E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
This study will evaluate the antitumor activity of RAD001 versus placebo in patients with subependymal giant cell astrocytomas (SEGA) associated with Tuberous Sclerosis Complex (TSC). |
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E.1.1.2 | Therapeutic area | Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10045138 |
E.1.2 | Term | Tuberous sclerosis |
E.1.2 | System Organ Class | 10010331 - Congenital, familial and genetic disorders |
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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 compare SEGA response rate on RAD001 versus placebo in patients with TSC-associated SEGA. |
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E.2.2 | Secondary objectives of the trial |
To compare RAD001 versus placebo with respect to:
1. Change from baseline in frequency of epileptiform events.
2. Time to SEGA progression.
3. Skin lesion response rate.
4. Change from baseline in plasma angiogenic molecules, e.g. VEGF, basic FGF,
PLGF, soluble VEGF receptor1, and soluble VEGF receptor2.
5. Renal function assessed using calculated creatinine clearance.
6. Safety as assessed by the NCI Common Toxicity Criteria, version 3.0.
In RAD001 treatment arm to :
7. Characterize the pharmacokinetics of RAD001 in this patient population,
specifically in terms of exposure.
8. Describe the duration of SEGA response, the time to SEGA response and the
duration of skin lesion response. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. All Ages
2. Definite diagnosis of Tuberous Sclerosis
3. At least one Subependymal Giant Cell Astrocytoma of at least 1 cm in diameter
4. Evidence of SEGA progression as compared to prior MRI scans
5. Females of child bearing potential must use birth control |
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E.4 | Principal exclusion criteria |
1. Recent heart attack, cardiac related chest pain or stroke
2. Severely impaired lung function
3. Severe liver dysfunction
4. Severe kindney dysfuntion
5. Pregnancy or breast feeding
6. Current infection
7. History of organ transplant
8. Surgery within two month prior to study enrollement
9. Uncontrolled diabetes
10.HIV
11.Patients with metal implants thus prohibiting MRI evaluations |
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E.5 End points |
E.5.1 | Primary end point(s) |
Subependymal Giant Cell Astrocytoma response rate through MRIs |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Baseline, week 12, week 24, week 48 and anually thereafter |
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E.5.2 | Secondary end point(s) |
1. Time to Subependymal Giant Cell Astrocytoma progression through MRIs
2. Skin lesion response rate tracked by digital photographs.
3. Change from baseline in biomarkers collected during the first years of study
4. Changes in renal function by assessing creatinine clearance levels throughout the study
5. Safety assessed on a continuous basis throughout study
6. Change from baseline in frequency of epileptiform events monitored by 24 hour EEG at baseline and 6 months |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1, 2, 3, 4 5 and 6: baseline, week 4, week 12, week 24, week 36, week 48 and end of treatment
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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) | 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 | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
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 | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Information not present in EudraCT |
E.8.4 | The trial involves multiple sites in the Member State concerned | Information not present in EudraCT |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 6 |
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 | No |
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 |
Australia |
Belgium |
Canada |
Germany |
Italy |
Netherlands |
Poland |
Russian Federation |
United Kingdom |
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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 | |
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 | 4 |
E.8.9.2 | In all countries concerned by the trial months | 8 |
E.8.9.2 | In all countries concerned by the trial days | 0 |