Clinical Trials Register

Summary
EudraCT Number:	2010-020803-63
Sponsor's Protocol Code Number:	AB07015
National Competent Authority:	Germany - BfArM
Clinical Trial Type:	EEA CTA
Trial Status:	Prematurely Ended
Date on which this record was first entered in the EudraCT database:	2011-09-21
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

Germany - BfArM

A.2

EudraCT number

2010-020803-63

A.3

Full title of the trial

A prospective, multicenter, randomised, double-blind, placebo-controlled, 2-parallel groups, Phase 3 study to compare the efficacy and the safety of masitinib at 6 mg/kg/day versus placebo in the treatment of patients with Severe Persistent Asthma treated with oral corticosteroids

Eine prospektive, multizentrische, randomisierte, doppelblinde, placebokontrollierte Phase-3-Studie mit 2 Parallelgruppen zur Wirksamkeit und Sicherheit von Masitinib bei 6 mg/kg/Tag im Vergleich mit einem Placebo bei der Behandlung von Patienten mit schwerem persistierendem Asthma, die orale Corticosteroide erhalten

A.3.1

Title of the trial for lay people, in easily understood, i.e. non-technical, language

Evaluation of Masitinib in Severe Persistent Asthma.

A.4.1

Sponsor's protocol code number

AB07015

A.7

Trial is part of a Paediatric Investigation Plan

A.8

EMA Decision number of Paediatric Investigation Plan

B. Sponsor Information
B.Sponsor: 1
B.1.1	Name of Sponsor	AB Science
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	AB Science
B.4.2	Country	France
B.5 Contact point designated by the sponsor for further information on the trial
B.5.1	Name of organisation	AB Science
B.5.2	Functional name of contact point	Philippe GIORGIUTTI
B.5.3	Address:
B.5.3.1	Street Address	3 avenue Georges V
B.5.3.2	Town/ city	Paris
B.5.3.3	Post code	75008
B.5.3.4	Country	France
B.5.4	Telephone number	0033147201261
B.5.5	Fax number	0033147202411
B.5.6	E-mail	philippe.giorgiutti@ab-science.com

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.3.1	Product name	masitinib
D.3.2	Product code	AB1010
D.3.4	Pharmaceutical form	Film-coated tablet
D.3.4.1	Specific paediatric formulation	No
D.3.7	Routes of administration for this IMP	Oral use
D.3.8 to D.3.10 IMP Identification Details (Active Substances)
D.3.8	INN - Proposed INN	masitinib mesylate
D.3.9.1	CAS number	790-299-79-5
D.3.9.2	Current sponsor code	AB1010
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	100
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)	No
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	No
D.3.11.3.4	Combination ATIMP (i.e. one involving a medical device)	No
D.3.11.3.5	Committee on Advanced therapies (CAT) has issued a classification for this product	No
D.3.11.4	Combination product that includes a device, but does not involve an Advanced Therapy	No
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	No
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	No
D.IMP: 2
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.3.1	Product name	masitinib
D.3.2	Product code	AB1010
D.3.4	Pharmaceutical form	Film-coated tablet
D.3.4.1	Specific paediatric formulation	No
D.3.7	Routes of administration for this IMP	Oral use
D.3.8 to D.3.10 IMP Identification Details (Active Substances)
D.3.8	INN - Proposed INN	masitinib mesylate
D.3.9.1	CAS number	790-299-79-5
D.3.9.2	Current sponsor code	AB1010
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	200
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)	No
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	No
D.3.11.3.4	Combination ATIMP (i.e. one involving a medical device)	No
D.3.11.3.5	Committee on Advanced therapies (CAT) has issued a classification for this product	No
D.3.11.4	Combination product that includes a device, but does not involve an Advanced Therapy	No
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	No
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	No

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	Film-coated tablet
D.8.4	Route of administration of the placebo	Oral use
D.8 Placebo: 2
D.8.1	Is a Placebo used in this Trial?	Yes
D.8.3	Pharmaceutical form of the placebo	Film-coated tablet
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

Severe Persistent Asthma

E.1.1.1

Medical condition in easily understood language

Severe Persistent Asthma

E.1.1.2

Therapeutic area

Diseases [C] - Respiratory Tract Diseases [C08]

MedDRA Classification

E.1.2 Medical condition or disease under investigation

E.1.2	Version	17.0
E.1.2	Level	PT
E.1.2	Classification code	10003553
E.1.2	Term	Asthma
E.1.2	System Organ Class	10038738 - Respiratory, thoracic and mediastinal disorders

E.1.3

Condition being studied is a rare disease

E.2 Objective of the trial

E.2.1

Main objective of the trial

The objective is to compare the efficacy and the safety of masitinib at 6 mg/kg/day versus placebo in the treatment of patients with Severe Persistent Asthma treated with oral corticosteroids.
Primary endpoint: Severe Asthma exacerbation rate adjusted on the available person-time (time to end of treatment) on full exposure (main period + extension/weaning period).

E.2.2

Secondary objectives of the trial

• Overall asthma exacerbation rate (severe and moderate exacerbations) adjusted on the available person-time (time to end of treatment) on full exposure (main period + extension/weaning period).
• Asthma Control Questionnaire (ACQ) Score at 12, 20, 28 and 36 weeks
• Forced Expiratory Volume in one second (FEV1), Forced Vital Capacity (FVC), Forced Expiratory Flow between 25-75% of FVC (FEF25-75) at 12, 20, 28 and 36 weeks
• Moderate and severe asthma exacerbation rate at 12, 20, 28 and 36 weeks
• Severe asthma exacerbation rate at 12, 20, 28 and 36 weeks
• Time to first asthma exacerbation (severe or moderate)
• Percentage of patient experiencing at least one exacerbation at 12, 20, 28 and 36 weeks
• Asthma symptom score at all time points
• Morning and evening Peak Expiratory Flow Rate (PEFR) at 12, 20, 28 and 36 weeks
• Use of rescue medication for asthma at 12, 20, 28 and 36 weeks
• Quality of Life assessment: AQLQ score at each visit at 12, 20, 28 and 36 weeks

E.2.3

Trial contains a sub-study

E.3

Principal inclusion criteria

1. Patient with Severe Persistent Asthma and already treated with oral corticosteroids at a minimal daily dose of 7.5 mg prednisone or equivalent for at least 3 months prior to screening visit
2. Patient treated during at least one period of 21 days with oral corticosteroids from one year prior to screening to 3 months before screening.
3. Patient with history of asthma ≥ 1 year prior to screening visit who also meet the following criteria:
o baseline FEV1  35 to < 80% of the predicted normal value, demonstrated at least 6 hours after short-acting -2-agonist or 12 hours after long-acting -2-agonist
o at least 2 asthma exacerbations within one year prior to screening visit including one severe asthma exacerbation as per protocol definition
o uncontrolled asthma as defined as two or more of the following features within the week prior to screening visit (ACQ items)
Daytime symptoms More than twice/week
Limitations of activities symptoms Any
Nocturnal symptoms/awakening Any
Need for reliever/rescue treatment More than twice/week
4. Patient with no significant change in the regular asthma medication, no severe asthma exacerbation for at least 4 weeks prior to screening visit
5. Non-smoker patient for at least one year and with a prior tobacco consumption < 10 packs/year
6. Patient with normal organ function defined as:
• Absolute neutrophil count (ANC) ≥ 2.0 x 109/L
• Haemoglobin ≥ 10 g/dL
• Platelets (PTL) ≥ 100 x 109/L
• AST/ALT ≤ 3 x ULN
• Bilirubin ≤ 1.5x ULN
• Creatinine clearance ≥ 50 mL/min (Cockcroft and Gault formula)
• Albumin > 1 LLN
• Proteinuria < 30 mg/dL on the dipstick; in case of proteinuria ≥ 30 mg/dL, 24 hours proteinuria < 1.5g/24 hours
• Patient with negative urine cytology and NMP22 protein assay
7. Male or female patient aged 18 to 75 years
8. Patient weight > 50 kg and Body Mass Index (BMI) between 18 and 35 kg/m²
9. Female patient of childbearing potential (entering the study after a menstrual period and who have a negative pregnancy test), who agrees to use two highly effective methods (one for the patient and one for the partner) of medically acceptable forms of contraception during the study and for 3 months after the last treatment intake.
10. Male patients must use medically acceptable methods of contraception if your female partner is pregnant, from the time of the first administration of the study drug until three months following administration of the last dose of study drug.
11. Patient able and willing to comply with study procedures as per protocol
12. Patient able to understand the patient card and to follow the patient card procedures in case of signs or symptoms of severe neutropenia or severe cutaneous toxicity, during the first 2 months of treatment.
13. Patient able to understand, sign, and date the written informed consent form at screening visit prior to any protocol-specific procedures

E.4

Principal exclusion criteria

1. Female patient who is pregnant or lactating
2. Asthmatic patient still exposed to allergens or to triggering factors influencing asthma control
3. Patient with history of acute infectious sinusitis or respiratory tract infection within 4 weeks prior to screening visit
4. Patient presenting with cardiac disorders defined by at least one of the following conditions will be excluded:
a. Patient with recent cardiac history (within 6 months) of:
i. Acute coronary syndrome
ii. Acute heart failure (class III or IV of the NYHA classification)
iii. Significant ventricular arrhythmia (persistent ventricular tachycardia, ventricular fibrillation, resuscitated sudden death)
b. Patient with cardiac failure class III or IV of the NYHA classification
c. Patient with severe conduction disorders which are not prevented by permanent pacing (atrio-ventricular block 2 and 3, sino-atrial block)
d. Syncope without known aetiology within 3 months
e. Uncontrolled severe hypertension, according to the judgment of the investigator, or symptomatic hypertension
5. Patient with active lung disease other than asthma (e.g. chronic bronchitis)
6. Patient who had a major surgery within 2 weeks prior to screening visit
7. Patient with life expectancy < 6 months
8. Patient with history of primary malignancy < 5 years, except treated basal cell skin cancer or cervical carcinoma in situ
9. Patient with any severe and/or uncontrolled medical condition
10. Patient with a known diagnosis of human immunodeficiency virus (HIV) infection
11. Patient with history of poor compliance or history of drug/alcohol abuse, or excessive alcohol beverage consumption that would interfere with the ability to comply with the study protocol, or current or past psychiatric disease that might interfere with the ability to comply with the study protocol or give informed consent
12. Patient with inadequate wash-out time at the screening visit:
• Long Acting Bronchodilators (12h prior to screening visit)
• Short Acting Bronchodilators (6h prior to screening visit)
13. Patient treated with prohibited medications

RANDOMISATION CRITERIA (to be checked at W0):
1. Good study treatment (i.e. placebo) compliance (≥80%) during the 2-week run-in period
2. Daily mean symptom score ≥ 2 during the 2-week run in period
3. No asthma exacerbation (moderate or severe) during the 2-week run in period

E.5 End points

E.5.1

Primary end point(s)

Severe Asthma exacerbation rate adjusted on the available person-time (time to end of treatment) on full exposure (main period + extension/weaning period).

E.5.1.1

Timepoint(s) of evaluation of this end point

Total exposure

E.5.2

Secondary end point(s)

E.5.2.1

Timepoint(s) of evaluation of this end point

weeks 12, 20, 28, 36

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

Yes

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)

E.7.3

Therapeutic confirmatory (Phase III)

Yes

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.8.2.4

Number of treatment arms in the trial

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.8.5.1

Number of sites anticipated in the EEA

100

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

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

Bulgaria

Czech Republic

France

Germany

Hungary

India

Poland

Romania

Thailand

United States

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

LVLS

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

E.8.9.2

In all countries concerned by the trial days

F. Population of Trial Subjects

F.1 Age Range

F.1.1

Trial has subjects under 18

F.1.1.1

In Utero