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    Summary
    EudraCT Number:2021-000336-55
    Sponsor's Protocol Code Number:D5086C00001
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2021-06-23
    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 number2021-000336-55
    A.3Full title of the trial
    A Phase III, Open Label, Randomised, 3 Arm, Multi Centre Study of Savolitinib plus Durvalumab versus Sunitinib and Durvalumab Monotherapy in Participants with MET Driven, Unresectable and Locally Advanced or Metastatic Papillary Renal Cell Carcinoma (PRCC) (SAMETA)
    Estudio fase III, abierto, aleatorizado y multicentrico con 3 grupos de tratamiento de savolitinib más durvalumab frente a sunitinib y durvalumab en monoterapia en participantes con carcinoma de células renales papilares (CCRP) irresecable y localmente avanzado o metastásico causado por mutación en MET (SAMETA)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A clinical trial to compare the effectiveness of savolitinib plus durvalumab relative to sunitinib for the treatment of renal cell cancer.
    Ensayo clínico para comparar la eficacia de savolitinib más durvalumab en relación con sunitinib para el tratamiento del carcinoma de células renales.
    A.3.2Name or abbreviated title of the trial where available
    SAMETA
    A.4.1Sponsor's protocol code numberD5086C00001
    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 SponsorAstraZeneca AB
    B.1.3.4CountrySweden
    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 supportAstraZeneca AB
    B.4.2CountrySweden
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationAstraZeneca
    B.5.2Functional name of contact pointInformation Center
    B.5.3 Address:
    B.5.3.1Street AddressN/A
    B.5.3.2Town/ cityN/A
    B.5.3.3Post codeN/A
    B.5.3.4CountryUnited States
    B.5.6E-mailinformation.center@astrazeneca.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 nameSavolitinib
    D.3.2Product code AZD6094, HMPL-504
    D.3.4Pharmaceutical form 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 INNsavolitinib
    D.3.9.1CAS number 1313725-88-0
    D.3.9.2Current sponsor codeAZD6094
    D.3.9.3Other descriptive name1-[(S)-1-(imidazo[1,2-a]pyridin-6-yl)ethyl]-6-(1-methyl-1H-pyrazol-4-yl)-1H-[1,2,3]-triazolo[4,5-b]pyrazine
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    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 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 nameDurvalumab
    D.3.2Product code MEDI4736
    D.3.4Pharmaceutical form Concentrate for solution for 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 INNdurvalumab
    D.3.9.1CAS number 1428935-60-7
    D.3.9.2Current sponsor codeMEDI4736
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    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 Yes
    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 Sutent 25 mg hard capsules
    D.2.1.1.2Name of the Marketing Authorisation holderPfizer Europe MA EEIG
    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.3.4Pharmaceutical 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 INNsunitinib malate
    D.3.9.1CAS number 341031-54-7
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    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 Sutent 12.5 mg hard capsules
    D.2.1.1.2Name of the Marketing Authorisation holderPfizer Europe MA EEIG
    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.3.4Pharmaceutical 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 INNsunitinib malate
    D.3.9.1CAS number 341031-54-7
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number12.5
    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
    MET-driven, unresectable and locally advanced or metastatic Papillary Renal Cell Carcinoma
    Carcinoma de células renales papilares (CCRP) irresecable y localmente avanzado o metastásico causado por mutación en MET
    E.1.1.1Medical condition in easily understood language
    unresectable and locally advanced or metastatic renal cell cancer
    carcinoma de células renales irresecable y localmente avanzado o metastásico
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10078493
    E.1.2Term Papillary renal cell carcinoma
    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 demonstrate the effectiveness of savolitinib plus durvalumab relative to sunitinib by assessment of progression-free survival (PFS) in participants with MET-driven, unresectable and locally advanced or metastatic PRCC.
    Demostrar la eficacia de savolitinib más durvalumab en relación con sunitinib mediante la evaluación de la SSP en participantes con CCRP irresecable y localmente avanzado o metastásico causado por mutación en MET.
    E.2.2Secondary objectives of the trial
    a. To demonstrate the effectiveness of savolitinib plus durvalumab relative to sunitinib in participants with MET-driven, unresectable and locally advanced or metastatic PRCC by the assessment of :
    - overall survival (OS)
    - objective response rate (ORR)
    - duration of response (DoR)
    - disease control rate (DCR) at 24 and 48 weeks
    - time from randomisation to second progression or death (PFS2)

    b. To demonstrate the effectiveness of savolitinib plus durvalumab relative to durvalumab monotherapy in participants with MET-driven, unresectable and locally advanced or metastatic PRCC by assessment of :
    - ORR
    - DoR
    - PFS

    c. To assess patient-reported symptoms, functioning, and HRQoL in participants with MET-driven, unresectable and locally advanced or metastatic PRCC treated with savolitinib plus durvalumab relative to sunitinib

    d. To evaluate the PK of savolitinib and durvalumab in participants with MET-driven, unresectable and locally advanced or metastatic PRCC.
    a.Demostrar la eficacia de savolitinib más durvalumab en relación con sunitinib mediante la evaluación de la:
    -SG
    -TRO
    -DR
    -TCE a las 24 y 48 semanas
    -SSP2
    b.Demostrar la eficacia de savolitinib más durvalumab en relación con durvalumab en monoterapia mediante la evaluación de:
    -TRO
    -SSP
    -DR
    c. Evaluar los síntomas notificados por el paciente, el funcionamiento y la CdVRS en participantes con CCRP irresecable y localmente avanzado o metastásico causado por mutación en MET tratados con savolitinib más durvalumab en relación con sunitinib.
    d. Evaluar la FC de savolitinib y durvalumab en participantes con CCRP irresecable y localmente avanzado o metastásico causado por mutación en MET.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    • Histologically confirmed unresectable and locally advanced or metastatic PRCC
    • PRCC must be centrally confirmed as MET-driven using a sponsor-designated central laboratory validated NGS assay
    • No prior systemic anti-cancer treatment in the metastatic setting; no prior exposure to MET inhibitors, Durvalumab or Sunitinib in any setting
    • Karnofsky Score >70
    • At least one lesion, not previously irradiated, that can be accurately measured at baseline
    • Adequate organ and bone marrow function
    • Life expectancy ≥12weeks at Day 1
    - CCRP irresecable y localmente avanzado o metastásico, confirmado histológicamente
    - Entrega obligatoria de una muestra tumoral FFIP para evaluar el CCRP causado por mutación en MET sin mutación de FH concomitante utilizando el análisis de NGS validado por el laboratorio central designado por el promotor
    - Participantes que no han recibido previamente ningún tratamiento antineoplásico sistémico en el contexto metastásico, ni exposición previa a inhibidores de MET, durvalumab o sunitinib en ningún contexto
    - Estado funcional de Karnofsky ≥70
    - Al menos una lesión, no irradiada previamente, que se pueda medir con precisión al inicio
    - Función adecuada de los órganos y de la médula
    - Esperanza de vida de 12 semanas
    E.4Principal exclusion criteria
    • History of serious liver disease, with or without, normal LFTs, such as cirrhosis or Wilson’s disease
    • Spinal cord compression or brain metastases, unless asymptomatic and stable on treatment for at least 14 days prior to study intervention
    • Active or prior cardiac disease (within past 6 months) or clinically significant ECG abnormalities and/or factors/medications that may affect QT and/or QTc intervals
    • Active infection including HIV, TB, HBV and HCV
    • Active or prior documented autoimmune or inflammatory disorders
    • Receipt of live attenuated vaccine within 30 days prior to the first dose of study intervention
    - Antecedentes de hepatopatía grave, con o sin PFH normales, como cirrosis o enfermedad de Wilson
    - Compresión de la médula espinal o metástasis cerebrales, a menos que sean asintomáticas y estén estables con tratamiento al menos 14 días antes del inicio de la intervención del estudio
    - Enfermedades cardíacas en la actualidad o en los últimos 6 meses
    - Infección activa por VHB, VHC, tuberculosis o VIH
    - Antecedentes de inmunodeficiencia primaria activa
    - Administración de vacunas atenuadas de microorganismos vivos en los 30 días anteriores a la primera dosis de la intervención del estudio
    E.5 End points
    E.5.1Primary end point(s)
    PFS is defined as time from randomisation until disease progression per RECIST 1.1 as assessed by blinded independent central review (BICR), or death due to any cause.
    La supervivencia sin progresión se define como el tiempo transcurrido desde la aleatorización hasta la progresión según los criterios RECIST 1.1, según lo evaluado mediante RCIE, o la muerte por cualquier causa.
    E.5.1.1Timepoint(s) of evaluation of this end point
    PFS: disease progression or death
    PFS is planned to be analyzed at approximately 28 months after the first patient randomized (DCO1).
    SSP: progresión o muerte de la enfermedad
    SSP: se prevé analizar aproximadamente 28 meses después de la aleatorización del primer paciente.
    E.5.2Secondary end point(s)
    a. and b. :
    - OS is defined as time from randomisation until the date of death due to any cause.
    - ORR is defined as the proportion of participants who have a complete response (CR) or partial response (PR) as determined by BICR per RECIST 1.1.
    - DoR will be defined as the time from the date of first documented response until date of documented progression per RECIST 1.1 as assessed by BICR or death due to any cause.
    - DCR at 24 or 48 weeks is defined as the percentage of participants who have a CR or PR or who have stable disease (SD) per RECIST 1.1 as assessed by BICR for at least 23 or 47 weeks, respectively after randomisation.
    - PFS2 will be defined as time from randomisation to the earliest of the progression event (following the initial progression), subsequent to the first subsequent therapy or death.
    - PFS is defined as time from randomisation until disease progression per RECIST 1.1 as assessed by blinded independent central review (BICR), or death due to any cause.

    c. Time to deterioration and change from baseline in symptoms, functioning, and HRQoL as measured by FKSI-19.

    d. The measures of interest are as follows:
    - participants randomised to savolitinib plus durvalumab : plasma concentration of savolitinib and its metabolites pre-dose (Ctrough) and post-dose (C1h and C3h), serum concentration of durvalumab pre-dose (Ctrough) and at the end of infusion (Cmax)
    - participants randomised to durvalumab monotherapy : serum concentration of durvalumab pre-dose (Ctrough) and at the end of infusion (Cmax)
    a y b:
    - SG La supervivencia global se define como el tiempo transcurrido desde la fecha de aleatorización hasta la fecha de la muerte por cualquier causa.
    -TRO La tasa de respuesta objetiva se define como la proporción de participantes que presentan una RC o RP según lo determinado mediante RCIE en base a los criterios RECIST 1.1.
    - La duración de la respuesta se definirá como el tiempo transcurrido desde la fecha de la primera respuesta documentada hasta la fecha de la progresión documentada según los criterios RECIST 1.1, según lo evaluado mediante RCIE o la muerte por cualquier causa.
    - La tasa de control de la enfermedad a las 24 o 48 semanas se define como el porcentaje de participantes que presentan una RC o RP o que presentan EE según los criterios RECIST 1.1 según lo evaluado mediante RCIE durante al menos 23 o 47 semanas, respectivamente, después de la aleatorización.
    - El tiempo desde la aleatorización hasta la segunda progresión o la muerte se define como el tiempo transcurrido desde la fecha de aleatorización hasta la fecha más temprana del acontecimiento de progresión (tras la progresión inicial), después del primer tratamiento posterior o la muerte.
    - La tasa de respuesta objetiva y su medida de interés se definen como se indicó anteriormente.
    c. Tiempo hasta el deterioro y cambio desde el inicio en los síntomas, el funcionamiento y la CdVRS según lo medido por el FKSI‐19.
    d. Las medidas de interés son las siguientes:
    Concentración plasmática de savolitinib y sus metabolitos antes de la dosis (Cmín.) y después de la dosis (C1h y C3h) en los participantes aleatorizados a savolitinib más durvalumab.
    Concentración sérica de durvalumab antes de la dosis (Cmín.) y al final de la infusión (Cmáx.) en los participantes aleatorizados a savolitinib más durvalumab o durvalumab en monoterapia.
    E.5.2.1Timepoint(s) of evaluation of this end point
    a. and b. :
    - OS: date of death
    - ORR: first objective response (complete or partial)
    - DoR: first documented response until date of documented progression or death
    - DCR : 24 or 48 weeks after randomization
    - PFS2: the earliest of progression event subsequent to first subsequent therapy or death
    - PFS: disease progression or death
    These are planned to be analyzed at approximately 28 months after the first patient randomized (DCO1). In addition, for OS secondly once OS data has reached planned, approximately 42 months post first subject randomized (DCO2).

    c. Day 1 of each cycle
    d. Please refer to the schedule of activities in the study protocol
    "c" and "d" are planned to be analyzed at approximately 28 months after the first patient randomized (DCO1).
    a. y b. :
    -SG: fecha de muerte
    -TRO: primera respuesta objetiva (completa o parcial)
    -DR: primera respuesta documentada hasta la fecha de progresión documentada o muerte
    -TC: 24 o 48 semanas después de la aleatorización
    -TA2P: el primero de los eventos de progresión después de la primera terapia posterior o la muerte
    -TAP: progresión de la enfermedad o muerte

    c. día 1 de cada ciclo
    d. Consulte el calendario de actividades del protocolo de estudio
    Se prevé que "c" y "d" se analicen aproximadamente 28 meses después de la aleatorización del primer paciente
    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 Yes
    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 Yes
    E.6.11Pharmacogenomic Yes
    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 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 trial3
    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 concerned14
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA50
    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
    Brazil
    Canada
    Chile
    China
    Hong Kong
    India
    Israel
    Korea, Republic of
    Mexico
    Russian Federation
    Singapore
    Taiwan
    Turkey
    Ukraine
    United States
    France
    Germany
    Italy
    Netherlands
    Poland
    Romania
    Spain
    United Kingdom
    Czechia
    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
    last visit of the last participant in the study
    última visita del último paciente en el estudio
    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 months11
    E.8.9.1In the Member State concerned days12
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months10
    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: 120
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 80
    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 Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    Adult participant with authorised legal representative
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state34
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 63
    F.4.2.2In the whole clinical trial 200
    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)
    After the final DCO for this trial (DCO2), Sponsor will be able to continue to supply trial intervention (ie, savolitinib plus durvalumab, durvalumab monotherapy, sunitinib, or savolitinib monotherapy [if durvalumab was stopped earlier]) to subjects who are ongoing on those treatments at DCO2 as long as, in the opinion of the investigator, they are still receiving clinical benefit or until meeting any other discontinuation criteria. They will be monitored according to routine clinical practice.
    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 Decision2021-10-05
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2021-07-12
    P. End of Trial
    P.End of Trial StatusOngoing
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