E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
steroid-refractory bronchiolitis obliterans |
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E.1.1.1 | Medical condition in easily understood language |
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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 | 13.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10029888 |
E.1.2 | Term | Obliterative bronchiolitis |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal disorders |
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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 |
Objective improvement of lung function, i.e.:
• Improvement of SO2, pO2 or pCO2 in oxygen dependent or improvement of FiO2 in ventilated patients ≥ 20 %
or
• Reduction of oxygen need in oxygen dependent patients ≥ 1L O2/min without deterioration of parameters in blood gas analysis (BGA)
or
• Improvement of obstructive parameters ≥ 20 %
or
• Improvement of lung function score (LFS) at least about one grade
Improvement of lung function should be detectable at least by two consecutive examinations of lung function or BGA within at least four weeks.
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E.2.2 | Secondary objectives of the trial |
• Morphological improvement of BO/BOOP at CT scan
• Reduction of steroids (dose/day) about at least 20 %
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Allogeneic SCT
• Age ≥ 18 years
• BO, firmed by 2 out of 3 examinations:
o Lung function/ BGA
o CT scan in in- and exspiration or
o Histological diagnosis
• Therapy refractory BO, i.e. no improvement during at least three therapies, among:
o Azithromycin + inhaled steroids/ bronchodilatators
o Systemic steroids 1 mg/kg BW
o One of the following therapies: MMF, mTOR inhibitors or ECP
• Effective contraception (before, during and for 8 weeks after the treatment)
• Blood count: no severe neutropenia or cytopenia, defined as ANC > 1000/ml, platelets > 50/nl and haemoglobin > 8 g/dl
• Liver parameters (bilirubin, gammaGT, AP, ASAT, ALAT) below 3x normal range
• Creatinin below 3x normal range
• Informed consent |
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E.4 | Principal exclusion criteria |
• Age < 18 years
• Pregnant or nursing woman
• No appropriate contraception
• Participation in any other study within 4 weeks before or during the study
• Active acute GvHD of other organs than the lung > grade II or severe active chronic GvHD
• No appropriate antibiotic/ antimycotic therapy in documented infection
• Severe bone marrow suppression (ANC < 1000/ml) or graft failure
• Liver parameters (bilirubin, gammaGT, AP, ASAT and ALAT) above 3x normal range
• Creatinin above 3x normal range
• Participation in another study within 4 weeks before or during the study |
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E.5 End points |
E.5.1 | Primary end point(s) |
lung function testing, blood gas analysis |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
for all 4 weeks until week 24 |
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E.5.2 | Secondary end point(s) |
CT, reduction of steroids about at least 20 % |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
CT: after 12 and 24 weeks
reduction of steroid: for all 4 weeks until week 24 |
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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 | Yes |
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 | 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 | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
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 | No |
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 | No |
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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Follow-up after 12 weeks after inclusion 10 patients |
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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 | 3 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |