E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Acute Myeloid Leukemia (AML) |
Leucemia Mieloide Aguda. |
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E.1.1.1 | Medical condition in easily understood language |
Acute Myeloid Leukemia (AML) |
Leucemia Mieloide Aguda. |
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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 | LLT |
E.1.2 | Classification code | 10000886 |
E.1.2 | Term | Acute myeloid leukemia |
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 |
Part A: to assess the safety of JNJ-56022473 monotherapy and confirm the RP2D in subjects with AML for whom experimental therapy is appropriate (as assessed by their treating physician). Part B: The primary objective of the study is to assess the event-free survival (EFS) in subjects with previously untreated AML who are not eligible for intense induction chemotherapy and who are randomly assigned to receive decitabine plus JNJ 56022473 at the RP2D or decitabine alone. |
Parte A: evaluar la seguridad y confirmar la dosis recomendada para la fase 2 (DRF2) de JNJ-5602247 en monoterapia en pacientes con LMA para los que está indicado un tratamiento experimental (a criterio de su médico).
Parte B: evaluar la supervivencia libre de eventos (SLE) en pacientes con LMA no tratados previamente que no son candidatos a la quimioterapia de inducción intensiva, asignados aleatoriamente para recibir decitabina más JNJ 56022473 a la DRF2 o decitabina sola. |
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E.2.2 | Secondary objectives of the trial |
-To determine the overall response rate (ORR) defined as rate of complete response (CR) and complete response with incomplete blood count recovery (CRi); - To assess the relapse-free survival (RFS); - To assess overall survival (OS); - To assess the safety profile of JNJ-56022473 in combination with decitabine; - To assess the pharmacokinetics of JNJ-56022473 and decitabine alone and in combination; - To assess the immunogenicity of JNJ-56022473 alone and in combination with decitabine; - To assess patient-reported outcomes (PROs) using the FACT-Leu and EQ-5D-5L. |
- Determinar la tasa de respuesta global (TRG), definida como la tasa de respuesta completa (RC) y de respuesta completa con recuperación incompleta del hemograma (RCi); - Evaluar la supervivencia libre de recidiva (SLR) - Evaluar la supervivencia global (SG) - Evaluar el perfil de seguridad de JNJ-56022473 en combinación con decitabina; - Evaluar la farmacocinética de JNJ 56022473 y decitabina cuando se usan solos o en combinación; - Evaluar la inmunogenicidad de JNJ-56022473 cuando se usa solo o en combinación con decitabina; - Evaluar los resultados comunicados por los pacientes (RCP) aplicando los instrumentos FACT-LEU y EQ-5D-5L. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- De novo or secondary acute myeloid leukemia (AML) according to WHO 2008 criteria For Part A: - Participants With AML: treatment naive or relapsed for whom experimental therapy is appropriate (as assessed by their treating physician) For Part B: - Previously untreated AML (except: emergency leukapheresis and/or hydroxyurea during the screening phase to control hyperleukocytosis); Of note: treatment with hydroxyurea has to be discontinued at least one day prior to start of study therapy - Not eligible for standard intensive chemotherapy for induction and consolidation based on documented investigator assessment of disease- and patient characteristics as recorded in the electronic case report form (eCRF); these parameters include age, Eastern Cooperative Oncology Group (ECOG) performance status score, cytogenetic risk group, and comorbidities (cardiac, infectious, hepatic, diabetes-related, pulmonary, obesity-related, cerebrovascular accident-related, peptic-ulcer, and others) - Not eligible for an allogeneic hematopoietic stem cell transplantation - ECOG Performance Status score of 0, 1 or 2 - A woman must be either: Not of childbearing potential: postmenopausal (more than [>] 45 years of age with amenorrhea for at least 12 months; If, of childbearing potential must be practicing a highly effective method of birth control - A woman of childbearing potential must have a negative serum (beta-human chorionic gonadotropin [beta-hCG]) or urine pregnancy test at screening - A man who is sexually active with a woman of childbearing potential and has not had a vasectomy must agree to use a barrier method of birth control eg, either condom with spermicidal foam/gel/film/cream/suppository or partner with occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository for at least 3 months after last study treatment |
- Leucemia mieloide aguda (LMA) de novo o secundaria de acuerdo con los criterios WHO 2008.
Para la parte A: - Pacientes con LMA no tratados previamente o recidivantes en los que está indicado el tratamiento experimental (a criterio del médico responsable del tratamiento)
Para la parte B: -Pacientes con LMA sin tratamiento previo (excepto: leucoféresis de urgencia o hidroxiurea durante la fase de selección para controlar la hiperleucocitosis); Nota: el tratamiento con hidroxiurea tiene que haber cesado al menos un día antes del inicio del tratamiento del estudio -No candidatos a quimioterapia intensiva estándar de inducción y consolidación en base a la evaluación de las características de la enfermedad y del paciente, realizada por el investigador y recogida en el cuaderno electrónico de recogida de datos (CRDe); estos parámetros incluyen edad, estado funcional según Eastern Cooperative Oncology Group (ECOG), grupo de riesgo en función de la citogenética y comorbilidades (cardiacas, infecciosas, hepáticas, relacionadas con diabetes, pulmonares, relacionadas con obesidad, relacionadas con accidente cerebrovascular, úlcera péptica, y otros) -No elegibles para trasplante alogénico -Estado funcional ECOG de 0, 1 o 2 -Una mujer debe: No poder tener hijos: postmenopausica (más de [>] 45 años con amenorrea durante al menos 12 meses; Si, puede quedarse embarazada, debe usar un método anticonceptivo de alta efectividad -Una mujer en edad fértil que podría quedarse embarazada, debe tener un test de embarazo negativo en sangre (gonadotrofina coriónica humana beta [beta-hCG]) u orina en la fase de selección -Un hombre sexualmente activo con una mujer en edad fértil que no se ha sometido a una vasectomía, debe estar de acuerdo en usar un método anticonceptivo de barrera ej, preservativo en espuma/gel/película/crema/supositorio o pareja con capuchón (diafragma o cervical con espermicida en espuma/gel/película/crema/supositorio durante al menos 3 meses tras la última dosis de tratamiento |
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E.4 | Principal exclusion criteria |
- Acute promyelocytic leukemia with t(15;17), or its molecular equivalent (PML-RARalpha) - For Part B only: Known leukemic involvement or clinical symptoms of leukemic involvement of the central nervous system - In the case of AML from antecedent myelodysplastic syndrome (MDS), subjects who received prior treatment with a hypomethylating agent. For Part A, subjects with relapsed AML who received prior treatment with a hypomethylating agent - For Part A only: Subjects who did not recover from all clinically significant toxicities (excluding alopecia and hematologic toxicities) of any previous surgery, radiotherapy, targeted therapy, or chemotherapy to less than or equal to Grade 1 - For Part A only: Subjects who did not recover from all clinically significant toxicities (excluding alopecia and hematologic toxicities) of any previous surgery, radiotherapy, targeted therapy, or chemotherapy to less than or equal to Grade 1 - Any active infection that is not responding to treatment |
- Leucemia promielocítica aguda con t(15;17), o su equivalente molecular (PML-RARalpha) - Solo para la parte B: Infiltrado leucémico conocido o síntomas clínicos de infiltrado leucémico, a nivel del sistema nervioso central. - En caso de LMA precedida de syndrome mielodisplásico (SMD), pacientes que hayan recibido tratamiento previo con agentes hipometilantes.
- Solo para la parte A: sujetos con LMA recidivante que hayan recibido tratamiento previo con agentes hipometilantes. - Solo para la parte A: sujetos que no se han recuperado hasta al menos un grado 1 de toxicidades clínicamente significativas (exluyendo alopecia y toxicidades hematológicas) de cualquier cirugía previa, radioterapia, terapia diana, o quimioterapia; - Cualquier infección active que no responde a tratamiento |
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E.5 End points |
E.5.1 | Primary end point(s) |
Event-Free Survival |
Supervivencia libre de evento |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Up to 1 year after last participant enrolled |
Hasta 1 año tras la inclusión del último participante |
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E.5.2 | Secondary end point(s) |
- Overall response rate (ORR) - Overall Survival (OS) - Relapse-free survival (RFS) - Number of Participants With Adverse Event - Pharmacokinetic parameters - Number of Participants With Anti-drug Antibody at any Visit - Functional Assessment of Cancer Therapy -Leukemia (FACT-Leu) Score - European Quality of Life- 5 Dimension 5-Level (EQ-5D-5L) Score |
Tasa de respuesta global (TRG) Supervivencia global (SG) Supervivencia libre de recidiva Número de participantes con acontecimientos adversos Parámetros farmacocinéticos Número de participantes con anticuerpos anti-medicación en cualquiera de las visitas Puntuación del Functional Assessment of Cancer Therapy -Leukemia (FACT-Leu) Puntuación del European Quality of Life- 5 Dimension 5-Level (EQ-5D-5L) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
- Up to 1 year after last participant enrolled - Up to 1 year after last participant enrolled - Up to 1 year after last participant enrolled - Up to 1 year after last participant enrolled - Predose (0) hour and after intravenous infusion - Up to 1 year after last participant enrolled - Up to 1 year after last participant enrolled - Baseline and 1 year after last participant enrolled |
Hasta 1 año tras la inclusión del último participante Hasta 1 año tras la inclusión del último participante Hasta 1 año tras la inclusión del último participante Hasta 1 año tras la inclusión del último participante Pre-dosis (0) y tras la infusión intravenosa Hasta 1 año tras la inclusión del último participante Hasta 1 año tras la inclusión del último participante Basal y 1 año tras la inclusión del último participante |
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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 | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Immunogenicity, Biomarker, Bio-equivalence |
Inmunogenicidad, biomarcadores, bioequivalenvia |
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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) | 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 | 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 | Yes |
E.8.2.3.1 | Comparator description |
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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 | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 12 |
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 |
Australia |
Belgium |
Germany |
Israel |
Russian Federation |
Spain |
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
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The end of the study is defined as 12 months after the last subject is randomized providing all events have been reached. At that time, follow up of subjects and data collection will end. Subjects who are continuing to derive benefit from treatment as assessed by their investigator and confirmed by the study evaluation yteam will continue to receive treatment and be monitored for safety by the sponsor. |
El final del ensayo se define como 12 meses tras la aleatorización del ultimo paciente habiendose alcanzado todos los eventos. En ese momento, el seguimiento de los pacientes y la recogida de datos terminarán. Los sujetos que continúen obteniendo beneficio derivado del tratamiento, según la evaluación del investigador y la confirmación del equipo de evaluación del ensayo, continuarán recibiendo el tratamiento y serán monitorizados por el promotor para seguridad. |
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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 | 10 |
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 | 10 |
E.8.9.2 | In all countries concerned by the trial days | 0 |