E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
platinum sensitive ovarian cancer patients progressing or recurring after a first-line treatment including bevacizumab. |
pazienti con tumore ovarico avanzato pretrattate con chemioterapia contenente platino e bevacizumab, platino sensibili. |
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E.1.1.1 | Medical condition in easily understood language |
platinum sensitive ovarian cancer patients progressing or recurring after a first-line treatment including bevacizumab. |
pazienti con tumore ovarico avanzato pretrattate con chemioterapia contenente platino e bevacizumab, platino sensibili. |
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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 | 10066697 |
E.1.2 | Term | Ovarian cancer recurrent |
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 |
The primary objective of this trial is to test whether the addition of bevacizumab to second-line chemotherapy can prolong progression-free survival (PFS) of platinum sensitive ovarian cancer patients progressing or recurring after a first-line treatment including bevacizumab. |
L’obiettivo primario dello studio è quello di valutare se l’aggiunta di bevacizumab alla chemioterapia, nel trattamento delle pazienti con tumore ovarico avanzato precedentemente trattate con terapia a base di platino e platino-sensibili, possa prolungare la sopravvivenza libera da progressione (Progression Free Survival, PFS), valutata dai singoli investigatori, delle pazienti, rispetto alla sola chemioterapia. |
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E.2.2 | Secondary objectives of the trial |
Overall Survival (OS), response rate (RR), safety, as secondary end-points, will be also assessed.
Exploratory objectives for this study are to assess the correlation of baseline plasma biomarker expression with clinical outcome, as measured by PFS and OS and to evaluate the association of other potential biomarkers, including, but not limited to, the single-nucleotide polymorphisms (SNPs), other potential plasma biomarkers, and tumor-specific markers as well as clinical factors with clinical outcome. Describing the prevalence of use of oral antidiabetic as well as antithrombotic drugs will also be considered as a secondary objective. |
Obiettivi secondari dello studio includono, la sopravvivenza globale (Overall Survival, OS), la PFS valuata centralmente, il tasso di risposte (Response Rate, RR), la sicurezza del trattamento. Inoltre sono previsti obiettivi esploratori quali la valutazione del ruolo prognostico e predittivo di biomarcatori molecolare e fattori clinici. Infine verrà descritta la prevalenza d’uso di farmaci antidiabetici orali e antitrombotici. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Female patients 18 years of age.
• Patients with histologically confirmed EOC, fallopian tube carcinoma or PC, including mixed Mullerian Tumours
• Recurrence or progression at least 6 months after the last chemotherapy cycle of a first line carboplatin + paclitaxel chemotherapy including bevacizumab (recurrence or progression might occur either during or after bevacizumab as maintenance)
• Patients can be included if they have a RECIST progression, with either measurable or non-measurable disease
• ECOG Performance Status of 0–2.
• Life expectancy of 12 weeks.
• Signed informed consent obtained prior to initiation of any study-specific procedures and treatment as confirmation of the patient’s awareness and willingness to comply with the study requirements including blood samples for molecular analyses.
• Availability of tumour samples for molecular analyses from primary surgery (mandatory) and secondary surgery (when available) |
• • Pazienti di sesso femminile con età ≥18 anni.
• Diagnosi istologica di carcinoma epiteliale dell’ovaio oppure delle tube di Falloppio o carcinoma primitivo del peritoneo, inclusi i tumori Mulleriani misti.
• Ricaduta o progressione di malattia almeno 6 mesi dopo l’ultimo ciclo di chemioterapia contenente platino e bevacizumab
• FIGO stadio IIIB & C o IV
• Performance Status 0–2 secondo ECOG.
• Aspettativa di vita di almeno 12 settimane.
• Consenso informato firmato ottenuto prima dell’inizio di qualsiasi procedura studio specifica e del trattamento quale conferma della volontà della paziente di partecipare allo studio e della consapevolezza da parte della paziente di dover rispettare le procedure previste dal protocollo.
• Disponibilità di campioni di tessuto tumorale per analisi molecolari. |
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E.4 | Principal exclusion criteria |
• Ovarian tumours with low malignant potential (i.e. borderline tumours)
• History or evidence of synchronous primary endometrial carcinoma, unless all of the following criteria related to the endometrial carcinoma are met:
o stage ≤Ia
o no more than superficial myometrial invasion
o no lymphovascular invasion
o not poorly differentiated (grade 3 or papillary serous or clear cell carcinoma).
• Other malignancy within the last 5 years, except for adequately treated carcinoma in situ of the cervix or squamous carcinoma of the skin, or adequately controlled limited basal cell skin cancer. |
• Tumori ovarici a basso potenziale di malignità (i.e. tumori borderline)
• Storia o evidenza di metastasi cerebrali o di compressione midollare.
• Storia o evidenza di carcinoma endometriale primitivo sincrono a meno che tutti i seguenti criteri per il carcinoma endometriale siano rispettati:
o stadio ≤Ia
o invasione miometrale solo superficiale
o nessuna invasione linfovascolare
o assenza di forme scarsamente differenziate (grado 3 oppure carcinoma sieroso papillare o a cellule chiare).
• Altre patologie neoplastiche negli ultimi 5 anni, ad eccezione del carcinoma in situ della cervice o del carcinoma cutaneo spinocellulare o basocellulare in stadio iniziale, purché adeguatamente trattati. |
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E.5 End points |
E.5.1 | Primary end point(s) |
PFS will be the primary end-point. |
L'endpoint primario è la PFS valutata dall'investigatore. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
PFS will be measured from the date of randomization to the date of progression (defined by the investigator) or the date of death, whichever comes first. |
La PFS è misurata com il tempo intercorrente dalla randomizzazione alla data di progressione(valuata dall'investigatore)o della morte qualsiasi delle due capita prima. |
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E.5.2 | Secondary end point(s) |
• OS will be measured from the date of randomization to the date of death
• PFS defined by central independent review
• ORR will be assessed according to RECIST version 1.1
• Identification of prognostic and predictive molecular factors |
Sopravvivenza globale (OS)
PFS valuata alla revisione centralizzata delle immagini
Il tasso di risposte obiettive
La definizione del valore prognostico o predittivo di fattori clinico-molecolari
La descrizione dell'utilizzo di farmaci antidiabetici orali e antitrombotici. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
OS will be measured as the time between the randomisation and death for any cause of the patient.
PFS as assessed by the central independent review, will be measured as the time between the randomisation and the progression (assessed by central independent review) or the death of the patient whichever occurs first |
La OS è misurata come il tempo intercorrente tra la randomizzazione e il decesso della paziente.
La PFS sara misurata come il tempo intercorrente tra la randomizzazione e la progressione(valuata alla revisione centrale delle immagini) di malattia il decesso qualunque dei due capiti prima. |
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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 | Yes |
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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
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 | 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) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
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 | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 80 |
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 | 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
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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 | 0 |
E.8.9.1 | In the Member State concerned months | 36 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 36 |
E.8.9.2 | In all countries concerned by the trial days | 0 |