E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Non-sALCL PTCL and CD30 expression <10% |
Espressione di PTCL e CD30 non sALCL <10% |
|
E.1.1.1 | Medical condition in easily understood language |
T-cell Lymphoma |
Linfoma a cellule T |
|
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 | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10034624 |
E.1.2 | Term | Peripheral T-cell lymphoma unspecified NOS |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10034624 |
E.1.2 | Term | Peripheral T-cell lymphoma unspecified 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 |
To evaluate the objective response rate (ORR) per blinded independent central review (BICR) using the Revised Response Criteria for Malignant Lymphoma (Cheson 2007) |
Valutare il tasso di risposta obiettiva (objective response rate, ORR) secondo la revisione centrale indipendente in cieco (blinded independent central review, BICR) utilizzando i Criteri di risposta modificati per il linfoma maligno (Cheson 2007) |
|
E.2.2 | Secondary objectives of the trial |
- To evaluate the complete response (CR) following completion of study treatment (Cheson 2007) - To evaluate progression-free survival (PFS) (Cheson 2007) - To evaluate overall survival (OS) - To evaluate duration of response (DOR) (Cheson 2007) - To evaluate ORR per BICR using modified Lugano criteria (Cheson 2014) - To evaluate safety and tolerability |
- Valutare la risposta completa (complete response, CR) dopo il completamento del trattamento dello studio (Cheson 2007) - Valutare la sopravvivenza libera da progressione (progression-free survival, PFS) (Cheson 2007) - Valutare la sopravvivenza complessiva (overall survival, OS) - Valutare la durata della risposta (duration of response, DOR) (Cheson 2007) - Valutare l’ORR secondo BICR utilizzando i criteri modificati di Lugano (Cheson 2014) - Valutare la sicurezza e la tollerabilità |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.Age 18 years or older. 2.Newly diagnosed PTCL, excluding systemic anaplastic large cell lymphoma (sALCL), per the Revised European-American Lymphoma World Health Organization (WHO) 2016 classification. 3.The following non-sALCL PTCL subtypes are eligible: a.PTCL – not otherwise specified (PTCL-NOS) b.Angioimmunoblastic T-cell lymphoma (AITL) c.Adult T-cell leukemia/lymphoma (ATLL; acute and lymphoma types only, must be positive for human T cell leukemia virus 1) d.Enteropathy-associated T-cell lymphoma (EATL) e.Hepatosplenic T-cell lymphoma f.Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITCL) g.Indolent T-cell lymphoproliferative disorder (T-LPD) of the gastrointestinal (GI) tract h.Follicular T-cell lymphoma i.Nodal peripheral T-cell lymphoma with T-follicular helper (TFH) phenotype 4.CD30 expression <10% by local assessment 5.Fluorodeoxyglucose (FDG)-avid disease by PET and measurable disease of at least 1.5 cm by CT, as assessed by the site radiologist. 6.An Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2 Other protocol defined inclusion criteria may apply. |
1. Età 18 anni o più. 2.PTCL di nuova diagnosi, escluso il linfoma anaplastico sistemico a grandi cellule (sALCL), secondo il linfoma europeo-americano rivisto Classificazione 2016 dell'Organizzazione Mondiale della Sanità (OMS). 3.Sono idonei i seguenti sottotipi di PTCL non sALCL: a. PTCL - non diversamente specificato (PTCL-NOS) b. linfoma a cellule T angioimmunoblastico (AITL) c. leucemia / linfoma a cellule T negli adulti (ATLL; solo tipi acuti e linfomi, devono essere positivi per il virus della leucemia a cellule T umane 1) d. linfoma a cellule T associato a enteropatia (EATL) e. Linfoma epatosplenico a cellule T f. linfoma intestinale epiteliotropico monomorfico a cellule T (MEITCL) g. disturbo linfoproliferativo a cellule T indolenti (T-LPD) del tratto gastrointestinale (GI) h. linfoma a cellule T follicolari i. linfoma a cellule T periferiche nodali con fenotipo T-follicular helper (TFH) 4. Espressione CD30 <10% in base alla valutazione locale 5.Fluorodesossiglucosio (FDG) -avid malattia da PET e malattia misurabile di almeno 1,5 cm da CT, come valutato dal radiologo del sito. 6.Un performance status dell'Eastern Cooperative Oncology Group (ECOG) inferiore o uguale a 2 Possono essere applicati altri criteri di inclusione definiti dal protocollo. |
|
E.4 | Principal exclusion criteria |
1.Current diagnosis of any of the following: a.sALCL b.Primary cutaneous T-cell lymphoproliferative disorders and lymphomas c.Mycosis fungoides (MF), including transformed MF 2.History of another primary invasive cancer, hematologic malignancy, or myelodysplastic syndrome that has not been in remission for at least 3 years. Exceptions are malignancies with a negligible risk of metastasis or death (e.g., 5-year OS >=90%), such as carcinoma in situ of the cervix, non-melanoma skin carcinoma, localized prostate cancer, ductal carcinoma in situ, or Stage I uterine cancer. 3.History of progressive multifocal leukoencephalopathy (PML). 4.Cerebral/meningeal disease related to the underlying malignancy. 5.Prior treatment with brentuximab vedotin or doxorubicin. Other protocol defined exclusion criteria may apply. |
1.Diagnosi attuale di uno dei seguenti: a.sALCL b. malattie linfoproliferative primarie cutanee a cellule T e linfomi c. Micosi fungoide (MF), inclusa la MF trasformata 2.Storia di un altro tumore invasivo primario, neoplasia ematologica o sindrome mielodisplastica che non è stata in remissione per almeno 3 anni. Le eccezioni sono le neoplasie con un rischio trascurabile di metastasi o morte (ad esempio, OS a 5 anni >=90%), come il carcinoma in situ della cervice, carcinoma cutaneo non melanoma, carcinoma prostatico localizzato, carcinoma duttale in situ o carcinoma uterino stadio I. 3. Storia di leucoencefalopatia multifocale progressiva (PML). 4. Malattia cerebrale / meningea correlata alla neoplasia sottostante. 5.Precedente trattamento con brentuximab vedotin o doxorubicina. Possono essere applicati altri criteri di esclusione definiti dal protocollo. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
ORR per BICR following the completion of study treatment using Revised Response Criteria for Malignant Lymphoma criteria (Cheson 2007) |
ORR per BICR dopo il completamento del trattamento in studio utilizzando i criteri di risposta rivisti per i criteri del linfoma maligno (Cheson 2007) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
6 months after last subject enrolled |
6 mesi dopo l'arruolamento ell'ultimo soggetto |
|
E.5.2 | Secondary end point(s) |
- Complete response rate per BICR (Cheson 2007) - PFS per BICR (Cheson 2007) - Overall survival (OS) - Duration of response (DOR) per BICR - ORR per BICR, using modified Lugano criteria (Cheson 2014) - Type, incidence, severity, seriousness, and relatedness of adverse events - Laboratory abnormalities |
- Tasso di risposta completo per BICR (Cheson 2007) - PFS per BICR (Cheson 2007) - Sopravvivenza globale (OS) - Durata della risposta (DOR) per BICR - ORR per BICR, utilizzando criteri Lugano modificati (Cheson 2014) - Tipo, incidenza, gravità, gravità e correlazione degli eventi avversi - Anomalie di laboratorio |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
- 1 year after last subject enrolled - 1 year after last subject enrolled - 1 year after last subject enrolled - 1 year after last subject enrolled - 1 year after last subject enrolled - 1 year after last subject enrolled |
- 1 anno dopo l'arruolamento dell'ultimo soggetto - 1 anno dopo l'arruolamento dell'ultimo soggetto - 1 anno dopo l'arruolamento dell'ultimo soggetto - 1 anno dopo l'arruolamento dell'ultimo soggetto - 1 anno dopo l'arruolamento dell'ultimo soggetto - 1 anno dopo l'arruolamento dell'ultimo soggetto |
|
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 | 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 | Yes |
E.6.13.1 | Other scope of the trial description |
Tolerability |
Tollerabilità |
|
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 | No |
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 | 8 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 32 |
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 |
United States |
France |
Italy |
Spain |
United Kingdom |
Czechia |
|
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
|
The study will be closed 2 years after enrollment of the last subject, or when no subjects remain in long-term follow-up, whichever occurs first. Additionally, the sponsor may terminate the study at any time. The date the subject met criteria for study discontinuation and the reason for study discontinuation will be collected. |
Lo studio verrà chiuso 2 anni dopo l'arruolamento dell'ultimo soggetto, o quando nessun soggetto rimane nel follow-up a lungo termine, a seconda di quale evento si verifichi primo. Inoltre, lo sponsor può interrompere lo studio in qualsiasi momento. Verranno raccolte la data in cui il soggetto ha soddisfatto i criteri per l'interruzione dello studio e il motivo dell'interruzione dello studio. |
|
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 | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 1 |