E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Metastatic Chemotherapy-Naïve Castration Resistant Prostate Cancer |
Cáncer de próstata metastásico resistente a la castración en pacientes no tratados previamente con quimioterapia |
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E.1.1.1 | Medical condition in easily understood language |
Prostate Cancer |
Cáncer de próstata |
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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 | PT |
E.1.2 | Classification code | 10036909 |
E.1.2 | Term | Prostate cancer metastatic |
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 | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The purpose of this study is to examine the safety and effectiveness (how well the drug works) of two different doses ( 3 mg/kg and 10 mg/kg) of ipilimumab (Yervoy?) in patients with metastatic castration resistant prostate cancer |
El propósito de este estudio es evaluar la seguridad y efectividad (cómo de bien trabajado el fármaco) de dos dosis distintas (3 mg/kg y 10 mg/kg) de ipilimumab (Yervoy?) en el tratamiento del cáncer de próstata metastásico resistente a la castración. . |
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E.2.2 | Secondary objectives of the trial |
- To assess the rate of severe irAEs - To assess overall survival - To assess PSA PFS - To assess PSA response - To assess time to pain progression |
? Evaluar la tasa de AAri graves ? Evaluar la supervivencia global ? Evaluar la SLP según PSA ? Evaluar la respuesta según PSA ? Evaluar el tiempo hasta la progresión del dolor. |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Pharmacogenetics Blood Sample Amendment number 01 09-Sep-2014. The objective of this Amendment is to permit the collection and storage of blood samples for use in future exploratory pharmacogenetic research. Bristol-Myers Squibb will use DNA obtained from the blood sample and health information collected from the main clinical trial, CA184437 to study the association between genetic variation and drug response. Bristol-Myers Squibb may also use the DNA to study the causes and further progression of prostate cancer. Samples from this study may also be used in conjunction with pharmacogenetic research results from other clinical studies to accomplish this objective. |
Enmienda sobre muestras de sangre para farmacogenética Número 1, 9-Sept-2014. El objetivo de esta enmienda es permitir la recogida y la conservación de muestras de sangre para uso en estudios de investigación farmacogenética exploratorios futuros.Bristol-Myers Squibb usará el ADN obtenido de la muestra de sangre y la información de salud recogida del cuaderno de recogida de datos del ensayo clínico principal, CA184437, para estudiar la asociación entre la variación genética y la respuesta a los medicamentos. Bristol-Myers Squibb también puede usar el ADN para estudiar las causas y progresión adicional del cáncer de próstata. Para conseguir este objetivo pueden usarse conjuntamente muestras de este y otros estudios de investigación farmacogenética. |
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E.3 | Principal inclusion criteria |
- Prostate cancer with metastases - Prostate cancer should be castration resistant - Progression during hormonal therapy Please see protocol for further information on inclusion criteria |
- Cáncer de próstata con metástasis - El cáncer de próstata debe ser resistente a la castración - Progresión durante la terapia hormonal. Ver el protocolo para tener la información completa sobre los criterios de inclusión. |
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E.4 | Principal exclusion criteria |
- Visceral metastases (eg liver, lung or brain metastases) - Prior treatment with any immunotherapy for prostate cancer - Prior or ongoing cytotoxic therapy for prostate cancer - Autoimmune disease - Inadequate hematologic, renal, or hepatic function Please see protocol for further information on exclusion criteria |
- Metástasis viscerales (p. ej., hepáticas, pulmonares o cerebrales) - Tratamiento previo con cualquier inmunoterapia para el cáncer de próstata - Terapia citotóxica previa o continuada para el cáncer de próstata metastásico - Enfermedad autoinmune - Función hematológica, renal o hepática inadecuada Ver el protocolo para tener la información completa sobre los criterios de exclusión. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Radiologic Progression Free Survival: Radiographic PFS (rPFS) is defined as the time from randomization to the earliest date on which either of the following events was documented: radiographic progression (per PCWG2 for bone lesions and modified RECIST 1.1 for non-bone lesions) or death. All radiological progression will be based on investigator assessments. |
Supervivencia libre de progresión radiográfica (SLPr): se define como como el tiempo desde la fecha de la aleatorización hasta la fecha más temprana en que se documente uno de los sieugientes eventos: progresión radiográfica (de acuerdo con los criterios adaptados del PCWG2 para lesiones óeas y del RECIST 1.1 para lesiones no-ósea) o muerte. La progresión radiológica se basará en las evaluaciones del investigador.
de progresión de la enfermedad basada en pruebas radiográficas y/o la muerte por cualquier causa, lo que suceda antes. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
approximately 12 months |
aproximadamente 12 meses. |
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E.5.2 | Secondary end point(s) |
Rate of severe immune-related adverse events, Overall survival, Prostate Specific Antigen Progression-free Survival, Prostate Specific Antigen Response Rate, Time to Pain Progression |
Tasa de Acontecimientos Adversos relacionados con inmunidad graves, supervivencia global, SLP según Antígeno Específico de Próstata, respuesta según Antígeno Específico de Próstata, tiempo hasta la progresión del dolor. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
approximately 36 months |
aproximadamente 36 meses |
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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 | Yes |
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 | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
dosis distintas del mismo producto |
different dose of the same product |
|
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 | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 39 |
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 |
Argentina |
Australia |
Chile |
Colombia |
France |
Germany |
Italy |
Mexico |
Netherlands |
Spain |
United Kingdom |
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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 study is defined as 3 years after the date when the last subject receives the first induction dose of ipilimumab or the date when the last subject dies, whichever occurs first |
El final del estudio se define como 3 años después de la fecha en la que el último sujeto recibe la primera dosis de inducción de ipilimumab o la fecha en la que fallezca el último sujeto, aquello que suceda antes. |
|
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 | 9 |
E.8.9.1 | In the Member State concerned days | |
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 | 10 |