E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
CML-CP (at the end of parent study) who are currently participating in an asciminb Novartis sponsored study (parent study) |
leucémie myéloïde chronique en phase chronique (LMC+PC) ayant participé à une étude clinique évaluant l’asciminib promue par Novartis (appelée « étude parente ») |
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E.1.1.1 | Medical condition in easily understood language |
Chronic Myelogenous Leukemia is a cancer of the blood characterized by a gene mutation (Philadelphia chromosome) which causes proliferation of white blood cells in the bone marrow. |
La leucémie myéloïde chronique est un cancer du sang caractérisé par une mutation génétique (chromosome Philadelphia) qui entraine une prolifération des globules blancs dans la moelle osseuse |
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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 | 21.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10009012 |
E.1.2 | Term | Chronic myelogenous leukemia |
E.1.2 | System Organ Class | 100000004864 |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study is to assess long term safety data (i.e SAEs and AEs) |
L'objectif principal de cette étude est dévaluer les données de tolérance à long terme (effets indésirables et effets indésirables graves) |
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E.2.2 | Secondary objectives of the trial |
The secondary objective of this study is to evaluate ongoing clinical benefit as assessed by the Investigator. |
L'objectif secondaire de cette étude est dévaluer le bénéfice clinique continu selon l’évaluation du médecin-investigateur |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Signed informed consent must be obtained prior to participation in the study.
2. Participant with CML-CP (according to ELN guidelines 2013) is currently receiving treatment with asciminib (or asciminib in combination with imatinib, or imatinib alone or nilotinib alone for CABL001E2201 participants, or bosutinib for CABL001A2301 participants) within a Novartis-sponsored study, which has fulfilled the requirements for the primary objective and has completed treatment phase and, in the opinion of the Investigator, would benefit from continued treatment.
3. Participant has demonstrated compliance, as assessed by the investigator, with the parent study protocol requirements and is willing and able to comply with scheduled visits, treatment plans and any other study procedures.
4. Other protocol-defined inclusion criteria may apply
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1. La signature du consentement éclairé doit être obtenue avant la participation à l’étude.
2. Patients atteints de LMC+PC (selon les recommandations 2013 du réseau européen des leucémies [ELN pour European Leukemia Net], Baccarani et al.) recevant actuellement un traitement par asciminib (ou asciminib en association avec l’imatinib, imatinib en monothérapie, nilotinib en monothérapie pour les patients participant à l’étude CABL001E2201, bosutinib pour les patients participant à l’étude CABL001A2301) au cours d’une étude promue par Novartis dont l’objectif principal a été atteint. Ces patients doivent avoir terminé la phase de traitement et pouvoir tirer un bénéfice de la poursuite du traitement, selon le médecin-investigateur.
3. Patients ayant montré une bonne observance des procédures de l’étude parente, selon le médecin-investigateur, et qui acceptent et sont capables de respecter le calendrier des visites, le schéma de traitement et toute autre procédure de l’étude.
4. D'autres critères d'inclusion définis par le protocole peuvent s'appliquer |
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E.4 | Principal exclusion criteria |
1. Participant has been discontinued from parent study treatment due to any reason.
2. Participant currently has unresolved toxicities of grade 3 or 4 reported as possibly related to study treatment in the parent study, which have:
- not resolved to Grade 2 or lower within 42 days and /or require dose interruption for longer than 42 days for hematological toxicities,
- not resolved to Grade 2 or lower within 28 days and /or require dose interruption for longer than 28 days in case of non-hematological toxicities.
3. Participant’s ongoing treatment is currently approved and reimbursed at country level.
4. Pregnant or nursing (lactating) women.
5. Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception while taking study treatment and for 3 days after stopping asciminib, 14 days after stopping imatinib or nilotinib and one month after stopping bosutinib medication.
6. For participants in the USA and on asciminib treatment only: Sexually active males unwilling to use a condom during intercourse while taking study treatment and for 3 days after stopping study treatment. In addition, male participants must not donate sperm for the time period specified above.
7. Applicable only for participants on bosutinib treatment at the end of the ABL001A2301 study that switch to asciminib treatment at enrollment:
-Asymptomatic (grade 2) pancreatitis if not resolved within 28 days.
-QTcF > 480 msec or inability to determine QTc interval
8. Other protocol-defined exclusion criteria may apply |
1. Patients ayant arrêté le traitement à l’étude au cours de l’étude parente, quelle qu’en soit la raison.
2. Patients présentant des toxicités de grade 3 ou 4 possiblement liées au traitement de l’étude parente et :
- non résolues à un grade 2 ou moins dans les 42 jours et/ou nécessitant une interruption du traitement de plus de 42 jours, pour les toxicités hématologiques,
- non résolues à un grade 2 ou moins dans les 28 jours et/ou nécessitant une interruption du traitement de plus de 28 jours, pour les toxicités non hématologiques.
3. Le traitement que reçoit le patient est approuvé et remboursé au niveau national. Dans des cas exceptionnels où le traitement est remboursé au niveau national mais pas au niveau individuel, veuillez contacter l’équipe Novartis de l’étude.
4. Femmes enceintes ou qui allaitent.
5. Femmes en âge d’avoir des enfants, c’est-à-dire toutes les femmes physiologiquement aptes à être enceintes sauf si elles utilisent une méthode de contraception très efficace pendant toute la durée du traitement à l’étude et jusqu’à 3 jours après l’arrêt de l’asciminib, 14 jours après l’arrêt de l’imatinib ou du nilotinib, ou 1 mois après l’arrêt du bosutinib.
6. Critère non applicable en France.
7. Uniquement pour les patients sous traitement par bosutinib à la fin de l’étude CABL001A2301 et qui passent à l’asciminib au moment de l’inclusion dans l’étude :
- pancréatite asymptomatique (grade 2) si elle n’est pas résolue dans les 28 jours,
- intervalle QT corrigé par la formule de Fridericia (QTcF) > 480 ms ou impossibilité de déterminer l’intervalle QT corrigé.
8. D'autres critères d'exclusion définis par le protocole peuvent s'appliquer |
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E.5 End points |
E.5.1 | Primary end point(s) |
The frequency and severity of AEs/SAEs |
Fréquence et sévérité des effets indésirables et effets indésirables graves |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
End of Study of 5 years |
Fin d'étude à 5 ans |
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E.5.2 | Secondary end point(s) |
Proportion of participants with clinical benefit as assessed by the investigator at scheduled visits |
Proportion de participants présentant un bénéfice clinique tel qu'évalué par le médecin-investigateur lors des visites programmées |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
End of Study of 5 years |
Fin d'étude à 5 ans |
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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 | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Roll-over study, Bosutinib patients have the option to switch to asciminib during the study |
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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 | 7 |
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 | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 31 |
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 | No |
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 |
Brazil |
Canada |
China |
Japan |
Korea, Republic of |
Lebanon |
Mexico |
Russian Federation |
Saudi Arabia |
Taiwan |
Turkey |
United States |
Austria |
Bulgaria |
Denmark |
France |
Germany |
Italy |
Netherlands |
Poland |
Portugal |
Romania |
Spain |
United Kingdom |
Czechia |
Argentina |
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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
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Study is expected to remain open for 5 years or until one of the below scenario occurs for all participants, whichever comes first:
•ongoing treatment becomes available following product launch and/or subsequent reimbursement (where applicable)
•benefit-risk profile of ongoing treatment for participant is no longer positive
•participant meets treatment discontinuation criteria
•other access program becomes available or is identified (i.e. compassionate use, MAP, etc.) for ongoing treatment
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 5 |