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    Summary
    EudraCT Number:2019-004630-42
    Sponsor's Protocol Code Number:TAS-120-301
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2021-06-04
    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 ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2019-004630-42
    A.3Full title of the trial
    A Phase 3, Open-Label, Randomized Study of Futibatinib Versus
    Gemcitabine-Cisplatin Chemotherapy as First-Line Treatment of Patients
    with Advanced Cholangiocarcinoma Harboring FGFR2 Gene
    Rearrangements
    Studio di fase 3, in aperto, randomizzato su futibatinib rispetto a chemioterapia con gemcitabina-cisplatino come trattamento di prima linea per pazienti con colangiocarcinoma avanzato che presenta riarrangiamenti del gene FGFR2
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Phase 3, Open-Label, Randomized Study of Futibatinib Versus
    Gemcitabine-Cisplatin Chemotherapy as First-Line Treatment of Patients
    with Advanced Cholangiocarcinoma Harboring FGFR2 Gene
    Rearrangements
    Studio di fase 3, in aperto, randomizzato su futibatinib rispetto a chemioterapia con gemcitabina-cisplatino come trattamento di prima linea per pazienti con colangiocarcinoma avanzato che presenta riarrangiamenti del gene FGFR2
    A.3.2Name or abbreviated title of the trial where available
    FOENIX-CCA3
    FOENIX-CCA3
    A.4.1Sponsor's protocol code numberTAS-120-301
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT04093362
    A.5.4Other Identifiers
    Name:IND NumberNumber:121062
    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 SponsorTAIHO ONCOLOGY INC.
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportTaiho Oncology Inc
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationTaiho Oncology, Inc
    B.5.2Functional name of contact pointSenior Study Manager
    B.5.3 Address:
    B.5.3.1Street Address101 Carnegie Center, Suite 101
    B.5.3.2Town/ cityPrinceton
    B.5.3.3Post codeNJ 08540
    B.5.3.4CountryUnited States
    B.5.4Telephone number+16092507333
    B.5.5Fax number+16097505300
    B.5.6E-mailjdean@taihooncology.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleComparator
    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 Cisplatin 1 mg/mL Concentrate for Solution for Infusion
    D.2.1.1.2Name of the Marketing Authorisation holderAccord Healthcare Limited
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    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 nameCisplatin 1 mg/mL Concentrate for Solution for Infusion (or generic equivalent)
    D.3.2Product code [NA]
    D.3.4Pharmaceutical form Concentrate for solution for injection/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 INNCisplatin
    D.3.9.1CAS number 15663-27-1
    D.3.9.2Current sponsor codeNA
    D.3.9.3Other descriptive nameCisplatin
    D.3.9.4EV Substance CodeSUB07483MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1
    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 Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    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 RoleComparator
    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 Gemcitabine 38 mg/ml Concentrate for Solution for Infusion
    D.2.1.1.2Name of the Marketing Authorisation holderSTADApharm GmbH
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    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 nameGemcitabine 38 mg/ml Concentrate for Solution for Infusion (or generic equivalent)
    D.3.2Product code [NA]
    D.3.4Pharmaceutical form Concentrate for solution for injection/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 INNGemcitabine
    D.3.9.1CAS number 95058-81-4
    D.3.9.2Current sponsor codeNA
    D.3.9.4EV Substance CodeSUB07892MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number38
    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 Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    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.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/19/2146
    D.3 Description of the IMP
    D.3.1Product nameFutibatinib
    D.3.2Product code [TAS-120]
    D.3.4Pharmaceutical form Coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNFUTIBATINIB
    D.3.9.1CAS number 1448169-71-8
    D.3.9.2Current sponsor codeTAS-120, TAS-06-02985
    D.3.9.3Other descriptive nameFUTIBATINIB
    D.3.9.4EV Substance CodeSUB194664
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number4
    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 Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    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
    Advanced solid tumors
    Tumori solidi avanzati
    E.1.1.1Medical condition in easily understood language
    Advanced solid tumors
    Tumori solidi avanzati
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.1
    E.1.2Level LLT
    E.1.2Classification code 10065147
    E.1.2Term Malignant solid tumor
    E.1.2System Organ Class 100000004864
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Progression-free survival (PFS) by independent central review (ICR), based on Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1)
    Sopravvivenza libera da progressione (PFS) mediante revisione centrale indipendente (ICR), basata sui criteri di valutazione della risposta nei tumori solidi, versione 1.1 (RECIST 1.1)
    E.2.2Secondary objectives of the trial
    • Objective response rate (ORR)
    • Disease control rate (DCR)
    • Overall survival (OS)
    • PFS according to Investigator assessment of radiologic images
    • Safety and tolerability
    • Tasso di risposta globale (ORR)
    • Tasso di controllo della malattia (DCR)
    • Sopravvivenza globale (OS)
    • PFS secondo la valutazione delle immagini radiologiche da parte dello sperimentatore
    • Sicurezza e tollerabilità
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Provide written informed consent.
    2. Is = 18 years of age (or meets the country's regulatory definition for legal adult age).
    3. The patient has histologically confirmed, locally advanced, or metastatic, or recurrent unresectable iCCA harboring FGFR2 gene rearrangements based on testing performed by the designated central laboratory.
    4. Patient has radiographically measurable disease per RECIST 1.1.
    5. Patients who have received treatment for locally advanced disease (for example, trans-arterial chemoembolization, selective internal radiation therapy, external beam radiation) must have evidence of radiographic progression with measurable disease outside the previously-treated lesions.
    6. Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1.
    7. Adequate organ function as defined by the following criteria:
    • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) = 3.0 × upper limit of normal (ULN); if liver function abnormalities are due to underlying liver metastasis, AST and ALT = 5 × ULN.
    • Total bilirubin = 1.5 × ULN, or = 3.0 × ULN for patients with Gilbert's syndrome.
    • White blood cell (WBC) count = 2000/mm3 (= 2.0 × 109/L)
    • Absolute neutrophil count (ANC) = 1000/mm3 (ie, = 1.0 × 109/L)
    • Platelet count = 100,000/mm3 (= 100 × 109/L)
    • Hemoglobin = 9.0 g/dL
    • Phosphorus = 1.5 × ULN
    • Creatinine clearance = 60 mL/min
    8. Women of child-bearing potential (WOCBP) must have a negative serum pregnancy test within 7 days prior to administration of the first dose of study medication. Female patients are not considered to be of child bearing potential if they have a history of hysterectomy or are post menopausal defined as no menses for 12 months without an alternative medical cause. Both males and females of reproductive potential must agree to use effective birth control during the study prior to the first dose and for 3 months after the last dose of study therapy, or according to the local label for each study therapy (whichever is longer).
    9. Willing and able to comply with scheduled visits and study procedures.
    1. Fornire il consenso informato per iscritto.
    2. Avere un’età = 18 anni (o soddisfare la definizione normativa del Paese per l’età adulta legale).
    3. Essere affetto da iCCA non resecabile, localmente avanzato, metastatico o ricorrente, confermato istologicamente, che presenta riarrangiamenti del gene FGFR2 sulla base di test eseguiti dal laboratorio centrale designato.
    4. Avere una malattia misurabile radiograficamente secondo RECIST 1.1.
    5. I pazienti che hanno ricevuto un trattamento per la malattia localmente avanzata (ad es. chemioembolizzazione trans-arteriosa, radioterapia interna selettiva, radioterapia a fasci esterni) devono presentare evidenza di progressione radiografica con malattia misurabile al di fuori delle lesioni precedentemente trattate.
    6. Stato di validità secondo l’Eastern Cooperative Oncology Group (ECOG-PS) da 0 a 1.
    7. Adeguata funzionalità d’organo, come definita dai seguenti criteri:
    • Aspartato aminotransferasi (AST) e alanina aminotransferasi (ALT) = 3,0 volte il limite superiore di normalità (ULN); se le anomalie della funzionalità epatica sono dovute a metastasi epatiche di base, AST e ALT = 5 volte l'ULN.
    • Bilirubina totale = 1,5 volte l'ULN, o = 3,0 volte l'ULN per i pazienti con sindrome di Gilbert.
    • Conta dei leucociti (WBC) = 2000/mm3 (= 2,0 × 109/L)
    • Conta assoluta dei neutrofili (ANC) = 1000/mm3 (ossia = 1,0 × 109/L in unità internazionali [UI])
    • Conta piastrinica = 100.000/mm3 (UI: = 100 × 109/L)
    • Emoglobina = 9,0 g/dL
    • Fosforo = 1,5 volte l'ULN
    • Clearance della creatinina = 60 mL/min
    8. Le donne in grado di procreare devono presentare un test di gravidanza su siero negativo nei 7 giorni prima della somministrazione della prima dose del farmaco di studio. Le donne non vengono considerate in grado di procreare se sono state sottoposte a una precedente isterectomia o sono in post-menopausa, definita come assenza di mestruazioni da 12 mesi senza una causa medica alternativa. Sia gli uomini sia le donne in grado di procreare devono acconsentire a utilizzare un metodo contraccettivo efficace durante lo studio prima dell’assunzione della prima dose e per 3 mesi dopo l’assunzione dell’ultima dose della terapia, o secondo l'etichetta locale per ogni terapia di studio (se più lunga) .
    9. Disponibilità e capacità di rispettare le visite programmate e le procedure dello studio.
    E.4Principal exclusion criteria
    1. Patient has received previous systemic anticancer therapy
    • Patients receiving adjuvant or neoadjuvant treatment and completed = 6 months prior to randomization are eligible
    2. Patient has mixed hepatocellular carcinoma – iCCA disease.
    3. History and/or current evidence of any of the following disorders:
    • Non-tumor related alteration of calcium-phosphorus homeostasis that is clinically significant in the opinion of the Investigator.
    • Ectopic mineralization/calcification, including but not limited to soft tissue, kidneys, intestine, or myocardia and lung, considered clinically significant in the opinion of the Investigator.
    • Retinal disorder confirmed by retinal examination and considered clinically significant in the opinion of the ophthalmologist.
    4. History or current evidence of uncontrolled ventricular arrhythmias
    5. Fridericia's corrected QT interval (QTcF) > 470 ms on ECG conducted during Screening.
    6. Treatment with any of the following within the specified time frame prior to the first dose of study therapy, or failure to recover from side effects of these prior therapies:
    • Major surgery within the previous 4 weeks (the surgical incision should be fully healed prior to the first dose of study therapy).
    • Radiotherapy (any dose) for extended field within 4 weeks or limited field radiotherapy within 2 weeks, and/or has not recovered from acute impact of radiotherapy.
    • Patients with locoregional therapy, e.g. transarterial chemoembolization, selective internal radiotherapy, or ablation within 4 weeks.
    • Any history of liver transplant.
    7. A serious illness or medical condition(s) including, but not limited to, the following:
    • Brain metastases that are untreated or clinically or radiologically unstable (that is, have been stable for <1 month).
    • Known acute systemic infection.
    • Myocardial infarction, severe/unstable angina, or symptomatic congestive heart failure within the previous 6 months.
    • Chronic nausea, vomiting, or diarrhea considered to be clinically significant in the opinion of the Investigator.
    • Congenital long QT syndrome, or any known history of torsade de pointes, or family history of unexplained sudden death.
    • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that in the judgment of the Investigator would make the patient inappropriate for entry into this study.
    8. Patients with a history of another primary malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of the investigational regimen in the opinion of the Investigator.
    9. Pregnant or breast-feeding female
    10. The patient is unable to take oral medication.
    1. Paziente sottoposto a precedente terapia antitumorale sistemica.
    • I pazienti sottoposti a trattamento adiuvante o neoadiuvante e che l’abbiano completato = 6 mesi prima della randomizzazione sono idonei.
    2. Paziente con carcinoma epatocellulare misto – iCCA.
    3. Evidenza pregressa e/o attuale di uno dei seguenti disturbi:
    • Alterazione non tumorale dell’omeostasi calcio-fosforo clinicamente significativa secondo il parere dello sperimentatore.
    • Mineralizzazione/calcificazione ectopica, inclusi a titolo esemplificativo e non esaustivo tessuti molli, reni, intestino o miocardio e polmone, considerata clinicamente significativa secondo il parere dello sperimentatore.
    • Disturbo retinico confermato dall’esame della retina e considerato clinicamente significativo secondo il parere dell’oculista.
    4. Aritmie ventricolari non controllate, pregresse o in corso.
    5. Intervallo QT corretto secondo Fridericia (QTcF) > 470 ms evidenziato da elettrocardiogramma (ECG) condotto durante lo screening.
    6. Trattamento con una qualsiasi delle seguenti terapie entro il periodo di tempo specificato prima della prima dose della terapia in studio o mancato recupero dagli effetti collaterali di queste precedenti terapie:
    • Intervento chirurgico maggiore nelle 4 settimane precedenti (l’incisione chirurgica deve essere completamente guarita prima della prima dose della terapia in studio).
    • Radioterapia (qualsiasi dose) a campo esteso entro 4 settimane o radioterapia a campo limitato entro 2 settimane e/o mancato recupero dall’impatto acuto della radioterapia.
    • Pazienti con terapia locoregionale, ad es. chemioembolizzazione trans-arteriosa (TACE), radioterapia interna selettiva (SIRT) o ablazione entro 4 settimane.
    • Trascorsi di trapianto di fegato.
    7. Malattia o condizione medica grave, tra cui, a titolo esemplificativo, le seguenti:
    • Metastasi cerebrali non trattate o clinicamente o radiologicamente instabili (ossia rimaste stabili per <1 mese).
    • Infezione sistemica acuta nota.
    • Infarto miocardico, angina grave/instabile o insufficienza cardiaca congestizia sintomatica nei 6 mesi precedenti.
    • Nausea, vomito o diarrea cronici considerati clinicamente significativi secondo il parere dello sperimentatore.
    • Sindrome congenita del QT lungo o trascorsi noti di torsione di punta o anamnesi familiare di morte improvvisa inspiegabile.
    • Altre gravi condizioni mediche o psichiatriche acute o croniche o anomalie di laboratorio che, a giudizio dello sperimentatore, renderebbero il paziente inappropriato per l’ammissione a questo studio.
    8. Pazienti con anamnesi di un’altra neoplasia primaria la cui storia naturale o il trattamento della quale ha il potenziale di interferire con la valutazione della sicurezza o dell’efficacia del regime sperimentale secondo il parere dello sperimentatore.
    9. Donna gestante o che allatta al seno.
    10. Paziente incapace di assumere farmaci per via orale.
    E.5 End points
    E.5.1Primary end point(s)
    Progression Free Survival (PFS) per ICR central assessment
    Sopravvivenza libera da progressione (PFS) mediante revisione centrale indipendente (ICR),
    E.5.1.1Timepoint(s) of evaluation of this end point
    At the end of every 2 cycles (± 7 days) up to Cycle 4. Thereafter, every 3 cycles (± 7 days), or as clinically indicated, until radiologic progressive disease (PD) or initiation of new anticancer therapy (whichever occurs first).
    Alla fine di ogni 2 cicli (±7 giorni) fino al ciclo 4. Dopo il ciclo 4, ogni 3 cicli (±7 giorni) o, come clinicamente indicato, fino a documentazione radiologica della progressione della malattia (PD) o dall'inizio di una nuova terapia anti-cancro (a seconda di quale circostanza si verifichi per prima).
    E.5.2Secondary end point(s)
    Objective response rate (ORR)
    • Disease control rate (DCR)
    • Overall survival (OS)
    • PFS according to Investigator assessment of radiologic images
    • Treatment-emergent adverse events (TEAEs), including serious
    adverse events (SAEs), clinical laboratory tests, vital signs,
    ophthalmological exams, and 12-lead electrocardiogram (ECG).
    • Tasso di risposta globale (ORR)
    • Tasso di controllo della malattia (DCR)
    • Sopravvivenza globale (OS)
    • PFS secondo la valutazione delle immagini radiologiche da parte dello sperimentatore
    • Eventi avversi associati al trattamento (TEAE), di eventi avversi gravi (SAE), esami clinici di laboratorio, parametri vitali ed ECG a 12 derivazioni.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Bullet point 1-4: At the end of every 2 cycles (± 7 days) up to Cycle 4. Thereafter, every 3 cycles (± 7 days), or as clinically indicated, until radiologic progressive disease (PD) or initiation of new anticancer therapy (whichever occurs first).

    Bullet point 5: All throughout the study, from the time main informed
    consent is signed through 30 days after administration of the last dose
    of study therapy or until the start of new anticancer therapy, whichever
    is earlier.
    Punti 1-4: Alla fine di ogni 2 cicli (±7 giorni) fino al ciclo 4. Dopo il ciclo 4, ogni 3 cicli (±7 giorni) o, come clinicamente indicato, fino a documentazione radiologica della progressione della malattia (PD) o dall'inizio di una nuova terapia anti-cancro (a seconda di quale circostanza si verifichi per prima).

    Punto 5: per tutta la durata dello studio, dalla firma del consenso informato fino ai 30 giorni successivi all'ultima dose del farmaco dello o fino all'inizio di una nuova terapia anti-cancro (a seconda di quale circostanza si verifichi per prima).
    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 No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Tolerability
    Tollerabilità
    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) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    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 Yes
    E.8.1.6Cross over Yes
    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 concerned10
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA43
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Australia
    Brazil
    Canada
    Hong Kong
    Japan
    Korea, Republic of
    Mexico
    Peru
    Taiwan
    Thailand
    United States
    Belgium
    France
    Germany
    Italy
    Netherlands
    Poland
    Portugal
    Spain
    United Kingdom
    Argentina
    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 occurs after study completion, and is defined as the time when the last patient has discontinued study treatment (including patients in the Study Extension phase, if applicable) and completed all visits and scheduled procedures.
    La fine dello studio si verifica dopo il completamento dello studio, ed è definito come il momento in cui l'ultimo paziente ha interrotto il trattamento di studio (compresi i pazienti nella fase di estensione dello studio, se applicabile) e completato tutte le visite e le procedure programmate.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months1
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months1
    E.8.9.2In all countries concerned by the trial days0
    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: 162
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 54
    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 state10
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 64
    F.4.2.2In the whole clinical trial 216
    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)
    The investigator remains responsible for following through an appropriate health care option for AEs that are considered related to the study or that caused the patient to discontinue the study. The patient should be followed up until the event is resolved or explained. Frequency of follow-up is left to the discretion of the investigator.
    Lo sperimentatore rimane responsabile di seguire un'appropriata opzione di assistenza sanitaria per gli eventi avversi considerati correlati allo studio o che hanno causato l'interruzione dello studio da parte del paziente. Il paziente deve essere seguito fino a quando l'evento è risolto o spiegato. La frequenza di follow-up è lasciata alla discrezione dello Sperimentatore.
    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 Decision2021-03-15
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2021-05-11
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
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