E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Merkel Cell Carcinoma |
Carcinoma de células Merkel |
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E.1.1.1 | Medical condition in easily understood language |
Skin cancer |
Cancer de Piel |
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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 | 17.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10064025 |
E.1.2 | Term | Merkel cell carcinoma |
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 |
The primary objective of the trial is to assess the clinical activity of MSB0010718C as determined by the objective response rate (ORR) according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) in subjects with metastatic MCC after failing first-line chemotherapy. |
El objetivo principal del ensayo es evaluar la actividad clínica de MSB0010718C según lo determine un Comité de Revisión de Criterios de Valoración Independiente (Independent Endpoint Review Committee, IERC) mediante la tasa de respuesta objetiva (TRO) conforme a la versión 1.1 de los Criterios de evaluación de la respuesta en tumores sólidos (Response Evaluation Criteria In Solid Tumors, RECIST 1.1) en sujetos con carcinoma de células de Merkel (CCM) metastásico después del fracaso de la quimioterapia de primera línea. |
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E.2.2 | Secondary objectives of the trial |
Secondary objectives are as follows: - To assess the duration of response - To assess the progression-free survival time (PFS) - To assess the safety profile of MSB0010718C in subjects with MCC - To assess overall survival (OS) time |
Los objetivos secundarios de este estudio son los siguientes: ? Evaluar la duración de la respuesta ? Evaluar el tiempo de supervivencia sin progresión (SSP) ? Evaluar el perfil de seguridad del MSB0010718C en sujetos con CCM ? Evaluar el tiempo de supervivencia general (SG) |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
? Signed written informed consent ? Age 18 years and above ? Histologically proven MCC as defined in the protocol ? Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 ? Adequate hematological, hepatic and renal function |
1. Consentimiento informado por escrito firmado 2. Sujetos con edad ? 18 años, de ambos sexos 3. CCM histológicamente demostrada tal y como se define en el protocolo 4. Estado general según ECOG de 0 a 1 en el momento de incorporación al ensayo 6. Función hematológica, hepática y renal adecuada |
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E.4 | Principal exclusion criteria |
? Prior therapy with any antibody/drug targeting T-cell co-regulatory proteins (immune checkpoints) such as anti-programmed death 1 (PD-1), anti-programmed death ligand 1 (anti-PD-L1), or anticytotoxic T-lymphocyte antigen-4 (CTLA-4) antibody ? Subjects with active central nervous system (CNS) metastases are excluded. Subjects with a history of treated CNS metastases (by surgery or radiation therapy) are not eligible unless they have fully recovered from treatment, demonstrated no progression for at least 2 months, and do not require continued steroid therapy ? Previous malignant disease (other than MCC) within the last 5 years with the exception of basal or squamous cell carcinoma of the skin or cervical carcinoma in situ ? Significant acute or chronic infections (among others, positive test for human immunodeficiency virus [HIV] 1/2) or known acquired immunodeficiency syndrome or with active or history of any hepatitis) ? Active or history of any autoimmune disease (except for subjects with vitiligo) or immunodeficiencies that required treatment with systemic immunosuppressive drugs ? Known severe hypersensitivity reactions to monoclonal antibodies (Grade greater than or equal to [>=] 3 NCI-CTCAE Version 4.0), any history of anaphylaxis, or uncontrolled asthma (that is, 3 or more features of partially controlled asthma) |
- Tratamiento anterior con anticuerpos/fármacos que afecten a las proteínas correguladoras de los linfocitos T (puntos de control inmunitario) tales como los anticuerpos contra la muerte programada 1 (PD-1), contra PD-L1 o contra el antígeno 4 de los linfocitos T citotóxicos (CTLA-4) - Se excluye a los sujetos con metástasis activas en el sistema nervioso central (SNC). Los sujetos con antecedentes de metástasis en el SNC tratadas (por operación quirúrgica o radioterapia) no son idóneos a menos que se hayan recuperado totalmente del tratamiento, hayan demostrado no sufrir progresión alguna durante al menos dos meses y no requieran tratamiento con esteroides continuado - Enfermedad maligna anterior (distinta del CCM) en los cinco años anteriores, a excepción del carcinoma basocelular o escamocelular de la piel o del carcinoma cervicouterino in situ - Infecciones agudas o crónicas significativas (entre otras, un resultado positivo en la prueba de detección del VIH 1/2) o síndrome de la inmunodeficiencia adquirida conocido, o antecedentes de hepatitis o hepatitis activa, de cualquier tipo - Antecedentes de enfermedad autoinmunitaria o enfermedad autoinmunitaria activa (excepto por los sujetos con vitiligo) o inmunodeficiencias que hayan requerido tratamiento con fármacos inmunodepresores sistémicos - Reacciones de hipersensibilidad intensa conocidas a los anticuerpos monoclonales (grado ? 3 según los CTCAA del NCI v 4.0), cualquier antecedente de anafilaxia o asma no controlado (es decir, tres o más características del asma con control parcial) |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint for the trial is the confirmed BOR, per RECIST 1.1, as determined by an IERC. |
El criterio principal de valoración para el ensayo es la MRG, conforme a RECIST 1.1, según lo determine el IERC. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Tumor assessments will be performed every 6 weeks |
Las evaluaciones tumorales se realizarán cada seis semanas |
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E.5.2 | Secondary end point(s) |
? Duration of response ? Progression-Free Survival (PFS) Time ? Safety ? Overall Survival (OS) Time |
? duración de la respuesta ? tiempo de SSP ? Seguridad ? tiempo de SG |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Tumor assessments will be performed every 6 weeks |
Las evaluaciones tumorales se realizarán cada seis semanas |
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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 | Yes |
E.6.7 | Pharmacodynamic | Yes |
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) | 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 | No |
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) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
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 | 28 |
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 |
France |
Germany |
Italy |
Japan |
Spain |
Switzerland |
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 end of the trial is defined as 1 year after the last subject receives the last dose of MSB0010718C. |
La finalizacion del estudio se considerará un año después de que el último paciente reciba la última dosis de MSB0010718C. |
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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 | 3 |
E.8.9.1 | In the Member State concerned months | 2 |
E.8.9.1 | In the Member State concerned days | 10 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 2 |
E.8.9.2 | In all countries concerned by the trial days | 10 |