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). |
Trattamento di seconda linea del carcinoma polmonare non a piccole cellule (NSCLC) localmente avanzato o metastatico. |
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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 |
Carcinoma polmonare non a piccole cellule (NSCLC) avanzato o metastatico che non ¿ stato precedentemente trattato con regime contenente 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 | 21.1 |
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 | 21.1 |
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.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
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 | 21.1 |
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 | 21.1 |
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 | 21.1 |
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.1.3 | 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 |
Stimare l'efficacia di CC-486 pi¿ pembrolizumab rispetto a pembrolizumab pi¿ placebo in base alla PFS misurata utilizzando le linee guida RECIST 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 |
¿Stimare il tasso di controllo della malattia (DCR) di CC-486 pi¿ pembrolizumab rispetto a pembrolizumab pi¿ placebo ¿Stimare la sopravvivenza globale (OS) di CC-486 pi¿ pembrolizumab rispetto a pembrolizumab pi¿ placebo ¿Stimare il tasso di risposta oggettiva (ORR) di CC-486 pi¿ pembrolizumab rispetto a pembrolizumab pi¿ placebo ¿Valutare la sicurezza e la tollerabilit¿ di CC-486 pi¿ pembrolizumab rispetto a pembrolizumab pi¿ placebo ¿Valutare l'impatto di pembrolizumab sulla farmacocinetica di 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 nonsquamous NSCLC. -Subject has stage IIIB or IV NSCLC and was pretreated with only 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 |
-I soggetti devono avere = 18 anni al momento della sottoscrizione del modulo di consenso informato. -Il soggetto è affetto da NSCLC squamoso o non squamoso confermato istologicamente o citologicamente. -Il soggetto è affetto da NSCLC di stadio IIIB o IV ed ha ricevuto solo 1 precedente chemioterapia sistemica a base di platino. -Il soggetto ha fornito un campione di tessuto tumorale fissato in formalina proveniente dalla biopsia di una lesione tumorale eseguita contestualmente o successivamente alla diagnosi di malattia metastatica E su una sede non precedentemente sottoposta a radiazioni per valutare lo stato del PD-L1. -Soggetto con malattia misurabile documentata radiograficamente, come da RECIST 1.1. -Il soggetto presenta uno stato di performance secondo ECOG di 0 a 1. -Il soggetto presenta funzioni del midollo osseo e degli organi adeguate
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E.4 | Principal exclusion criteria |
-Subject with non-squamous histology has known or unknown sensitizing EGFR and/or positive ALK mutation. Note: Subjects with squamous histology and unknown EGFR and ALK mutational status are eligible. -Subject has received more than one line of therapy for stage IIIB or IV disease -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 Subjects with controlled and asymptomatic CNS metastases may participate in this trial. The patient must have completed any prior treatment for CNS metastases (must include radiotherapy and/or surgery) >= 28 days (>= 14 days for stereotactic radiosurgery) Patients must not be receiving corticosteroids for brain metastases. |
-Il soggetto con istologia non squamosa presenta una mutazione sensibilizzante dell'EGFR nota o non nota e/o una mutazione ALK positiva nota o non nota. Nota: I soggetti con istologia squamosa e stato mutazionale di EGFR o ALK non noto sono eleggibili. -Il soggetto ha ricevuto più di una linea di terapia per la malattia di stadio IIIB o IV -Il soggetto è stato sottoposto a radioterapia <= 4 settimane o a radioterapia palliativa a campo limitato <= 2 settimane prima dell'inizio della terapia con IP e/o dalla quale è stato irradiato >= 30% del midollo osseo. -Il soggetto ha ricevuto un vaccino con virus vivo nei 30 giorni precedenti l'inizio del trattamento pianificato. Sono consentiti vaccini antinfluenzali stagionali che non contengono un virus vivo -Il soggetto presenta malattia autoimmune attiva che ha richiesto trattamento sistemico nei 2 anni precedenti -Il soggetto presenta metastasi del sistema nervoso centrale (SNC) non controllate o sintomatiche e/o meningite carcinomatosa I soggetti con metastasi del SNC asintomatiche possono prendere parte a questa sperimentazione. Il paziente deve aver concluso qualsiasi precedente trattamento per la cura delle metastasi del SNC (incluse radioterapia e/o intervento chirurgico) >= 28 giorni (>= 14 giorni per la radiochirurgia stereotassica) I pazienti non devono ricevere corticosteroidi per il trattamento di metastasi cerebrali. |
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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) |
PFS misurata dal momento della randomizzazione alla progressione secondo le linee guida RECIST 1.1 (sulla base della valutazione dello Sperimentatore) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Dopo l’osservazione di 70 eventi di PFS |
When 70 PFS events occur |
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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.Numero (%) di soggetti con malattia stabile (SD) per >= 18 settimane, risposta completa (CR) o PR (DCR). 2.Sopravvivenza Globale. 3.Numero (%) di soggetti che raggiungono CR o PR (ORR) oggettive. 4.Sicurezza per includere l'incidenza degli eventi avversi emergenti dal trattamento (TEAE), TEAE seri, TEAE di grado 3-4, TEAE di interesse particolare e anomalie dei valori di laboratorio e altri parametri di sicurezza. 5.Parametri PK nel plasma come concentrazione massima osservata (Cmax), area sotto la curva concentrazione-tempo (AUC), tempo alla concentrazione massima (Tmax), emivita terminale (t1/2), clearance corporea apparente totale (CL/F) e volume apparente di distribuzione (Vz/F) per 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.Ogni 6 settimane dalla randomizzazione per le prime 24 settimane e successivamente ogni 9 settimane fino a progressione della malattia o inizio di una nuova terapia anticancro o ritiro del consenso 2.Dopo l'osservazione di 70 decessi 3.Ogni 6 settimane dalla randomizzazione per le prime 24 settimane e successivamente ogni 9 settimane fino a progressione della malattia o inizio di una nuova terapia anticancro o ritiro del consenso 4.Continua dopo la firma del consenso informato 5.Prima della dose, 0,25, 0,5, 1, 1,5, 2, 2,5, 3, 3,5, 4, 6, e 8 ore dopo la dose
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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 | 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 |
United States |
France |
Germany |
Greece |
Italy |
Spain |
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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. |
La conclusione dello studio clinico ¿ definita come la data dell'ultima visita dell'ultimo soggetto che conclude il follow-up post-trattamento o la data di ricezione dell'ultimo dato dall'ultimo soggetto, dato necessario per un'analisi primaria, secondaria e/o esplorativa, come preliminarmente specificato nel protocollo, a seconda di quale delle due date sia l'ultima. |
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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 |