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    Summary
    EudraCT Number:2006-006944-78
    Sponsor's Protocol Code Number:P2007/123
    National Competent Authority:Belgium - FPS Health-DGM
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2008-04-02
    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 ConcernedBelgium - FPS Health-DGM
    A.2EudraCT number2006-006944-78
    A.3Full title of the trial
    Evaluation du bénéfice de survie lors de l'adjonction de pentoxifylline à la corticothérapie dans l'hépatite alcoolique sévère
    A.3.2Name or abbreviated title of the trial where available
    CorpentoxHAA
    A.4.1Sponsor's protocol code numberP2007/123
    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 SponsorHôpital ERASME
    B.1.3.4CountryBelgium
    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 Yes
    D.2.1.1.1Trade name TORENTAL LP 400 mg
    D.2.1.1.2Name of the Marketing Authorisation holderSanofi-Aventis
    D.2.1.2Country which granted the Marketing AuthorisationFrance
    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 nameTORENTAL LP 400mg
    D.3.4Pharmaceutical form Prolonged-release 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 INNpentoxifylline
    D.3.9.1CAS number 6493-05-6
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number400
    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 No
    D.3.11.8Extractive medicinal product No
    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 Information not present in EudraCT
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboProlonged-release tablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Etudier l'effet de l'adjonction de TORENTAL LP 400mg à la corticothérapie sur la survie à 6 mois des patients atteints d'Hépatite Alcoolique Sévère
    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
    Etudier l'effet de l'adjonction de pentoxifylline à la corticothérapie sur la survie à 6 mois des patients atteints d'Hépatite Alcoolique Sévère.
    E.2.2Secondary objectives of the trial
    - Etudier la proportion de patients ayant développé un syndrome hépatorénal pendant les 6 mois de suivi.
    - Etudier le score de pronostic du modèle de Lille au 7ème jour dans les 2 groupes pour la prédiction de la mortalité à 6 mois.
    - Etudier la proportion de patients avec un score de MELD supérieur ou égal 17 au 6ème mois.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    • Hommes et femmes âgés de 18 ans à 70 ans
    • Patient ayant une HAA sévère diagnostiquée sur :
    - Une consommation moyenne quotidienne en alcool ³ 40g/j pour une femme et 50 g/j pour un homme dans l’année précédant l’inclusion
    - Un indice de Maddrey ³ 32
    - Un ictère récent (moins de 2 mois)
    - le diagnostic histologique d'hépatite alcoolique (souffrance cellulaire, nécrose ou ballonisation, infiltrat à polynucléaire neutrophiles, et corps de Mallory) doit être confirmé par une Ponction de biopsie hépatique.
    • Malades ayant donné un consentement libre, éclairé et par écrit en l’absence d’encéphalopathie sévère ou obtention d’un consentement par un membre de la famille pouvant le représenter.
    E.4Principal exclusion criteria
    •Hypersensibilité à la pentoxifylline ou à l’un des excipients du comprimé
    •Sujet atteint de pathologie grave associée mettant en jeu le pronostic vital (cardiopathie, phase aiguë de l’infarctus du myocarde ou insuffisance respiratoire décompensée)
    - Sujet présentant une trombose porte
    •Pathologie néoplasique évolutive datant de moins 2 ans
    •Tout ATCD de carcinome hépatocellulaire
    •Sujet ayant une hémorragie sévère durant l'hospitalisation (caratère sévère, Ex type: Maddrey <32 avant hémorragie et > 32 après l'hémorragie); ou ayant une hémorragie digestive non controlée (controle définie par l'absence de saignements depuis au moins 7 jours); ou ayant une hémorragie digestive responsable du caractère sévère de l'insuffisance hépatocellulaire (hémorragie digestive avec état de choc, ischémie hépatique, transfusion de culot >3CG)
    •Infection bactérienne non contrôlée depuis 7 jours. En cas de septicémie ou d’infection de liquide d’ascite, le patient peut être inclus après instauration d’un traitement antibiotique d’au moins 5 jours ayant permis le contrôle de l’infection : diminution de plus de 50 % du nombre de neutrophiles en cas d’ILA, négativation des hémocultures, de l’ECBU et de l’asciculture en cas de positivité
    •Syndrome hépatorénal de type I ou taux de créatinine >221 micromoles/litre
    •Infection virale, fongique ou parasitaire
    •Pancréatite aiguë
    •Insuffisance cardiaque ou respiratoire sévère
    •ATCD de tuberculose dans les 5 ans
    •Contre indication psychiatrique à l’utilisation des corticoïdes
    •Impossibilité de recevoir une information éclairée chez les patients avec encéphalopathie sévère et ne disposant pas de personne de confiance
    •Notion d’un traitement dans l’année précédente par corticoïdes, immunosuppresseurs, budésonide, thalidomide, pentoxifylline
    •Femme enceinte ou allaitante
    E.5 End points
    E.5.1Primary end point(s)
    la survie à 6 mois
    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 Yes
    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 No
    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 No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    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) No
    E.8.2.2Placebo Yes
    E.8.2.3Other 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.8.4.1Number of sites anticipated in Member State concerned27
    E.8.5The trial involves multiple Member States No
    E.8.5.1Number of sites anticipated in the EEA1
    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 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
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years4
    E.8.9.1In the Member State concerned months
    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 Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception No
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation Yes
    F.3.3.6Subjects incapable of giving consent personally Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    Certains patients souffriront d’encéphalites hépatiques. Celles-ci entraînent une confusion mentale ainsi que des troubles de la conscience et du comportement. Par conséquent, ces patients ne seront pas aptes à recevoir et à comprendre l’information
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 212
    F.4.2.2In the whole clinical trial 212
    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 Decision2008-05-13
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2007-05-16
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2011-01-11
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