E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Newly diagnosed glioblastoma (GBM) or gliosarcoma |
Glioblastoma de nuevo diagnóstico (GBM) o gliosarcoma |
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E.1.1.1 | Medical condition in easily understood language |
Specific brain tumors known as glioblastoma, or GBM |
Tumores específicos de cerebro conocidos como glioblastoma, o GBM |
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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 | 18.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10006153 |
E.1.2 | Term | Brain tumor |
E.1.2 | System Organ Class | 100000004864 |
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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 |
Phase 2: to determine whether the addition of ABT-414 to concomitant radiotherapy and temozolomide prolongs progression free survival (PFS) in subjects with newly diagnosed GBM harboring EGFR amplificaton. Phase 3: to determine whether the addition of ABT-414 to concomitant radiotherapy and temozolomide prolongs overall survival (OS) in subjects with newly diagnosed GBM harboring EGFR amplificaton |
Fase 2: determinar si la adición de ABT-414 al tratamiento concurrente con radioterapia y temozolomida prolonga la supervivencia sin progresión (SSP) en sujetos con diagnóstico reciente de GBM con amplificación de EGFR. Fase 3: determinar si la adición de ABT-414 al tratamiento concurrente con radioterapia y temozolomida prolonga la supervivencia global (SG) en sujetos con diagnóstico reciente de GBM con amplificación de EGFR |
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E.2.2 | Secondary objectives of the trial |
To determine whether the addition of ABT-414 to concomitant radiotherapy and temozolomide improves outcomes on the following: OS (secondary endpoint for Phase 2), PFS (secondary endpoint for Phase 3), OS for EGFRvIII mutated tumor sub-group, PFS for EGFRvIII mutated sub-group, time to deterioration in neurocognitive functioning, time to deterioration in symptom severity and symptom interference scores of the MDASI-BT questionnaire. |
Determinar si la adición de ABT-414 al tratamiento concurrente con radioterapia y temozolomida mejora los resultados de los siguientes: SG (criterio secundario para la Fase 2), SSP (criterio secundario para la Fase 3), SG en el subgrupo para tumores con la mutación EGFRvIII, SSP en el subgrupo para tumores con la mutación EGFRvIII, tiempo hasta el deterioro de la función neurocognitiva, tiempo hasta el deterioro de intensidad de los síntomas y hasta el deterioro de la puntuación de interferencia de los síntomas del cuestionario MDASI-BT |
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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 |
There is a pharmacogenetic sub-study optional translational and genetic sub-study The sub-studies are included in the main protocol with additional consents required for participation in these sub-studies |
Existen subestudios opcionales farmacogenético translacional y genético. Los subestudios están incluidos en el protocolo principal con consentimientos adicionales requeridos para la participación en estos subestudios |
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E.3 | Principal inclusion criteria |
1. de novo GBM tumors that test positive for EGFR amplification. 2. Age ? 18 years. 3. Karnofsky performance status ? 70 ? 14 days prior to randomization. 4. Must have recovered from effects of surgery, postoperative infection and other complications of surgery. 5. Adequate bone marrow, renal, and hepatic function ? 21 days prior to randomization. |
1. Tumores GBM de novo que resultan positivos a amplificación de EGFR 2. Edad ? 18 años 3. Estado funcional de Karnofsky ? 70 en la evaluación efectuada en los 14 días previos a la aleatorización 5. Presencia de una función medular, renal y hepática adecuada en los 21 días previos a la aleatorización |
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E.4 | Principal exclusion criteria |
1. multifocal, recurrent or metatstatic GBM or gliomatosis cerebri. 2. prior chemo therapy or radiosensitizer for cancer of the head and neck region. 3. prior radiotherapy to the head or neck resulting in overlap of radiation fields. 4. prior therapy for glioblastoma or other invasive malignancy. 5. prior, concomitant or planned treatment with Novo-TTF, EGFR-targeted therapy, bevacizumab, Gliadel wafers or other intratumoral or intracavity anti-neoplastic therapy. |
1. GBM multifocal, recidivante o metastásico, o gliomatosis cerebral 2. Administración previa de quimioterapia o radiosensibilizadores por cánceres de la región de la cabeza y el cuello 3. Radioterapia previa de la cabeza y el cuello con superposición de los campos de irradiación 4. Cualquier tratamiento previo contra el glioblastoma u otra neoplasia maligna invasiva 5. Tratamiento previo, concurrente o previsto con NovoTTF, tratamiento dirigido contra EGFR, bevacizumab, discos de Gliadel u otro tratamiento antineoplásico intratumoral o intracavitario |
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E.5 End points |
E.5.1 | Primary end point(s) |
Phase 2: PFS (as determined by RANO criteria). Phase 3: OS |
Fase 2: SSP (conforme a los criterios RANO). Fase 3: SG |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Imaging to determine PFS performed prior to initiation of adjuvant TMZ and then every 8 weeks thereafter. |
Pruebas de imagen para determinar SSP realizada previa al inicio de TMZ adyuvante y después cada 8 semanas |
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E.5.2 | Secondary end point(s) |
OS (secondary endpoint for Phase 2), PFS (secondary endpoint for Phase 3), OS for EGFRvIII mutated tumor sub-group, PFS for EGFRvIII mutated sub-group, time to deterioration in Clinical Trial Battery composite score, time to deterioration in symptom severity score (MDASI-BT), time to deterioration on symptom interference score (MDASI-BT). |
SG (criterio secundario para la Fase 2), SSP (criterio secundario para la Fase 3), SG en el subgrupo para tumores con la mutación EGFRvIII, SSP en el subgrupo para tumores con la mutación EGFRvIII, tiempo hasta el deterioro de la puntuación de la batería para ensayos clínicos combinada, tiempo hasta el deterioro de la puntuación de intensidad de los síntomas (MDASI-BT), tiempo hasta el deterioro de la puntuación de interferencia de los síntomas (MDASI-BT) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
MRIs will be performed evey other cycle, Clinical trial battery (COWA, HVLT-R, TMT-A&B) and MDASI-BT performed at screening, prior initiation of adjuvant TMZ, and every 8 weeks thereafter. |
Las RMs se realizarán cada ciclo alterno, la batería para ensayos clínicos (COWA, HVLT-R, TMT-A&B) y MDASI-BT realizados en selección, previo al inicio de TMZ adyuvante y después cada 8 semanas |
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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 | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Health-related quality of life assessments |
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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 | 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 | 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 | 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 | 6 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 54 |
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 |
Brazil |
Canada |
China |
Colombia |
European Union |
Hong Kong |
Korea, Democratic People's Republic of |
Mexico |
New Zealand |
Puerto Rico |
Russian Federation |
Singapore |
South Africa |
Switzerland |
Taiwan |
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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Last Subject Last Visit |
Última Visita del Último Paciente |
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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 | 4 |
E.8.9.1 | In the Member State concerned months | 7 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 7 |
E.8.9.2 | In all countries concerned by the trial days | 0 |