E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Squamous Cell Non-Small Cell Lung Cancer and advanced endometrial cancer |
Cáncer de pulmón escamoso y cáncer de endometrio avanzado |
|
E.1.1.1 | Medical condition in easily understood language |
Lung Cancer and endometrial cancer |
Cáncer de pulmón y cáncer de endometrio |
|
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 | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10014743 |
E.1.2 | Term | Endometrial 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 | 19.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10025120 |
E.1.2 | Term | Lung squamous cell carcinoma 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 | 19.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10071533 |
E.1.2 | Term | Lung squamous cell carcinoma metastatic |
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 | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10014747 |
E.1.2 | Term | Endometrial carcinoma 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 | 19.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10025124 |
E.1.2 | Term | Lung squamous cell carcinoma stage III |
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 | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10014745 |
E.1.2 | Term | Endometrial carcinoma metastatic |
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 | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10014749 |
E.1.2 | Term | Endometrial carcinoma stage II |
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 | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10014751 |
E.1.2 | Term | Endometrial carcinoma stage IV |
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 | 19.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10025125 |
E.1.2 | Term | Lung squamous cell carcinoma stage IV |
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 | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10014750 |
E.1.2 | Term | Endometrial carcinoma stage III |
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 | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10025126 |
E.1.2 | Term | Lung squamous cell carcinoma stage unspecified |
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 |
To assess safety and tolerability of ABTL0812 plus paclitaxel + carboplatin in patients with advanced or metastatic endometrial cancer or squamous NSCLC at first line therapy |
Evaluar la seguridad y tolerabilidad de ABTL0812 en combinación con paclitaxel + carboplatino en pacientes con cáncer avanzado de endometrio o cáncer escamoso de pulmón |
|
E.2.2 | Secondary objectives of the trial |
To evaluate the efficacy of ABTL0812 plus paclitaxel + carboplatin in patients with advanced or metastatic endometrial cancer or squamous NSCLC at first line therapy To evaluate the pharmacokinetics of ABTL0812 To evaluate biomarkers to monitor activity ABTL0812 To evaluate biomarkers for response prediction to ABTL0812 To determine the recommended Phase II Dose (RP2D) of ABTL0812 plus paclitaxel + carboplatin |
Evaluar la eficacia de ABTL0812 en combinación con paclitaxel + carboplatino en pacientes con cáncer avanzado de endometrio o cáncer escamoso de pulmón Evaluar la farmacocinética de ABTL0812 Evaluar los biomarcadores para monitorizar actividad de ABTL0812 Evaluar los biomarcadores predictivos de respuesta a ABTL0812 Determinar la dosis recomendada de fase II de ABTL0812 en combinación con paclitaxel + carboplatino |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients ≥18 years of age For endometrial cancer: Patients with histologically or radiological/cytologically confirmed diagnosis of advanced, metastatic or recurrent endometrial cancer For squamous NSCLC: Patients with histologically or radiological/cytologically confirmed diagnosis (non irradiable IIIb stage or stage IV) Have adequate tumor tissue available (either archival or new tumor biopsy) for biomarker analyses. Life expectancy ≥ 12 weeks in the opinion of the investigator Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 guidelines with at least one "target lesion" to be used to assess response. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1 Contraception: Female patients of childbearing potential must agree to use two forms of highly effective contraception methods during the study and for a period of 6 months following the last administration of the study drug. Adequate bone marrow function defined as: - absolute neutrophil count ≥ 1.5x109/L - platelet count ≥ 100x109/L - hemoglobin ≥ 9.0 g/dL Total bilirubin ≤ 1.5 x upper limit of normal AST ≤ 2.5 times upper limit of normal (ULN) (≤5 times the ULN in patients with evidence of liver metastases) Alkaline phosphatase ≤ 2.5 times ULN (≤5 times the ULN in patients with evidence of liver metastases) Glomerular filtration rate ≥ 50 mL/min Serum creatinine ≤1.5 mg/dL Toxicities incurred as a result of previous anticancer therapy (radiation therapy, chemotherapy, or surgery) must be resolved to ≤ grade 1 (as defined by Common Terminology Criteria for Adverse Events version 4.02). |
Pacientes 18 años o mayores. Para cáncer de endometrio: pacientes con diagnóstico confirmado por histología o radiología / citología de cáncer de endometrio avanzado, metastático o recurrente. Para cáncer escamoso de pulmón: Pacientes con diagnóstico confirmado por histología o radiología / citología (no irradiable estadío IIIb o IV) Suficiente tejido tumoral (de archivo o nueva biopsia) para análisis de biomarcadores. Esperanza de vida ≥ 12 semanas en opinión del investigador Enfermedad medible con la Guía RECIST)Versión 1.1, con al menos una "lesión diana" que se utilizará para evaluar la respuesta. Estado ECOG Rendimiento 0-1. Anticoncepción: Toda paciente del sexo femenino en edad fértil deben usar dos formas de métodos anticonceptivos altamente eficaces durante el estudio y durante un período de 6 meses después de la última administración del fármaco del estudio. Función de la médula ósea adecuada definida como: - Recuento absoluto de neutrófilos ≥ 1.5x109/L - Recuento de plaquetas ≥ 100x109/L - Hemoglobina ≥ 9,0 g/dl Bilirrubina total ≤ 1,5 x límite superior normal. AST ≤ 2,5 veces el límite superior de la normalidad (ULN) (≤ 5 veces el límite superior normal en pacientes con evidencia de metástasis hepáticas). Fosfatasa alcalina ≤ 2,5 veces el ULN (≤ 5 veces el límite superior normal en pacientes con evidencia de metástasis hepáticas). Tasa de filtración glomerular ≥ 50 mL/min. Creatinina sérica ≤1.5 mg/dl. Las toxicidades incurridas como resultado de un tratamiento previo contra el cáncer (radioterapia, quimioterapia o cirugía) deben ser resueltas a grado ≤1 (como se define por criterios de Terminología Común para Eventos Adversos de la versión 4.02).
Respuesta medible por RECIST Version 1.1 con s with at least one "target lesion" to be used to assess response. Tumors within a previously irradiated field will be designated as "non-target" lesions unless progression is documented. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1 Contraception: All female patients will be considered to be of childbearing potential unless they are postmenopausal (at least 12 months’ consecutive amenorrhea, in the appropriate age group and without other known or suspected cause), or have been sterilized surgically. Female patients of childbearing potential must agree to use two forms of highly effective contraception methods during the study and for a period of 6 months following the last administration of the study drug. Male patients and their female partners, who are of childbearing potential and are not practicing total abstinence, must agree to use two forms of highly effective contraception during the study and for a period of 6 months following the last administration of the study drug. Adequate bone marrow function defined as: - absolute neutrophil count ≥ 1.5x109/L - platelet count ≥ 100x109/L - hemoglobin ≥ 9.0 g/dL Total bilirubin ≤ 1.5 x upper limit of normal AST ≤ 2.5 times upper limit of normal (ULN) (≤5 times the ULN in patients with evidence of liver metastases) Alkaline phosphatase ≤ 2.5 times ULN (≤5 times the ULN in patients with evidence of liver metastases) Glomerular filtration rate ≥ 50 mL/min Serum creatinine ≤1.5 mg/dL Toxicities incurred as a result of previous anticancer therapy (radiation therapy, chemotherapy, or surgery) must be resolved to ≤ grade 1 (as defined by Common Terminology Criteria for Adverse Events version 4.02). Ability and willingness to comply with study visits, treatment, testing, and to comply with the protocol |
|
E.4 | Principal exclusion criteria |
Patients previously treated with an inhibitor of the PI3K/Akt/mTOR pathway. Patients with symptomatic brain metastases. Patients with gastrointestinal abnormalities including inability to take oral medications, malabsorption syndromes or other clinically significant gastrointestinal abnormalities that may impair the absorption of the investigational medicinal product. Pregnancy or lactation. Patients with myocardial infarction within ≤ 12 months prior to study entry, symptomatic congestive heart failure (New York Heart Association > class II), unstable angina pectoris, or unstable cardiac arrhythmia requiring medication. Evidence of pre-existing uncontrolled hypertension. Patients with known Hepatitis B or C or human immunodeficiency virus (HIV) infection with non-controlled disease according to the treating physician. Patients with any other medical conditions (such as psychiatric illness, infectious diseases, abnormal physical examination or laboratory findings) that in the opinion of the investigator may interfere with the planned treatment, affect patient compliance or place the patient at high risk from treatment-related complications. |
Pacientes previamente tratados con un inhibidor de la vía PI3K/Akt/mTOR. Pacientes con metástasis cerebrales sintomáticas. Pacientes con alteraciones gastrointestinales incluyendo la incapacidad de tomar medicamentos orales, síndromes de mala absorción u otras anomalías gastrointestinales clínicamente significativos que perjudiquen la absorción del medicamento en investigación. Embarazo o lactancia. Pacientes con infarto de miocardio en ≤ 12 meses anteriores al ingreso al estudio, insuficiencia cardíaca congestiva sintomática (New York Heart Association > clase II), angina de pecho inestable o arritmia cardiaca inestable que requiere medicación. Evidencia de hipertensión no controlada preexistente. Pacientes con Hepatitis B o C conocida o infección por el virus de la inmunodeficiencia humana (VIH), no adecuadamente controlada en opinión de su médico. Pacientes con otras patologías (como enfermedades psiquiátricas, enfermedades infecciosas, con hallazgos en el examen físico o de laboratorio anormales) que, en opinión del investigador, puede interferir con el tratamiento previsto, afectar al cumplimiento del paciente o exponer al paciente a un alto riesgo de complicaciones relacionadas con el tratamiento del ensayo |
|
E.5 End points |
E.5.1 | Primary end point(s) |
To assess safety and tolerability of ABTL0812 plus paclitaxel + carboplatin in patients with advanced or metastatic endometrial cancer or squamous NSCLC at first line therapy |
Evaluar la seguridad y tolerabilidad de ABTL0812 más paclitaxel + carboplatino (tratamiento estándar, SOC) en pacientes con cáncer de endometrio avanzado o metastásico o NSCLC escamoso en la terapia de primera línea. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Phase I: every 3 weeks Phase II: every 2 months |
Fase I: cada 3 semanas Fase II: cada 2 meses |
|
E.5.2 | Secondary end point(s) |
1. To evaluate the efficacy of ABTL0812 plus paclitaxel + carboplatin in patients with advanced or metastatic endometrial cancer or squamous NSCLC at first line therapy 2. To evaluate the pharmacokinetics of ABTL0812 3. To evaluate biomarkers to monitor activity ABTL0812 4. To evaluate biomarkers for response prediction to ABTL0812 5. To determine the recommended Phase II Dose (RP2D) of ABTL0812 plus paclitaxel + carboplatin |
1. Evaluación de la eficacia de ABTL0812 en combinación paclitaxel + carboplatino 2. Evaluación de la farmacocinética de ABTL0812 3. Evaluación de los biomarcadores para monitorizar la actividad de ABTL0812 4. Evaluación de los biomarcadores predictivos de respuesta a ABTL0812 5. Determinación de la dosis recomendada para la fase II en combinación con paclitaxel + carboplatin |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. Every 2 months aprox. 2. At study innitiation and 1 month after 3. At study innitiation and 1 month after 4. At study innitiation 5. At the end of de-escalation phase (phase I) |
1. Cada dos meses aproximadamente 2. Al inicio del estudio y un mes después 3. Al inicio del estudio y un mes después 4. Al inicio del estudio 5. Al final de la fase de desescalado (fase I) |
|
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 | No |
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 | 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 |
|
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 | No |
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 | No |
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 | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
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
|
|
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 | 6 |
E.8.9.1 | In the Member State concerned days | |