E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients who have received CAR T-cell therapy in the context of a Novartis and/or Penn treatment trial. |
Pazienti che hanno ricevuto terapia con cellule CAR-T nel contesto di uno studio di trattamento Novartis e / o Penn. |
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E.1.1.1 | Medical condition in easily understood language |
Patients who have been treated in a Novartis or Penn sponsored or supported study with chimeric antigen receptor (CAR) T-cell treatment |
Pazienti che sono stati trattati in uno studio sponsorizzato o supportato da Novartis o Penn con il trattamento con cellule T del recettore dell'antigene chimerico (CAR) |
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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 | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10003917 |
E.1.2 | Term | B-cell type acute leukaemia |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10003899 |
E.1.2 | Term | B-cell lymphoma |
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 | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The purpose of this study is to monitor all patients exposed to CAR T-cells (CAR-T) for 15 years following last CAR-T (e.g.CTL019) infusion to assess the risk of delayed adverse events (AEs) and assess long term efficacy, including vector persistence. Primary objective: Describe selected, delayed AEs that are suspected to be related to previous CAR T-cell therapy as outlined in current Health Authority guidelines |
Lo scopo di questo studio è di monitorare tutti i pazienti esposti alle cellule T CAR (CAR-T) per 15 anni dopo l'ultima infusione CAR-T (ad esempio CTL019) per valutare il rischio di eventi avversi ritardati (eventi avversi) e valutare l'efficacia a lungo termine , compresa la persistenza vettoriale. Obiettivo primario: Descrivere gli eventi avversi ritardati selezionati che si sospetta siano correlati alla precedente terapia con cellule T CAR come indicato nelle attuali linee guida delle autorità sanitarie |
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E.2.2 | Secondary objectives of the trial |
1 • Monitor the persistence of modified T-cells in peripheral blood 2 • Monitor for RCL (Replication Competent Lentivirus) 3 • Assess the long-term efficacy of CAR-T 4 • Monitor lymphocyte levels 5 • Describe the growth, development, and female reproductive status for patients who were aged < 18 years at the time of the initial CAR-T infusion |
1 • Monitorare la persistenza delle cellule T modificate nel sangue periferico 2 • Monitor per RCL (Replication Competent Lentivirus) 3 • Valutare l'efficacia a lungo termine di CAR-T 4 • Monitorare i livelli dei linfociti 5 • Descrivere la crescita, lo sviluppo e lo stato riproduttivo femminile per i pazienti di età <18 anni al momento dell'infusione iniziale di CAR-T |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.Patients must have received CAR-T therapy within one of the following: • Novartis or Penn sponsored CAR-T treatment trials where CAR-T was given as monotherapy or as combination therapy. • Novartis managed access programs outside of the commercial setting, i.e. where CAR-T therapy was intended to be given in the setting of a Novartis or Penn sponsored CAR-T treatment trial 2. Patients must provide informed consent prior to their entry into this study. |
1. I pazienti devono aver ricevuto terapia con CAR-T all’interno di uno dei seguenti: - Studi di Novartis o Penn con il trattamento con CAR-T nei quali CAR-T è stato somministrato in monoterapia o in terapia d’associazione (vedi Tabella 14-1 per un elenco degli studi clinici). - Programmi gestiti di accesso al farmaco di Novartis (MAP) al di fuori del contesto commerciale, ossia, nei quali la terapia con CAR-T veniva somministrata nell’ambito di studi clinici sponsorizzati da Novartis o da Penn (vedi Tabella 14-1 per un elenco dei MAP). 2. I pazienti devono fornire il proprio consenso informato prima del loro ingresso nello studio. |
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E.4 | Principal exclusion criteria |
- There are no specific exclusion criteria for this study.
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- Non vi sono criteri di esclusione specifici per questo studio |
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E.5 End points |
E.5.1 | Primary end point(s) |
Proportion of patients with events in each of the following categories: • New secondary malignancies • New serious infections, • New incidence of serious neurologic disorder, • New incidence or exacerbation of a prior rheumatologic or other autoimmune disorder, • New incidence of a hematologic disorder • Other adverse events considered related to CAR T cell therapy |
Proporzione di pazienti con eventi in ciascuna delle seguenti categorie: • Nuove neoplasie secondarie • Nuove infezioni gravi, • Nuova incidenza di gravi disturbi neurologici, • Nuova incidenza o esacerbazione di un precedente disturbo reumatologico o di altri disturbi autoimmuni, • Nuova incidenza di un disturbo ematologico • Altri eventi avversi considerati correlati alla terapia con cellule CAR-T |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
As defined per protocol |
Come definito per protocollo |
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E.5.2 | Secondary end point(s) |
1- Proportion of patients with detectable CAR transgene levels in peripheral blood by q-PCR at pre-specified time points 2- Proportion of patients with detectable RCL by VSV-G q-PCR in peripheral blood at pre-specified time points 3- Proportion of patients who relapse or progress among patients who had not relapsed or progressed at study entry/re-entry and Incidence of death 4- B and T lymphocyte count 5-Height and weight, Tanner staging, menstruation status |
1- Proporzione di pazienti con livelli rilevabili di transgene CAR nel sangue periferico mediante q-PCR a time points predefiniti 2- Proporzione di pazienti con RCL rilevabile mediante VSV-G q-PCR nel sangue periferico in corrispondenza di time points predefiniti 3- Proporzione di pazienti che hanno avuto una ricaduta o progrediscono tra i pazienti che non avevano recidivato o progredito all'entrata / rientro nello studio e Incidenza della morte 4- Conta dei linfociti B e T. 5-Altezza e peso, messa in scena del conciatore, stato delle mestruazioni |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
As defined per protocol |
Come definito per protocollo |
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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 | 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) | Yes |
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 | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
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.8.2.4 | Number of treatment arms in the trial | 1 |
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 | 45 |
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 | Information not present in EudraCT |
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 |
Brazil |
Canada |
China |
Hong Kong |
Korea, Democratic People's Republic of |
Singapore |
Taiwan |
United States |
Austria |
Belgium |
France |
Germany |
Italy |
Netherlands |
Norway |
Switzerland |
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E.8.7 | Trial 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
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The end of the LTFU study for each individual patient will be 15 years after the date of patients' last infusion of Novartis or Penn CAR-T therapy. The end of study as a whole is defined as the last patient's last visit (LPLV), which is the last patient's last evaluation (visit Year 15), or the time of premature withdrawal. All patients who complete the LTFU study will be followed for survival every 6 months until the end of the LTFU study.l. |
La fine dello studio LTFU per ogni singolo paziente sarà di 15 anni dopo la data dell'ultima infusione di Novartis o della terapia CAR-T di Penn da parte dei pazienti. La fine dello studio nel suo insieme è definita come l'ultima visita dell'ultimo paziente (LPLV), che è l'ultima valutazione dell'ultimo paziente (visita Anno 15) o il momento del ritiro prematuro. Tutti i pazienti che completano lo studio LTFU saranno seguiti per la sopravvivenza ogni 6 mesi fino alla fine dello studio LTFU.. |
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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 | 20 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 20 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |