E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Iodine refractory Differentiated Thyroid Carcinoma |
Carcinome Differencié de la Thyroide réfractaire à l'iode |
|
E.1.1.1 | Medical condition in easily understood language |
Iodine refractory thyroid carcinoma |
Carcinome de la thyroide conventionnel réfractaire à l'iode radioactif |
|
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 | 10043702 |
E.1.2 | Term | Thyroid carcinoma |
E.1.2 | System Organ Class | 100000004864 |
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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 |
The primary objective is to compare the time to treatment failure in patients with continuous pazopanib versus intermittent pazopanib treatment |
L'objectif principal est de comparer le temps à échec du traitement chez des patients traités par pazopanib en continu versus par intermittence |
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E.2.2 | Secondary objectives of the trial |
Before randomization:
- To study the objective response rate at 6 months of pazopanib,
- To study the disease control rate at 6 months of pazopanib,
After randomization:
- To compare the Progression-free survival between the 2 arms,
- to compare the best response rate between the 2 arms,
- To compare the duration of best response between the 2 arms,
- To compare the overall survival between the 2 arms,
- To compare the objective response rate between the 2 arms,
- To compare the stable disease rate between the 2 arms,
- To compare the quality of life between the 2 arms,
Throughout the study:
- To study the safety profile of pazopanib |
Avant la randomisation:
- Evaluer le taux de réponses objectives à 6 mois de traitement par pazopanib
- Evaluer le taux de controle de la maladie à 6 mois de traitement par pazopanib,
Après la randomisation:
- Comparer la survie sans progression entre les 2 bras,
- Comparer le taux de meilleure réponse entre les 2 bras,
- Comparer la durée de la meilleure réponse entre les 2 bras,
- Comparer la survie globale entre les 2 bras,
- Comparer le taux de reponses objectives entre les 2 bras,
- Comparer la qualité de vie entre les 2 bras,
Tout au long de l'étude:
- Evaluer le profil de tolérance du pazopanib |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Informed consent signature
Differentiated thyroid carcinoma (DTC)
Resistance to therapeutique radioiodine
Disease progression
ECOG Performance Status = 0 or 1
|
Consentement éclairé signé
Carcinome différencié de la thyoïde (DTC)
Résistant à l'iode radioactif
Progression de la maladie
ECOG Performance Status = 0 ou 1
|
|
E.4 | Principal exclusion criteria |
Other histological type than DTC
Prior treatment with pazopanib
Prior malignancy
Active Central Nervous System metastasis
Risk for gastrointestinal bleeding
Poorly controlled hypertension
Active bleeding or bleeding diathesis |
Type histologique autre que DTC
Utilisation antérieure de pazopanib
Antécédent de néoplasie
Métastase active du Système Nerveux Central
Risque de saignement gastrointestinal
Hypertension non controlée
Saignement actif ou prédisposition hémorragique |
|
E.5 End points |
E.5.1 | Primary end point(s) |
The Time to Treatment Failure (TTF) is the time from the date of randomization to the date of permanent treatment discontinuation due to any cause. |
Le temps jusqu'à échec du traitement est le temps entre la date de randomization et la date d'arrêt définitif du traitement, quelle qu'en soit la cause. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Until permanent discontinuation due to any cause. |
Jusqu'à arrêt définitif, quelle qu'en soit la cause. |
|
E.5.2 | Secondary end point(s) |
The Objective Response Rate (ORR) is the proportion of patients with a best overall response of Complete Response (CR) ou Partial Response (PR);
The Disease Control Rate (DCR) is the proportion of patients with a best overall response of CR, PR or Stable Disease;
The Progression-Free Survival (PFS) is the time from date of randomization to the date of event defined as the first documented progression under treatment or death due to any cause,
The best response rate is the proportion of patients with a best overall response of CR and the proportion of patients with a best overall response of PR;
The duration of response is the time from the first documented response (CR or PR when applicable) to the first documented disease progression or death due to any cause;
The Overall Survival (OS) is the time from the date of randomization to the date of death due to any cause;
The quality of life (QoL) will be studied with the score obtained at the EORTC QLQ-C30;
The safety will be described by adverse events assessed according the NCI-CTC AE v4.03 |
Le Taux de Réponses Objectives est la proportion de patients avec une meilleure réponse de type Réponse Complète (RC) ou Réponse Partielle (RP);
Le Taux de Controle de la Maladie (TCM) est la proportion de patients avec une meilleure réponse de type RC, RP ou Maladie Stable;
La Survie Sans Progression (SSP) est le temps entre la date de randomisation et la date de première progression documentée sous traitement ou la date de décès toutes causes;
Le taux de meilleures réponses est la proportion de patients avec une meilleure réponse de type RC et la proportion de patients avec une meilleure réponse de type PR;
La durée de réponse est le temps entre la date de première réponse documentée (RC ou RP - si applicable) et la date de première progression documentée ou la date de décès toutes causes;
La Survie Globale (SG) est le temps entre la date de randomisation et la date de décès toute cause;
La qualité de vie (QV) est étudiée par le score obtenu au QLQ-C30 de l'EORTC;
La tolérance est évaluée à l'aide de l'échelle NCI-CTC AE v4.03. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
ORR: 6 cycles after pazopanib initiation and 6 cycles after randomization;
DCR: 6 cycles after pazopanib initiation and 6 cycles after randomization;
PFS: until progression or death;
The best response will be assessed throughout the study;
OS: until death;
QoL: at screening, at randomization and at end of treatment;
Safety: throughtout the study. |
TRO: 6 cycles après l'initiation du pazopanib et 6 cycles après la randomization;
TCR: 6 cycles après l'initiation du pazopanib et 6 cycles après la randomization;
SSP: jusqu'à progression ou décès;
La meilleure réponse sera évaluée tout au long de l'étude;
SG: jusqu'au décès;
QV: au screening, à la randomisation et à la fin de traitement;
Tolérance: tout au long de l'étude. |
|
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 | Yes |
E.6.13.1 | Other scope of the trial description |
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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 | 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 | Yes |
E.8.1.1 | Randomised | Yes |
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 | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Randomisation après 6 mois de traitement |
Randomization after 6 months of treatment |
|
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Pazopanib en continu |
Continuous Pazopanib |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
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 | 12 |
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
|
6 months after the last patients randomized |
6 mois après la randomisation du dernier patient |
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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 | |