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The European Union Clinical Trials Register   allows you to search for protocol and results information on:
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    The EU Clinical Trials Register currently displays   43876   clinical trials with a EudraCT protocol, of which   7294   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

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    Summary
    EudraCT Number:2010-018270-20
    Sponsor's Protocol Code Number:ABRAZA
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2010-06-10
    Trial 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
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2010-018270-20
    A.3Full title of the trial
    “Estudio, multicéntrico, aleatorizado, abierto, fase II de Vidaza (Azacitidina) versus tratamiento de soporte en pacientes con síndrome mielodisplásico de bajo riesgo (IPSS bajo e intermedio-1) sin delección 5q- y anemia con necesidades transfusionales”
    A.4.1Sponsor's protocol code numberABRAZA
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorAsociación Andaluza de Hematología y Hemoterapia.
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name VIDAZA 25 mg/ml polvo para suspensión inyectable
    D.2.1.1.2Name of the Marketing Authorisation holderCELGENE EUROPE LTD.
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/01/084
    D.3 Description of the IMP
    D.3.4Pharmaceutical form
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAZACITIDINA
    D.3.9.3Other descriptive nameAZACITIDINA
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Síndrome Mielodisplásico (SMD) de bajo riesgo IPSS 0 int-1 con dependencia transfusional sin delección del cromosoma 5 (5q).
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 11
    E.1.2Level HLT
    E.1.2Classification code 10028536
    E.1.2Term Síndromes mielodisplásicos
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    es evaluar la eficacia del tratamiento con Azacitidina en pacientes con Síndrome Mielodisplásico (SMD) de bajo riesgo IPSS 0 int-1 con dependencia transfusional sin delección del cromosoma 5 (5q). El objetivo principal se basará en la respuesta hematológica eritroide de acuerdo a los criterios del IWG 2006.
    E.2.2Secondary objectives of the trial
    Evaluar:
    - Respuesta hematológica, basada en los siguientes parámetros: plaquetas y neutrófilos según Criterios IWG. (Anexo I).
    - Respuesta medular y citogenética de acuerdo a los Criterios IWG 2006 (Anexo XI).
    - Efecto en la calidad de vida de la respuesta al tratamiento, a través del cuestionario FACT-an.
    - Supervivencia global, Supervivencia Libre de Evento y Tasa de Transformación a Leucemia Aguda.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Pacientes mayores de 18 años.
    2. Los pacientes que acepten participar en el estudio han de entender el consentimiento informado y firmarlo por su propia voluntad.

    3. Los pacientes han de ser capaces de cumplir con todas las visitas programadas y demás requisitos del ensayo

    4. Pacientes con SMD con IPSS de bajo riesgo (0 ó Int-1) sin delección del cromosoma 5 (5q) con anemia y necesidades transfusionales. La dependencia transfusional se define como al menos 2 unidades de Concentrado de Hematíes (CH) en las 8 semanas previas a la inclusión del estudio, y anemia sintomática, como un valor de hemoglobina &#8804;9.0 gr/dl.

    5. Pacientes que no hayan respondido al tratamiento previo con eritropoyetina (EPO).
    1.- Bajo perfil de respuesta basado en niveles basales de EPO > 250 u/L.
    2.- No repuesta tras 12 semanas de tratamiento a dosis máximas (60.000 U o 250 µg DAB, en combinación con G-CSF en casos de anemia refractaria con sideroblastos en anillos (ARSA))
    3.- Pérdida de la respuesta alcanzada tras una respuesta óptima inicial.


    6. Pacientes no candidatos a tratamiento de quimioterapia intensiva y modalidades de trasplante.

    7. Pacientes con un valor de ECOG &#8804; 3

    8. Las mujeres en edad fértil y los hombres heterosexuales con pareja en edad fértil, deben comprometerse a utilizar un método anticonceptivo eficaz durante la duración del tratamiento y hasta 3 meses después de la finalización del mismo.
    E.4Principal exclusion criteria
    1. Presencia de enfermedad médica o psiquiátrica que impida la firma del consentimiento informado.
    2. Seropositividad para HIV, AgVHB positivo o PCR VHC positiva.
    3. Mujeres embarazadas o lactantes.
    4. Enfermedad intercurrente no controlada:
    a. Infección activa que requiera antibióticos parenterales.
    b. Insuficiencia cardiaca crónica sintomática (clase III o IV de la NYHA).
    c. Angina de pecho inestable.
    d. Neoplasia distinta a su SMD.

    5. Haber recibido previamente fármacos desmetilantes en cualquier momento previo a la inclusión en el estudio.
    E.5 End points
    E.5.1Primary end point(s)
    Respuesta hematológica eritroide de acuerdo a los criterios del IWG 2006.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans Information not present in EudraCT
    E.7.1.2Bioequivalence study Information not present in EudraCT
    E.7.1.3Other Information not present in EudraCT
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised Information not present in EudraCT
    E.8.1.2Open Information not present in EudraCT
    E.8.1.3Single blind Information not present in EudraCT
    E.8.1.4Double blind Information not present in EudraCT
    E.8.1.5Parallel group Information not present in EudraCT
    E.8.1.6Cross over Information not present in EudraCT
    E.8.1.7Other Information not present in EudraCT
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Information not present in EudraCT
    E.8.2.2Placebo Information not present in EudraCT
    E.8.2.3Other Information not present in EudraCT
    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.8.4.1Number of sites anticipated in Member State concerned9
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial 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
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months9
    E.8.9.1In the Member State concerned days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero Information not present in EudraCT
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) Information not present in EudraCT
    F.1.1.3Newborns (0-27 days) Information not present in EudraCT
    F.1.1.4Infants and toddlers (28 days-23 months) Information not present in EudraCT
    F.1.1.5Children (2-11years) Information not present in EudraCT
    F.1.1.6Adolescents (12-17 years) Information not present in EudraCT
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state80
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2010-08-23
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2010-07-07
    P. End of Trial
    P.End of Trial StatusCompleted
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