Clinical Trials Register

Summary
EudraCT Number:	2007-003249-34
Sponsor's Protocol Code Number:	F13640 GE 2 09
National Competent Authority:	Italy - Italian Medicines Agency
Clinical Trial Type:	EEA CTA
Trial Status:	Prematurely Ended
Date on which this record was first entered in the EudraCT database:	2008-02-11
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

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A. Protocol Information

A.1

Member State Concerned

Italy - Italian Medicines Agency

A.2

EudraCT number

2007-003249-34

A.3

Full title of the trial

Proof of concept study of the efficacy and tolerability of a 4 week treatment with F13640 in patients in whom the adaptation of opioid therapy of cancer pain has failed

A.3.2

Name or abbreviated title of the trial where available

A.4.1

Sponsor's protocol code number

F13640 GE 2 09

A.5.1

ISRCTN (International Standard Randomised Controlled Trial) Number

A.7

Trial is part of a Paediatric Investigation Plan

Information not present in EudraCT

A.8

EMA Decision number of Paediatric Investigation Plan

B. Sponsor Information
B.Sponsor: 1
B.1.1	Name of Sponsor	Pierre Fabre Medicament
B.1.3.4	Country	France
B.3.1 and B.3.2	Status of the sponsor	Commercial
B.4 Source(s) of Monetary or Material Support for the clinical trial:
B.4.1	Name of organisation providing support
B.4.2	Country
B.5 Contact point designated by the sponsor for further information on the trial
B.5.1	Name of organisation
B.5.2	Functional name of contact point

D. IMP Identification
D.IMP: 1
D.1.2 and D.1.3	IMP Role	Test
D.2	Status of the IMP to be used in the clinical trial
D.2.1	IMP to be used in the trial has a marketing authorisation	No
D.2.5	The IMP has been designated in this indication as an orphan drug in the Community	No
D.2.5.1	Orphan drug designation number
D.3 Description of the IMP
D.3.2	Product code	F13640
D.3.4	Pharmaceutical form	Capsule, hard
D.3.4.1	Specific paediatric formulation	Information not present in EudraCT
D.3.7	Routes of administration for this IMP	Oral use
D.3.8 to D.3.10 IMP Identification Details (Active Substances)
D.3.9.1	CAS number	208110-64-9
D.3.9.2	Current sponsor code	F13640
D.3.10	Strength
D.3.10.1	Concentration unit	mg milligram(s)
D.3.10.2	Concentration type	equal
D.3.10.3	Concentration number	.5
D.3.11 The IMP contains an:
D.3.11.1	Active substance of chemical origin	Yes
D.3.11.2	Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP)	No
	The IMP is a:
D.3.11.3	Advanced Therapy IMP (ATIMP)	Information not present in EudraCT
D.3.11.3.1	Somatic cell therapy medicinal product	No
D.3.11.3.2	Gene therapy medical product	No
D.3.11.3.3	Tissue Engineered Product	Information not present in EudraCT
D.3.11.3.4	Combination ATIMP (i.e. one involving a medical device)	Information not present in EudraCT
D.3.11.3.5	Committee on Advanced therapies (CAT) has issued a classification for this product	Information not present in EudraCT
D.3.11.4	Combination product that includes a device, but does not involve an Advanced Therapy	Information not present in EudraCT
D.3.11.5	Radiopharmaceutical medicinal product	No
D.3.11.6	Immunological medicinal product (such as vaccine, allergen, immune serum)	No
D.3.11.7	Plasma derived medicinal product	No
D.3.11.8	Extractive medicinal product	No
D.3.11.9	Recombinant medicinal product	Information not present in EudraCT
D.3.11.10	Medicinal product containing genetically modified organisms	No
D.3.11.11	Herbal medicinal product	No
D.3.11.12	Homeopathic medicinal product	No
D.3.11.13	Another type of medicinal product	Yes
D.3.11.13.1	Other medicinal product type	Non Applicabile

D.8 Information on Placebo
D.8 Placebo: 1
D.8.1	Is a Placebo used in this Trial?	Yes
D.8.3	Pharmaceutical form of the placebo	Capsule, hard
D.8.4	Route of administration of the placebo	Oral use

E. General Information on the Trial

E.1 Medical condition or disease under investigation

E.1.1

Medical condition(s) being investigated

Patients who have failed adaptation of opioid therapy for cancer pain.

MedDRA Classification

E.1.2 Medical condition or disease under investigation

E.1.2	Version	9.1
E.1.2	Level	LLT
E.1.2	Classification code	10058019
E.1.2	Term	Cancer pain

E.1.3

Condition being studied is a rare disease

E.2 Objective of the trial

E.2.1

Main objective of the trial

F13640 enhances analgesia, when gradually introduced in combination with opioid treatment after 14 days

E.2.2

Secondary objectives of the trial

- F13640 treatment allows decreasing cumulative opioid consumption and reducing adverse effects whatever the dose administered during the treatment period - F13640 induce potential long lasting analgesic effect after treatment period and F13640 withdrawal can cause any rebound effect

E.2.3

Trial contains a sub-study

E.3

Principal inclusion criteria

- Out-patient male or female - Aged  18 years and  65 years - Diagnosis of cancer confirmed - Life expectancy  3 months - With cancer pain for more than one month - Under opioid treatment for cancer pain for at least 7 days before inclusion - In failure of opioid therapy adaptation (oxycodone or morphine only): 24-hour recall pain intensity score  40mm on a 0-100mm Visual Analogue Scale (VAS rest or mobilization) at the selection visit, in spite of appropriate oral opioid treatment at the maximum tolerated dose, where any adjunctive analgesic medication had been instituted before, such treatment shall be continued in an unchanged manner - Average 24-hour recall pain intensity score of the last 7 days before inclusion  40 on a 0-100 Visual Analogue Scale on a Personal Digital Assistant - Record of at least 4 assessable evaluations of the 24-hour recall pain intensity score in the Patient Digital Assistant over the 7 days preceding the inclusion - Chemotherapy protocol not modified within the 4 weeks period preceding Day 1 - In case of chemotherapy protocol on-going, the patient has received at least 2 chemotherapy cycles before selection - AST/SGOT and ALT/SGPT less than 4 times the upper normal value - Normal or considered as not clinically significant other laboratory safety tests and ECG parameters, on the investigator’s opinion and according to CTC grading (grade I and grade II included) - Patient having signed the informed consent - Affiliate to the social security system or equivalent as applicable in the national regulation - Patient able and willing to use the PDA device daily for the duration of the study

E.4

Principal exclusion criteria

- Any clinically significant hepatic, renal, gastro-intestinal, endocrinal, cardiovascular, neurological, psychiatric or haematological history or current disease unrelated to the cause of pain which may interfere with pain evaluation and the course of the study on the investigator’s opinion - Respiratory insufficiency - Arterial hypertension, with SBP >160 mmHg and/or DBP > 90mmHg - SBP  120 mmHg - Moderate to severe major depression requiring a pharmacological treatment - Radiotherapy within the 4-week period preceding Day 1, or scheduled during the study - Surgery within the 4-week period preceding Day 1, or not scheduled during the study - Known hyper-reactivity or hyper-sensitivity to 5-HT agonists - History of alcohol or narcotic abuse in the 6 months preceding the inclusion, or alcohol or narcotic dependence in the 2 years preceding the inclusion - Patient participating in another trial with any new molecule or in the follow up period of a previous trial - Opioids other than oral oxycodone or morphine - Routes of opioid treatment administration other than oral way - Intake of any unauthorised treatment which cannot be stopped - Woman of childbearing potential who is unwilling or unable to use a medically accepted and well documented method of contraception (e.g. chirurgical or hormonal birth control or intrauterine device only) during 2 months before the inclusion in the study , during the whole duration of the study and up to one month after the last dose of the study treatment, in order to avoid pregnancy while being exposed to the study treatment - positive pregnancy test - Pregnancy or breast-feeding - Man able to father a child unwilling or unable to practice an effective mean of birth control while participating in this study and up to one month after the last dose of the study medication. - Patient who could not be contacted

E.5 End points

E.5.1

Primary end point(s)

Enhancement of analgesia by F13640 when gradually introduced in combination with opiod treatment after 14 days defined by a decrease of at least 10 of the 24 hour recall pain intensity VAS score (maximum of pain at rest and mobilization on each day), between inclusion (mean value on the last 7 days before inclusion) and the end of the first 2-week treatment period (mean value of the last 4 days before Day 14 or visit of premature withdrawal). Data will be captured on a Personal digital assistant (PDA).

E.6 and E.7 Scope of the trial

E.6

Scope of the trial

E.6.1

Diagnosis

E.6.2

Prophylaxis

E.6.3

Therapy

E.6.4

Safety

Yes

E.6.5

Efficacy

Yes

E.6.6

Pharmacokinetic

E.6.7

Pharmacodynamic

E.6.8

Bioequivalence

E.6.9

Dose response

E.6.10

Pharmacogenetic

E.6.11

Pharmacogenomic

E.6.12

Pharmacoeconomic

E.6.13

Others

E.7

Trial type and phase

E.7.1

Human pharmacology (Phase I)

E.7.1.1

First administration to humans

E.7.1.2

Bioequivalence study

E.7.1.3

Other

E.7.1.3.1

Other trial type description

E.7.2

Therapeutic exploratory (Phase II)

Yes

E.7.3

Therapeutic confirmatory (Phase III)

E.7.4

Therapeutic use (Phase IV)

E.8 Design of the trial

E.8.1

Controlled

Yes

E.8.1.1

Randomised

Yes

E.8.1.2

Open

E.8.1.3

Single blind

E.8.1.4

Double blind

Yes

E.8.1.5

Parallel group

Yes

E.8.1.6

Cross over

E.8.1.7

Other

E.8.2

Comparator of controlled trial

E.8.2.1

Other medicinal product(s)

E.8.2.2

Placebo

Yes

E.8.2.3

Other

E.8.3

The trial involves single site in the Member State concerned

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

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

E.8.6.2

Trial being conducted completely outside of the EEA

Information not present in EudraCT

E.8.7

Trial has a data monitoring committee

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.8.9.1

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

E.8.9.2

In all countries concerned by the trial months

F. Population of Trial Subjects
F.1 Age Range
F.1.1	Trial has subjects under 18	No
F.1.1.1	In Utero	No
F.1.1.2	Preterm newborn infants (up to gestational age < 37 weeks)	No
F.1.1.3	Newborns (0-27 days)	No
F.1.1.4	Infants and toddlers (28 days-23 months)	No
F.1.1.5	Children (2-11years)	No
F.1.1.6	Adolescents (12-17 years)	No
F.1.2	Adults (18-64 years)	Yes
F.1.3	Elderly (>=65 years)	No
F.2 Gender
F.2.1	Female	Yes
F.2.2	Male	Yes
F.3 Group of trial subjects
F.3.1	Healthy volunteers	No
F.3.2	Patients	Yes
F.3.3	Specific vulnerable populations	No
F.3.3.1	Women of childbearing potential not using contraception	No
F.3.3.2	Women of child-bearing potential using contraception	Information not present in EudraCT
F.3.3.3	Pregnant women	No
F.3.3.4	Nursing women	No
F.3.3.5	Emergency situation	No
F.3.3.6	Subjects incapable of giving consent personally	No
F.3.3.7	Others	No
F.4 Planned number of subjects to be included
F.4.1	In the member state	15
F.4.2	For a multinational trial
F.4.2.1	In the EEA	72
F.4.2.2	In the whole clinical trial	72

G. Investigator Networks to be involved in the Trial

N. Review by the Competent Authority or Ethics Committee in the country concerned

Competent Authority Decision

Authorised

Date of Competent Authority Decision

2008-04-21

Ethics Committee Opinion of the trial application

Favourable

Ethics Committee Opinion: Reason(s) for unfavourable opinion

Date of Ethics Committee Opinion

2007-12-17

P. End of Trial
P.	End of Trial Status	Prematurely Ended

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