E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
advanced (FIGO stage III-IV), high-grade epithelial ovarian, fallopian tube, or primary peritoneal cancer (who responded to front-line platinum-based chemotherapy) |
Carcinoma epiteliale dell’ovaio, peritoneale primario o delle tube di Falloppio di alto grado (stadio FIGO III-IV), neodiagnosticato (che ha risposto alla chemioterapia di prima linea a base di platino) |
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E.1.1.1 | Medical condition in easily understood language |
Ovarian Cancer Patients (who responded to previous platinum-based chemotherapy) |
Pazienti con tumore ovarico (che hanno risposto alla precedente chemioterapia a base di platino) |
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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 | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10061328 |
E.1.2 | Term | Ovarian epithelial cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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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 | 10016180 |
E.1.2 | Term | Fallopian tube cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10061269 |
E.1.2 | Term | Malignant peritoneal neoplasm |
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 | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate PFS by Response Evaluation Criteria in Solid Tumors (RECIST), as assessed by the investigator (invPFS), in HRD and intent-to-treat (ITT) sub/populations, using the following separate comparisons: - Monotherapy: Arm B (oral rucaparib+IV placebo) versus Arm D (placebo [oral and IV]) - Combination: Arm A (oral rucaparib+ intravenous [IV] nivolumab) versus Arm B (oral rucaparib+IV placebo) |
Valutare la PFS mediante i criteri di valutazione della risposta nei tumori solidi (RECIST), come valutato dallo sperimentatore (invPFS), in sottogruppi HRD e intent-to-treat (ITT), utilizzando i seguenti confronti separati: - Monoterapia: Braccio B (rucaparib orale + IV placebo) rispetto al braccio D (placebo [orale e IV]) - Combinazione: Braccio A (rucaparib orale + IV nivolumab) rispetto al braccio B (orale rucaparib + IV placebo) |
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E.2.2 | Secondary objectives of the trial |
• To evaluate PFS by RECIST, as assessed by the blinded independent central review (BICR; bicrPFS), in molecularly-defined HRD subgroups • To evaluate survival benefit • To evaluate the objective response rate (ORR) and duration of response (DOR), as assessed by the investigator, in patients with measurable disease at baseline • To evaluate safety |
• Valutare la PFS mediante RECIST, come valutato da una revisione centrale indipendente in cieco (BICR; bicrPFS), in sottogruppi HRD molecolarmente definiti • Valutare il beneficio di sopravvivenza • Valutare il tasso di risposta obiettivo (ORR) e la durata della risposta (DOR), come valutato dallo sperimentatore, in pazienti con malattia misurabile al baseline • Valutare la sicurezza |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Newly diagnosed advanced (FIGO stage III-IV) epithelial ovarian, fallopian tube, or primary peritoneal cancer • Completed cytoreductive surgery, including at least a bilateral salpingo-oophorectomy and partial omentectomy, either prior to chemotherapy (primary surgery) or following neoadjuvant chemotherapy (interval debulking) • Completed first-line platinum-based chemotherapy and surgery with a response, in the opinion of the Investigator • Sufficient tumor tissue for planned analysis • ECOG performance status of 0 or 1
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- Avere un carcinoma epiteliale dell’ovaio, delle tube di Falloppio o peritoneale primario di alto grado, neodiagnosticato, confermato istologicamente e in stadio avanzato (stadio III-IV della International Federation of Gynecology and Obstetrics [FIGO]). - Essere state sottoposte a chirurgia citoriduttiva, che abbia incluso almeno una salpingo-ovariectomia bilaterale e una omentectomia parziale, prima della chemioterapia (chirurgia primaria) o dopo la chemioterapia neoadiuvante (interval debulking o “chirurgia di intervallo”). - Aver completato la chemioterapia a base di platino di prima linea e la chirurgia e aver presentato una risposta definibile, secondo il giudizio dello sperimentatore - Sufficiente tessuto tumorale per analisi pianificate - Stato delle prestazioni ECOG pari a 0 o 1 |
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E.4 | Principal exclusion criteria |
• Pure sarcomas or borderline tumors or mucinous tumors • Active second malignancy • Known central nervous system brain metastases • Any prior treatment for ovarian cancer, other than the first-line platinum regimen • Evidence of interstitial lung disease, active pneumonitis, myocarditis or a history of myocarditis • Active, known or suspected autoimmune disease (e.g. autoimmune hepatitis) • Condition requiring active systemic treatment with either corticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressive medications |
- Tumori non epiteliali (sarcomi puri) o tumori ovarici con basso potenziale maligno (tumori borderline) o tumori mucinosi - Seconda neoplasia maligna attiva - Metastasi cerebrali note nel sistema nervoso centrale. - Qualsiasi precedente trattamento per il cancro ovarico diverso dal regime di prima linea a base di platino - Evidenza di malattia polmonare interstiziale o di polmonite attiva, miocardite o storia di miocardite. - Pazienti con malattia autoimmune attiva, nota o sospetta (ad esempio epatite autoimmune) - Pazienti con una patologia che richieda il trattamento sistemico con corticosteroidi (dose prednisone-equivalente > 10 mg/die) o altri medicinali immunosoppressori |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary efficacy endpoint for the study is investigator-determined progression-free survival (PFS) by RECIST v1.1. Investigator-determined PFS is defined as the time from randomization to disease progression, according to RECIST v1.1 criteria as assessed by the investigator, or death due to any cause, whichever occurs first. |
L'endpoint primario di efficacia per lo studio è la sopravvivenza libera da progressione mediante (PFS) da RECIST v1.1 determinata dallo sperimentatore. La PFS determinata dallo sperimentatore è definita come il tempo che intercorre tra la randomizzazione e la progressione della malattia, secondo i criteri di RECIST v1., o la morte dovuta a qualsiasi causa, a seconda di quale si verifica prima. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Tumor assessment measurements will be performed at screening, at the end of every 12 weeks of treatment (up to 7 days prior permitted) relative to Cycle 2 Day 1 for the first 3 years and then every 24 weeks thereafter until objective radiological disease progression, and as clinically indicated. |
Le misurazioni della valutazione del tumore saranno eseguite allo screening, al termine di ogni 12 settimane di trattamento (fino a 7 giorni prima consentite) relativo al ciclo 2 giorno 1 per i primi 3 anni e successivamente ogni 24 settimane successivamente fino alla progressione obiettiva radiologica della malattia, e come clinicamente indicato. |
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E.5.2 | Secondary end point(s) |
Secondary Efficacy Endpoints: Progression-free survival (PFS) as assessed by blinded independent central review (BICR) by RECIST is defined as the time from randomization to disease progression, according to RECIST v1.1 criteria as assessed by BICR, or death due to any cause, whichever occurs first. Only tumor scans prior to start of any subsequent anti-cancer treatment are included. Overall survival is defined as the time from randomization to death due to any cause. Analyses of objective response rate (ORR) will be performed in the subgroup of patients with measurable disease at baseline and will be summarized with frequencies and percentages. Duration of response is defined as the interval from the first documentation of objective response (RECIST v1.1) to the earlier of the first documentation of disease progression (per RECIST v1.1) or death from any cause. Safety Analysis: Adverse events, clinical laboratory results, vital signs, ECOG performance status, body weight, and concomitant medications/procedures |
Endpoint secondari di efficacia: la sopravvivenza libera da progressione (PFS) valutata mediante revisione centrale indipendente in cieco (BICR) da RECIST è definita come il tempo dalla randomizzazione alla progressione della malattia, secondo i criteri RECIST v1.1 come valutato dal BICR, o morte dovuta a qualsiasi causa, a seconda di quale si verifica prima. Sono incluse solo le scansioni del tumore prima dell'inizio di qualsiasi trattamento antitumorale successivo. La sopravvivenza globale è definita come il tempo dalla randomizzazione alla morte a causa di qualsiasi causa. Le analisi del tasso di risposta obiettiva (ORR) saranno eseguite nel sottogruppo di pazienti con malattia misurabile al basale e saranno riassunte con frequenze e percentuali. La durata della risposta è definita come l'intervallo dalla prima risposta obiettiva documentata (RECIST v1.1) alla prima della prima documentazione della progressione della malattia (per RECIST v1.1) o morte per qualsiasi causa. Analisi di sicurezza: eventi avversi, risultati di laboratorio clinici, segni vitali, stato delle prestazioni ECOG, peso corporeo e farmaci / procedure concomitanti
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Efficacy: as for primary endpoint; (Overall survival is monitored continuously) Safety: at every study visit |
Efficacia: come per l'endpoint primario; (La sopravvivenza complessiva è monitorata continuamente) Sicurezza: ad ogni visita di studio |
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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 | Yes |
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 | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
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) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
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 | 15 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 100 |
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 |
Canada |
Israel |
Japan |
Korea, Republic of |
New Zealand |
Russian Federation |
Singapore |
Taiwan |
Turkey |
United States |
Belgium |
Denmark |
Finland |
Germany |
Greece |
Ireland |
Italy |
Poland |
Romania |
Spain |
Sweden |
United Kingdom |
Czechia |
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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 | 5 |
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 | 5 |
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 |