E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Subjects will receive tazemetostat as dictated in their antecedent study. |
Les patients recevront le Tazemetostat conformément aux prescriptions de l'étude précédente |
|
E.1.1.1 | Medical condition in easily understood language |
Subjects will receive tazemetostat as dictated in their antecedent study. |
Les patients recevront le Tazemetostat conformément aux prescriptions de l'étude précédente |
|
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 | 19.1 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10027414 |
E.1.2 | Term | Mesotheliomas malignant and unspecified |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10027404 |
E.1.2 | Term | Mesomelia |
E.1.2 | System Organ Class | 100000004850 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10007284 |
E.1.2 | Term | Carcinoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10027406 |
E.1.2 | Term | Mesothelioma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10027408 |
E.1.2 | Term | Mesothelioma malignant advanced |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10026667 |
E.1.2 | Term | Malignant peripheral nerve sheath tumor |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10073335 |
E.1.2 | Term | Rhabdoid tumor |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10042863 |
E.1.2 | Term | Synovial sarcoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10064886 |
E.1.2 | Term | Renal medullary carcinoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10073134 |
E.1.2 | Term | Extraskeletal myxoid chondrosarcoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10062474 |
E.1.2 | Term | Mesothelioma malignant localized |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10074121 |
E.1.2 | Term | Rhabdoid tumor of the kidney |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10027411 |
E.1.2 | Term | Mesothelioma malignant recurrent |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10015100 |
E.1.2 | Term | Epithelioid sarcomas |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | HLGT |
E.1.2 | Classification code | 10027412 |
E.1.2 | Term | Mesotheliomas |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
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 |
1. Number of subjects with adverse events related to study drug, as a measure of safety and tolerability of tazemetostat
2. Number of subjects with adverse events, as a measure of safety and tolerability of tazemetostat
3. Extent of exposure to tazemetostat
|
1. Nombre de patients présentant des événements indésirables liés au médicament à l'étude, comme mesure de la sécurité et de la tolérance du Tazemetostat.
2. Nombre de patients présentant des événements indésirables, comme mesure de la sécurité et de la tolérance du Tazemetostat.
3. Étendue de l'exposition au Tazemetostat. |
|
E.2.2 | Secondary objectives of the trial |
1. The overall survival (OS) of subjects receiving tazemetostat defined as the interval of time between the date of the first dose of tazemetostat and the date of death due to any cause |
1. Survie globale (SG) des patients recevant du Tazemetostat, définie comme le temps écoulé entre la date de la première prise du Tazemetostat et la date du décès quelle qu'en soit la cause. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Has demonstrated and continues to demonstrate clinical benefit from treatment with tazemetostat.
2. Is currently receiving tazemetostat as either monotherapy or in combination with other approved drug(s) or investigational agent(s) on an Epizyme-sponsored clinical trial or any other clinical trial being conducted with tazemetostat that is not sponsored by Epizyme (including but not limited to, investigator-initiated trials). For subjects on combination therapy, treatment with other therapeutic(s) must have been completed in the antecedent study or will be provided by a source other than Epizyme if combination therapeutics are continued in this study
3. Has provided signed written informed consent
4. Has a life expectancy of >3 months
5. Has adequate hematologic, (bone marrow [BM], and coagulation factors), renal, and hepatic function. Subject must remain eligible for continued treatment with tazemetostat according to the eligibility and treatment criteria from the antecedent study
6. For French subjects only: Is either affiliated with or a beneficiary of a social security category
7. Female subjects of childbearing potential must:
• Have a negative beta-human chorionic gonadotropin (β-hCG) pregnancy test at time of study entry and within 14 days prior to planned first dose of investigational product, and
• Agree to use effective contraception, as defined in Section 10.4 until 30 days following the last dose of investigational product and have a male partner who uses a condom, or
• Practice true abstinence (when this is in line with the preferred and usual lifestyle of the subject, see Section 10.4.1), or
• Have a male partner who is vasectomized.
8. Male subjects with a female partner of childbearing potential must:
• Be vasectomized, or
• Agree to use condoms as defined in Section 10.4.2 until 30 days following the last dose of investigational product, or
•Have a female partner who is NOT of childbearing potential. |
1. Avoir clairement retiré et continuer à retirer un bénéfice clinique du traitement par Tazemetostat.
2. Recevoir actuellement du Tazemetostat soit en monothérapie, soit en association avec un ou plusieurs autres médicaments autorisés ou agents expérimentaux dans le cadre d'une étude clinique menée par Epizyme ou de toute autre étude clinique portant sur le Tazemetostat dont Epizyme n'est pas le promoteur (y compris, mais sans s'y limiter, les études initiées par les investigateurs). Pour les patients prenant une polythérapie, le traitement par un ou plusieurs autres produits thérapeutiques doit avoir ététerminé lors de l'étude précédente ou sera fourni par une autre source qu'Epizyme si la polythérapie est poursuivie lors de cette étude.
3. Avoir donné son consentement éclairé signé par écrit.
4. Avoir une espérance de vie > 3 mois.
5. Présenter une fonction hématologique (moelle osseuse [MO] et facteurs de coagulation), rénale et hépatique adéquate. Le patient doit rester éligible à la poursuite du traitement par le Tazemetostat selon les critères d'éligibilité et de traitement de l'étude précédente.
6. Pour les patients français uniquement : être affilié ou être bénéficiaire d'un régime de la Sécurité sociale
7. Les patients de sexe féminin en âge de procréer doivent :
- Présenter un test de grossesse β-hCG (hormone chorionique béta-gonadotrophique humaine) négatif au moment de l'inclusion dans l'étude et dans les 14 jours précédant la prise prévue de la première dose du produit expérimental, et
- Accepter d'utiliser une méthode de contraception efficace, telle que définie à la section 10.4 jusqu'à 30 jours après la prise de la dernière dose du produit expérimental, et avoir un partenaire qui utilise des préservatifs, ou
- Pratiquer une véritable abstinence sexuelle (si cela est en accord avec les préférences et le mode de vie habituels du patient ; voir la section 10.4.1) ou
- Avoir un partenaire qui a subi une vasectomie.
8. Les patients de sexe masculin avec une partenaire en âge de procréer doivent :
- Avoir subi une vasectomie ou
- Accepter d'utiliser des préservatifs, comme défini à la section 10.4.2, jusqu'à 30 jours après la prise de la dernière dose du produit expérimental, ou
-Avoir une partenaire qui n'est PAS en âge de procréer. |
|
E.4 | Principal exclusion criteria |
1. Has had an interruption of tazemetostat dosing of >14 days from the antecedent clinical study to starting the rollover study
2. Has any other malignancy other than the one for which they are receiving tazemetostat
Exception: Subject who has been disease-free of a prior malignancy for 5 years, or subject with a history of a completely resected non-melanoma skin cancer or successfully treated in situ carcinoma is eligible.
3. Is unwilling to exclude grapefruit juice, Seville oranges, and grapefruit from the diet and all foods that contain those fruits from time of enrollment throughout their participation in the study.
4. Is currently taking any prohibited medication(s) as described in Section 8.3.
5. Is unable to take oral medications, has malabsorption syndrome, or has any other uncontrolled gastrointestinal condition (e.g., nausea, diarrhea, or vomiting) that might impair the bioavailability of tazemetostat
6. Has an uncontrolled intercurrent illness including, but not limited to, uncontrolled infection, or psychiatric illness/social situations that would limit compliance with study requirements.
7. For female subjects of childbearing potential: Is pregnant or nursing
8. Has been permanently discontinued from tazemetostat therapy due to adverse event, intolerance or treatment failure |
1. Avoir interrompu la prise du Tazemetostat pendant > 14 jours entre l'étude clinique précédente et le début de l'étude d'extension.
2. Être atteint(e) d'une autre affection maligne que celle pour laquelle il/elle reçoit le Tazemetostat.
Exception : un patient en rémission d'une affection maligne antérieure depuis 5 ans, ou avec des antécédents de cancer de la peau autre qu'un mélanome ayant fait l'objet d'une résection totale ou de carcinome in situ ayant été traité avec succès est éligible.
3. Refuser d'exclure le jus de pamplemousse, les oranges amères et le pamplemousse de son régime alimentaire, ainsi que tous les aliments contenant ces fruits à compter de la date de recrutement et pendant la participation à l'étude.
4. Prendre actuellement un ou plusieurs médicaments interdits tels que décrits à la section 8.3
5. Ne pas être capable de prendre des médicaments par voie orale, souffrir d'un syndrome de malabsorption ou présenter une affection gastro-intestinale non contrôlée (nausées, diarrhée ou vomissements) qui pourrait affecter la biodisponibilité du Tazemetostat.
6. Souffrir d'une maladie intercurrente non contrôlée y compris, mais non limité à, une infection non contrôlée, ou une maladie psychiatrique/des situations sociales qui limiteraient le respect des exigences de l'étude.
7. Pour les patients de sexe féminin en âge de procréer : être enceinte ou allaitante.
8. Avoir définitivement arrêté la prise de Tazemetostat pour cause d'événement indésirable, d'intolérance ou d'échec du traitement. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
• AEs related to study drug
• AEs
• Duration of exposure to tazemetostat
|
• Les EIs liés au produit à l'étude
• Les EIs
• Étendue de l'exposition au Tazemetostat. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
At each visit |
A chaque visite |
|
E.5.2 | Secondary end point(s) |
• OS, defined as the interval of time between the date of the first dose of tazemetostat and the date of death due to any cause. |
• Survie globale (SG) des patients recevant du Tazemetostat, définie comme le temps écoulé entre la date de la première prise du Tazemetostat et la date du décès quelle qu'en soit la cause. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Up to 2 years after completion of the study (data base lock). |
Jusqu'à 2 ans après completion de l'étude (vérouillage de la base de données) |
|
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 | No |
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) | 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 |
Rollover study |
Etude d'extension |
|
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 | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
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 | 22 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 48 |
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 |
Canada |
Denmark |
France |
Germany |
Italy |
Netherlands |
Poland |
Taiwan |
United Kingdom |
United States |
|
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
|
LVLS |
Dernière visite du dernier patient |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 7 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 7 |