E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Amyotrophic Lateral Sclerosis Esclerosis Lateral Amiotrófica |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 13 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10002026 |
E.1.2 | Term | Esclerosis lateral amiotrófica |
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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 |
The principal aim of the study is to allow patients to be treated with olesoxime (TRO19622) in an Open Label safety Extension following their participation to a randomised study and to provide additional safety data on olesoxime (TRO 19622). This is a multicenter openlabel safety extension study of olesoxime in Amyotrophic Lateral sclerosis patients treated with riluzole. Each patient will be treated with olesoxime up to a maximum duration of 15 months. Permitir que los pacientes reciban tratamiento con olesoxima (TRO19622) en una fase abierta de extensión de seguridad después de su participación en un estudio aleatorizado y proporcionar datos adicionales de la seguridad de olesoxima (TRO19622).Se trata de un estudio multicéntrico, de diseño abierto, de ampliación de seguridad de olesoxima (TRO19622) en pacientes con esclerosis lateral amiotrófica (ELA) tratados con riluzola. Cada paciente recibirá tratamiento con olesoxima (TRO19622) durante 15 meses como máximo. |
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E.2.2 | Secondary objectives of the trial |
Survival time / Tiempo de supervivencia Total score of the 48-point ALS Functional Rating Scale Revised /Puntuación total de la Escala de Evaluación Funcional de la ELA revisada de 48 puntos Slow Vital capacity (SVC) as a percentage of predicted SVC only if the SVC is performed by the site in a routine-way during standard ALS visit. This test will not be performed for the sole purpose of the study / Capacidad vital lenta (CVL) como porcentaje de de la CVL teórica, únicamente si en el centro se realiza la CVL de forma habitual durante las visitas habituales de la ELA. Esta prueba no se realizará exclusivamente a efectos del estudio |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients must have completed the 18month safety and efficacy study of TRO19622 in Amyotrophic Lateral Sclerosis (ALS) patients treated with riluzole (Protocol TRO19622 CL E Q 10151). Both the investigator and the patient will decide based on previous good tolerance and other clinical grounds whether or not to participate to the openlabel extension. If patients were on antivitamin K during the doubleblind period, when entering the openlabel extension, coagulation tests should be monitored in exactly the same conditions as if a new anticoagulant treatment was initiated and the dose of antivitamin K should be adjusted accordingly(see secti on 8.3.11). Patients enrolling from this prior safety and efficacy study must: If female of childbearing age of potential, continue to use adequate birth control methods and have a negative serum pregnancy test at the preceding doubleblind protocol termination visit. Male and female partners must agree to use an effective method of birth control during their participation in the trial and for at least 15 days after the last IMP dose. Both partners must use reliable methods of contraception with 2 independent methods. The following measures are acceptable: Hormone contraceptives (e.g. oral contraceptives or comparable methods), intrauterine device, condoms with spermicidal coating or in combination with spermicidal creams, total abstinence or sterilisation performed in the past. Be able to follow the investigators instructions and be able to comply with the visit schedule and visit requirements;and Sign a written informed consent. · Los pacientes deben haber completado los 18 meses del estudio de eficacia y seguridad de TRO19622 en pacientes con esclerosis lateral amiotrófica (ELA) en tratamiento con riluzola (Protocolo TRO19622 CL E Q 1015-1). · El investigador y el paciente decidirán, basándose en la buena tolerancia previa y en otros fundamentos clínicos, su participación o no en el estudio de extensión abierto. · Si los pacientes estaban en tratamiento antivitamina K durante el periodo doble ciego, al entrar en la extensión abierta se deben supervisar las pruebas de coagulación exactamente en las mismas condiciones que si se iniciara un nuevo tratamiento anticoagulante, ajustándose la dosis de vitamina K en consecuencia (véase sección 8.3.11). · Los pacientes incluidos procedentes de este estudio previo de seguridad y eficacia deben: Si se trata de una mujer en edad fértil, continuar usando métodos adecuados de control de la natalidad y tener una prueba sérica de embarazo negativa en la visita de finalización del protocolo doble ciego, Ser capaces de seguir las instrucciones del investigador y poder cumplir el calendario de visitas y las exigencias de las visitas; y Firmar un consentimiento informado. |
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E.4 | Principal exclusion criteria |
Patients may not participate to this study if they have an ongoing, unresolved, clinically significant medical problem (including patients having serious adverse events or nonserious, but medically significant adverse events during the preceding safety and efficacy study that was assessed to be related to the study medication by the investigator)that is on the judgment of the investigator would make it unsafe for the patient to participate in the trial. Los pacientes no pueden participar en este estudio si tienen un problema médico actual, no resuelto, clínicamente importante (incluidos los pacientes que han experimentado acontecimientos adversos graves o no graves, aunque médicamente significativos, durante el estudio precedente de seguridad y eficacia que el investigador juzgara relacionado con el medicamento del estudio) que, a criterio del investigador, hiciera arriesgada la participación del paciente en el ensayo. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary outcome measure will be the safety assessment. The safety criteria will be: occurence of Adverse Events, Physical examination, Laboratory tests, vital signs and ECG. Variable principal de valoración: La variable principal de valoración será la evaluación de la seguridad. Los criterios de seguridad serán: · Aparición de AA · Exploración física, · Pruebas analíticas · Constantes vitales y ECG, |
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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 | No |
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 | Yes |
E.6.13.1 | Other scope of the trial description |
OPEN LABEL EXTENSION PHASE II/III (el estudio de extensión abierto fase II/III |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
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
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 15 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
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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The end of the study will be the last visit of the last subject. Patients must have completed 15 months visits. El final del estudio será la última visita del último sujeto. Los pacientes deben haber completado visitas de 15 meses. |
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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 | 1 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 3 |
E.8.9.2 | In all countries concerned by the trial days | 0 |