E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Chronic Lymphocytic Leukemia |
Leucemia Linfatica Cronica |
|
E.1.1.1 | Medical condition in easily understood language |
Chronic Lymphocytic Leukemia |
Leucemia Linfatica Cronica |
|
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 | 10009310 |
E.1.2 | Term | CLL |
E.1.2 | System Organ Class | 100000004864 |
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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 |
Evaluate changes in lymph nodes in patients with CLL treated with venetoclax-containing regimens at both the molecular and ultrasound level |
Valutare i cambiamenti nei linfonodi in pazienti con CLL trattati con regimi contenenti venetoclax sia a livello molecolare che ecografico |
|
E.2.2 | Secondary objectives of the trial |
¿ To evaluate CLL cell changes in PB in CLL patients treated with venetoclax-based regimens ¿ Correlate changes in the lymph node microenvironment and CLL cells from LN and PB with response to treatment and clinical course ¿ Evaluate lymph node characteristics in patients with CLL treated with venetoclax-based regimens who achieve undetectable (<10-4) vs detectable (=10-4) MRD status, ¿ To evaluate lymph node characteristics in patients with CLL treated with venetoclax-based regimens that achieve complete (CR) or partial (PR) response |
¿ Valutare i cambiamenti delle cellule CLL nel PB nei pazienti con CLL trattati con regimi a base di venetoclax ¿ Correlare i cambiamenti nel microambiente linfonodale e nelle cellule CLL da LN e PB con la risposta al trattamento ed il decorso clinico ¿ Valutare le caratteristiche dei linfonodi nei pazienti con CLL trattati con regimi a base di venetoclax che raggiungono uno stato di MRD non rilevabile (<10-4) vs rilevabile (=10-4), ¿ Valutare le caratteristiche dei linfonodi nei pazienti con CLL trattati con regimi a base di venetoclax che raggiungono una risposta completa (CR) o parziale (PR) |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Diagnosis of CLL 2. Candidate patients for treatment with venetoclax-based regimens 3. Basal value of platelets> 100x109 / l 4. PT INR and aPTT within the limits |
1. Diagnosi di CLL 2. Pazienti candidate a trattamento con regimi a base di venetoclax 3. Valore basale di piastrine >100x109/l 4. PT INR e aPTT nei limiti |
|
E.4 | Principal exclusion criteria |
1. Patients receiving antiplatelet and / or anticoagulant therapy that cannot be safely stopped prior to biopsy |
1. Pazienti che ricevono terapia antiaggregante e/o anticoagulante che non può essere interrotta in sicurezza prima della biopsia |
|
E.5 End points |
E.5.1 | Primary end point(s) |
- Characterization by immunohistochemistry, gene expression profile, protein expression and proliferative activity of CLL lymphocytes and LN-derived accessory cells of CLL patients treated with venetoclax-based regimens 12 months after completion of the venetoclax ramp-up phase - Definition of ultrasound characteristics of LNs in CLL patients treated with venetoclax-based regimens 12 months after completion of the venetoclax acceleration phase |
-Caratterizzazione mediante immunoistochimica, profilo di espressione genica, espressione proteica e attività proliferativa dei linfociti CLL e delle cellule accessorie derivate da LN di pazienti con CLL trattati con regimi a base di venetoclax 12 mesi dopo il completamento della fase di ramp-up di venetoclax - Definizione delle caratteristiche ecografiche dei LN in pazienti con CLL trattati con regimi a base di venetoclax 12 mesi dopo il completamento della fase di accelerazione di venetoclax |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
12 months after completion of venetoclax acceleration phase |
12 mesi dopo il completamento della fase di ramp-up di venetoclax |
|
E.5.2 | Secondary end point(s) |
Immuhistochemical characterization, gene expression profile, protein expression and proliferative activity of CLL lymphocytes and PB-derived accessory cells of CLL patients treated with venetoclax-based regimens 12 months after completion of the ramp-up phase up by venetoclax |
Caratterizzazione immuistochimica, del profilo di espressione genica, dell'espressione proteica e dell'attività proliferativa dei linfociti CLL e delle cellule accessorie derivate da PB di pazienti con CLL trattati con regimi a base di venetoclax 12 mesi dopo il completamento della fase di ramp-up di venetoclax |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
12 months after completion of venetoclax acceleration phase |
12 mesi dopo il completamento della fase di ramp-up di venetoclax |
|
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 | Yes |
E.6.4 | Safety | No |
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 | 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) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
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 | 5 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
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
|
|
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 | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |