E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
B-cell Chronic Lymphocytic Leukemia |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10008958 |
E.1.2 | Term | Chronic lymphocytic leukaemia |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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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 investigate the efficacy of two dose regimens of ofatumumab in combination with fludarabine and cyclophosphamide in previously untreated patients with B-CLL |
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E.2.2 | Secondary objectives of the trial |
To determine the safety and pharmacokinetic profile of ofatumumab in combination with fludarabine and cyclophosphamide (FC) |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1) Patients with active B-CLL and with an indication for treatment, defined as presenting one of the following conditions defined by NCIWG guidelines: a. any one of the following disease related conditions: i. 10% or greater weight loss within the previous six months, or ii. fevers ≥ 100.5°F (38.0°C) for ≥ 2 weeks without evidence of infection, or iii. night sweats without evidence of infection; b. evidence of progressive marrow failure as manifested by development of, worsening of anemia or thrombocytopenia; or c. massive (≥ 6 cm below the left costal margin) or progressive splenomegaly; or d. massive nodal clusters (≥ 10 cm in longest diameter) or progressive lymphadenopathy; or e. progressive lymphocytosis with an increase or > 50% over a two month period or an anticipated doubling time < 6 months 2) Circulating lymphocytes > 5 x 10^9/L at screening blood sample 3) Flow cytometry evidence of CD5, CD20, CD23 positive lymphocytes 4) Age ≥ 18 years 5) Following receipt of verbal and written information about the study, the patient must provide signed informed consent before any study related activity is carried out
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E.4 | Principal exclusion criteria |
1) Any previous treatment for B-CLL or any other treatments that can be considered active against B-CLL 2) Glucocorticoid unless given in doses ≤ 10 mg /day for other indications than B-CLL (e.g. asthma) 3) Known transformation of B-CLL 4) Known CNS involvement of B-CLL 5) Past or current malignancy, except for: a. Cervical carcinoma Stage 1B or less b. Non-invasive basal cell and squamous cell skin carcinoma c. Malignant melanoma with a complete response of a duration of > 10 years d. Other cancer diagnoses with a complete response of a duration of > 5 years 6) Chronic or current infectious disease requiring systemic treatment such as, but not limited to, chronic renal infection, chronic chest infection with bronchiectasis, tuberculosis and active hepatitis C 7) Clinically significant cardiac disease including unstable angina, acute myocardial infarction within six months from Visit 1, congestive heart failure, and arrhythmia requiring therapy, with the exception of extra systoles or minor conduction abnormalities 8) Significant concurrent, uncontrolled medical condition including, but not limited to, renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease 9) History of significant cerebrovascular disease 10) Known HIV positive 11) Positive serology for hepatitis B, unless due to vaccination 12) Screening laboratory values a. creatinine > 1.5 times upper normal limit (unless normal creatinine clearance) b. total bilirubin > 1.5 times upper normal limit (unless due to liver involvement of B-CLL) c. ALT > 2.5 times upper normal limit (unless due to liver involvement of B-CLL) 13) Known or suspected hypersensitivity to components of investigational product 14) Leukapheresis except as a safety measure before immunochemotherapy 15) ECOG Performance Status of 3 or 4 16) Patients who at the time of inclusion are not expected to be able to complete the ofatumumab-FC regimen 17) Patients who have received treatment with any non-marketed drug substance or experimental therapy within 4 weeks prior to Visit 1 18) Current participation in any other interventional clinical study 19) Patients known or suspected of not being able to comply with a study protocol (e.g. due to alcoholism, drug dependency or psychological disorder) 20) Breast feeding women or women with a positive pregnancy test at Visit 1 21) Women of childbearing potential not willing to use adequate contraception for up to one year after last dose of ofatumumab. Adequate contraception is defined as hormonal birth control or intrauterine device. For patients in the USA the use of a double barrier method is also considered adequate.
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E.5 End points |
E.5.1 | Primary end point(s) |
Complete Remissions measured from start of treatment until 3 months after last infusion assessed according to the NCIWG guideline |
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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 | Yes |
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 | 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 | 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 | 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 | 23 |
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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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 6 |
E.8.9.1 | In the Member State concerned months | 2 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 6 |
E.8.9.2 | In all countries concerned by the trial months | 2 |
E.8.9.2 | In all countries concerned by the trial days | 0 |