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    Summary
    EudraCT Number:2017-004730-28
    Sponsor's Protocol Code Number:FFCD1701
    National Competent Authority:France - ANSM
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2018-07-04
    Trial 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 ConcernedFrance - ANSM
    A.2EudraCT number2017-004730-28
    A.3Full title of the trial
    Nal-IRI/LV5-FU VERSUS PACLITAXEL AS SECOND-LINE THERAPY IN PATIENTS WITH METASTATIC OESOPHAGEAL SQUAMOUS CELL CARCINOMA
    Nal-IRI/LV5FU VERSUS PACLITAXEL EN DEUXIEME LIGNE DE TRAITEMENT CHEZ LES PATIENTS ATTEINTS DE CARCINOME EPIDERMOIDE DE L’ŒSOPHAGE METASTATIQUE
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    clinical study for patients with metastatic oesophagus carcinoma
    étude clinique pour les patients avec un cancer de l’œsophage métastatique
    A.3.2Name or abbreviated title of the trial where available
    OESIRI
    OESIRI
    A.4.1Sponsor's protocol code numberFFCD1701
    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 Sponsorfédération francophone de cancérologie digestive
    B.1.3.4CountryFrance
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportSHIRE
    B.4.2CountryFrance
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationfédération francophone de cancérologie digestive
    B.5.2Functional name of contact pointclinical project manager
    B.5.3 Address:
    B.5.3.1Street Address7 boulevard jeanne d'arc
    B.5.3.2Town/ citydijon
    B.5.3.3Post code21079
    B.5.3.4CountryFrance
    B.5.4Telephone number+33380393483
    B.5.5Fax number+33380381841
    B.5.6E-maillila.gaba@u-bourgogne.fr
    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.2.1.1.1Trade name ONIVYDE
    D.2.1.1.2Name of the Marketing Authorisation holderSHIRE
    D.2.1.2Country which granted the Marketing AuthorisationFrance
    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.3.4Pharmaceutical form 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 INNIRINOTECAN SUCROSOFATE
    D.3.9.2Current sponsor codeNal-IRI
    D.3.9.3Other descriptive nameIRINOTECAN SUCROSOFATE
    D.3.9.4EV Substance CodeSUB189296
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    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 Yes
    D.2.1.1.1Trade name Fluorouracile Ebewe
    D.2.1.1.2Name of the Marketing Authorisation holderSANDOZ
    D.2.1.2Country which granted the Marketing AuthorisationFrance
    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.3.4Pharmaceutical form 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 INNFLUOROURACIL
    D.3.9.3Other descriptive nameFLUOROURACIL
    D.3.9.4EV Substance CodeSUB07721MIG
    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.2.1.1.1Trade name ELVORINE
    D.2.1.1.2Name of the Marketing Authorisation holderPFIZER
    D.2.1.2Country which granted the Marketing AuthorisationFrance
    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.3.4Pharmaceutical form Solution for injection
    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 INNFOLINIC ACID
    D.3.9.3Other descriptive nameFOLINIC ACID
    D.3.9.4EV Substance CodeSUB13910MIG
    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: 4
    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.2.1.1.1Trade name taxol
    D.2.1.1.2Name of the Marketing Authorisation holderBRYSTOL-MYERS
    D.2.1.2Country which granted the Marketing AuthorisationFrance
    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.3.1Product nameTAXOL
    D.3.4Pharmaceutical form Solution 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 INNPACLITAXEL
    D.3.9.1CAS number 33069-62-4
    D.3.9.4EV Substance CodeSUB09583MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number6
    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.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
    METASTATIC OESOPHAGEAL SQUAMOUS CELL CARCINOMA
    METASTATIC OESOPHAGEAL SQUAMOUS CELL CARCINOMA
    E.1.1.1Medical condition in easily understood language
    carcinome épidermoïde de l'oesophage
    carcinome épidermoïde de l'oesophage
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10053548
    E.1.2Term Gastrointestinal cancer metastatic
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    • To evaluate the survival of patients at 9 months
    • Évaluer le taux de patients vivants à 9 mois
    E.2.2Secondary objectives of the trial
    • Progression-free survival (PFS) (clinical and/or radiological)
    • Overall survival (OS)
    • Best response rate during treatment according to RECIST 1.1 criteria (according to the investigator and the centralised review committee)
    • Toxicity (NCI CTC 4.0)
    • Quality of life (QLQ-C30 and OES18 questionnaires of the EORTC)
    • Survie sans progression (SSP) (clinique et/ou radiologique)
    • Survie globale (SG)
    • Taux de meilleure réponse sous traitement selon les critères RECIST 1.1 (selon l’investigateur et en relecture centralisée)
    • Toxicités (NCI CTC 4.0)
    • Qualité de vie (questionnaires QLQ-C30 et OES18 de l’EORTC)
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives
    Constitutional analysis of genetic polymorphisms and circulating tumoral
    DNA :
    Evaluation of the prognostic role of ctDNA before and during the
    treatment . The presence and the quantification of ctDNA will be tested
    as a prognostic marker of oesophageal cancer overall survival.
    Analyse du polymorphisme génétique constitutionnel et de l'ADN
    tumoral circulant : Evaluation du rôle pronostic de l'ADN tumoral
    circulant avant le début et pendant le traitement. La présence et la
    quantification de l'ADNct sera testé en tant que marqueur pronostic de la
    survie globale du cancer de l'oesophage.
    E.3Principal inclusion criteria
    • Histologically proven metastatic oesophageal squamous cell carcinoma
    • Patient in failure with 1st-line treatment with oxaliplatin or cisplatin. Patients presenting with resectable disease treated with surgery or neoadjuvant or adjuvant chemotherapy with oxaliplatin or cisplatin (with or without radiotherapy) can be included if a recurrence has occurred less than 6 months after the end of treatment
    • Age ≥ 18 years
    • Unresectable disease, measurable or not, according to RECIST 1.1 criteria
    • WHO performance status ≤ 2
    • Neutrophils ≥ 1500/mm3 (without use of haematopoietic growth factors), platelets ≥ 100 000/mm3, haemoglobin ≥ 9 g/dl (blood transfusions are authorised for patients with a haemoglobin less than 9 g/dl)
    • Total bilirubin ≤ 2 x ULN (biliary drainage is authorised in case of a biliary obstruction); albumin ≥ 25 g/L; AST ≤ 2.5 x ULN, and ALT ≤ 2.5 x ULN (≤ 5 x ULN in case of hepatic metastases)
    • Creatinine clearance ≥ 50 ml/min according to MDRD formula
    • A normal ECG or ECG with no clinically significant findings
    • Patient able to understand and to sign the informed consent form (or who has a legal guardian able to do so for him/him)
    • Women of childbearing potential must have a negative pregnancy blood or urine test within 7 days prior to inclusion
    • Women of childbearing potential, as well as men (who have sexual relations with women of childbearing potential) must agree to use an effective method of contraception throughout this study and during the 4 months following administration of the last dose of the study medicinal product
    • Patient who is a beneficiary of the Social security system
    • Patient for whom regular follow-up is possible.
    • Carcinome épidermoïde de l’œsophage métastatique prouvé histologiquement
    • Patient en échec de traitement de 1ère ligne à base d’oxaliplatine ou de cisplatine. Les patients présentant une maladie résécable traitée par chirurgie ou chimiothérapie néoadjuvante ou adjuvante à base d’oxaliplatine ou de cisplatine (avec ou sans radiothérapie) peuvent être inclus si une récidive est survenue moins de 6 mois après la fin du traitement
    • Âge ≥ 18 ans
    • Maladie non résécable, mesurable ou non mesurable selon les critères RECIST 1.1
    • Statut de performance OMS ≤ 2
    • PNN ≥ 1500/mm3 (sans utilisation de facteurs de croissance hématopoïétiques), plaquettes ≥ 100 000/mm3, hémoglobine ≥ 9 g/dl (les transfusions sanguines sont autorisées pour les patients ayant des taux d’hémoglobine inférieurs à 9 g/dl)
    • Bilirubine totale ≤ 2 x LNS (le drainage biliaire est autorisé en cas d’obstruction biliaire) ; albumine ≥ 25 g/L ; ASAT ≤ 2,5 x LNS, et ALAT ≤ 2,5 x LNS (≤ 5 x LNS si métastases hépatiques)
    • Clairance de la créatinine ≥ 50 ml/min selon la formule MDRD
    • ECG normal ou ECG sans aucun résultat cliniquement significatif
    • Patient capable de comprendre et de signer un consentement éclairé (ou ayant un représentant légal capable de le faire)
    • Les femmes en âge de procréer doivent avoir un test de grossesse sérique ou urinaire négatif dans les 7 jours précédant l’inclusion
    • Les femmes en âge de procréer ainsi que les hommes (ayant des rapports sexuels avec des femmes en âge de procréer) doivent s’engager à utiliser des moyens de contraception efficaces tout au long de l’étude et au cours des 4 mois suivant l’administration de la dernière dose du médicament à l’étude
    • Patient affilié à la Sécurité sociale
    • Suivi régulier possible
    E.4Principal exclusion criteria
    • Known brain or bone metastases
    • Clinically significant gastrointestinal disorders, including hepatic, haemorrhagic, inflammatory, obstructive disorders or diarrhoea > grade 1
    • non controlled History of chronic inflammatory bowel disease
    • Gilbert's syndrome
    • History of progressive cancer or in remission of less than 3 years duration (patients who present with a cancer in situ or basal cell or squamous cell skin cancer during the last 3 years are eligible).
    • Severe arterial thromboembolic events (myocardial infarction, unstable angina, stroke) less than 3 months before inclusion
    • NYHA class III or IV congestive heart failure, ventricular arrhythmia or uncontrolled blood pressure
    • Significant neuropathy ≥ grade 2 according to NCI CTCAE criteria (National Cancer Institute Common Terminology Criteria for Adverse Events) v.4.0.
    • Known hypersensitivity or allergy to a component of the medicinal products used in the study.
    • Known DPD deficiency
    • An investigational treatment administered during the 4 weeks prior to day one of chemotherapy scheduled in this study.
    • Use of potent CYP3A4 enzyme inhibitors or inducers, or existence of other contraindications to irinotecan.
    • Patient under guardianship and/or deprived of his/her freedom
    • Pregnant women or breastfeeding mothers
    • Métastases cérébrales ou osseuses connues
    • Troubles gastro-intestinaux cliniquement significatifs, incluant les affections hépatiques, hémorragiques, inflammatoires, obstructives ou une diarrhée > grade 1
    • Antécédent de maladies inflammatoires chroniques de l’intestin non contrôlé
    • Maladie de Gilbert
    • Antécédents de cancer évolutif ou en rémission datant de moins de 3 ans (les patients ayant présenté un cancer in situ ou un cancer basocellulaire ou épidermoïde de la peau au cours des 3 dernières années sont éligibles).
    • Événements thromboemboliques artériels sévères (infarctus du myocarde, angor instable, AVC) moins de 3 mois avant l’inclusion.
    • Insuffisance cardiaque congestive de classe NYHA III ou IV, arythmie ventriculaire ou pression artérielle non contrôlée.
    • Neuropathie significative ≥ grade 2 selon les critères NCI CTCAE (National Cancer Institute Common Terminology Criteria for Adverse Events) v.4.0.
    • Hypersensibilité ou allergie connue à un composant des médicaments utilisés dans l’étude.
    • Déficit connu en DPD (dihydropyrimidine déshydrogénase).
    • Traitement expérimental administré au cours des 4 semaines précédant le premier jour de la chimiothérapie programmée dans cette étude.
    • Utilisation de puissants inhibiteurs ou inducteurs du CYP3A4, ou présence de quelconques autres contre-indications à l’irinotecan.
    • Patient sous tutelle ou/et privé de liberté
    • Femme enceinte ou allaitante
    E.5 End points
    E.5.1Primary end point(s)
    The primary objective is to evaluate the percentage of patients alive 9 months after randomisation.
    L’objectif principal est d’évaluer le pourcentage de patients vivants à 9 mois après randomisation
    E.5.1.1Timepoint(s) of evaluation of this end point
    9 months
    9 mois
    E.5.2Secondary end point(s)
    Secondary evaluation end points are:
    • Progression-free survival (PFS):
    PFS is defined as the time interval between date of randomisation and date of first progression (clinical and/or radiological: RECIST 1.1 criteria) determined by the investigator, or date of death (whatever the cause). Patients alive without progression will be censured at date of last news.

    • Overall survival (OS):
    OS is defined as the time interval between date of randomisation and date of death (whatever the cause). Patients alive will be censured at date of last news.

    • Best response rate:
    • The best response rate is defined as the best response rate obtained during treatment. This end point will be evaluated solely in patients measurable with RECIST 1.1 criteria. This rate will be described as an objective response rate: complete response or partial response (CR, PR) according to the investigator (RECIST 1.1 criteria) and also by centralised review.

    • Toxicity
    It will be evaluated and graded in conformity with NCI-CTC v4.0 criteria.
    • Quality of life (QLQ-C30 questionnaires of EORTC + OES18 of EORTC)
    Les critères secondaires de jugement sont :
    • Survie sans progression (SSP) :
    La SSP est définie comme l’intervalle de temps entre la date de randomisation et la date de première progression (clinique et/ou radiologique : critères RECIST 1.1) déterminée par l’investigateur, ou la date de décès (quelle que soit la cause). Les patients vivants sans progression seront censurés à la date des dernières nouvelles.

    • Survie globale (SG) :
    La SG est définie comme l’intervalle de temps entre la date de randomisation et la date de décès (quelle que soit la cause). Les patients vivants seront censurés à la date des dernières nouvelles.

    • Taux de meilleure réponse :
    • Le taux de meilleure réponse est défini comme le taux de meilleure réponse obtenue au cours du traitement. Ce critère sera évalué uniquement chez les patients mesurables en RECIST 1.1. Ce taux sera décrit en taux de réponse objective : réponse complète ou partielle (RC, RP) selon l’investigateur (critères RECIST 1.1) et également en relecture centralisée.

    • Toxicités
    Elles seront évaluées et gradées conformément aux critères NCI-CTC v4.0.
    • Qualité de vie (questionnaires QLQ-C30 de l’EORTC + OES18 de l’EORTC)

    E.5.2.1Timepoint(s) of evaluation of this end point
    9 months
    9 mois
    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 Yes
    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) No
    E.7.1.1First administration to humans No
    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 Yes
    E.8.1.1Randomised Yes
    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) Yes
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    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 concerned65
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.7Trial 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 end of the trial is the last visit of the last subject undergoing the trial
    La fin de l'étude corresponds à la dernière visite du dernier patient en cours de l'étude
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years6
    E.8.9.1In the Member State concerned months
    E.8.9.1In the Member State concerned days
    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: 53
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 53
    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 state106
    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)
    In all cases of treatment discontinuation (progression, toxicities...), follow-up of the patient will continue according the recommendations of the "Thésaurus National de cancérologie Digestive".
    En cas d'arrêt de la chimiothérapie (progression, toxicité, ...) , le traitement ultérieur sera à la discrétion de l'investigateur, selon les recommandations du thésaurus National de Cancérologie Digestive.
    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 Decision2018-08-14
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2019-09-17
    P. End of Trial
    P.End of Trial StatusOngoing
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