnosis of human immunodeficiency virus (HIV) infection. 13. Patient with any significant history of non-compliance to medical regimens or with inability to grant reliable informed consent. 14. Known CNS metastases |
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary objective of the study is to evaluate the response in patients with MPNST treated with Imatinib. |
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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 | Yes |
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 | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
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.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
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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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | |