E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
unresectable stage III non-small cell lung cancer
(NSCLC) |
|
E.1.1.1 | Medical condition in easily understood language |
unresectable stage III non-small cell lung cancer
(NSCLC) |
|
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 | 10025052 |
E.1.2 | Term | Lung cancer non-small cell stage III |
E.1.2 | System Organ Class | 100000004864 |
|
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 compare overall survival (OS) time by treatment arm. |
|
E.2.2 | Secondary objectives of the trial |
- Time to symptom progression (TTSP) as measured by the Lung Cancer Symptom Scale (LCSS).
- Progression-free survival (PFS) time.
- Time to progression (TTP).
- Safety. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1) Written informed consent, before any trial-related activities are carried out.
2) Histologically or cytologically documented unresectable stage III NSCLC, including bronchioalveolar carcinomas. Cancer stage must be confirmed and documented by computed tomography (CT), magnetic resonance imaging (MRI) or positron emission tomography (PET) scan.
3) Prior concurrent CRT which is defined as follows:
- Minimum of 2 cycles of platinum-based chemotherapy.
- Radiotherapy with total tumor dose ≥ 60 Gray (Gy) and a single fraction dose ≥ 1.8 Gy.
- Overlap of radiotherapy with minimum 2 cycles of platinum-based chemotherapy (one cycle is defined as either 3 or 4 weeks depending on the
chemotherapy regimen).
4) Documented stable disease or objective response, according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, after primary concurrent CRT for unresectable stage III disease, within 4 weeks (28 days) prior to randomization
5) An Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
6) A platelet count, white blood cells (WBC) and hemoglobin value as defined in the protocol.
7) Male or female,
8) 18 years of age or over.
Other protocol defined inclusion criteria could apply.
|
|
E.4 | Principal exclusion criteria |
1) Undergone lung cancer specific therapy (including surgery) other than initial concurrent CRT.
2) Received chemotherapy during radiotherapy in radiosensitizing doses only.
3) Metastatic disease.
4) Malignant pleural effusion at initial diagnosis, during initial CRT, and/or at trial entry.
5) Past or current history of neoplasm other than lung carcinoma, except for curatively treated nonmelanoma skin cancer, in situ carcinoma of the cervix or other cancer curatively treated and with no evidence of disease for at least 5 years.
6) A recognized immunodeficiency disease including human immunodeficiency virus (HIV) infection and other cellular immunodeficiencies, hypogammaglobulinemia or dysgammaglobulinemia; subjects who have hereditary, congenital or acquired immunodeficiencies.
7) Splenectomy.
8) Any preexisting medical condition requiring chronic systemic steroid or immunosuppressive therapy (steroids for the treatment of radiation pneumonitis are allowed).
9) Receipt of immunotherapy (as defined in the protocol) within 4 weeks prior to randomization.
10) Receipt of investigational systemic drugs (including off-label use of approved products) within 4 weeks (28 days) prior to randomization.
11) Autoimmune disease.
12) Active or chronic infectious hepatitis.
13) Infectious process that, in the opinion of the investigator, could compromise the subject’s ability to mount an immune response.
14) Clinically significant hepatic dysfunction, renal dysfunction and cardiac disease as defined in the protocol.
15) Clinically significant hepatic dysfunction, renal dysfunction and cardiac disease as defined in the protocol.
16) Clinically significant cardiac disease, e.g., New York Heart Association (NYHA) classes III-IV; uncontrolled angina, uncontrolled arrhythmia or
uncontrolled hypertension, myocardial infarction in the previous 6 months as confirmed by an ECG.
17) Pregnant or breast-feeding women (for details see
Inclusion Criteria).
18) Known drug abuse/alcohol abuse.
19) Participation in another interventional clinical trial within the past 28 days (excluding purely observational studies).
20) Requires concurrent treatment with a non-permitted drug.
21) Known hypersensitivity to any of the trial treatment ingredients.
22) Legal incapacity or limited legal capacity.
23) Any other reason that, in the opinion of the investigator, precludes the subject from participating in the trial |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Overall Survival (OS) time. OS time will be measured from the date of randomization to the date of death or up to 5 years, whichever is first. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
up to 5 years or date of death, whichever is first |
|
E.5.2 | Secondary end point(s) |
- TTSP as measured by the LCSS.
- PFS time as determined by the investigator.
- TTP as determined by the investigator.
- Number of Subjects With Adverse Events (AEs), Serious AEs, treatment emergent AEs, AEs leading to death, and AEs with National Cancer Institute-Common Toxicity Criteria (NCI−CTC) toxicity Grade 3 or 4 and Injection site reactions (ISRs)
- Number of subjects with clinically significant abnormal Electrocardiogram (ECG) and lab parameters |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Baseline up to 12 weeks after the last dose administration |
|
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 | 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) | 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 | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
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) | 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 | 9 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 93 |
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 |
Austria |
Belarus |
Belgium |
Canada |
Chile |
Czech Republic |
Denmark |
France |
Germany |
Ireland |
Italy |
Kuwait |
Mexico |
Netherlands |
New Zealand |
Oman |
Poland |
Portugal |
Qatar |
Russian Federation |
Saudi Arabia |
Slovakia |
South Africa |
Spain |
Sweden |
Switzerland |
Turkey |
United Arab Emirates |
United Kingdom |
United States |
|
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
|
Previous trial experience with tecemotide shows that subjects have remained on trial treatment for long periods of time. Therefore, the end of trial is defined as the date that the last eligible subject is transferred to an extension protocol or continues tecemotide treatment in another appropriate setting. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |