E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Metastatic renal cancer thrid-line therapy already treated in fist-line therapy with Sunitinib. |
Carcinoma renale metastatico in terza linea già trattato in prima linea con Sunitinib. |
|
E.1.1.1 | Medical condition in easily understood language |
Metastatic renal cancer already treated with Sunitinib. |
Carcinoma renale metastatico già trattato con Sunitinib. |
|
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 | LLT |
E.1.2 | Classification code | 10009251 |
E.1.2 | Term | Clear cell carcinoma of the kidney |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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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 |
To assess the antitumor activity of Sunitinib in terms of freedom from disease progression. |
Determinare l’attività antitumorale di Sunitinib in termini di libertà da progressione di malattia. |
|
E.2.2 | Secondary objectives of the trial |
1)To evaluate Sunitinib activity in terms of objective response rate 2) To evaluate the efficacy in terms of progression free survival (PFS) and overall survival (OS) 3) To evaluate the tolerability of Sunitinib. |
1) Valutare l’attività di Sunitinib in termini di tasso di risposte obiettive 2) Valutare l’efficacia di Sunitinib in termini di progression free survival (PFS) ed overall survival (OS) 3) Valutare il profilo di tollerabilità di Sunitinib. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Histologically proven diagnosis of Renal Cell Carcinoma with predominant clear cell component. 2. First-line treatment with Sunitinib. 3. Patients with a Disease Control Rate (Complete Response + Partial Response + Stable Disease) lasting at least 10 months from first-line Sunitinib treatment. 4. Second-line treatment with Everolimus. 5. Age higher than 18. 6. ECOG Performance Status 0-2. 7. Life expectancy of at least 8 weeks. 8. Measurable lesions according to RECIST criteria. 9. Adequate cardiac, hepatic, renal, and bone marrow function. 10. Written informed consent. |
1.Diagnosi istologica di carcinoma renale con predominanza a cellule chiare 2. Trattamento di prima linea con Sunitinib. 3. Pazienti con Disease Control Rate (Risposta completa + Risposta Parziale + Stabilità di Malattia) al trattamento di prima linea con Sunitinib perdurata almeno 10 mesi. 4. Trattamento di seconda linea con Everolimus; 5. Età magggiore di 18 anni. 6. ECOG Performance Status 0-2. 7. Aspettativa di vita di almeno 8 mesi. 8. Lesioni misurabili in accordo con i criteri RECIST. 9. Adeguata funzionalità renale, epatica, respiratoria, cardiaca e midollare. 10. Consenso informato scritto. |
|
E.4 | Principal exclusion criteria |
1. First-line treatment with other compounds (excluding Sunitinib). 2. Symptomatic and/or unstable and/or not previously treated pre-existing brain metastases. 3. Uncontrolled hypertension. 4. Severe or uncontrolled cardiovascular diseases within 6 months of study. 5. Active uncontrolled infections. 6. Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical cancer in situ. |
1. Trattamento di prima linea con altri farmaci (ad esclusione del Sunitinib). 2. Seconda linea di trattamento con farmaci diversi da Everolimus. 3. Metatstasi encefaliche sintomatiche e/o instabili e/o non precedentemente trattate. 4. Ipertensione arteriosa non controllata. 5. Malattie cardiovascolari severe o non controllate negli ultimi 6 mesi. 6. Stati settici in atto. 7. Altre neoplasie concomitanti o diagnosticate nei 5 anni precedenti ad eccezione di basaliomi o carcinomi in situ della cervice uterina. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Freedom from disease progression. |
Libertà da progressione di malattia. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
1) Objective response rate (CR + PR)
2) PFS and OS
3) Toxicity |
1) Tasso di risposte obiettive (CR + PR)
2) PFS e OS
3) Tossicità |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Not applicable. |
Non applicabile. |
|
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
| No |
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 | 10 |
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
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |