E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10027407 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Investigate the activity and safety of the combination of bortezomib and cisplatin as first line treatment for malignant mesothelioma. |
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E.2.2 | Secondary objectives of the trial |
- Validate the use of the progression free survival rate (PFSR) as primary end point for the design of mesothelioma phase II trials. - Perform an explorative translational research program, looking at the use of platelet count, Il-6 and pharmacogenomics in the assessment of response rate, PFSR, and survival |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
♦ Histologically proven pleural malignant mesothelioma ♦ Recurrent disease after radical surgery or disease not considered suitable for radical treatment ♦ Measurable or evaluable disease according to modified RECIST ♦ WHO performance status 0-1 ♦ Age > 18 years ♦ Life expectancy > 12 weeks ♦ Adequate hematological function (ANC count > 1.5 x 109 /L, platelets > 100 x 109/L) ♦ Creatinine clearance: > 60 ml/min (Cockroft and Gault) or > 50 ml/min (51Cr-EDTA) ♦ Adequate hepatobiliary function (ALT/AST) < 2.5 x upper limit of normal range (ULN) or < 5 x ULN for subjects with liver metastases, bilirubin < 1.5 x ULN) ♦Urine pregnancy test mandatory for all female patients within 30 days prior to registration in the trial. All patients must use an adequate method of contraception if the risk of conception exists. ♦ Written informed consent before registration according to ICH/EU GCP, and national/local regulations |
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E.4 | Principal exclusion criteria |
♦ Prior systemic chemotherapy for mesothelioma ♦ Secondary malignancy except in situ carcinoma of the cervix or adequately treated basal cell carcinoma of the skin ♦ Prior malignancy treated less than 5 years before without recurrence (BUT: melanoma, breast cancer and hypernephroma treated less than 5 years before and without recurrence are accepted) ♦ Clinical evidence of brain or leptomeningeal metastases ♦ Uncontrolled or severe cardiovascular disease including myocardial infarction within 6 months of enrollment, New York Heart Association Class III or IV heart failure, uncontrolled angina, clinically significant pericardial disease or cardiac amyloidosis ♦ Preexisting peripheral neuropathy ♦ No known or suspected allergy or intolerance to boron, mannitol or heparin, if an indwelling catheter is used ♦ Pregnancy or breast feeding ♦ Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary end-point of the study in this first line treatment group will be progression free survival rate (PFSR) at 18 weeks. |
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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 | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Information not present in EudraCT |
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 | Yes |
E.8.1.1 | Randomised | No |
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 | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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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.8.5.1 | Number of sites anticipated in the EEA | 10 |
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 | No |
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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End of study occurs when all of the following criteria have been satisfied: 1. Thirty days after all patients have stopped protocol treatment 2. The trial is mature for the analysis of the primary endpoint as defined in the protocol 3. The database has been fully cleaned and frozen for this analysis |
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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 | |
E.8.9.1 | In the Member State concerned months | 22 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 22 |