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    Summary
    EudraCT Number:2010-022338-10
    Sponsor's Protocol Code Number:H9H-MC-JBAK
    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:2011-01-21
    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
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2010-022338-10
    A.3Full title of the trial
    Randomized Phase 2 Study of LY2157299 in Patients with Hepatocellular Carcinoma who Have Had Disease Progression on Sorafenib or Are Not Eligible to Receive Sorafenib
    Estudio en fase 2 aleatorizado de LY2157299 en pacientes con carcinoma hepatocelular que han presentado progresión de la enfermedad con sorafenib o no son aptos para recibir sorafenib
    A.4.1Sponsor's protocol code numberH9H-MC-JBAK
    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 SponsorLilly S.A.
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorCommercial
    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 No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameLY2157299
    D.3.2Product code LY2157299
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.2Current sponsor codeLY2157299
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    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.IMP: 2
    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 No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameLY2157299
    D.3.2Product code LY2157299
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.2Current sponsor codeLY2157299
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    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.IMP: 3
    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 No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameLY2157299
    D.3.2Product code LY2157299
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.2Current sponsor codeLY2157299
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    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
    carcinoma hepatocelular
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 12.1
    E.1.2Level LLT
    E.1.2Classification code 10019829
    E.1.2Term Hepatocellular carcinoma recurrent
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    El objetivo principal de este estudio consiste en definir y comparar las distribuciones del THP y el efecto sobre biomarcadores séricos asociados al TGF- (por ejemplo, TGF-, AFP y cadherina E) de dos dosis de LY2157299 en pacientes con CHC.
    E.2.2Secondary objectives of the trial
    Evaluar seguridad de LY2157299 en pac con CHC.
    Evaluar FC poblacional de LY2157299.
    Determinar la presencia de cadherina E, pSMAD e integrina (y otros marcadores asociados a la transformación TEM y la vía de señalización relacionada con el TGF-) en tejido tumoral diagnóstico original y en tejido tumoral postratamiento opcional, así como su correlación con criterios de valoración de la eficacia clínica y la respuesta de biomarcadores.
    Dosis a emplear en futuros EECC en los que participen pac con CHC.
    Definir otras distribuciones de tiempo hasta el episodio, como la SSP( basada en los Criterios RECIST 1.1 y los criterios[mRECIST] para el CHC) y la SG.
    Eficacia antitumoral mediante la TR (basada en los criterios RECIST 1.1 y mRECIST para el CHC).
    Evaluar medidas de RCP de síntomas específicos de la enfermedad y calidad de vida relacionada con la salud.
    Técnicas de imagen exploratorias para evaluar el efecto de LY2157299.
    Investigar biomarcadores relacionados con la fibrosis
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    [1] Tener datos histológicos de un diagnóstico de CHC no susceptible de cirugía curativa.
    [2] Clase A de Child-Pugh (véase el Anexo 5).
    [3] AFP en suero 1,5 veces el LSN.
    [4] Presentar enfermedad mensurable según lo definido por los criterios RECIST 1.1 (Eisenhauer y cols. 2009). Una lesión que haya sido tratada previamente mediante tratamiento local se clasificará como mensurable o evaluable en caso de haber progresión demostrable tras el tratamiento locorregional.
    [5] Edad > 18 años.
    [6] Haber otorgado el consentimiento informado por escrito antes de realizar procedimientos específicos del estudio.
    [7] Tener una función orgánica suficiente, que incluye:
    - Hematológica: recuento absoluto de neutrófilos (RAN) > 1,5 x 109/l, plaquetas > 75 x 109/l y hemoglobina > 8 g/dl
    - Hepática: bilirrubina 2,5 veces el LSN; alanina aminotransaminasa (ALT) y aspartato aminotransaminasa (AST) < 5 veces el LSN. Cociente normalizado internacional (INR) del tiempo de protrombina (TP) < 2,3 o (TP) 6 segundos por encima del control.
    - Renal: creatinina sérica < 1,5 veces el LSN o aclaramiento de creatinina calculado (CrCl) > 45 ml/min (véase el Anexo 9).
    [8] Tener un estado funcional 1 según la escala del Eastern Cooperative Oncology Group (ECOG) (véase el Anexo 3).
    [9] Una de las situaciones siguientes:
    - haber recibido sorafenib y haber presentado progresión o haber sido intolerante a sorafenib, o bien
    - no ser apto para recibir tratamiento con sorafenib (a criterio del investigador)
    [10] Haber suspendido la administración de sorafenib durante al menos 2 semanas.
    [11] Ser fiable y estar dispuesto a encontrarse disponible durante todo el estudio y mostrarse dispuesto a seguir los procedimientos del estudio.
    [12] Los pacientes de ambos sexos en edad fértil deben comprometerse a utilizar métodos anticonceptivos médicamente aprobados durante el ensayo y durante 3 meses después de la última dosis de medicamento del estudio.
    [13] Las mujeres en edad fértil deben contar con una prueba de embarazo en suero negativa < 7 días antes de la primera dosis de medicamento del estudio.
    [14] Tener capacidad de deglutir cápsulas o comprimidos.
    E.4Principal exclusion criteria
    [15] El paciente se encuentra incluido en la actualidad, o se ha retirado en los 28 días precedentes, en un ensayo clínico sobre un medicamento o dispositivo en investigación o sobre el uso no autorizado de un medicamento o dispositivo o se encuentra incluido de forma simultánea en algún otro tipo de investigación médica que no se considere científica o médicamente compatible con este estudio.
    [16] CHC conocido con histología fibrolaminar o mixta.
    [17] Presencia de ascitis con importancia clínica.
    [18] Antecedentes de trasplante de hígado.
    [19] Haber recibido > 1 línea de tratamiento sistémico.
    [20] Padecer una cardiopatía moderada o grave:
    a) Presencia de una cardiopatía, entre ellas, infarto de miocardio durante los 6 meses anteriores a la incorporación al estudio, angina de pecho inestable, insuficiencia cardíaca congestiva de clase III y IV según la New York Heart Association (NYHA) o hipertensión arterial no controlada (véase el Anexo 11).
    b) Presencia de anomalías electrocardiográficas (ECG) importantes y documentadas, en opinión del investigador (por ejemplo, arritmias auriculares o ventriculares sintomáticas o sostenidas, bloqueo auriculoventricular de segundo o tercer grado, bloqueos de rama, hipertrofia ventricular o infarto de miocardio reciente).
    c) Presencia de anomalías importantes documentadas mediante un ecocardiograma con Doppler (por ejemplo, defecto moderado o intenso de la función valvular o fracción de eyección del ventrículo izquierdo [FEVI] < 50%; evaluación con arreglo al límite inferior de la normalidad en cada centro). Para obtener más detalles, consúltese el protocolo de realización de ecocardiogramas (véase el Anexo 12).
    d) Padecer enfermedades que predisponen al desarrollo de aneurismas de la aorta ascendente o que causan estrés en la aorta (por ejemplo, antecedentes familiares de aneurismas, síndrome de Marfan, válvula aórtica bicúspide o datos de lesión de los grandes vasos del corazón documentada mediante tomografía computarizada [TC] con contraste).
    [21] Padecer trastornos médicos preexistentes graves que, en opinión del investigador, no pueden controlarse de manera adecuada con el tratamiento pertinente o descartarían la participación en este estudio.
    [22] Mujeres embarazadas o en período de lactancia.
    [23] Tener antecedentes de cualquier otro cáncer (salvo cáncer de piel no melanomatoso o carcinoma in situ de cuello uterino), a menos que se encuentre en remisión completa y se haya suspendido todo tratamiento contra esa enfermedad durante un mínimo de 3 años.
    [24] Presentar una infección activa que podría interferir en los objetivos del estudio o influir en el cumplimiento del estudio.
    E.5 End points
    E.5.1Primary end point(s)
    Tiempo hasta progresion
    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 Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic Yes
    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) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    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 concerned2
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA21
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    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 years2
    E.8.9.1In the Member State concerned months2
    E.8.9.1In the Member State concerned days15
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months2
    E.8.9.2In all countries concerned by the trial days15
    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 For clinical trials recorded in the database before the 10th March 2011 this question read: "Women of childbearing potential" and did not include the words "not using contraception". An answer of yes could have included women of child bearing potential whether or not they would be using contraception. The answer should therefore be understood in that context. This trial was recorded in the database on 2011-01-21. Yes
    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 state8
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 128
    F.4.2.2In the whole clinical trial 183
    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 Decision2011-03-15
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2011-02-25
    P. End of Trial
    P.End of Trial StatusCompleted
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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