E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
metastatic castration-resistant prostate cancer |
metastatic castration-resistant prostate cancer |
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E.1.1.1 | Medical condition in easily understood language |
prostate cancer |
cancro alla prostata |
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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 | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10036909 |
E.1.2 | Term | Prostate cancer metastatic |
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 | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To determine the efficacy (as assessed by rPFS) of olaparib versus investigator choice of enzalutamide or abiraterone acetate in men with mCRPC with BRCA1, BRCA2 or ATM qualifying mutations (Cohort A) |
Determinare l¿efficacia (valutata come rPFS) di olaparib rispetto alla scelta dello sperimentatore si enzalutamide o abiraterone acetato in pazienti con mCRPC con mutazioni qualificanti BRCA1, BRCA2 o ATM (coorte A) |
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E.2.2 | Secondary objectives of the trial |
to determine the efficacy of olaparib versus investigator choice of enzalutamide or abiraterone acetate in subjects with HRR qualifying gene mutattions measured by objective response rate in Cohort A, rPFS in Cohort A+B, time to pain progression in Cohort A and overall survivall in Cohort A |
Determinare l¿efficacia (valutata dal ORR) di olaparib rispetto alla scelta dello sperimentatore di enzalutamide o abiraterone acetato in pazienti con mCRPC con mutazioni qualificanti BRCA1, BRCA2 o ATM (coorte A) |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Histologically confirmed diagnosis of prostate cancer. 2. Candidate for treatment with enzalutamide or abiraterone with documented evidence of mCRPC. 3. Subjects must have progressed on prior new hormonal agent (e.g. abiraterone acetate and/or enzalutamide) for the treatment of mCRPC. 4. Ongoing therapy with LHRH analog or bilateral orchiectomy. 5. Radiographic progression at study entry while on androgen deprivation therapy (or after bilateral orchiectomy). 6. Qualifying HRR mutation in tumor tissue by the Lynparza HRR Assay |
Diagnosi confermata istologicamente di cancro alla prostata. Essere candidato idoneo al trattamento con enzalutamide o arbitarone acetato con una storia documentata di cancro alla prostata metastatico resistente alla castrazione (mCRPC), dove lo stato metastatico è definito da almeno una lesione metastatica ossea documentata da scintigrafia ossea o TAC/RM. I soggetti la cui diffusione di malattia è limitata ai linfonodi della regione pelvica o con recidiva locale (vescica, retto…) non sono eleggibili. I soggetti devono essere andati in progressione dopo somministrazione di un NAO per il trattamento del mCRPC. Livelli di testosterone = 50 ng/dL (= 1.75 nmol/L) nei (=) 28 giorni precedenti alla randomizzazione. Progressione radiografica all’entrata nello studio durante terapia di deprivazione androgenica (o dopo orchiectomia bilaterale Presenza di mutazione HRR qualificante nei tessuti tumorali testata con LYNPARZA HRR Assay
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E.4 | Principal exclusion criteria |
1. Any previous treatment with PARP inhibitor, including olaparib 2. Subjects who have any previous treatment with DNA-damaging cytotoxic chemotherapy. 3. Other malignancy (including MDS and MGUS) within the last 5 years except: adequately treated non-melanoma skin cancer or other solid tumors curatively treated with no evidence of disease for =5 years. 4. Subjects with myelodysplastic syndrome/acute myeloid leukemia or with features suggestive of MDS/AML. 5. *Subjects with known brain metastases. |
Qualsiasi trattamento precedente con inibitori PARP, incluso olaparib Soggetti che hanno ricevuto un precedente trattamento con chemioterapia citossica di danno al DNA. Presenza di altre malattie maligne (incluso MDS e MGUS) negli ultimi 5 anni fatta eccezione per: cancro alla pelle non-melanoma adeguatamente trattato o altri tumori solidi compresi i linfomi (senza coinvolgimento del midollo osseo) liberi da malattia da = malattia. Soggetti con sindrome mielodisplastica/leucemia mieloide acuta o con caratteristiche che suggeriscono MDS/AML. Soggetti che presentano note metastasi cerebrali |
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E.5 End points |
E.5.1 | Primary end point(s) |
Radiological Progression free survival (rPFS) by blinded independent central review (BICR) using RECIST 1.1. (soft tissue) and PCWG3 (bone) criteria |
la valutazione radiografica della sopravvivenza libera da progressione (rPFS) in pazienti con mutazione BRCA1, BRCA2 o ATM (Coorte A). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
At baseline and every 8 weeks (± 7 days), relative to the date of randomization, until objective radiological disease progression by BICR using RECIST 1.1 (soft tissue) and PCWG3 (bone) criteria |
un’analisi primaria di rPFS basata su una risposta obiettiva tramite analisi BICR (coorte A), rPFS (combinando coorte A e B), tempo alla progressione del dolore (coorte A) e sopravvivenza globale (coorte A). |
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E.5.2 | Secondary end point(s) |
Confirmed ORR by BICR assessment in subjects with measurable disease using RECIST 1.1 (soft tissue) and PCWG3 (bone) criteria ; rPFS by BICR using RECIST 1.1 (soft tissue) and PCWG3 (bone) criteria; Pain progression based on BPI-SF item 3 "worst pain in 24 hours" and opiate analgesic use (AQA score) ; Overall survival |
Conferma di overall response rate valutata da un comitato indipendente su soggetti con malattia misurabile utilizzando utilizzando i criteri Recist 1.1. (tessuti molli) e PCWG3 (ossa); Progressione libera da malattia valutata da un comitato etico indipendente utilizzando i criteri recist 1.1 (tessuti molli) e PCWG3 (ossa); La progressione del dolore basata sul questionario BPI-SF domanda 3 "peggior dolore in 24 h" e l'uso di analgesici-oppiacei (punteggio AQA); Sopravvivenza |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
At baseline and every 8 weeks (¿ 7 days), relative to the date of randomization, until objective radiological disease progression by BICR ; At baseline and every 8 weeks (¿ 7 days), relative to the date of randomization, until objective radiological disease progression by BICR; Subjects will complete the BPI-SF daily on the ePRO device for the 7 days just prior to day 1 baseline visit and every 4 weeks; The status of ongoing, withdrawn (from the study) and "lost to followup" subjects at the time of an overall survival analysis should be obtained by the site personnel by checking the subject notes, hospital records, contacting the subject's general practitioner and checking publicly available death registries |
Ingresso dello studio e ongni 8 settimmane con una finestra di (¿ 7 giorni) a partire dalla randomizzazione del paziente e fino a oggettiva progressione di malattia; Ingresso dello studio e ongni 8 settimmane con una finestra di (¿ 7 giorni) a partire dalla randomizzazione del paziente e fino a oggettiva progressione di malattia; I pazienti completeranno il questionario BPI-SF quotidianamente sul diario elettronico per 7 giorni prima della visita di baseline e ogni 4 settimane; Lo stato di sopravvivenza dei pazienti ongoing, usciti dallo studio e lost to follow upal momento della analisi di sopravvivenza dovrebbe essere ottenuto dallo staff dello studio controllando i dati del paziente, le cartelle mediche contatttando il medico di medicina generale del paziente e controllando i registri |
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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 | No |
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 | No |
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) | No |
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 | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
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 | No |
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 | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 190 |
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 |
Brazil |
Canada |
China |
Israel |
Japan |
Korea, Republic of |
United States |
Austria |
Denmark |
France |
Germany |
Netherlands |
Norway |
Spain |
Sweden |
United Kingdom |
Argentina |
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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 | 0 |
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 | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |