| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated  | 
| Agressive Systemic Mastocytosis (ASM)  or Mast Cell Leukemia (MCL)  +/- an Associated Hematological Clonal Non-Mast Cell Lineage Disease (AHNMD) | 
 
 
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| 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  | 10056453 | 
 
| E.1.2 | Term  | Aggressive systemic mastocytosis | 
 
 
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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 determine the efficacy of midostaurin in patients with ASM or MCL with or without AHNMD when administered orally at a dose of 100 mg b.i.d. continuously for 6 cycles (of 4 weeks each) as measured by overall response rate | 
 
 
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| E.2.2 | Secondary objectives of the trial  | 
to evaluate: 
 - duration of response - time to response - overall survival - safety and tolerability of midostaturin - characterize KIT mutational status at baseline and after 6 cycles | 
 
 
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| E.2.3 | Trial contains a sub-study  |  No  | 
| E.3 | Principal inclusion criteria  | 
- Age > 18 and ≤ 70 yearsof age - ECOG performance status of 0-3 - life expectancy > 12 weeks - ECG QTc interval < 450 ms -meeting following lab values:   AST and ALT ≤ 2.5 x ULN, if caused by ASM/MCL: ≤5 x ULN   Serum Bilirubin ≤1.5 ULN, if related to ASM(MCL: ≤3x ULN   Serum Creatinine ≤ 2.0 mg/dl - diagnose of ASM or MCL according to WHO criteria for SM plus the established   criteria for ASM or MCL - informed consent | 
 
 
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| E.4 | Principal exclusion criteria | 
- patients unwilling or unable to comply with theprotocol - any other concurrent severe known disease and/or severe uncontrolled medical    condiction which could compromise participation in teh study - confirmed diagnosis of HIV infection or active viral hepatitis - female patients who are pregnant or breast feeding or adults of reproductive    potential not employing an effective method of birth control - patients who have demonstrated relapse to more than 2 prior regimen of SM    treatment 
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| E.5 End points | 
| E.5.1 | Primary end point(s) | 
| Overall response rate (ORR) | 
 
 
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| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis |  Yes  | 
| 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 |  Yes  | 
| E.6.8 | Bioequivalence |  No  | 
| E.6.9 | Dose response |  No  | 
| E.6.10 | Pharmacogenetic |  Yes  | 
| E.6.11 | Pharmacogenomic |  Yes  | 
| 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 |  No  | 
| 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 |  No  | 
| 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 |  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.8.4.1 | Number of sites anticipated in Member State concerned | 2 | 
| E.8.5 | The trial involves multiple Member States |  Yes  | 
| E.8.5.1 | Number of sites anticipated in the EEA | 14 | 
| 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 | 2 | 
| 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 | 2 |