E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Second-line treatment of locally advanced or metastatic non-small cell lung cancer (NSCLC). |
Segunda linea de tratamiento en cáncer de pulmón no microcítico localmente avanzado o metastásico |
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E.1.1.1 | Medical condition in easily understood language |
Advanced or metastatic non-small cell lung cancer (NSCLC) that has previously been treated with platinum containing regimen. |
Cancer de pulmón no microcítico avanzado o metastásico que ha sido tratado previamente con un régimen que contiene platino |
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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 | 10029522 |
E.1.2 | Term | Non-small cell lung cancer stage IV |
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 | 10029521 |
E.1.2 | Term | Non-small cell lung cancer stage IIIB |
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 | 10066490 |
E.1.2 | Term | Progression of non-small cell lung cancer |
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 | 10059515 |
E.1.2 | Term | Non-small cell lung cancer metastatic |
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 | 10029515 |
E.1.2 | Term | Non-small cell lung cancer recurrent |
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 | 10061873 |
E.1.2 | Term | Non-small cell lung cancer |
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 estimate the efficacy of CC-486 plus pembrolizumab versus pembrolizumab plus placebo based on PFS as measured using RECIST 1.1 criteria |
Evaluar la eficacia de CC 486 más pembrolizumab frente a pembrolizumab más placebo en función de la supervivencia libre de progresión (SLP) determinada mediante los Criterios de evaluación de la respuesta en tumores sólidos (RECIST), versión 1.1. |
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E.2.2 | Secondary objectives of the trial |
-To estimate DCR of CC-486 plus pembrolizumab versus pembrolizumab plus placebo -To estimate OS of CC-486 plus pembrolizumab versus pembrolizumab plus placebo -To estimate ORR of CC-486 plus pembrolizumab versus pembrolizumab plus placebo -To evaluate safety and tolerability of CC-486 plus pembrolizumab versus pembrolizumab plus placebo ?To evaluate the impact of pembrolizumab on the pharmacokinetics of CC-486 |
-Determinar la tasa de control de la enfermedad (TCE) con CC 486 más pembrolizumab frente a pembrolizumab más placebo. -Determinar la supervivencia global (SG) con CC 486 más pembrolizumab frente a pembrolizumab más placebo. -Determinar la tasa de respuesta global (TRG) con CC 486 más pembrolizumab frente a pembrolizumab más placebo. -Evaluar la seguridad y la tolerabilidad de CC 486 más pembrolizumab frente a pembrolizumab más placebo. -Evaluar los efectos de pembrolizumab sobre la farmacocinética de CC 486. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Subject is >= 18 years of age at the time of signing the informed consent form. -Subject has histologically or cytologically confirmed squamous or non-squamous NSCLC. -Subject has stage IIIB or IV NSCLC and was pretreated with 1 prior systemic platinum based chemotherapy. -Subject has provided a formalin fixed tumor tissue sample from a biopsy of a tumor lesion either at the time of or after the diagnosis of metastatic disease has been made AND from a site not previously irradiated to assess for PD-L1 status. -Subject has radiographically-documented measurable disease, as per RECIST 1.1. -Subject has an ECOG performance status of 0 to 1. -Subject has adequate organ and bone marrow functions |
-Edad mínima de 18 años en el momento de firmar el documento de consentimiento informado. -CPNM epidermoide o no epidermoide confirmado histológica o citológicamente. -CPNM en estadio IIIB o IV y tratamiento previo con una pauta de quimioterapia sistémica a base de platino. -Donación por parte del sujeto de una muestra de tejido tumoral fijado en formol obtenida a partir de una biopsia de una lesión tumoral en el momento o después de establecer el diagnóstico de enfermedad metastásica Y a partir de un foco no irradiado previamente para evaluar el estado de PD L1. -Enfermedad mensurable documentada radiológicamente, de acuerdo con los criterios RECIST 1.1. -Estado funcional del ECOG de 0 o 1. -Funciones orgánicas y función medular adecuadas |
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E.4 | Principal exclusion criteria |
-Subject has known sensitizing EGFR and/or positive ALK mutation -Subject has received prior therapy with any other anti-PD-1, or PD-L1 or PD-L2 agent or an antibody targeting other immuno-regulatory receptors or mechanism -Subject has had radiotherapy <=4 weeks or limited field radiation for palliation <= 2 weeks prior to starting IP, and/or from whom >= 30% of the bone marrow was irradiated. -Subject has received a live-virus vaccination within 30 days of planned treatment start. Seasonal flu vaccines that do not contain live virus are permitted -Subject has active autoimmune disease that has required systemic treatment within the past 2 years -Subject with uncontrolled or symptomatic central nervous system (CNS) metastases and/or carcinomatous meningitis |
-Presencia de una mutación en ALK o EGFR sensibilizadora -Tratamiento previo con otro fármaco anti PD 1, PD L1 o PD L2 o un anticuerpo dirigido contra otros receptores o mecanismos inmunorreguladores -Recepción de radioterapia en las 4 semanas o de radioterapia de campo limitado con fines paliativos en las 2 semanas previas al comienzo de la administración del PEI o en las que se irradió al menos el 30% de la médula ósea -Recepción de una vacuna de virus vivos en los 30 días previos al comienzo previsto del tratamiento. Se permitirán las vacunas contra la gripe estacional que no contengan virus -Presencia de una enfermedad autoinmunitaria activa que ha precisado tratamiento sistémico en los 2 últimos años -Metástasis en el sistema nervioso central (SNC) no controladas o sintomáticas o meningitis carcinomatosa |
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E.5 End points |
E.5.1 | Primary end point(s) |
PFS measured as time from randomization to progression according to RECIST 1.1 (based on Investigator assessment) |
SLP medida como el tiempo transcurrido entre la aleatorización y la progresión conforme a los criterios RECIST 1.1 (según la evaluación del investigador). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
When 70 PFS events occur |
cuando se hayan producido 70 episodios de SLP |
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E.5.2 | Secondary end point(s) |
1.Number (%) of subjects with SD for >= 18 weeks, complete response (CR) or PR (DCR). 2.Overall survival. 3.Number (%) of subjects who achieve an objective CR or PR (ORR). 4.Safety to include the incidence of treatment-emergent adverse events (TEAEs), serious TEAEs, Grade 3-4 TEAEs, TEAEs of special interest, and laboratory abnormalities and other safety parameters. 5.Plasma PK parameters such as maximum observed concentration (Cmax), area under the concentration-time curve (AUC), time to maximum concentration (Tmax), terminal half-life (t1/2), apparent total body clearance (CL/F) and apparent volume of distribution (Vz/F) for CC-486. |
1. Número (%) de sujetos con EE durante >= 18 semanas, respuesta completa (RC) o RP (TCE). 2. Supervivencia global 3. Número (%) de sujetos que logren una RC o RP objetiva (TRG). 4. Seguridad, determinada mediante la incidencia de acontecimientos adversos aparecidos durante el tratamiento (AAAT), AAAT graves, AAAT de grado 3 4, AAAT de especial interés y anomalías analíticas y otros parámetros de seguridad. 5. Parámetros FC en plasma, como concentración observada máxima (Cmáx), área bajo la curva de concentración tiempo (AUC), tiempo hasta la concentración máxima (Tmáx), semivida terminal (t1/2), aclaramiento corporal total aparente (CL/F) y volumen de distribución aparente (Vz/F) de CC 486. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1.Every 6 weeks from randomization for the first 24 weeks then every 9 weeks until disease progression or start of a new anticancer treatment, or withdrawal of consent 2.When 70 deaths occur 3.Every 6 weeks from randomization for the first 24 weeks then every 9 weeks until disease progression or start of a new anticancer treatment, or withdrawal of consent 4.Continuous after informed consent signature 5.Predose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, and 8 hours post-dose |
1. : cada 6 semanas a partir de la aleatorización durante las 24 primeras semanas y luego cada 9 semanas hasta que se produzca progresión de la enfermedad ,comienzo de un nuevo tratamiento antineoplásico o retirada del consentimiento 2. cuando se produzcan 70 muertes 3. cada 6 semanas a partir de la aleatorización durante las 24 primeras semanas y luego cada 9 semanas hasta que se produzca progresión de la enfermedad ,comienzo de un nuevo tratamiento antineoplásico o retirada del consentimiento 4. De forma ininterrumpida tras la firma del consentimiento informado 5. Antes de la dosis; 0,25; 0,5; 1; 1,5; 2; 2,5; 3; 3,5; 4; 6 y 8 horas de la administración |
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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) | 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 | Yes |
E.8.2.3 | Other | No |
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 | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 20 |
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 |
France |
Germany |
Greece |
Italy |
Spain |
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
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The End of Trial is defined as either the date of the last visit of the last subject to complete the post-treatment follow-up, or the date of receipt of the last data point from the last subject that is required for primary, secondary and/or exploratory analysis, as pre-specified in the protocol, whichever is the later date. |
El final del ensayo se define como la fecha de la última visita del último sujeto que finalice el seguimiento posterior al tratamiento o la fecha de recepción de los últimos datos correspondientes al último sujeto que sean necesarios para los análisis principales, secundarios o exploratorios, tal como se establece en el protocolo, la que sea posterior. |
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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 | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |