| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Diagnosis of Stage IIIb with malignant pleural or pericardial effusion or Stage IV (AJCC) NSCLC |
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| MedDRA Classification |
| 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 |
| Determine whether patients with advanced NSCLC receiving NOV-002 in combination with paclitaxel and carboplatin have improved overall survival as compared to patients receiving paclitaxel and carboplatin alone. |
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| E.2.2 | Secondary objectives of the trial |
Determine whether patients with advanced NSCLC receiving NOV-002 in combination with paclitaxel and carboplatin have: a. Improved progression-free survival (PFS) b. Higher anti-tumor overall response rate (ORR) c. Increased response duration d. A better quality of life (QOL) as determined with the EORTC QLQ-C30 instrument with LC13 module e. Less myelosupression and improved recovery from chemotherapy-induced myelosuppression f. Immunomodulation as evidenced by changes in lymphocyte subsets g. A similar safety profile as compared to patients that received paclitaxel and carboplatin alone. Additionally, to evaluate pharmacokinetics (PK) of NOV-002.
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| E.2.3 | Trial contains a sub-study | Yes |
| E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
| Eighteen patients will be selected from the US clinical trial sites to be part of a pharmacokinetics (PK) and ECG sub study evaluation. Dense plasma sampling will be done over a 6 hour period to determine the PK profile of GSSG and GSH. During this time these patients will have multiple ECGs done to confirm the Russian clinical trial data that NOV-002 has no adverse affect on the cardiac system. |
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| E.3 | Principal inclusion criteria |
(1) Age ≥ 18 years (2) Histologically or cytologically confirmed NSCLC (3) Diagnosis of Stage IIIb with malignant pleural or pericardial effusion or Stage IV (AJCC) NSCLC (4) ECOG performance score of 0 or 1 (5) Adequate bone marrow, hepatic, and renal function as indicated by the following parameters: • ANC ≥ 1,500/mm3 • Platelets ≥ 100,000/ mm3 • AST and ALT ≤ 2.5 x ULN, except in patients w/ documented liver metastases where it may be AST and ALT ≤ 5.0 x ULN • Total bilirubin ≤ 1.5 times below the ULN • Creatinine ≤ 1.5 x ULN and (6) NYHA score 1-2 (7) Life expectancy of at least 12 weeks (8) Women of child-bearing potential and men whose partners are of child-bearing potential must be willing to use an acceptable method of birth control during the trial participation or are surgically sterile or women who are post-menopausal (defined as not having a menstrual cycle for greater than two years). (9) The patient or patient’s legal representative has the ability to understand the requirements of the trial, has provided written informed consent, and agree to abide by the trial restrictions and to return for the required assessments. (10) The patient must be able to self administer daily subcutaneous injections or their caregiver must be able to administer daily subcutaneous injections
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| E.4 | Principal exclusion criteria |
(1) Prior chemotherapy for advanced NSCLC or the patient has received prior neoadjuvant chemotherapy for NSCLC in the year prior to the date of randomization (2) Patients with CNS metastases (3) Any systemic disease precluding chemotherapy (4) Chronic use of systemic corticosteroids in pharmacological doses (5) Known or history of HIV, HBV or HCV (6) Palliative radiation therapy within 3 weeks prior to randomization (7) Major surgery within 3 weeks prior to randomization (8) Myocardial infarction within the 3 months prior to randomization (9) Peripheral neuropathy > grade 2 (10) Patient that have a splenectomy (11) Contraindication to treatment with paclitaxel or carboplatin or any of the components of NOV-002 (12) Any known pre-existing medical condition, including substance abuse, that could interfere with the patient’s participation in and completion of the protocol (13) Have received any investigational drug, defined as a drug for which there is no FDA approved indication, within the 30 days prior to randomization (14) Pregnant female or nursing mother
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| E.5 End points |
| E.5.1 | Primary end point(s) | |
| 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 | Information not present in EudraCT |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | Yes |
| 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) | 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) | 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 | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | Yes |
| 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) | Information not present in EudraCT |
| E.8.2.2 | Placebo | Information not present in EudraCT |
| E.8.2.3 | Other | 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.8.5 | 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 | 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 study will end when there are approximately 725 events, which is estimated to be a maximum of 24 months from the last patient enrolled in 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 | |
| E.8.9.1 | In the Member State concerned months | |
| E.8.9.1 | In the Member State concerned days | |
| 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 | 2 |