E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Advanced Ep-CAM Positive Squamous Cell Carcinoma of the Head and Neck |
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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 |
1. To compare the overall survival time associated with intratumourally injected Proxinium plus BSC versus BSC in patients with advanced SCCHN who have received at least 1 anti-cancer treatment regimen for advanced disease. |
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E.2.2 | Secondary objectives of the trial |
1. To compare locoregional tumour control, as assessed by the locoregional response rate, for patients treated with Proxinium plus BSC versus BSC. 2. To compare the local progression-free survival for patients treated with Proxinium plus BSC versus BSC. 3. To compare the symptomatic benefit for patients treated with Proxinium plus BSC versus BSC. 4. To compare the safety profile for patients treated with Proxinium plus BSC versus BSC.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. The patient must be 18 years of age or older. 2. The patient must be able to comply with scheduled study assessments and in-person visits and must have an ECOG performance status of 0, 1, 2 or 3. 3. The patient must have a life expectancy of at least 12 weeks. 4. The patient must have histologically-confirmed SCCHN. 5. The patient must have immunohistochemically-confirmed Ep-CAM-positive SCCHN. 6. The patient must have received curative intent therapy for their primary disease (eg, surgery and/or radiotherapy, chemo-radiotherapy or chemotherapy). 7. The patient must have documented advanced disease following treatment for their primary disease (ie, persistent or recurrent disease or second primary tumour). 8. The patient’s advanced disease must be refractory, meaning that the patient must have progressed on or after receiving, or was unable to tolerate, at least 1 anti-cancer treatment regimen containing 1 or more anti-cancer agents for their advanced disease, or the patient must have documented refusal of chemotherapy treatment for advanced disease. 9. The patient must meet the requirement of a minimum period of 2 weeks between the last dose of radiotherapy or chemotherapy or 4 weeks between the last dose of an investigational anti-cancer product, and the first dose of the study drug. 10. The patient must have fully recovered or reached a stable state of symptomatology from any previous treatment-related toxicity. 11. The patient must have at least 1 target tumour that can be designated a principal target tumour. 12. The patient must have adequate hepatic function [alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5 × upper limit of normal (ULN) and bilirubin level ≤1.5 × ULN]. 13. The patient must have adequate renal function (serum creatinine < 1.5 × ULN). 14. The patient must have the following hematological values: granulocytes ≥1500/μL, platelets ≥75 000/μL and hemoglobin >8 g/dL. 15. The patient must have prothrombin time and partial thromboplastin time within normal limits. 16. The patient must provide written informed consent. 17. Women of childbearing potential (WOCBP) and male patients must be surgically incapable of bearing children or must agree to use a highly effective contraceptive method. Note: The ICH guidelines define a highly effective contraceptive method as one with a failure rate of less than 1% when used consistently and correctly, such as the double barrier method.
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E.4 | Principal exclusion criteria |
1. The patient’s locoregional disease is predominantly composed of tumours that do not meet the criteria of a target tumour. 2. The patient has clinically significant distant metastases, including brain metastases. 3. The patient is a candidate for either curative surgical resection or curative intent radiotherapy, chemo-radiotherapy or chemotherapy for their advanced disease. 4. The patient has nasopharyngeal SCCHN. 5. The patient has concurrent or documented history of any 1 of the following: known Acquired Immunodeficiency Syndrome, hepatitis C or hepatitis B. 6. The patient has clinically significant renal or hepatic disease. 7. The patient has Grade 3, or higher, bleeding from any tumour. 8. The patient is pregnant or lactating. 9. The patient requires regular use of therapy that significantly alters coagulation parameters to values that exceed the ULN and are unable to safely discontinue that therapy prior to randomization. 10. The patient has any concomitant condition that, in the Investigator’s opinion, would make the patient inappropriate for study. 11. The patient is currently enrolled in a clinical trial for another investigational therapy.
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E.5 End points |
E.5.1 | Primary end point(s) |
Overall survival time, measured as the time from randomization to death from any cause. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Information not present in EudraCT |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
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) | Information not present in EudraCT |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | Information not present in EudraCT |
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 | Yes |
E.8.2.3.1 | Comparator description |
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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 | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 40 |
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 | 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
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The trial will be stopped and the efficacy analyses will be performed once: • 240 deaths are achieved; or • all patients are withdrawn from the study, have died or have had at least 12 months study data recorded, whichever is sooner.
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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 | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
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 |