E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Primary or recurrent sporadic desmoid tumor |
Tumore desmoide sporadico primitivo o recidivo |
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E.1.1.1 | Medical condition in easily understood language |
Desmoid tumor never treated or recurrent after being previously treated |
Tumore desmoide non FAP-correlato mai trattato e che si è ripresentato dopo trattamento |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | SOC |
E.1.2 | Classification code | 10028395 |
E.1.2 | Term | Musculoskeletal and connective tissue disorders |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
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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 |
Determine the efficacy of toremifene in terms of tumor response rate and symptom relief in patients with desmoid tumors |
Determinare l’efficacia di toremifene in termini di risposta tumorale e beneficio sintomatico in pazienti con tumore desmoide |
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E.2.2 | Secondary objectives of the trial |
-Determine the safety of toremifene in patients with sporadic primary or recurrent desmoid tumor -Determine the quality of life of patients treated with toremifene -Identify a correlation between specific marker expression and response to treatment |
-Determinare la sicurezza di toremifene in pazienti con tumore desmoide sporadico primitivo o recidivo-Determinare la qualita’ di vita dei pazienti trattati con toremifene-Identificare una correlazione tra l’espressione di specifici markers e la risposta al trattamento |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Adult patients (age > 18 years) with primary or locally recurrent, sporadic or FAP associated, desmoid fibromatosis. - Histologically documented diagnosis of DF. - At least one measurable site of disease at CT or MRI scans, which has not been previously embolised or irradiated. - Progressive disease demonstrated at contrast-enhanced MRI or CT scan by Response Evaluation Criteria in Solid Tumors (RECIST). - Radiologic or clinical evidence of PD in the previous 6 months. Radiologic PD will be defined according to RECIST. - ECOG Performance status: 0-2. - Prior hormonal therapy, chemotherapy, or molecular targeted therapies are allowed - Adequate end organ function, defined as the following: total bilirubin < 1.5 x ULN, SGOT and SGPT < 2.5 x UNL (or < 5 x ULN if hepatic metastases are present), creatinine < 1.5 x ULN, ANC > 1.5 x 109/L, platelets > 100 x 109/L. - Female patients of child-bearing potential must have negative pregnancy test within 7 days before initiation of study drug dosing. Post menopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential. Male and female patients of reproductive potential must agree to employ an effective barrier method of birth control throughout the study and for up to 3 months following discontinuation of study drug. - Life expectancy of at least 6 months. - Written, voluntary, informed consent. |
- Adult patients (age > 18 years) with primary or locally recurrent, sporadic or FAP associated, desmoid fibromatosis. - Histologically documented diagnosis of DF. - At least one measurable site of disease at CT or MRI scans, which has not been previously embolised or irradiated. - Progressive disease demonstrated at contrast-enhanced MRI or CT scan by Response Evaluation Criteria in Solid Tumors (RECIST). - Radiologic or clinical evidence of PD in the previous 6 months. Radiologic PD will be defined according to RECIST. - ECOG Performance status: 0-2. - Prior hormonal therapy, chemotherapy, or molecular targeted therapies are allowed - Adequate end organ function, defined as the following: total bilirubin < 1.5 x ULN, SGOT and SGPT < 2.5 x UNL (or < 5 x ULN if hepatic metastases are present), creatinine < 1.5 x ULN, ANC > 1.5 x 109/L, platelets > 100 x 109/L. - Female patients of child-bearing potential must have negative pregnancy test within 7 days before initiation of study drug dosing. Post menopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential. Male and female patients of reproductive potential must agree to employ an effective barrier method of birth control throughout the study and for up to 3 months following discontinuation of study drug. - Life expectancy of at least 6 months. - Written, voluntary, informed consent. |
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E.4 | Principal exclusion criteria |
- Previous history of deep vein thrombosis. - Evidence of prolonged QTc >480 msec (using Bazetts correction, for which the formula is: QTc = QT/√RR) or history of familial long QT syndrome. - Previous arrhythmia. - Clinically significant bradycardia. - Endometrial hyperplasia. - Hepatic insufficiency. - Other concurrent hormonal therapy, including hormonal contraceptives. - Patient has received any other investigational agents within 28 days of first day of study drug dosing. - Female patients who are pregnant or breast-feeding. - Patient has a severe and/or uncontrolled medical disease. - Patient has a known diagnosis of human immunodeficiency virus (HIV) infection. - Patient received chemotherapy within 4 weeks prior to study entry. - Patient had a major surgery within 2 weeks prior to study entry. |
- Previous history of deep vein thrombosis. - Evidence of prolonged QTc >480 msec (using Bazetts correction, for which the formula is: QTc = QT/√RR) or history of familial long QT syndrome. - Previous arrhythmia. - Clinically significant bradycardia. - Endometrial hyperplasia. - Hepatic insufficiency. - Other concurrent hormonal therapy, including hormonal contraceptives. - Patient has received any other investigational agents within 28 days of first day of study drug dosing. - Female patients who are pregnant or breast-feeding. - Patient has a severe and/or uncontrolled medical disease. - Patient has a known diagnosis of human immunodeficiency virus (HIV) infection. - Patient received chemotherapy within 4 weeks prior to study entry. - Patient had a major surgery within 2 weeks prior to study entry. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Progression-free survival (PFS) computed for each patient, from the date of toremifene onset to the date of progression or interruption for any cause or to the date of last observation if progression free assessed according to RECIST criteria -Time to pain relief from the date of toremifene onset to the date of pain relief according to visual analog scale (VAS) |
-Sopravvivenza libera da progressione (PFS) calcolata per ogni paziente dalla data dell`inizio del toremifene alla data della progressione o interruzione per qualasiasi causa o alla data dell`ultima osservazione se libera da progressione secondo i criteri di RECIST -Tempo al miglioramento del dolore dalla data dell`inizio del toremifene alla data del miglioramento del dolore in accordo con la la scala analogica visuale (VAS) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
PFS will be evaluated at 3 months |
Sopravvivenza libera da malattia valutata a 3 mesi |
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E.5.2 | Secondary end point(s) |
-Descriptive evaluation of any adverse events registered from the date of toremifene onset according to the Common Toxicity Criteria for Adverse Events (NCI - CTC) version 4.03 -Descriptive evaluation of quality of life using QLQ-C30 EORTC Questionnaire -Correlation between expression pattern of specific marker/target and response to toremifene treatment |
-Valutazione descrittiva di ogni evento avverso registrato dalla data dell'inizio del toremifene secondo i criteri CTAE versione 4.03 -Valutazione descrittiva della qualità di vita usando il questionario QLQ-C30 EORTC -Correlazione tra espressione di specifici marker/target e risposta al trattamento |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
-Adverse events registered during the entire duration of the study -Quality of life: at the accrual and at the progression or end of the study -Correlation between markers expression and response at the end |
-Eventi avversi vengono registrati durante tutto lo studio -Qualità della vita ad inizio e a progressione o termine dello studio -Correlazione tra risposta e markers al termine |
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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 | 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.8.2.4 | Number of treatment arms in the trial | 1 |
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.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
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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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 | 0 |
E.8.9.1 | In the Member State concerned days | 0 |