E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Non-small cell lung cancer |
Cáncer de pulmón de células no pequeñas |
|
E.1.1.1 | Medical condition in easily understood language |
Non-small cell lung cancer |
Cáncer de pulmón de células no pequeñas |
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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 | PT |
E.1.2 | Classification code | 10061873 |
E.1.2 | Term | Non-small cell lung cancer |
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 demonstrate the antitumor activity of LDK378, as measured by overall response rate (ORR) to LDK378 by investigator assessment |
Demostrar la actividad antitumoral de LDK378, medido con la tasa de respuesta global (TRG) a LDK378, con evaluación del investigador |
|
E.2.2 | Secondary objectives of the trial |
To evaluate response related endpoints as assessed by investigator and Blinded Independent Review Committee (BIRC): - Duration of response (DOR) - Disease control rate (DCR) - Time to response (TTR) To assess ORR by BIRC assessment To evaluate the safety profile of LDK378 To evaluate progression-free survival (PFS) To evaluate overall survival (OS) |
Evaluar las variables relacionadas con la respuesta, evaluadas por el investigador y el Comité de Revisión Independiente Enmascarado (BIRC): duración de la respuesta (DR), tasa de control de la enfermedad (TCE), tiempo hasta la respuesta (TR); y evaluar la TRG con evaluación del BIRC. Evaluar el perfil de seguridad de LDK378 Evaluar la supervivencia libre de progresión (SLP) Evaluar la supervivencia global (SG) |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Histologically or cytologically confirmed diagnosis of locally advanced or metastatic NSCLC that carries an ALK rearrangement defined as 15% or more positive tumor cells as assessed by the FDA-approved FISH test (Abbott Molecular Inc) 2. Age 18 years or older at the time of informed consent. 3. Patients must have locally advanced or metastatic NSCLC that has progressed during therapy with crizotinib or within 30 days of the last dose 4. Patients must have received 1-3 lines of cytotoxic chemotherapy (of which 1 must have been a platinum doublet) to treat their locally advanced or metastatic NSCLC 5. Patients must have archival tissue sample available, collected either at the time of diagnosis of NSCLC or any time since. 6. Patients must have recovered from all toxicities related to prior anticancer therapies to grade ? 2, except for patients with grade 2 nausea/vomiting and/or grade 2 diarrhea despite optimal supportive therapy who will not be allowed to participate in the study
Other protocol defined inclusion criteria may apply |
1.Diagnóstico histológicamente o citológicamente confirmado de CPCNP metastásico o locamente avanzado portador de reordenación de ALK, definido como 15% o más de células tumorales positivas, evaluado con el test FISH aprobado por la FDA (abbot Molecular Inc) 2.Pacientes con 18 años de edad o más en el momento del consentimiento informado 3.Los pacientes deberán presentar CPCNP metastásico o localmente avanzado que ha progresado durante la terapia con crizotinib o dentro de los 30 días de la última dosis 4. Los pacientes deben haber recibido 1-3 lineas de quimioterapia citotóxica (de la cual 1 debe de haber sido un doblete de platino) para tratar su CPCNP metastásico o localmente avanzado 5. Deberá disponerse de tejido archivado, recogido en el momento del diagnóstico. 6.Los pacientes deberán haberse recuperado de todas las toxicidades relacionadas con terapia antineoplásicas previas a grado ? 2 (CTCAE v 4.03). La excepción a este criterio es para pacientes con vómitos/náuseas de grado 2 y/o diarrea de grado 2 a pesar de terapia de soporte óptima que no podrán participar en el estudio. Se aplicaran otros criterios definidos en el protocolo. |
|
E.4 | Principal exclusion criteria |
1. Patients with known hypersensitivity to any of the excipients of LDK378 2. Patients with symptomatic central nervous system (CNS) metastases who are neurologically unstable or have required increasing doses of steroids within the 2 weeks prior to study entry to manage CNS symptoms. 3. History of carcinomatous meningitis. 4. Presence or history of a malignant disease other than NSCLC that has been diagnosed and/or required therapy within the past 3 years. 5. Clinically significant, uncontrolled heart disease 6. Systemic anti-cancer therapy given after the last dose of crizotinib and prior to starting study drug.
Other protocol defined exclusion criteria may apply |
1.Pacientes con hipersensibilidad conocida a cualquiera de los excipientes de LDK378 2.Pacientes con metástasis del sistema nervioso central (SNC) sintomáticas que sean neurológicamente inestables o hayan precisado aumento de la dosis de esteroides dentro de las 2 semanas antes de iniciar el estudio para controlar los síntomas del SNC. 3.Antecedentes de meningitis carcinomatosa 4.Presencia o antecedentes de enfermedad maligna que no sea CPCNP que haya sido diagnosticado y/o precisa terapia dentro de los últimos 3 años 5.Enfermedad cardíaca no controlada clinicamente significativa 6.Terapia antineoplásica sistémica administrada después de la última dosis de crizotinib y antes de iniciar la medicación del estudio Se aplicaran otros criterios definidos en el protocolo. |
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E.5 End points |
E.5.1 | Primary end point(s) |
ORR per RECIST v1.1 calculated as the proportion of patients with a best overall response defined as complete response or partial response (CR+PR) as assessed by investigator |
TRG según los RECIST v1.1 calculada como el porcentaje de pacientes con una mayor respuesta global definida como respuesta completa o respuesta parcial (RC + RP), evaluada por el investigador |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
6 cycles of 28 days |
6 ciclos de 28 días |
|
E.5.2 | Secondary end point(s) |
- DOR, calculated as the time from the date of the first documented CR or PR to the first documented progression or death due to underlying cancer, by investigator and BIRC - DCR, calculated as the proportion of patients with best overall response of CR, PR, or SD, by investigator and BIRC - TTR, calculated as the time from first dose of LDK378 to first documented response (CR+PR), by investigator and BIRC - ORR (CR+PR) per RECIST v1.1 as assessed by BIRC - Adverse events and laboratory abnormalities - PFS, defined as time from first dose of LDK378 to progression or death due to any cause, as assessed by BIRC and investigator assessment - OS, defined as time from first dose of LDK378 to death due to any cause |
1. DR, calculada como el tiempo desde la fecha de la primera RC o RP documentada hasta la primera progresión documentada o muerte debido al cáncer subyacente 2. TCE, calculada como el porcentaje de pacientes con mejor respuesta global de RC, RP o EE 3. TR, calculada como el tiempo desde la primera dosis de LDK378 hasta la primera respuesta documentada (RC + RP) Y: 4. TRG (RC+RP) según los RECIST v1.1, evaluada por el BIRC |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
6 cycles of 28 days for all |
6 ciclos de 28 dias para todos |
|
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 | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | Yes |
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.8.3 |
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 | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 24 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Belgium |
Canada |
France |
Germany |
Hong Kong |
Italy |
Korea, Republic of |
Netherlands |
Singapore |
Spain |
Sweden |
United Kingdom |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
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
|
The study will end once at least 75% of patients have died. Patients continuing to derive benefit from the study treatment at the end of the study in the opinion of the investigator will be able to continue receiving LDK378 on a separate protocol |
El estudio finalizará una vez que al menos el 75% de los pacientes hayan fallecido. Los pacientes que continúen beneficiandose del tratamiento al final del estudio, en la opinión del investigador, podrá continuar recibiendo LDK378 en un protocolo separado |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 8 |
E.8.9.2 | In all countries concerned by the trial days | 0 |