| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
Breast cancer
Ovarian cancer
Lung cancer
Colorectal cancer
Prostate cancer
Pancreatic cancer |
|
| E.1.1.1 | Medical condition in easily understood language |
Breast cancer
Ovarian cancer
Lung cancer
Cancer of the colon and rectum
Prostate cancer
Pancreatic cancer |
|
| 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 | LLT |
| E.1.2 | Classification code | 10072737 |
| E.1.2 | Term | Advanced breast cancer |
| E.1.2 | System Organ Class | 100000004864 |
|
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 20.0 |
| E.1.2 | Level | LLT |
| E.1.2 | Classification code | 10033130 |
| E.1.2 | Term | Ovarian cancer NOS |
| E.1.2 | System Organ Class | 100000004864 |
|
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 20.1 |
| E.1.2 | Level | LLT |
| E.1.2 | Classification code | 10080083 |
| E.1.2 | Term | Advanced lung cancer |
| E.1.2 | System Organ Class | 100000004864 |
|
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 20.0 |
| E.1.2 | Level | LLT |
| E.1.2 | Classification code | 10052362 |
| E.1.2 | Term | Metastatic colorectal cancer |
| E.1.2 | System Organ Class | 100000004864 |
|
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 20.0 |
| E.1.2 | Level | LLT |
| E.1.2 | Classification code | 10033605 |
| E.1.2 | Term | Pancreatic cancer metastatic |
| E.1.2 | System Organ Class | 100000004864 |
|
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 20.0 |
| E.1.2 | Level | LLT |
| E.1.2 | Classification code | 10036910 |
| E.1.2 | Term | Prostate cancer NOS |
| E.1.2 | System Organ Class | 100000004864 |
|
| 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 |
| The purpose of the master protocol is to investigate the overall anti-cancer effect of drug response prediction (DRP) directed therapy with LiPlaCis, 2X-121, or Irofulven in a phase II basket trial including six common tumor types |
|
| E.2.2 | Secondary objectives of the trial |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
• Histopathologically verified advanced, metastatic cancer (breast, ovarian, lung, prostate, colorectal, pancreatic) without curatively intended treatment options.
• Measurable disease according to RECIST 1.1, or GCIG CA125 criteria for ovarian cancer, or PCWG3 criteria for prostate cancer
• Performance status 0-1
• Age ≥ least 18 years
• Adequate bone marrow, liver and renal function (within 7 days prior to inclusion)
o Neutrophils (ANC) ≥ 1.5x10^9/L
o Platelet count ≥ 100x10^9/L
o Hemoglobin ≥ 9.0 g/dL or ≥ 5,6 mmol/L
o Serum bilirubin ≤ 2,0 x ULN
o Serum alanine aminotransaminase ≤ 2.5 x ULN
o Serum creatinine ≤ 1.5 x ULN (a creatinine above 1.5 x ULN measured or calculated GFR must be at least 50 mL/min.
• At least 2 previous chemotherapy regimens
• Written and orally informed consent
• Consent to translational research and biobank
• Eligible for chemotherapy according to investigator
• Life expectancy > 3 months
• Contraception for fertile women and for male patients with a fertile partner. Intrauterine device, vasectomy of a female subject’s male partner, and hormonal contraceptive are acceptable. |
|
| E.4 | Principal exclusion criteria |
• Clinically significant cardiovascular disease (incl. myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 1 year before enrollment
• Active, serious infection, bleeding, or other serious disease
• Other active, malignant disease, except basocellular or squamous skin cancer and carcinoma in situ cervicis uteri
• Fertile women not willing to use effective methods of contraception during and 6 months after end of treatment
• Other systemic treatment or radiotherapy treatment within 28 days prior to treatment start
• Pregnancy or lactation |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
Primary sub-protocol, phase II basket trial:
Primary endpoint: Response rate |
|
| E.5.1.1 | Timepoint(s) of evaluation of this end point |
| Every 2 months until progression |
|
| E.5.2 | Secondary end point(s) |
Primary sub-protocol, phase II basket trial:
1. Progression free survival (PFS)
2. Overall survival (OS)
3. Quality of life (QoL) |
|
| E.5.2.1 | Timepoint(s) of evaluation of this end point |
Primary sub-protocol, phase II basket trial:
1. Every 2 months until progression or death
2. One year after end of treatment
3. Every 2 months until progression or death
|
|
| 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 | 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 | 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
| Yes |
| E.8.4 | The trial involves multiple sites in the Member State concerned | No |
| 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 | No |
| 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 | 3 |
| E.8.9.1 | In the Member State concerned months | 10 |
| E.8.9.1 | In the Member State concerned days | |