E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Pediatric solid tumors for which prior treatment has proven to be ineffective (i.e., relapsed or refractory) or intolerable |
Tumores sólidos pediátricos en los que el tratamiento previo resultó ineficaz (es decir, tumor recidivante o resistente) o no tolerable. |
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E.1.1.1 | Medical condition in easily understood language |
Pediatric solid tumors for which prior treatment has proven to be ineffective (i.e., relapsed or refractory) or intolerable |
Tumores sólidos pediátricos en los que el tratamiento previo resultó ineficaz (es decir, tumor recidivante o resistente) o no tolerable. |
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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 | 18.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10029547 |
E.1.2 | Term | Non-Hodgkin's lymphoma |
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 | 18.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10029260 |
E.1.2 | Term | Neuroblastoma |
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 | 18.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10047987 |
E.1.2 | Term | Wilms' tumor |
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 | 18.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10020328 |
E.1.2 | Term | Hodgkin's lymphoma |
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 | 18.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10031291 |
E.1.2 | Term | Osteosarcoma |
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 | 18.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10039022 |
E.1.2 | Term | Rhabdomyosarcoma |
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 | 18.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10075333 |
E.1.2 | Term | Soft tissue sarcoma |
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 | 18.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10015560 |
E.1.2 | Term | Ewing's sarcoma |
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 |
To evaluate the safety and tolerability of MPDL3280A, focusing on the nature, frequency, and severity of serious and non-serious adverse events, as well as effects on laboratory values, vital signs, or other safety biomarkers |
Evaluar la seguridad y la tolerabilidad de MPDL3280A, basándose en el tipo, la frecuencia y la intensidad de los acontecimientos adversos graves y no graves, y en los efectos sobre los valores analíticos y las constantes vitales. |
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E.2.2 | Secondary objectives of the trial |
To characterize the pharmacokinetics of MPDL3280A; To evaluate the immune response to MPDL3280A based on the incidence of anti-therapeutic antibodies (ATAs); to evaluate the anti-cancer activity of MPDL3280A |
Caracterizar la farmacocinética de MPDL3280A. Evaluar la respuesta inmunitaria frente a MPDL3280A, basándose en la incidencia de anticuerpos antiterapéuticos (AAT). |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
?Age at study entry < 30 years ?Weight ? 3kg ?Histologically or cytologically confirmed solid tumor, for which prior treatment had proven to be ineffective (i.e., relapsed or refractory) or intolerable ?Current disease state for which there is no known curative therapy or therapy proven to prolong survival with an acceptable quality of life ?Disease that is measurable or evaluable ?Archival tumor tissue block available for submission, or willingness to undergo a core or excisional biopsy prior to enrollment ?Lansky Performance Status (patients <16 years old) or Karnofsky Performance Status (patients > 16 years old) > 50 ?Life expectancy >3 months |
- Edad en el momento de la incorporación al estudio < 30 años. - Peso >/=3 kg. - Tumor sólido histológica o citológicamente confirmado en el que el tratamiento anterior resultó ineficaz (es decir, tumor recidivante o resistente) o no tolerable. - Estado actual de la enfermedad para el que no existe ningún tratamiento curativo conocido ni ningún tratamiento que haya demostrado un aumento de la supervivencia con una calidad de vida aceptable. - Enfermedad mensurable o evaluable. - Bloque de tejido tumoral de archivo disponibles para su envío, o disposición a someterse a una biopsia con aguja gruesa o escisional antes de la inscripción. - Estado funcional de Lansky (pacientes < 16 años) o estado funcional de Karnofsky (pacientes > 16 años) >50. - Esperanza de vida > 3 meses |
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E.4 | Principal exclusion criteria |
?Primary central nervous system (CNS) malignancy, untreated CNS metastases or treated but symptomatic CNS metastases ?Prior allogeneic hematopoietic stem-cell transplant or prior solid-organ transplantation ?Pregnant or lactating, or intending to become pregnant during the study ?Treatment with a live vaccine or a live, attenuated vaccine within 4 weeks prior to initiation of study drug Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including anti-CTLA4, anti-PD-1, or anti-PD-L1 therapeutic antibodies ?Treatment with systemic corticosteroids or other systemic immunosuppressive medications within 2 weeks prior to initiation of study drug, or anticipated requirement for systemic immunosuppressive medications during the trial ?Current treatment with therapeutic anticoagulants ?Known active infection (excluding fungal infection of nail beds) within 28 days prior to initiation of study drug that has not completely resolved ?History of autoimmune disease ?History of severe asthma or presence of uncontrolled asthma at the time of screening evaluation |
- Neoplasia maligna del SNC conocida, metástasis en el SNC no tratadas, o metástasis en el SNC tratadas pero sintomáticas. - Antecedentes de trasplante alogénico de células madre hematopoyéticas o de trasplante de órganos sólidos. - Embarazo o lactancia, o intención de quedarse embarazada durante el estudio. - Tratamiento con una vacuna con microbios vivos o atenuada en las 4 semanas previas al inicio del fármaco del estudio. - Tratamiento previo con agonistas de CD137 o inhibidores de los puntos de control inmunitarios, incluidos anticuerpos terapéuticos anti-CTLA4, anti-PD-1 y anti-PD-L1. - Tratamiento con corticosteroides sistémicos u otros inmunodepresores sistémicos en las 2 semanas previas al inicio del fármaco del estudio o previsión de que el paciente necesitará inmunodepresores sistémicos durante el estudio. - Tratamiento anticoagulante actual con fines terapéuticos. - Infección activa conocida (excluyendo infección fúngica del lecho ungueal) en los 28 días previos al inicio del fármaco del estudio, salvo si se ha resuelto completamente. - Antecedentes de enfermedades autoinmunes. - Antecedentes de asma grave o presencia de asma no controlado en el momento de las evaluaciones de la selección. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety and tolerability: All adverse events, all serious adverse events Pharmacokinetic: PK parameters are to include Cmax (Day 1 Cycle 1) and Cmin. |
Seguridad y la tolerabilidad: todos los acontecimientos adversos, todos los acontecimientos adversos graves. Farmacocinética: Parámetros de farmacocinética deben incluir: Cmax (Día 1 Ciclo 1) y Cmin. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
PK collections are to include at least 2 samples on Day 1 of Cycle 1 (prior to infusion and one 30 minutes after the infusion). Pre -dose trough samples will be taken on Day 1 of cycles Cycles 2, 3, and 8, 12 and 16 (and every 8 cycles thereafter). In addition, a sample will be taken at the end of treatment and at least 90 days after last dose of study drug (washout) |
Obtenciones farmacocinéticas deben incluir al menos 2 muestras en el Día 1 del Ciclo 1 (antes de la infusión y una 30 minutos posteriormente a la infusión). Se obtendrán muestras pre dosis el Día 1 de los Ciclos 2, 3 y 8, 12 y 16 (y cada 8 ciclos después). Además, se obtendrá una muestra al final del tratamiento y al menos 90 días después de la última dosis de tratamiento del estudio (periodo de lavado). |
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E.5.2 | Secondary end point(s) |
Immunogenicity: Anti therapeutic antibodies Efficacy: objective response rate and progression-free survival Exploratory endpoints for efficacy: Duration of objective response and overall survival Other exploratory endpoints: Determination of pharmacodynamic parameters of MPDL3280A, including PD-L1 status evaluation (archival tumor tissue; blood for PD evaluations will be drawn pretreatment and on day 1 of cycles 2, 3, 8, 12, 16 and every subsequent 8th cycle. In addition, blood for PD will be drawn at the time of study drug discontinuation and at least 90 days after the last dose of study drug (washout). |
Inmunogenia: Anticuerpos antiterapéuticos. Eficacia: tasa de respuesta objetiva y supervivencia libre de progresión. Criterios de valoración exploratorios de eficacia: Duración de la respuesta y supervivencia global. Otros criterios de valoración secundarios: Determinación de parámetros farmacodinámicos de MPDL3280A, incluyendo evaluación de la situación de PD-L1 (tejido tumoral de archivo, se obtendrá sangre para evaluación FC pretratamiento y en los días 1 de los ciclos 2, 3, 8, 12, 16 y posteriormente cada 8 ciclos. Además, se obtendrá sangre para FC en el momento de la discontinuación del tratamiento y al menos 90 días después de la última dosis de tratamiento del estudio (periodo de lavado). |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Anti therapeutic antibodies - pretreatment, and on Day 1 of Cycles 2,3, and 8 12, 16 and every 8 cycles thereafter. A sample will also be drawn at the end of treatment and after washout. ORR and PFS -tumor assessment will be performed every two cycles [6 weeks] for the first 8 cycles; following cycle 8 tumor assessments will be done every 4 cycles. Duration of OR and OSS -tumor assessment will be performed every two cycles [6 weeks] for the first 8 cycles; following cycle 8 tumor assessments will be done every 4 cycles. |
Anticuerpos antiterapéuticos: pre tratamiento, y en Día 1 de los Ciclos 2, 3 y 8, 12 y 16 y posteriormente cada 8 ciclos. Se obtendrá también una muestra al final del tratamiento y tras el periodo de lavado. TRO y SLP: Se realizarán evaluaciones tumorales cada dos ciclos (6 semanas) en los 8 primeros ciclos; a partir del ciclo 8 las evaluaciones tumorales se realizarán cada 4 ciclos. Duración de RO y SG:- Se realizarán evaluaciones tumorales cada dos ciclos (6 semanas) en los 8 primeros ciclos; a partir del ciclo 8 las evaluaciones tumorales se realizarán cada 4 ciclos. |
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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 | 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) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
first in paediatric population |
primero en población pediátrica |
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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 | 44 |
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 |
Austria |
Canada |
Denmark |
France |
Germany |
Ireland |
Israel |
Italy |
Netherlands |
Spain |
Switzerland |
United Kingdom |
United States |
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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
|
The end of this study is defined as the date when LPLV occurs, or 5 years after the last patient is enrolled, whichever occurs first. |
El final del estudio se define como la fecha de la UVUP o 5 años después de la inscripción del último paciente, lo que ocurra antes. |
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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 | 6 |
E.8.9.1 | In the Member State concerned months | 11 |
E.8.9.1 | In the Member State concerned days | 16 |
E.8.9.2 | In all countries concerned by the trial years | 7 |
E.8.9.2 | In all countries concerned by the trial months | 1 |