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    Summary
    EudraCT Number:2013-005108-32
    Sponsor's Protocol Code Number:BP29262
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2014-06-09
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2013-005108-32
    A.3Full title of the trial
    A PHASE II, MULTICENTER, RANDOMIZED, DOUBLE-BLIND STUDY TO EVALUATE THE EFFICACY AND SAFETY OF RO5520985 PLUS FOLFOX VERSUS BEVACIZUMAB PLUS FOLFOX IN PATIENTS WITH PREVIOUSLY UNTREATED METASTATIC COLORECTAL CANCER.
    ESTUDIO DE FASE II, MULTICÉNTRICO, ALEATORIZADO, DOBLE CIEGO PARA EVALUAR LA EFICACIA Y LA SEGURIDAD DE RO5520985 MÁS FOLFOX EN COMPARACIÓN CON BEVACIZUMAB MÁS FOLFOX EN PACIENTES CON CÁNCER COLORRECTAL METASTÁSICO SIN TRATAMIENTO PREVIO
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A blinded phase II study to evaluate the efficacy and safety of 2 different treatments arms (RO5520985 plus standard chemotherapy FOLFOX versus bevacizumab plus standard chemotherapy FOLFOX) in patients who have not been treated before for their metastatic disease of colorectal cancer.
    Estudio ciego de fase II para evaluar la eficacia y seguridad en 2 grupos de tratamiento diferentes (RO5520985 más quimioterapia estándar FOLFOX en comparación con bevacizumab más quimioterapia estándar FOLFOX) en pacientes con cáncer colorrectal metastásico sin tratamiento previo.
    A.4.1Sponsor's protocol code numberBP29262
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorF. Hoffmann-La Roche Ltd
    B.1.3.4CountrySwitzerland
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportF. Hoffman-La Roche Ltd
    B.4.2CountrySwitzerland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationF. Hoffmann-La Roche Ltd
    B.5.2Functional name of contact pointTrial Information Support Line-TSIL
    B.5.3 Address:
    B.5.3.1Street AddressGrenzacherstrasse 124
    B.5.3.2Town/ cityBasel
    B.5.3.3Post code4070
    B.5.3.4CountrySwitzerland
    B.5.4Telephone number+34 91 325 73 00
    B.5.6E-mailglobal.rochegenentechtrials@roche.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameCrossMab Ang-2/VEGF
    D.3.2Product code 552-0985/F02-01
    D.3.4Pharmaceutical form Concentrate for solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRO5520985
    D.3.9.1CAS number RO5520985
    D.3.9.2Current sponsor codeRO5520985
    D.3.9.3Other descriptive nameRO5520985
    D.3.9.4EV Substance CodeSUB76433
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Avastin
    D.2.1.1.2Name of the Marketing Authorisation holderRoche Registration Limited
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAvastin
    D.3.2Product code RO487-6646/F02-02
    D.3.4Pharmaceutical form Concentrate for solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNBEVACIZUMAB
    D.3.9.1CAS number 216974-75-3
    D.3.9.2Current sponsor codeRO4876646
    D.3.9.4EV Substance CodeSUB16402MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Patients with cancer of the colon or rectum where the tumor has already spread to other organs(s),
    Pacientes con cáncer de colon o recto donde el tumor se ha extendido a otos órganos.
    E.1.1.1Medical condition in easily understood language
    Patients with cancer of the colon or rectum where the tumor has already spread to other organs(s),
    Pacientes con cáncer de colon o recto donde el tumor se ha extendido a otos órganos.
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 17.0
    E.1.2Level PT
    E.1.2Classification code 10052358
    E.1.2Term Colorectal cancer metastatic
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 17.0
    E.1.2Level PT
    E.1.2Classification code 10055097
    E.1.2Term Rectal cancer metastatic
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 17.0
    E.1.2Level PT
    E.1.2Classification code 10055114
    E.1.2Term Colon cancer metastatic
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objective of Study BP29262 is to estimate the efficacy of RO5520985 in combination with oxaliplatin, folinic acid, and 5 fluorouracil (mFOLFOX-6) vs. bevacizumab in combination with mFOLFOX-6, as measured by progression-free survival (PFS).
    El objetivo principal del estudio BP29262 consiste en evaluar la eficacia de RO5520985 en combinación con oxaliplatino, ácido folínico y 5 fluorouracilo (mFOLFOX 6) en comparación con bevacizumab en combinación con mFOLFOX 6, determinada mediante la supervivencia sin progresión (SSP).
    E.2.2Secondary objectives of the trial
    ?Evaluate the safety and tolerability of RO5520985 in combination with mFOLFOX-6
    ?Estimate the efficacy of RO5520985 in combination with mFOLFOX-6, as measured by overall survival, objective response rate, and duration of objective response
    ?Characterize the pharmacokinetics of RO5520985 when combined with mFOLFOX-6
    ? Evaluar la seguridad y la tolerabilidad de RO5520985 en combinación con mFOLFOX 6.
    ? Evaluar la eficacia de RO5520985 en combinación con mFOLFOX 6, determinada mediante la supervivencia global, la tasa de respuesta objetiva y la duración de la respuesta objetiva.
    ? Definir la farmacocinética de RO5520985 cuando se combina con mFOLFOX 6.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1.Histologically or cytologically confirmed mCRC not amenable to potentially curative resection with at least one measurable metastatic lesion, as defined by RECIST v1.1
    a)Results of local RAS mutational analysis must be available for stratified randomization
    b)Representative tumor specimens in FFPE blocks (preferred) or slides must be available for central extended RAS mutational analysis testing
    2.Signed written informed consent, obtained prior to any screening procedure
    3.Age> 18 years
    4.ECOG (WHO) performance status of 0 or 1
    5.Adequate hematologic, liver, renal, coagulation and cardiovascular function
    6.Recovery from all reversible adverse events of previous medical therapies to baseline or NCI CTCAE Grade 1, except for alopecia (any grade)
    7.Negative serum pregnancy test within 7 days prior to starting study treatment in premenopausal women and women < 2 years after the onset of menopause
    1. CCRm confirmado mediante histología o citología, no susceptible de resección potencialmente curativa, con al menos una lesión metastásica mensurable, definida conforme a los criterios RECIST, versión 1.1.
    a) Los resultados del análisis local de mutaciones RAS deberán encontrarse disponibles para efectuar la aleatorización estratificada.
    b) Tendrá que haber muestras tumorales representativas en bloques FFPE (preferible) o extensiones disponibles para efectuar el análisis central ampliado de mutaciones RAS.
    2. Consentimiento informado por escrito firmado, obtenido antes de realizar cualquier procedimiento de selección.
    3. Edad ? 18 años.
    4. Estado funcional del ECOG (OMS) de 0 o 1.
    5. Función hematológica, hepática, renal, coagulación y cardiovascular adecuada.
    6. Recuperación de todos los acontecimientos adversos reversibles de tratamientos médicos anteriores hasta la situación basal o un grado 1 según los CTCAE del NCI, salvo alopecia (cualquier grado).
    7. Prueba de embarazo en suero negativa en los 7 días previos al comienzo del tratamiento del estudio en mujeres premenopáusicas o < 2 años después del comienzo de la menopausia.
    E.4Principal exclusion criteria
    1.Any prior systemic therapy (including chemotherapy, antibody therapy, tyrosine kinase inhibitors, immunotherapy, hormonal therapy) before Day 1 of Cycle 1 for treatment of mCRC
    Patients who received prior systemic adjuvant therapy or radiotherapy for CRC are not excluded if the time interval from last administration of adjuvant therapy until disease progression is > 12 months
    2.Prior radiotherapy within 28 days prior to Day 1 of Cycle 1, except palliative radiotherapy to bone lesions within 7 days prior to Day 1 of Cycle 1
    3.Symptomatic CNS metastases or carcinomatous meningitis:
    4.Significant cardiovascular or cerebrovascular disease within 6 months prior to Day 1 of Cycle 1
    5.Evidence of bleeding diathesis or significant coagulopathy (in the absence of therapeutic anticoagulation)
    6.Current use of anticoagulants (e.g., warfarin or any other coumadin-derivate coagulants) at therapeutic doses within 7 days prior to study drug administration. Prophylactic use of unfractioned heparin or low molecular weight heparin (LMWH) is permitted (e.g., enoxaparin 40 mg QD)
    7.Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 1, or anticipation of need for major surgical procedure during the course of the study or nonrecovery from side effects of any such procedure
    8.History of abdominal or tracheo-oesophageal fistula or GI perforation or intra abdominal abscess within 6 months prior to Day 1
    9.Clinical signs or symptoms of GI obstruction or a requirement for routine parenteral hydration, parenteral nutrition, or tube feeding
    10.Evidence of abdominal free air not explained by paracentesis or recent surgical procedure
    11.History of bronchopulmonary hemorrhage NCI CTCAE > Grade 2 within 4 weeks prior to Day 1 of Cycle 1
    12.Severe, nonhealing or dehiscing wound, active ulcer, or untreated bone fracture
    13.Known dihydropyrimidine dehydrogenase deficiency or thymidylate synthase gene polymorphism predisposing the patient for 5 FU toxicity
    1. Cualquier tratamiento sistémico previo (quimioterapia, terapia con anticuerpos, inhibidores de la tirosina cinasa, inmunoterapia, tratamiento hormonal) antes del día 1 del ciclo 1 como tratamiento del CCRm.
    a) No se excluirá a los pacientes que hayan recibido tratamiento sistémico o radioterapia adyuvante para el CCR si el intervalo de tiempo desde la última administración del tratamiento adyuvante hasta la progresión de la enfermedad es > 12 meses.
    2. Radioterapia en los 28 días previos al día 1 del ciclo 1, excepto radioterapia paliativa de lesiones óseas en los 7 días previos al día 1 del ciclo 1.
    3. Metástasis sintomáticas en el SNC o meningitis carcinomatosa.
    4. Enfermedad cardiovascular o cerebrovascular importante en los 6 meses previos al día 1 del ciclo 1.
    5. Datos de diátesis hemorrágica o coagulopatía importante (en ausencia de tratamiento anticoagulante).
    6. Uso activo de anticoagulantes (por ejemplo, warfarina u otros coagulantes cumarínicos) en dosis terapéuticas en los 7 días previos a la administración del fármaco del estudio. Se permite el uso preventivo de heparina no fraccionada o heparina de bajo peso molecular (HBPM) (por ejemplo, enoxaparina 40 mg una vez al día).
    7. Intervención de cirugía mayor, biopsia abierta o lesión traumática importante en los 28 días previos al día 1 o previsión de la necesidad de una intervención de cirugía mayor durante el transcurso del estudio o de no recuperación de los efectos secundarios de dicha intervención.
    8. Antecedentes de fístula abdominal o traqueoesofágica o perforación digestiva o absceso intraabdominal en los 6 meses previos al día 1 del ciclo 1.
    9. Signos o síntomas clínicos de obstrucción digestiva o necesidad rutinaria de hidratación parenteral, nutrición parenteral o alimentación por sonda.
    10. Signos de aire libre en la cavidad abdominal no explicados por una paracentesis o una intervención quirúrgica reciente.
    11. Antecedentes de hemorragia broncopulmonar de grado ? 2 según los CTCAE del NCI en las 4 semanas previas al día 1 del ciclo 1.
    12. Herida grave, que no cicatriza o dehiscente, úlcera activa o fractura ósea no tratada.
    13. Carencia conocida de dihidropirimidina deshidrogenasa o polimorfismo en el gen de la timidilato sintasa que predispone al paciente a presentar toxicidad por 5 FU.
    E.5 End points
    E.5.1Primary end point(s)
    The primary efficacy endpoint for Study BP29262 is progression-free survival (PFS), defined as the time from randomization to the date of first documented occurrence of progression based on RECIST v1.1 criteria as determined by the Investigator or death from any cause on study, whichever occurs first.
    El criterio de valoración principal del estudio BP29262 será la supervivencia sin progresión (SSP), definida como el tiempo transcurrido entre la aleatorización y la fecha del primer episodio confirmado de progresión con arreglo a los criterios RECIST, versión 1.1, según lo determinado por el investigador, o la muerte por cualquier causa durante el estudio, lo que ocurra antes.
    E.5.1.1Timepoint(s) of evaluation of this end point
    endpoint Tumor assessments will be performed every 8 (+/-1) weeks acc. RECIST 1.1.
    Evaluación tumoral cada 8 (+/- 1) semanas de acuerdo a criterios RECIST.
    E.5.2Secondary end point(s)
    Secondary Efficacy End Points ?Objective response rate (ORR). Objective response rate is defined as the rate of patients with an objective tumor response, i.e. partial response (PR) or complete response (CR) as determined by the Investigator using RECIST v1.1 criteria on two consecutive occasions at least 4 weeks apart
    ?Duration of response, defined as the first occurrence of a documented objective response until the time of progression or death from any cause on study
    ?Overall Survival, defined as the time from randomization until death from any cause
    Secondary Safety End Points
    ?Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.03
    ?Changes in hematology, biochemistry, coagulation, specifically those associated with vascular and renal function
    ?Physical examinations (including ECOG), vital signs and ECG
    ?Incidence and titers of human anti-human antibodies (HAHAs)
    ?Adverse events leading to RO5520985, bevacizumab, or chemotherapy discontinuation
    ?Incidence of the following selected adverse events according to NCI CTCAE, v4.03:
    Arterial hypertension (Grade 3)
    Proteinuria (Grade 3)
    Arterial thromboembolic events (any grade)
    Venous thromboembolic events (Grade 3)
    Vascular disorder - other: Thrombotic microangiopathy (any grade)
    Gastrointestinal perforation (any grade)
    Fistula involving an internal organ (any grade)
    Fistulae (Grade 4)
    Wound dehiscence/complication (Grade 3)
    Bleeding/hemorrhage (Grade 3)
    Pulmonary bleeding (Grade 2)
    CNS bleeding (Grade 2)
    Congestive heart failure (Grade 3)
    Reversible posterior leukoencephalopathy syndrome (any grade)
    Secondary PK End Points :
    ?The PK profile of RO5520985 will be characterized with the plasma concentration time data following IV administration of RO5520985, and will include the following parameters: Cmax, Cmin, Tmax, t1/2, AUC, AUC, CL, Vss, accumulation ratio (RA)
    ?The PK profiles of oxaliplatin (free and total) and 5-FU will be characterized with the plasma concentration-time data following IV administration of FOLFOX, and will include the following parameters: Cmax, Cmin, Tmax, t1/2, AUC (when applicable)
    ?Additional PK parameters may be evaluated as appropriate
    Criterios de valoración secundarios de la eficacia
    ? Tasa de respuestas objetivas. La tasa de respuestas objetivas (TRO) se determinará como la proporción de pacientes con una respuesta tumoral objetiva (respuesta completa [RC] o parcial [RP]), determinada por el investigador con arreglo a los criterios RECIST, versión 1.1, en dos ocasiones consecutivas separadas por un mínimo de 4 semanas.
    ? Duración de la respuesta objetiva, definida como el tiempo transcurrido entre la respuesta inicial (RC o RP) y la progresión de la enfermedad o la muerte por cualquier causa durante el estudio.
    ? Supervivencia global, definida como el tiempo transcurrido entre la aleatorización y la muerte por cualquier causa.

    Criterios de valoración secundarios de la seguridad
    ? Incidencia e intensidad de los acontecimientos adversos (AA) y acontecimientos adversos graves (AAG), graduados con arreglo a los Criterios terminológicos comunes para acontecimientos adversos del National Cancer Institute (CTCAE del NCI), versión 4.03.
    ? Variaciones de la hematología, bioquímica y coagulación, en concreto, de las asociadas a las funciones vascular y renal.
    ? Exploración física (incluido el estado funcional del ECOG), constantes vitales y ECG.
    ? Incidencia y títulos de anticuerpos humanos antihumanos (HAHA).
    ? Acontecimientos adversos que motiven la suspensión de RO5520985, bevacizumab o la quimioterapia.
    ? Incidencia de los siguientes acontecimientos adversos seleccionados con arreglo a los CTCAE del NCI, versión 4.03:
    Hipertensión arterial (grado ? 3).
    Proteinuria (grado ? 3).
    Episodios tromboembólicos arteriales (cualquier grado).
    Episodios tromboembólicos venosos (grado ? 3).
    Otros trastornos vasculares: microangiopatía trombótica (cualquier grado).
    Perforación digestiva (cualquier grado).
    Fístulas con afectación de un órgano interno (cualquier grado).
    Fístulas (grado 4).
    Dehiscencia/complicaciones de heridas (grado ? 3).
    Hemorragia (grado ? 3).
    Hemorragia pulmonar (grado ? 2).
    Hemorragia del SNC (grado ? 2).
    Insuficiencia cardíaca congestiva (grado ? 3).
    Síndrome de leucoencefalopatía posterior reversible (cualquier grado).

    Criterios de valoración farmacocinéticos secundarios:
    ? El perfil FC de RO5520985 se determinará con los datos de concentración plasmática tiempo tras la administración IV de RO5520985 e incluirá los siguientes parámetros: Cmax, Cmin, Tmax, t1/2, AUC, AUC?, CL, Vss y cociente de acumulación (CA).
    ? El perfil FC de oxaliplatino (total y libre) y 5 FU se determinará con los datos de concentración plasmática tiempo tras la administración IV de FOLFOX e incluirá los siguientes parámetros: Cmax, Cmin, Tmax, t1/2 y AUC (cuando proceda).
    ? Podrán evaluarse otros parámetros FC según proceda.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Please see Schedule of assessment for the different timepoints of safety, PK and efficacy measurements.
    Ver calendario de evaluaciones para los diferentes tiempos de seguridad, FC y medidas de eficacia.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo No
    E.8.2.3Other Yes
    E.8.2.3.1Comparator description
    Folfox
    E.8.2.4Number of treatment arms in the trial2
    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.8.4.1Number of sites anticipated in Member State concerned9
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA25
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Australia
    Austria
    Belgium
    Canada
    France
    Italy
    Spain
    United Kingdom
    United States
    E.8.7Trial 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
    The study will formally end once the survival follow-up is complete or the last patient has completed the EoS Visit or is withdrawn from the study prior to that time (whichever occurs last), but may be prematurely terminated by the Sponsor.
    El estudio finalizará formalmente una vez que se complete el seguimiento de la supervivencia o que el último paciente haya completado la visita de FDE o sea retirado del estudio antes de ese momento (lo que ocurra más tarde), aunque el promotor podrá darlo por finalizado de forma prematura.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months6
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months6
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 120
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 30
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state40
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 100
    F.4.2.2In the whole clinical trial 150
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    All patients, also in case of early discontinuation, will attend a safety visit 21 ( > 7) days after receiving the last administration of RO5520985, which is the End of Study (EoS) Visit. Patients off study will receive standard of care for the stage of their disease.
    Todos los pacientes, incluso en caso de retirada prematura, acudirán a una visita de seguridad 21 (± 7) días después de recibir la última dosis de RO5520985, correspondiente a la visita de final del estudio (FDE). Los pacientes que dejen de participar en el estudio recibirán el tratamiento de referencia para el estadio de la enfermedad.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2014-06-16
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2014-06-04
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2016-08-09
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