E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Unresectable Low Grade Ovarian Cancer |
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E.1.1.1 | Medical condition in easily understood language |
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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 | 18.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10033130 |
E.1.2 | Term | Ovarian cancer NOS |
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 |
Evaluation of the objective tumor response of the combination therapy
with pimasertib plus SAR245409 and of pimasertib plus SAR245409
placebo in subjects with previously treated unresectable low-grade
ovarian carcinoma according to Response Evaluation Criteria in Solid
Tumors Version 1.1. (RECIST v1.1) as determined by the investigator. |
|
E.2.2 | Secondary objectives of the trial |
For the combination therapy with pimasertib plus SAR245409 and
pimasertib plus SAR245409 placebo:
- Safety and tolerability
- Progession free survival (PFS)
- Overall survival (OS)
- Disease control (DC)
- Patient reported Health-related Quality of Life (HrQoL)
- Predictive markers of response and/or resistance
- Pharmacokinetics (PK) of pimasertib as well as SAR245409 to evaluate
relationships between exposure and response as well as between exposure and adverse events (AEs)
|
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-The female subject has a diagnosis of one of the following: a) low-grade serous ovarian or peritoneal carcinoma, or grade 1 serous ovarian or peritoneal carcinoma or well-differentiated serous ovarian or peritoneal carcinoma or b) serous borderline ovarian or peritoneal tumor, ovarian or peritoneal tumor of low-malignant potential, ovarian or peritoneal atypical proliferative serous tumor that recurs as low grade serous carcinoma or has invasive peritoneal implants.
- The subject had at least one prior line of systemic therapy and has a tumor, which is not amenable to potentially curative surgical resection.
- The subject has measurable disease by RECIST v1.1.
- The subject is at least 18 years old.
- The subject has read and understood the written informed consent form (ICF) and is willing and able to give informed consent, fully understands the requirements of the trial and is willing to comply with all trial visits and assessments, including completion of patient-reported measures. Consent must be given before any trial related activities.
- Subjects of childbearing potential must have a negative serum pregnancy test at the screening visit. Subjects of childbearing potential must be willing to avoid pregnancy by using an adequate method of contraception for 2 weeks prior to screening, during and at least 3 months after the last dose of trial medication.
Other protocol defined inclusion criteria may apply. |
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E.4 | Principal exclusion criteria |
- The subject has previously been treated with a PI3K inhibitor and taken off treatment due to treatment related AEs.
- The subject has been previously treated with a Mitogen-activated protein/extracellular signal-regulated kinase (MEK) inhibitor.
- Any anti-cancer therapy or treatment incorporating chemotherapy, immunotherapy, hormonal therapy or biologic therapy within 28 days of the start of the trial or within 5 times the half life of such treatment, whichever is shorter. For treatment with nitrosoureas or mitomycin C a treatment interval of at least 6 weeks is required.
- The subject has not recovered from toxicity due to prior therapy to baseline level or national cancer institute common terminology criteria for adverse events version 4.0 (NCI CTCAE v4.0) grade 1 or less (except alopecia). Residual chemotherapy-induced neuropathy grade ≤ 2 is permitted.
- The subject has poor organ and marrow function as defined in the protocol
- The subject has creatine phosphokinase (CPK) elevation NCI CTCAE grade >=2, and/or a previous history of myositis or rhabdomyolysis.
- The subject has difficulty swallowing, malabsorption or other chronic gastrointestinal disease or conditions that may hamper compliance and/or absorption of the trial drug. Subjects requiring total parental nutrition are to be expected.
- The subject has a history of delayed healing/open wounds or diabetic ulcers.
- The subject has a history of congestive heart failure, unstable angina, myocardial infarction, cardiac conduction abnormalities including Fridericia corrected QT interval prolongation of > 480ms or a pacemaker, clinically relevant impared cardiovascular function (NYHA class III/IV) or stroke within 3 months prior to enrollment.
- The subject has a history of retinal degenerative disease (hereditary retinal degeneration or age-related macular degeneration), uveitis or retinal vein occlusion (RVO), or has other relevant abnormalities identified on screening opthalmologic examination, which may increase the risk of serous retinal detachment (SRD) or RVO.
- The subject has a history of uncontrolled intercurrent illness including but not limited to an active infection, hypertension, or uncontrolled diabetes (e.g. glycosylated hemoglobin >= 8%) that would limit compliance with treatment requirements.
- Any previous malignancy treated with curative intent and the subject
has been disease free for less than 5 years prior to randomization, with
exception of Carcinoma-in-situ of the cervix, Squamous carcinoma of the
skin, Basal cell carcinoma of the skin.
Other protocol defined exclusion criteria may apply. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Objective tumor response defined as complete response (CR) or partial response (PR) according to RECIST v1.1. criteria as determined by the investigator. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Approximately 6 months after the last subject is randomized |
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E.5.2 | Secondary end point(s) |
- Progression-free survival (PFS)
- Percentage of subjects with disease control according to RECIST v.1.1
(DC)
- Overall survival time (OS)
- Patient reported Health-related Quality of Life (HrQoL).
- Number of Subjects with Treatment Emergent Adverse Events (TEAEs),
Adverse Events (AEs) of special interest, Serious Adverse Events (SAEs),
discontinuation of treatment due to TEAEs, death
- Maximum Plasma Concentration (Cmax) After Dose of pimasertib and SAR245409
- Area under the curve (AUC) After Dose of pimasertib and SAR245409
- Molecular Alterations in MAPK and/or PI3K signaling pathway components/modulators in tumor tissue and blood
|
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Approximately 6 months after the last subject is randomized. |
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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 | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
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 | Yes |
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 | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
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) | No |
E.8.2.2 | Placebo | Yes |
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 | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 36 |
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 |
Italy |
Poland |
Spain |
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
|
Definition of the end of the trial and justification in the case where it is not the last visit of the last subject undergoing the trial, if not provided in the protocol. |
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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 | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |