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    Summary
    EudraCT Number:2020-005269-15
    Sponsor's Protocol Code Number:CO42865
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2021-12-23
    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 ConcernedSpain - AEMPS
    A.2EudraCT number2020-005269-15
    A.3Full title of the trial
    A PHASE III, RANDOMIZED, OPEN-LABEL STUDY OF PRALSETINIB VERSUS STANDARD OF CARE FOR TREATMENT OF RET-MUTATED MEDULLARY THYROID CANCER
    ESTUDIO ALEATORIZADO, ABIERTO DE FASE III, PARA COMPARAR PRALSETINIB CON EL TRATAMIENTO ESTÁNDAR DEL CÁNCER MEDULAR DE TIROIDES CON MUTACIÓN EN RET
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Study of Pralsetinib versus Standard of Care for Treatment of RET-Mutated Medullary Thyroid Cancer
    Estudio de pralsetinib versus atención estándar para el tratamiento del cáncer de tiroides medular con mutación de RET
    A.4.1Sponsor's protocol code numberCO42865
    A.7Trial is part of a Paediatric Investigation Plan Yes
    A.8EMA Decision number of Paediatric Investigation PlanP/271/2021
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorF. Hoffmann-La Roche Ltd
    B.1.3.4CountrySwitzerland
    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 supportF.Hoffmann-La Roche Ltd.
    B.4.2CountrySwitzerland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationF.Hoffmann-La Roche Ltd.
    B.5.2Functional name of contact pointTrial Information Support Line-TISL
    B.5.3 Address:
    B.5.3.1Street AddressGrenzacherstrasse 124
    B.5.3.2Town/ cityBasel
    B.5.3.3Post codeCH-4070
    B.5.3.4CountrySwitzerland
    B.5.4Telephone number+34 637 32 02 90
    B.5.5Fax number+34 913 248 196
    B.5.6E-mailspain.start_up_unit@roche.com
    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.2.5The 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 namePralsetinib
    D.3.2Product code RO 749-9790/F02-02
    D.3.4Pharmaceutical form Capsule
    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 INNPRALSETINIB
    D.3.9.1CAS number 2097132-94-8
    D.3.9.2Current sponsor codeRO 749-9790/F02-02
    D.3.9.3Other descriptive nameBLU-667, BLU123244, BLU3244, X581238, C683, SEE, 72C683
    D.3.9.4EV Substance CodeSUB196574
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    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 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 Cometriq
    D.2.1.1.2Name of the Marketing Authorisation holderIpsen Pharma
    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 nameCometriq 20mg/80mg capsules from Ipsen Pharma
    D.3.4Pharmaceutical form Capsule, hard
    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 INNCabozantinib
    D.3.9.1CAS number 849217-68-1
    D.3.9.4EV Substance CodeSUB93452
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNCabozantinib
    D.3.9.1CAS number 849217-68-1
    D.3.9.4EV Substance CodeSUB93452
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number80
    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 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 Cometriq
    D.2.1.1.2Name of the Marketing Authorisation holderExeliris
    D.2.1.2Country which granted the Marketing AuthorisationUnited States
    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 nameCometriq 80mg/20mg capsules from Exelixis
    D.3.4Pharmaceutical form Capsule, hard
    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 INNCabozantinib
    D.3.9.1CAS number 849217-68-1
    D.3.9.4EV Substance CodeSUB93452
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNCabozantinib
    D.3.9.1CAS number 849217-68-1
    D.3.9.4EV Substance CodeSUB93452
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number80
    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 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 Caprelsa 100mg
    D.2.1.1.2Name of the Marketing Authorisation holderGenzyme Europe
    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 nameCaprelsa 100mg
    D.3.4Pharmaceutical form Film-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 INNVandetanib
    D.3.9.1CAS number 443913-073-3
    D.3.9.4EV Substance CodeSUB29174
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    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: 5
    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 Caprelsa 300mg
    D.2.1.1.2Name of the Marketing Authorisation holderGenzyme Europe
    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 nameCaprelsa 300mg
    D.3.4Pharmaceutical form Film-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 INNVandetanib
    D.3.9.1CAS number 443913-073-3
    D.3.9.4EV Substance CodeSUB29174
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number300
    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
    RET-mutated Medullary Thyroid Cancer (MTC)
    Cáncer de tiroides medular con mutación en RET (MTC)
    E.1.1.1Medical condition in easily understood language
    RET-Mutated Medullary Thyroid Cancer (MTC) is a form of thyroid carcinoma which originates from parafollicular cells and which produce the hormone calcitonin.
    El cáncer de tiroides medular mutado con RET (MTC) es una forma de carcinoma de tiroides que se origina a partir de células parafoliculares y que produce la hormona calcitonina.
    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 PT
    E.1.2Classification code 10027105
    E.1.2Term Medullary thyroid cancer
    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 efficacy of pralsetinib compared with investigator’s choice of standard of care (SOC) multikinase inhibitor (MKI) therapy for patients with RET-mutated MTC
    • Evaluar la eficacia de pralsetinib en comparación con el tratamiento de referencia con MKI elegido por el investigador en pacientes con CMT con mutación RET.
    E.2.2Secondary objectives of the trial
    • To evaluate the efficacy of pralsetinib compared with investigator’s choice of SOC MKI therapy
    • To evaluate objective response rate
    • To evaluate overall survival
    • To further characterize the safety and tolerability profile of pralsetinib
    • To evaluate additional measures of anticancer activity, including duration of response, disease control rate, and clinical benefit rate
    • To evaluate the efficacy of pralsetinib versus SOC treatment through patient-reported endpoints
    • To evaluate the acceptability and palatability of pralsetinib capsules
    - Evaluar la eficacia de pralsetinib en comparación con el tratamiento de referencia con MKI elegido por el investigador
    - Evaluar la TRO
    - Evaluar la SG
    - Caracterizar mejor el perfil de seguridad y tolerabilidad de pralsetinib.
    - Evaluar otras medidas de la actividad antineoplásica, como DR, TCE y TBC.
    - Evaluar la eficacia de pralsetinib en comparación con el tratamiento de referencia mediante los criterios de valoración comunicados por los pacientes.
    - Evaluar la aceptabilidad y la palatabilidad de pralsetinib en cápsulas.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    • Age >= 18 years (participants as young as 12 years of age will be allowed if permitted by local regulatory authorities)
    • Histologically confirmed unresectable locally advanced or metastatic MTC and candidate for systemic therapy with SOC MKI
    • No prior systemic anticancer treatment with MKI therapies for advanced or metastatic MTC
    • Radiologically confirmed progressive disease within the last 14 months
    • Confirmed RET mutation
    • Able to swallow an oral medication
    • Eastern Cooperative Oncology Group (ECOG)Performance Status of 0-2
    • Men and women of childbearing potential must agree to use a highly effective contraceptive method during treatment period and for 14 days after the final dose of pralsetinib and for 120 days after the final dose of cabozantinib or vandetanib
    - Edad mínima de 18 años en el momento de firmar el consentimiento informado o
    asentimiento.
    - Deben tener CMT metastásico o localmente avanzado irresecable confirmado
    histológicamente y ser tributarios de tratamiento sistémico con un MKI de
    referencia.
    - Ausencia de tratamiento antineoplásico sistémico previo con MKI para el CMT
    avanzado o metastásico.
    - Progresión de la enfermedad confirmada radiológicamente en los últimos 14 meses
    - Mutación confirmada de RET determinada localmente
    - Capacidad de tragar un medicamento oral.
    - Estado funcional del ECOG de 0-2
    - Los hombres y mujeres en edad fértil deben aceptar utilizar un método anticonceptivo altamente eficaz durante el período de tratamiento y durante 14 días después de la dosis final de pralsetinib y durante 120 días después de la dosis final de cabozantinib o vandetanib.
    E.4Principal exclusion criteria
    • Previously treated with any systemic kinase inhibitor therapy regimens, including a selective RET inhibitor, given for recurrent and/or metastatic disease
    • Any additional known primary driver alterations other than RET
    • History of pneumonitis within last 12 months
    • Ongoing treatment with chronic immunosuppressants or systemic steroids >10 mg/day of prednisone
    • Symptomatic CNS metastases or untreated spinal cord compression
    • Clinically significant, uncontrolled, cardiovascular disease
    • Other malignancy diagnosed or treated within the past 2 years
    • Active, uncontrolled infection
    • Have received organ or allogenic bone marrow or peripheral blood stem cell transplant
    - Tratamiento previo con cualquier régimen sistémico con inhibidores de cinasas,
    incluido un inhibidor selectivo de RET, administrado por enfermedad recurrente o
    metastásica.
    -Cualquier alteración adicional conocida del controlador principal que no sea RET
    - Historia de neumonitis en los últimos 12 meses
    - Tratamiento en curso con inmunodepresores crónicos o esteroides sistémicos que superen los 10 mg/día de prednisona
    - Presencia de metástasis en el SNC o compresión de la médula espinal no tratada
    - Enfermedad cardiovascular no controlada y de importancia clínica
    - Antecedentes de otra neoplasia maligna primaria diagnosticada o que haya
    precisado tratamiento en los 2 años previos a la aleatorización
    - Presencia de infección activa no controlada
    - Recepción de un trasplante de órgano o alotrasplante de médula ósea o de células
    madre de sangre periférica.
    E.5 End points
    E.5.1Primary end point(s)
    Progression free survival by Blinded Independent Central Review (BICR)
    Supervivencia libre de progresión según la revisión central independiente ciega (BICR)
    E.5.1.1Timepoint(s) of evaluation of this end point
    Up to 13 years
    Hasta 13 años
    E.5.2Secondary end point(s)
    1. Time-to-treatment failure
    2. Objective response rate
    3. Overall survival
    4. Incidence and severity of adverse events, with severity, as determined according to the National Cancer Institute Common Toxicity Criteria for Adverse Events version 5.0
    5. Change from baseline in targeted clinical laboratory test results
    6. Change from baseline in ECG results
    7. Change from baseline in ECOG Performance Status
    8. Duration of response
    9. Disease control rate
    10. Clinical benefit rate
    11. Time to deterioration of function and quality of life
    12. Acceptability Survey scores on Day 1 of Cycle 1 and Crossover Cycle 1
    1. Fracaso en el tiempo transcurrido hasta el tratamiento
    2. Tasa de respuesta objetiva
    3. Supervivencia general
    4. Incidencia y gravedad de los eventos adversos, con gravedad, según lo determinado de acuerdo con los Criterios de toxicidad comunes para eventos adversos del Instituto Nacional del Cáncer versión 5.0
    5. Cambio con respecto al valor inicial en los resultados de las pruebas de laboratorio clínico específicas
    6. Cambio con respecto al valor inicial en los resultados de ECG
    7. Cambio con respecto a la línea de base en el estado de desempeño ECOG
    8. Duración de la respuesta
    9. Tasa de control de enfermedades
    10. Tasa de beneficio clínico
    11. Tiempo hasta el deterioro de la función y la calidad de vida.
    12. Puntuaciones de la encuesta de aceptabilidad en el día 1 del ciclo 1 y el ciclo cruzado 1
    E.5.2.1Timepoint(s) of evaluation of this end point
    1-4. Up to 13 years
    5-6. From baseline (Day -28 to -1) to 13 years
    7. From baseline to Day 1 of Cycle 1-5, and end of treatment
    8-11. Up to 13 years
    12. Day 1 of Cycle 1 and Crossover Cycle 1
    1-4. Hasta 13 años
    5-6. Desde el inicio (día -28 a -1) hasta los 13 años
    7. Desde el inicio hasta el día 1 del ciclo 1-5 y el final del tratamiento
    8-11. Hasta 13 años
    12. Día 1 del ciclo 1 y ciclo cruzado 1
    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 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) 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 No
    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 EEA61
    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 No
    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
    Mexico
    Philippines
    Thailand
    Argentina
    Austria
    Belgium
    Brazil
    Bulgaria
    Canada
    Croatia
    Denmark
    Germany
    Greece
    Hungary
    India
    Israel
    Italy
    Korea, Republic of
    Netherlands
    Poland
    Portugal
    Romania
    Russian Federation
    Spain
    Sweden
    Ukraine
    United Kingdom
    United States
    France
    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 this study is defined as the date when the last patient, last visit occurs or when the required number of deaths for the final analysis of overall survival has been observed, whichever occurs last. The expected duration of the study is approximately, but not limited to 13 years.
    El final de este estudio se define como la fecha en que se produce el último paciente, la última visita o cuando se ha observado el número requerido de muertes para el análisis final de supervivencia global, lo que ocurra en último lugar. La duración esperada del estudio es aproximadamente, pero no se limita a 13 años.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years13
    E.8.9.1In the Member State concerned months
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years13
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1Number of subjects for this age range: 10
    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) Yes
    F.1.1.6.1Number of subjects for this age range: 10
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 138
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 50
    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 state30
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 102
    F.4.2.2In the whole clinical trial 198
    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)
    Please refer to section 6.6 of the protocol
    Consulte la sección 6.6 del protocolo.
    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 Decision2022-03-18
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2022-03-14
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
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