E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Marginal Zone Lymphoma |
Linfoma de la zona marginal |
|
E.1.1.1 | Medical condition in easily understood language |
Marginal Zone Lymphoma |
Linfoma de la zona marginal |
|
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 | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10076596 |
E.1.2 | Term | Marginal zone lymphoma |
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 assess the efficacy of INCB050465 in terms of objective response rate (ORR) in subjects with marginal zone lymphoma that is relapsed or refractory after at least 1 systemic treatment regimen. |
Evaluar la eficacia de INCB050465 en términos de tasa de respuesta objetiva (TRO) en sujetos con linfoma de la zona marginal (LZM) que es recidivante o refractario después de al menos un régimen de tratamiento sistémico. |
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E.2.2 | Secondary objectives of the trial |
- To assess duration of response (DOR). - To assess complete response rate (CRR). - To assess progression-free survival (PFS). - To assess overall survival (OS). - To assess the best percentage change in target lesion size. - To characterize the safety and tolerability of INCB050465. |
- Evaluar la duración de la respuesta (DdR). - Evaluar la tasa de remisión completa (TRC). - Evaluar la supervivencia libre de progresión (SLP). - Evaluar la supervivencia global (SG). - Evaluar el mejor cambio porcentual del tamaño de las lesiones diana. - Caracterizar la seguridad y la tolerabilidad de INCB050465. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Men and women, aged 18 or older - Radiographically measurable lymphadenopathy or extranodal lymphoid malignancy (defined as the presence of ≥ 1 lesion that measures > 1.5 cm in the longest transverse diameter (LDi) and ≥ 1.0 cm in the longest perpendicular diameter as assessed by CT or magnetic resonance imaging (MRI). -Subjects with splenic MZL who do not meet the radiographically measurable disease criteria described herein are eligible for participation provided that bone marrow infiltration of MZL is histologically confirmed. - Subjects must be willing to undergo an incisional or excisional lymph node or tissue biopsy or provide a lymph node or tissue biopsy from the most recent available archival tissue. - Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2. |
- Varones y mujeres, de 18 años de edad en adelante - Linfadenopatía o neoplasia maligna linfoide extranodal medibles radiológicamente, lo que se define por la presencia de 1 lesión que mide > 1,5 cm en el diámetro transversal más largo y 1,0 cm en el diámetro perpendicular más largo, evaluada por TAC o resonancia magnética (RM). - Son elegibles para participar en el estudio los sujetos con LZM esplénico que no cumplan los criterios de enfermedad radiológicamente medible descritos en este documento, siempre y cuando se confirme a nivel histológico la infiltración de la médula ósea del LZM. - Los sujetos deben estar dispuestos a someterse a una biopsia incisional o excisional de ganglio linfático o tejido o aportar una biopsia de ganglio linfático o tejido del tejido de archivo disponible más reciente. - Estado funcional del Grupo Oncológico Cooperativo de la Costa Este (Eastern Cooperative Oncology Group, ECOG) de entre 0 y 2. |
|
E.4 | Principal exclusion criteria |
- Evidence of diffuse large B-cell transformation. - History of central nervous system lymphoma (either primary or metastatic) or leptomeningeal disease. - Prior treatment with idelalisib, other selective PI3Kδ inhibitors, or a pan-PI3K inhibitor. - Allogeneic stem cell transplant within the last 6 months, or autologous stem cell transplant within the last 3 months before the date of the first dose of study treatment. - Active graft versus host disease. - Liver disease: - Evidence of hepatitis B virus (HBV) or hepatitis C virus (HCV) infection or risk of reactivation |
- Evidencia de transformación difusa de linfocitos B grandes. - Antecedentes de linfoma del sistema nervioso central (primario o metastásico) o enfermedad leptomeníngea. - Tratamiento anterior con idelalisib, otros inhibidores selectivos de la PI3K8 o un inhibidor general de las PI3K. - Trasplante alogénico de células madre en los últimos 6 meses o trasplante autólogo de células madre en los últimos 3 meses antes de la fecha de administración de la primera dosis del tratamiento del estudio. - Enfermedad del injerto contra el huésped activa. - Enfermedad hepática: - Evidencias de infección por el virus de la hepatitis B (VHB) o el virus de la hepatitis C (VHC) o riesgo de reactivación. |
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E.5 End points |
E.5.1 | Primary end point(s) |
ORR defined as the percentage of subjects with a complete response (CR) or partial response (PR) as determined by Independent Review Committee (IRC) assessment of response according to computed tomography (CT)-based response criteria for lymphomas. |
La TRO se define como el porcentaje de sujetos con una remisión completa (RC) o una respuesta parcial (RP) según determine la evaluación de la respuesta por parte de un Comité de revisión independiente (CRI) de acuerdo con los criterios de respuesta para linfomas basados en tomografía axial computarizada (TAC). |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Throughout the study |
A lo largo del estudio |
|
E.5.2 | Secondary end point(s) |
- DOR defined as the time from first documented evidence of CR or PR until disease progression or death from any cause among subjects who achieve an objective response, as determined by radiographic disease assessment provided by an IRC. - CRR defined as the percentage of subjects with a CR as defined by response criteria for lymphomas, as determined by an IRC. - PFS defined as the time from the date of the first dose of study treatment until the earliest date of disease progression, as determined by radiographic disease assessment provided by an IRC, or death from any cause - OS defined as the time from the date of the first dose of study treatment until death from any cause. - Best percentage change in target lesion size from baseline, where target lesion size is measured by the sum of the product of diameters of all target lesion sizes. - Safety measured by adverse events (AEs), 12-lead electrocardiograms (ECGs), chemistry and hematology laboratory values, vital signs, and physical examinations. |
- La DdR se define como el tiempo transcurrido desde el primer indicio documentado de RC o RP hasta la evolución de la enfermedad o la muerte por cualquier causa en los sujetos que alcanzan una respuesta objetiva, según lo determinado por la evaluación radiológica de la enfermedad proporcionada por un CRI.
- La TRC se define como el porcentaje de sujetos con una RC definida por los criterios de respuesta para linfomas, según lo determinado por un CRI.
- La SLP se define como el tiempo transcurrido desde la fecha de la primera dosis del tratamiento del estudio hasta la más temprana de las fechas de entre la evolución de la enfermedad (según lo determinado por una evaluación radiológica de la enfermedad facilitada por un CRI) o la muerte por cualquier causa.
- La SG se define como el tiempo transcurrido desde la fecha de administración de la primera dosis del tratamiento del estudio hasta la muerte por cualquier causa.
- El mejor cambio porcentual del tamaño de las lesiones diana respecto al momento basal, donde el tamaño de las lesiones diana se mide mediante la suma del producto de los diámetros de los tamaños de todas las lesiones diana.
- Seguridad medida por acontecimientos adversos (AA), electrocardiogramas (ECG) de 12 derivaciones, valores de laboratorio de bioquímica y hematología, constantes vitales y exploraciones físicas. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Throughout the study |
A lo largo del estudio |
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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 | No |
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) | 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 | 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 | Information not present in EudraCT |
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.8.2.4 | 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 | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 46 |
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 |
Israel |
Italy |
Poland |
Spain |
United Kingdom |
United States |
|
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
|
The study is expected to end when all subjects have discontinued study treatment and have been followed for approximately 24 months after the safety follow-up period. |
Se espera que el estudio finalize cuando todos los sujetos hayan discontinuado tratamiento de estudio y hayan estado en seguimiento aproximadamente 24 meses tras el periodo de seguimiento de seguridad. |
|
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 | 6 |
E.8.9.1 | In the Member State concerned days | 6 |
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 | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |