E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
PAIN DUE TO BONE METASTASES |
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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 | 10049038 |
E.1.2 | Term | Metastatic bone pain |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the safety and efficacy of the 10 mg intravenous (IV) dose of tanezumab in cancer patients with pain due to bone metastases who participated in the double-blind Study A4091003 and who wish to receive open-label tanezumab therapy. |
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E.2.2 | Secondary objectives of the trial |
There are no secondary objectives in this trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. The patient must consent in writing to participate in the study by signing and dating an informed consent document indicating that the patient has been informed of all pertinent aspects of the study prior to conducting any study-related procedures.
2. The patient met the eligibility criteria for, and was randomized and treated with intravenous study drug in Study A4091003.
3. At least 8 weeks but no more than 16 weeks has elapsed since the intravenous study drug infusion in Study A4091003.
4. Female patients must meet one of the following criteria:
a. Female patients of non-childbearing potential: must be post menopausal, defined as women who are ≥ 45 years old with amenorrhea for 24 consecutive months (regardless of FSH levels at Study A4091003 Screening) or women who are amenorrheic for at least 1 year AND have a serum follicle stimulating hormone (FSH) level greater than 30 IU/L at Study A4091003 Screening; or be surgically sterile, defined as having had a hysterectomy and/or bilateral oophorectomy; b. Female patients of child bearing potential: must not be pregnant or lactating and must be abstinent or use adequate contraception (2 forms of birth control, one of which must be a barrier method) from Baseline visit until 16 weeks after the last dose of study medication. Women of childbearing potential must have a negative erum pregnancy test at Study A4091003 Termination Visit or a negative urine regnancy test at Baseline prior to initial dosing.
Male patients must agree that they and their female spouses/partners will use adequate contraception (2 forms of birth control, one of which must be barrier method) or be of non childbearing potential.
In the event of indeterminate or anomalous results on pregnancy/FSH testing or issues surrounding contraceptive requirements, study management should be contacted and will make the final decision as to the adequacy/need for contraception.
5. The patient has a Karnofsky Performance Score ≥40% at Baseline;
6. The patient has an anticipated life expectancy of ≥6 months at Baseline;
7. The patient must be willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. |
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E.4 | Principal exclusion criteria |
Patients presenting with any of the following will not enter the study:
1. The patient was withdrawn from Study A4091003 for an adverse event or serious adverse event.
2. Use of any investigational medication within 30 days prior to Baseline or plans to receive an investigational medication other than the study medication during the course of this study.
3. Patients who discontinued Study A4091003 prior to Week 8 because of lack of compliance, protocol violation, not meeting entrance criteria, withdrawal of consent, disease progression or patients who were lost to follow up will be excluded from Study A4091029.
4. Occurrence of any adverse event or condition during Study A4091003 or since termination from that study that, in the opinion of the Investigator, would put the patient at increased safety risk or should exclude the subject from participating in the open-label extension. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety Measures:
1. Adverse events; 2. Clinical laboratory tests; 3. Electrocardiogram (ECG); 4. Neurologic exam (Neuropathy Impairment Score [NIS]); 5. Anti-Drug Antibody (ADA) assessments; 6. Physical examinations; 7. Vital signs.
Efficacy Endpoints: 1. Change from Baseline to Weeks 4, 8, 16, 24 and 40 in the Brief Pain Inventory-Short Form (mBPI-sf) pain scores at its ‘worst’, ‘least’, ‘average’ and ‘right now’.
2. Change from Baseline to Weeks 4, 8, 16, 24 and 40 in the mBPI-sf Pain Interference with Function Composite Score and individual pain interference item scores obtained at study visits.
Patient Status:
1. Karnofsky Performance Scale.
Pharmacokinetics (PK):
1. Measurement of pre-dosing serum tanezumab concentrations (Population PK) at Baseline and End of Treatment/Early Termination. |
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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 | No |
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 | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
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 | 10 |
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 | No |
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 | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |