E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
soft tissue sarcoma |
sarcoma dei tessuti molli |
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E.1.1.1 | Medical condition in easily understood language |
Cancer in soft tissues of the body, including muscle, tendons, fat, lymph vessels, blood vessels, nerves, and tissue around joints |
Cancro ai tessuti molli del corpo che comprendono: muscoli, tendini, tessuto adiposo, vasi linfatici, nervi e tessuti articolari |
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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 | 20.0 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10041298 |
E.1.2 | Term | Soft tissue sarcomas histology unspecified |
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 | 15.1 |
E.1.2 | Level | HLGT |
E.1.2 | Classification code | 10041299 |
E.1.2 | Term | Soft tissue sarcomas |
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 | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of the Phase 1b part is to determine a recommended Phase 2 dose of olaratumab that may be safely administered in combination with gemcitabine and docetaxel to patients with advanced or metastatic STS. The primary objective of the Phase 2 part is to compare the overall survival (OS) in patients with advanced or metastatic STS treated with olaratumab plus gemcitabine and docetaxel versus placebo plus gemcitabine and docetaxel.
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L’obiettivo primario della parte di fase 1b è determinare una dose di olaratumab raccomandata per la fase 2 che potrà essere somministrata con sicurezza in associazione a gemcitabina e docetaxel in pazienti con STS avanzato o metastatico. L’obiettivo primario della parte di fase 2 è confrontare la sopravvivenza globale (OS) in pazienti con STS avanzato o metastatico trattati con olaratumab più gemcitabina e docetaxel o con placebo più gemcitabina e docetaxel. |
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E.2.2 | Secondary objectives of the trial |
The secondary objectives of Phase 1b part are to: • characterize the safety and toxicity profile of olaratumab in combination with gemcitabine and docetaxel • evaluate the PK and immunogenicity of olaratumab in combination with gemcitabine and docetaxel • evaluate the PK of gemcitabine and docetaxel in combination with olaratumab • document any antitumor activity of gemcitabine and docetaxel in combination with olaratumab The secondary objectives of the Phase 2 part are to compare olaratumab plus gemcitabine and docetaxel versus placebo plus gemcitabine and docetaxel for the following: • progression-free survival (PFS) • objective response rate (ORR) (complete response [CR] + partial response [PR]) • disease control rate (DCR; CR + PR + stable disease) • patient-reported outcomes (PROs): Pain, Health-related Quality of Life (HRQoL), and health status • safety and tolerability • evaluate the PK and immunogenicity of olaratumab
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Gli obiettivi secondari della parte di fase 1b sono: • caratterizzare il profilo di sicurezza e tossicità di olaratumab in associazione a gemcitabina e docetaxel • valutare la farmacocinetica e l’immunogenicità di olaratumab in associazione a gemcitabina e docetaxel • valutare la farmacocinetica di gemcitabina e docetaxel in associazione a olaratumab • documentare l’eventuale attività antitumorale di gemcitabina e docetaxel in associazione a olaratumab Gli obiettivi secondari della parte di fase 2 consistono nel confrontare olaratumab più gemcitabina e docetaxel rispetto al placebo più gemcitabina e docetaxel in termini di: • sopravvivenza libera da progressione (PFS) • tasso di risposta obiettiva (ORR) (risposta completa [CR] + risposta parziale [PR]) • tasso di controllo della malattia (DCR: CR + PR + malattia stabile) • esiti riferiti dai pazienti (PRO): dolore, qualità di vita correlata alla salute (HRQoL) e stato di salute • sicurezza e tollerabilità • valutazione della farmacoc |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients at least 16 years of age, ECOG PS 0 to 1, gemcitabine, docetaxel, and olaratumab naïve, with histologically confirmed, locally advanced, unresectable or metastatic STS, and not amenable to curative treatment with surgery or radiotherapy. The patient may have received at most 2 previous lines of systemic therapy (neoadjuvant and adjuvant therapies will not be considered as prior therapy) for locally advanced or metastatic disease and is suitable for receiving gentamicitabine and docetaxel therapy. antitumor should be completed more than 3 weeks (= 3 weeks (21 days)) before receiving the first dose of study medication. In phase 2 the previous combination therapy with olaratumab / doxorubicin in a treatment line is allowed. Previous olaratumeb therapy must have been with doxorubicin as indicated on the olaratumab label. Prior therapy with olaratumab must have included at least 2 complete cycles of olaratumab / doxorubicin (ie a minimum of 4 doses of oloratumab). Patients who have completed at least 2 courses of therapy with olaratumab / doxorubicin in combination and who have suspended doxorubicin due to maximum toxicity or dose and continued with olaratumab as monotherapy are still suitable. the last most recent dose of olaratumab must have been taken within 180 days of randomization in this study. |
Pazienti con: età pari o superiore a 16 anni, ECOG PS da 0 a 1, nessuna esposizione pregressa a gemcitabina e docetaxel, affetti da Sarcoma dei Tessuti molli localmente avanzato, non resecabile o metastatico istologicamente confermato e non trattabile mediante intervento chirurgico o radioterapia con intento curativo. Il paziente può aver ricevuto al massimo 2 linee precedenti di terapie sistemiche (le terapie neoadiuvanti e adiuvanti non saranno considerate come precedenti linea di terapia) per malattia localmente avanzata o metastatica ed è idoneo a ricevere la terapia con gentamicitabina e docetaxel. Tutti i precedenti trattamenti antitumorali devono essere stati completati da più di 3 settimane (= 3 settimane ( 21 giorni)) prima di ricevere la prima dose di farmaco in studio. Nella fase 2 la precedente terapia di associazione con olaratumab/doxorubicina in una linea di trattamento e consentita. La precedente terapia con olaratumeb deve essere stata con doxorubicina come indicato sull'etichetta di olaratumab. La precedente terapia con olaratumab deve aver incluso almeno 2 cicli completi di olaratumab/doxorubicina (ovvero un minimo di 4 dosi di olaratumab). Pazienti che hanno completato almeno 2 cicli di terapia con olaratumab/doxorubicina in combinazione e che hanno sospeso la doxorubicina a causa di tossicità o dosaggio massimo e hanno proseguito con olaratumab in monoterapia sono comunque idonei. L'ultima dose più recente di olaratumab deve essere stata assunta entro 180 giorni dalla randomizzazione in questo studio. |
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E.4 | Principal exclusion criteria |
Patients with gastrointestinal stromal tumor or Kaposi’s sarcoma will be excluded. Patients previously enrolled in Study I5B-MC-JGDJ or any other blinded study with olaratumab are not eligible to participate in this trial. |
Pazienti: con tumore stromale gastrointestinale o un sarcoma di Kaposi, che hanno preso parte precedentemente allo studio I5B-MC-JGDJ o ad un qualsiasi altro studio in cieco con olaratumab |
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E.5 End points |
E.5.1 | Primary end point(s) |
Efficacy: Overall survival (time from randomization to death) is the primary per-patient measure for efficacy in the Phase 2 part. |
Efficacia: la sopravvivenza globale (tempo intercorrente tra la randomizzazione e il decesso) costituisce il parametro individuale primario per la valutazione dell’efficacia nella parte di fase 2. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
This study will be considered complete (ie, the scientific evaluation will be completed [completion of the study]) after final analysis of the endpoint on overall survival (<< SW >> at least 108 global survival events in the arm of naive patients olaratumab) was performed and evaluated, as determined by Lilly. << JGDL (a) >> Investigators will continue to follow the study program for all patients until Lilly notifies completion of the study. Radiographic assessments according to Response Evaluation Criteria In Solid Tumors, Version 1.1 criteria, will be performed every 6 weeks (±7 days) until radiographic documentation of PD. |
Questo studio sarà considerato completo (vale a dire, la valutazione scientifica sarà completata [completamento dello studio]) dopo l'analisi finale dell'endpoint sulla sopravvivenza globale (<< SW>> almeno 108 eventi di sopravvivenza globale nel braccio dei pazienti naive ad olaratumab) è stato eseguito e valutato, come dederminato da Lilly . << JGDL (a) >> Gli sperimentatori continueranno a seguire il programma dello studio per tuti i pazienti fino a quando Lilly non notificherà il completamento dell studio. Ogni 6 settimane (±7 giorni) fino alla documentazione radiografica di PD verranno eseguite delle valutazioni radiografiche secondo i criteri RECIST (Response Evaluation Criteria in Solid Tumors), versione 1.1. |
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E.5.2 | Secondary end point(s) |
The secondary objective is to compare olaratumab plus gemcitabine and docetaxel versus placebo plus gemcitabine and docetaxel for the following: • progression-free survival (PFS)
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L'obiettivo secondario consiste nel confrontare olaratumab più gemcitabina e docetaxel rispetto al placebo più gemcitabina e docetaxel in termini di: • sopravvivenza libera da progressione (PFS)
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Conclusion of phase II trial |
Conclusione della fase II dello studio |
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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 | Yes |
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) | 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 |
Phase I not applicable for Italy. |
Fase I non applicabile per l'Italia. |
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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 | 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) | Yes |
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 | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 25 |
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 |
Australia |
Israel |
United States |
France |
Germany |
Hungary |
Italy |
Poland |
Spain |
United Kingdom |
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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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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 | 2 |
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 | 2 |
E.8.9.2 | In all countries concerned by the trial days | 0 |