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    Summary
    EudraCT Number:2015-005806-12
    Sponsor's Protocol Code Number:CBLZ945X2101
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2016-08-05
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2015-005806-12
    A.3Full title of the trial
    A phase I/II, open-label, multi-center study of the safety and efficacy of BLZ945 as single agent and in combination with PDR001 in adults patients with advanced solid tumors
    Estudio fase I/II, abierto, multicéntrico, que evalúa la seguridad y eficacia de BLZ945 en monoterapia y en combinación con PDR001, en pacientes adultos con tumores sólidos avanzados
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A safety and efficacy study of BLZ945 as single agent and in combination with PDR001 in adults patients with advanced solid tumors
    Estudio fase I/II de BLZ945 en monoterapia o de BLZ945 en combinación con PDR001 en tumores sólidos avanzados
    A.4.1Sponsor's protocol code numberCBLZ945X2101
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorNovartis Farmaceútica S.A.
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportNovartis Pharma AG
    B.4.2CountrySwitzerland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationNovartis Farmaceútica S.A.
    B.5.2Functional name of contact pointDepartamento Médico Oncología
    B.5.3 Address:
    B.5.3.1Street AddressGran Via de les Corts Catalanes, 764
    B.5.3.2Town/ cityBarcelona
    B.5.3.3Post code08013
    B.5.3.4CountrySpain
    B.5.4Telephone number+34 93 3064464
    B.5.5Fax number+34 93 3064615
    B.5.6E-maileecc.novartis@novartis.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.2Product code BLZ945
    D.3.4Pharmaceutical form Capsule, hard
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNNot established
    D.3.9.1CAS number Unavailable
    D.3.9.2Current sponsor codeBLZ945
    D.3.9.3Other descriptive nameBLZ945
    D.3.9.4EV Substance CodeSUB182305
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.2Product code BLZ945
    D.3.4Pharmaceutical form Capsule, hard
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNNot established
    D.3.9.1CAS number Unavailable
    D.3.9.3Other descriptive nameBLZ945
    D.3.9.4EV Substance CodeSUB182305
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.2Product code PDR001
    D.3.4Pharmaceutical form Lyophilisate for solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNNot established
    D.3.9.1CAS number Unavailable
    D.3.9.2Current sponsor codePDR001
    D.3.9.3Other descriptive namePDR001
    D.3.9.4EV Substance CodeSUB171710
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Advanced solid tumors
    Tumores sólidos avanzados
    E.1.1.1Medical condition in easily understood language
    advanced solid tumors
    Tumores sólidos avanzados
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 19.0
    E.1.2Level LLT
    E.1.2Classification code 10065252
    E.1.2Term Solid tumor
    E.1.2System Organ Class 100000004864
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Phase I: To characterize the safety and tolerability of BLZ945 as a single agent and in combination with PDR001 and to identify the Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D).
    Phase II: To assess the anti-tumor activity of BLZ945 in combination with PDR001 (and as single agent if appropriate) in patients with advanced solid tumors.
    Fase I: Caracterizar la seguridad y la tolerabilidad de BLZ945 en monoterapia y en combinación con PDR001 e identificar la dosis máxima tolerada (DMT)/dosis recomendada para la fase 2 (DRF2).
    Fase II: Evaluar la actividad antitumoral de BLZ945 en combinación con PDR001 (y en monoterapia, si procede), en pacientes con tumores sólidos avanzados.
    E.2.2Secondary objectives of the trial
    Phase I: To characterize the pharmacodynamics effect of BLZ945 as a single agent and in combination with PDR001. To characterize PK of BLZ945 as a single agent and in combination with PDR001. To assess the preliminary anti-tumor activity of BLZ945 as single agent and in combination with PDR001.
    Phase I and II: To assess emergence of anti-PDR001 antibodies when BLZ945 is administered in combination with PDR001.
    Fase I: Caracterizar el efecto farmacodinámico de BLZ945 en monoterapia y en combinación con PDR001. Caracterizar la PK de BLZ945 en monoterapia y en combinación con PDR001. Evaluar la actividad antitumoral preliminar de BLZ945 en monoterapia y en combinación con PDR001.
    Fase I y II: Evaluar la aparición de anticuerpos anti-PDR001 cuando BLZ945 se administra en combinación con PDR001.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Phase I: Patients with advanced/metastatic solid tumors, with measurable or unmeasurable disease as determined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 who have progressed despite standard therapy or are intolerant of standard therapy, or for whom no standard therapy exists.
    2. Phase I: Patients must have a site of disease amenable to biopsy, and be a candidate for tumor biopsy according to the treating institution’s guidelines. Patient must be willing to undergo a new tumor biopsy at screening, and during treatment.
    3. Phase II: Patients with advanced/metastatic tumors in the below selected indications, with at least one measurable lesion as determined by RECIST v1.1 or Response Assessment in Neuro-Oncology Criteria RANO (glioblastoma) advanced pancreatic cancer who failed to respond to standard treatment or progressed on or after treatment with gemcitabine advanced triple negative breast cancer, who failed to respond to standard treatment or progressed on or after standard treatment recurrent glioblastoma who failed to respond or progressed on radiotherapy and temozolomide except for patients with O6- methylguanine-DNA methyltransferase (MGMT) unmethylated newly diagnosed gliobastoma who may have received radiation therapy only.
    Other protocol-defined inclusion criteria may apply
    1. Fase I: Pacientes con tumores sólidos avanzados/metastásicos, con enfermedad medible o no medible, determinado con los criterios de evaluación de la respuesta en tumores sólidos (RECIST), versión 1.1, que hayan progresado a pesar de la terapia estándar, que no toleren la terapia estándar o para los que no exista terapia estándar.
    2. Fase I: Los pacientes deberán presentar una zona de enfermedad susceptible a biopsia y ser aptos para biopsia de tumor de acuerdo con las pautas del centro que lo trate. Los pacientes deberán acceder a que se les realice una biopsia de tumor nueva en la selección y durante el tratamiento.
    3. Fase II: Pacientes con tumores metastásico/avanzados en las siguientes indicaciones seleccionadas, con por lo menos una lesión medible, determinado con los RECIST v1.1 o con los criterios de evaluación de la respuesta en neurooncología (RANO) (glioblastoma).
    - cáncer de páncreas avanzado que no ha respondido al tratamiento estándar o que ha progresado en o después del tratamiento con gemcitabina
    - cáncer de mama triple negativo avanzado, que no ha respondido al tratamiento estándar o que ha progresado en o después del tratamiento estándar
    - glioblastoma recurrente que no ha respondido o que ha progresado con radioterapia y temozolomida, excepto para pacientes con glioblastoma de diagnóstico reciente no metilado O6-metilguanida-ADN metiltransferasa (MGMT), que únicamente pueden haber recibido radioterapia
    E.4Principal exclusion criteria
    1. History of severe hypersensitivity reactions to monoclonal antibodies.
    2. Impaired cardiac function or clinically significant cardiac disease, including any of the following: Clinically significant and/or uncontrolled heart disease such as congestive heart failure requiring treatment (NYHA grade ≥ 2), uncontrolled hypertension or clinically significant arrhythmia QTcF >470 msec on screening electrocardiogram (ECG) or congenital long QT syndrome Acute myocardial infarction or unstable angina pectoris < 3 months prior to study entry
    3. Active autoimmune disease or a documented history of autoimmune disease, including ulcerative colitis and Crohn’s disease or any condition that requires systemic steroids, except vitiligo or resolved asthma/atopy that is treated with broncho-dilators (e.g. albuterol). Patients previously exposed to anti-PD-1/PD-L1 treatment who are adequately treated for skin rash or with replacement therapy for endocrinopathies should not be excluded.
    4. Systemic steroid therapy or any immunosuppressive therapy (≥10mg/day prednisone or equivalent). Topical, inhaled, nasal and ophthalmic steroids are not prohibited.
    5. Use of any vaccines against infectious diseases (e.g. varicella, pneumococcus) within 4 weeks of initiation of study treatment.
    6. Patient who received the following therapies: Systemic anti-cancer therapy within 2 weeks of the first dose of study treatment. For cytotoxic agents that have major delayed toxicity, e.g. mitomycin C and nitrosoureas, 4 weeks is indicated as washout period. Pre-treatment with anti-CTLA-4 antibodies in combination with any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathway. Patients pre-treated with anti-CTLA-4 as single agent must have minimum 8 weeks washout period between the last dose of anti-CTLA-4 and the first dose of PDR001.
    Participation in an interventional, investigational non-immunotherapy study within 2 weeks of the first dose of study treatment Major surgery within 2 weeks of the first dose of study treatment (mediastinoscopy, insertion of a central venous access device, and insertion of a feeding tube are not considered major surgery).
    Use of hematopoietic colony-stimulating growth factors (e.g. G-CSF, GM-CSF, M-CSF) and thrombopoietin mimetics ≤2 weeks prior to start of study drug. An erythroid stimulating agent is allowed as long as it was initiated at least 2 weeks prior to the first dose of study treatment and the patient is on a stable dose.
    Radiotherapy within 2 weeks of the first dose of study drug, except for palliative radiotherapy to a limited field, such as for the treatment of bone pain or a focally painful tumor mass. To allow evaluation for response to treatment, patients enrolled in the phase II part must have remaining measurable disease that has not been irradiated.
    7. Patient receiving treatment with medications that either strong inducers or inhibitors of CYP2C8 or CYP3A4/5, or patients receiving medication that prohibits proton pump inhibitors and that cannot be discontinued at least 1 week prior to start of treatment and for the duration of the study
    8. Known human immunodeficiency virus (HIV), active hepatitis B virus (HBV) or active hepatitis C virus (HCV) infection. Patients whose HBV or HCV infection is controlled by antiviral therapy should not be excluded.
    Other protocol-defined exclusion criteria may apply.
    1. Antecedentes de reacciones de hipersensibilidad severa a anticuerpos monoclonales.
    2. Deterioro de la función cardíaca o enfermedad cardíaca clínicamente significativa, incluyendo algo de lo siguiente:
    . Enfermedad cardíaca incontrolada y/o clínicamente significativa como insuficiencia cardíaca congestiva que precise tratamiento (grado ≥ 2 de la NYHA), hipertensión incontrolada o arritmia clínicamente significativa
    . QTcF >470 ms en el electrocardiograma (ECG) de selección o síndrome de QT prolongado congénito
     .Infarto de miocardio agudo o angina de pecho inestable < 3 meses antes de entrar en el estudio
    3. Enfermedad autoinmune activa o antecedentes documentados de enfermedad autoinmune incluyendo colitis ulcerosa y enfermedad de Crohn o cualquier condición que precise esteroides sistémicos, excepto vitíligo o atopia/asma resuelta que sea tratada con broncodilatadores (por ejemplo, albuterol). Los pacientes expuestos previamente a tratamiento con anti-PD/PD-L1que sean tratados adecuadamente para erupción cutánea o con terapia de sustitución para endocrinopatías, no deberían ser excluidos.
    4. Terapia sistémica con esteroides o cualquier terapia inmunosupresora (≥10mg/día de prednisona o equivalente). Los esteroides tópicos, inhalados, nasales u oftalmológicos no están prohibidos.
    5. Uso de cualquier vacuna contra enfermedades infecciosas (por ejemplo, varicela, pneumococo) dentro de las 4 semanas del inicio del tratamiento del estudio.
    6. Pacientes que hayan recibido las siguientes terapias:
    - Terapia antineoplásica sistémica dentro de las 2 semanas de la primera dosis del tratamiento del estudio. Para agentes citotóxicos con toxicidad retardada importante, por ejemplo, mitomicina C y nitrosureas, se indica un periodo de lavado de 4 semanas.
    - Pretratamiento con anticuerpos anti-CTLA en combinación con cualquier otro anticuerpo o fármaco dirigido específicamente a coestimulación de las células-T o a la vía de señalización de puntos de control. Los pacientes pretratados con anti-CTLA-4 en monoterapia deberán tener un periodo mínimo de lavado de 8 semanas entre la última dosis del anti-CTLA-4 y la primera dosis de PDR001.
    - Participación en un estudio intervencionista, en investigación no inmunoterapéutico, dentro de las 2 semanas de la primera dosis del tratamiento del estudio.
    - Cirugía mayor dentro de las 2 semanas de la primera dosis del tratamiento del estudio (la mediastinoscopia, la inserción de catéter venoso central y la inserción de una sonda de alimentación no se consideran cirugía mayor)
    -Uso de factores de crecimiento hematopoyéticos estimulantes de colonias (por ejemplo, G-CSF, GM-CSF-M-CSF) y de análogos de trombopoyetina ≤2 semanas antes del inicio de la medicación del estudio. Se permite un agente estimulante de eritrocitos siempre y cuando haya sido iniciado por lo menos 2 semanas antes de la primera dosis del tratamiento del estudio y el paciente mantenga una dosis estable.
    -Radioterapia dentro de las 2 semanas de la primera dosis de la medicación del estudio, excepto para radioterapia paliativa de campo limitado, como para el tratamiento de dolor óseo o de una masa tumoral focalmente dolorosa. Para permitir la evaluación de la respuesta al tratamiento, los pacientes incluidos en la parte de la fase II deberán presentar enfermedad medible restante que no haya sido irradiada
    7. Pacientes que reciban tratamiento con fármacos que sean inductores o inhibidores potentes de CYP2C8 o de CYP3A4/5 o pacientes que reciban medicación que prohíba inhibidores de la bomba de protones y que no puedan ser suspendidas por lo menos 1 semana antes de iniciar el tratamiento del estudio y durante todo el estudio.
    8. Infección conocida por virus de la inmunodeficiencia humana (VIH), virus de la hepatitis B (VHB) activa o virus de la hepatitis C (VHC) activa. Los pacientes cuya infección por VHB o VHC esté controlada con terapia antiviral no deberían ser excluidos.
    E.5 End points
    E.5.1Primary end point(s)
    Phase I: Safety_ Incidence and severity of Adverse Events (AEs) and serious Adverse Events (SAEs), including changes in laboratory parameters, vital signs and electrocardiogram (ECGs)
    Tolerability: Dose interruptions, reductions and dose intensity
    The incidence of DLTs during the first cycle of treatment with single agent BLZ945 and with BLZ945 in combination with PDR001
    Phase II: Progression free survival (PFS) per response evaluation criteria in solid tumors (RECIST v1.1) for solid tumors (such as pancreatic cancer and triple negative breast cancer indications). PFS per response assessment in Neuro-Oncology (RANO) Criteria for glioblastoma indication.
    Fase I:Incidencia y severidad de acontecimientos adversos (AAs) y de acontecimientos adversos graves (AAGs), incluyendo cambios en los valores de laboratorio, constantes vitales y electrocardiogramas (ECGs).
    Tolerabilidad: Interrupciones de dosis, reducciones e intensidad de dosis. La incidencia de Dosis Limitante de Dosis (DLTs) durante el primer ciclo de tratamiento con el fármaco BLZ945 en monoterapia y con BLZ945 en combinación con PDR001.
    Fase II: Supervivencia libre de progresión (SLP) según criterios de evaluación de respuesta en tumores sólidos (RECIST v.1.1) como el cáncer de páncreas y cáncer de mama triple negativo. Supervivencia libre de progresión (SLP) según criterios de evaluación de respuesta en Neuro-Oncologia (RANO)para la indicación de Glioblastoma.
    E.5.1.1Timepoint(s) of evaluation of this end point
    End of study
    Final del estudio
    E.5.2Secondary end point(s)
    Phase I:
    Pharmacodynamics Tumor changes from baseline of immunological markers such as, but not restricted to CD163, CD8, Foxp3 (by immunohistochemistry)
    PFS, Best Overall Response (BOR), Duration of Response (DOR) per RECIST v1.1 and immune-related response criteria (irRC)
    Phase II: PFS per irRC for solid tumors (such as pancreatic cancer and triple negative breast cancer indications)
    PFS per immune response assessment in Neuro-Oncology (iRANO) for glioblastoma indication
    BOR, DOR per RECIST v1.1 and irRC for pancreatic cancer and triple negative breast cancer indications
    BOR, DOR per RANO and iRANO for glioblastoma indication
    Overall survival (OS)
    BLZ945 and PDR001 PK parameters [e.g. AUC, Cmax, Tmax]
    Presence and/or concentration of anti-PDR001 antibodies
    Fase I: Cambios en la farmacodinamia del tumor desde el estado basal de marcadores inmunológicos tales como (pero no restringidos a) CD163, CD8, Foxp3 (por inmunohistoquimica). Supervivencia libre de progresión (SLP), Mejor respuesta global (MRG), duración de la respuesta (DR) según criterios RECIST v. 1.1 y criterios inmunorecist (irRC)
    Fase II: Supervivencia libre de progresión (SLP) por irRC para tumores sólidos (tales como indicaciones en cáncer de páncreas y cáncer de mama triple negativo). Supervivencia libre de progresión (SLP) por evaluación de respuesta inmune en neuro-oncologia (iRANO) para la indicación de Glioblastoma.
    Mejor respuesta global, Duración de la respuesta por RECIST v 1.1 e irRC en indicaciones de cáncer de páncreas y cáncer de mama triple negativo.
    Mejor respuesta global, Duración de la respuesta según RANO y iRANO para la indicación de glioblastoma
    Supervivencia Global (SG)
    Parámetros farmacocinéticos de BLZ945 y PDR001 (ej, AUC, Cmax, Tmax).
    Presencia y/o concentración de anticuerpos anti-PDR001)
    E.5.2.1Timepoint(s) of evaluation of this end point
    End of study
    Final del estudio
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) Yes
    E.7.1.1First administration to humans Yes
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised No
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial3
    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.8.4.1Number of sites anticipated in Member State concerned2
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA6
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Australia
    Israel
    Italy
    Japan
    Singapore
    Spain
    Switzerland
    Taiwan
    United States
    E.8.7Trial 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
    The end of the study will be when at least 80% of the patients have completed the survival follow-up period (minimum 18 months after the first dose of treatment), or discontinued the study for any reason, and all patients have completed treatment as well as the 30-day (BLZ945 single agent) or 90-day (BLZ945 in combination with PDR001) safety follow-up period.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months10
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months8
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 101
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 55
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state16
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 51
    F.4.2.2In the whole clinical trial 151
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    None
    Ninguno
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2016-10-20
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2016-09-28
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
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