E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients with HER2 positive disease. |
NA |
|
E.1.1.1 | Medical condition in easily understood language |
PALB2 germline heterozygous mutation carrier, wild type BRCA1&2 affected with metastatic breast cancer in first metastatic treatment line or beyond |
NA |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
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 assess efficacy in term of tumour response at four cycles as potential efficacy of a PARP-inhibitor in patients with metastatic breast cancers, carrying germline PALB2 mutations. |
NA |
|
E.2.2 | Secondary objectives of the trial |
• To evaluate progression-free survival (PFS) and overall survival
• To evaluate overall clinical benefit
• To evaluate duration of improvement: based both on clinical assessment and imaging
• To evaluate tolerance and toxicity, haematology parameters in particular
• To evaluate Quality of Life (QOL) at baseline and every 3 cycles or at the time of study termination
|
NA |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Adult patients over 18 years
• PALB2 germline heterozygous mutation carrier, wild type BRCA1&2 affected with metastatic breast cancer in first metastatic treatment line or beyond
• Histologically or cytologically confirmed breast cancer with evidence of metastatic disease.
• Triple Negative breast cancer
• RH+/HER2- breast cancer; ER/PR breast cancer positive patients must have received and progressed on at least one endocrine therapy (adjuvant or metastatic), or have a disease form that the treating physician believes to be inappropriate for endocrine therapy.
• Prior therapy with an anthracycline and a taxane in an adjuvant setting.
• Prior platinum allowed as long as no breast cancer progression occurred on treatment or if given in adjuvant/neoadjuvant setting, at least 12 months elapsed from last dose to study entry.
• ECOG performance status 0-2.
• Adequate bone marrow, kidney and liver function. |
NA |
|
E.4 | Principal exclusion criteria |
• Patients with HER2 positive disease.
• Untreated and/or uncontrolled brain metastases.
• Cytopenia, defined with the following thresholds: (i) PN < 1500; Platelet count< 100 000; Hb <9g
• Prior malignancy unless curatively treated and disease-free for > 5 years prior to study entry. Prior adequately treated non-melanoma skin cancer, in situ cancer of the cervix, DCIS or stage I grade 1 endometrial cancer allowed.
• Known HIV (Human Immunodeficiency Virus) infection.
• Pregnant or breast-feeding women.
• Lack of affiliation to a social security benefit plan (as a beneficiary or assignee)
|
NA |
|
E.5 End points |
E.5.1 | Primary end point(s) |
• Complete or partial tumour response according to RECIST 1.1 criteria accounting for objective response rate in solid tumours at 4. This will be established according to data recorded on the CT-Scan performed at the end of 4 cycles time point ± 10 days. |
NA |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
In the event of sole skin metastasis without other organ or bone metastasis, clinical examination of the skin tumours will be performed and pictures taken at regular interval for tumour response assessment (Baseline, 2, 4, 6, 9, 12 cycles). |
NA |
|
E.5.2 | Secondary end point(s) |
• Time from inclusion to progression or death (all-cause) whichever occurs first, up to 12 months
• Time from inclusion to death (all-cause) whichever occurs first, up to 12 months
• Partial Response (PR) or Complete Response (CR) or Stable Disease (SD), as per to RECIST 1.1 criteria for tumoral response, based on CT-Scan at 2, 4, 6, 9, 12 cycles
In the event of sole skin metastasis without other organ or bone metastasis, clinical examination of the skin tumours will be performed and pictures taken at regular interval for tumour response assessment (Baseline, 2, 4, 6, 9, 12 cycles).
|
NA |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
• Time to treatment failure (TTF) up to M12, defined as time between inclusion and treatment discontinuation (any reason: death, disease progression, toxicity) or last visit (M12). |
NA |
|
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 | No |
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.8.2.4 | Number of treatment arms in the trial | 1 |
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 | 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 | 8 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |