E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
- Relapsed/refractory Peripheral T-cell Lymphoma - Relapsed/refractory Classical Hodgkins Lymphoma |
- Linfoma a cellule T periferico recidivante/refrattario - Linfoma di Hodgkin classico recidivante/refrattario |
|
E.1.1.1 | Medical condition in easily understood language |
Cancer (lymphoma) |
Cancro (linfoma) |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Blood and lymphatic diseases [C15] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10034625 |
E.1.2 | Term | Peripheral T-cell lymphoma unspecified recurrent |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10034626 |
E.1.2 | Term | Peripheral T-cell lymphoma unspecified refractory |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020245 |
E.1.2 | Term | Hodgkin's disease nodular sclerosis recurrent |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020246 |
E.1.2 | Term | Hodgkin's disease nodular sclerosis refractory |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020233 |
E.1.2 | Term | Hodgkin's disease mixed cellularity recurrent |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020234 |
E.1.2 | Term | Hodgkin's disease mixed cellularity refractory |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020216 |
E.1.2 | Term | Hodgkin's disease lymphocyte depletion type refractory |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020215 |
E.1.2 | Term | Hodgkin's disease lymphocyte depletion type recurrent |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020227 |
E.1.2 | Term | Hodgkin's disease lymphocyte predominance type recurrent |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020228 |
E.1.2 | Term | Hodgkin's disease lymphocyte predominance type refractory |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
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 |
Module 1 : To assess the efficacy of AZD4573 by evaluation of objective response rate. |
Modulo 1: Valutare l’efficacia di AZD4573 mediante la valutazione del tasso di risposta obiettivo |
|
E.2.2 | Secondary objectives of the trial |
Module 1: - To assess efficacy of AZD4573 by evaluation of tumour response and OS. - To assess the safety and tolerability of AZD4573. - To assess the plasma PK of AZD4573. |
Modulo 1: - Valutare l’efficacia di AZD4573 mediante la valutazione della risposta al tumore e del OS. - Valutare la sicurezza e la tollerabilità di AZD4573. - Valutare la farmacocinetica (PK) plasmatica/sierica di AZD4573 |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Participant must be at least 18 years of age inclusive at the time of signing the informed consent. - Participants who are diagnosed with one of the following, as defined by the World Health Organisation: • Peripheral T-cell Lymphoma • Classical Hodgkin Lymphoma - Eastern Cooperative Oncology Group performance status of <= 2. - Must have received at least 1 prior line of therapy for the treatment of current disease and have documented relapsed or refractory active disease requiring treatment, defined as: • Recurrence of disease after response to prior line(s) of therapy, or • Progressive disease after completion of or on the treatment regimen preceding entry into the study, or • Disease which did not achieve an objective response (CR or PR). -Prior lines of therapy: PTCL: Participants must have failed at least 1 prior therapy for the treatment of PTCL. • Non NK-PTCL (Cohort 1): Prior therapy must have included an alkylating agent and/or anthracycline. In addition, ALCL participants must have received BV as part of prior therapy. • NKTCL (Cohort 2): Prior treatment must have included a platinum agent and/or asparaginase. - cHL (Cohort 3): Participants must have failed at least 2 prior therapies for the treatment of cHL (including BV and anti-PD1) except where unable to receive BV or anti-PD1 due to neuropathy or autoimmune disease. - Presence of at least 1 radiographically measurable, FDG-avid lymphoma disease lesion > 1.5 cm (according to the Lugano criteria [Cheson et al 2014]). - Uric acid level < ULN at screening. If hyperuricaemia is present at screening, SoC therapy should be administered (including IV fluid and rasburicase or allopurinol) to reduce the uric acid levels to < ULN before the start of study intervention. - Willing and able to participate in all required evaluations and procedures in this study protocol including receiving IV administration of study drug and being admitted, if required, for at least 24 hours during study drug administration. - Fresh tumour tissue or archival tumour tissue must be confirmed to be available at screening. - Adequate haematologic function at screening. - PTCL Only: All participants with PTCL must be willing and able to provide mandatory baseline bone marrow aspirate and/or biopsy no older than 3 months, and agree to undergo post-treatment bone marrow biopsy when required to confirm response. |
- Il partecipante deve avere almeno 18 anni di età al momento della firma del consenso informato. - Partecipanti a cui è stata diagnosticata una delle seguenti condizioni, come definito dall'Organizzazione mondiale della sanità: • Linfoma a cellule T periferico • Linfoma di Hodgkin classico - Performance status dell'Eastern Cooperative Oncology Group di <= 2. - Deve aver ricevuto almeno 1 linea di terapia precedente per il trattamento della malattia in corso e avere una malattia attiva recidivante o refrattaria documentata che richiede un trattamento, definita come: • Recidiva della malattia dopo la risposta alla(e) precedente(i) linea(e) di terapia(e), o • Malattia progressiva dopo il completamento o durante il regime di trattamento prima dell'ingresso nello studio, o • Malattia che non ha ottenuto una risposta obiettiva (CR o PR). - Linee terapeutiche precedenti: PTCL: i partecipanti devono aver fallito almeno 1 terapia precedente per il trattamento del PTCL. • Non NK-PTCL (Coorte 1): la terapia precedente deve aver incluso un agente alchilante e/o antraciclina. Inoltre, i partecipanti ALCL devono aver ricevuto BV come parte della terapia precedente. • NKTCL (Coorte 2): il trattamento precedente deve aver incluso un agente al platino e/o asparaginasi. - cHL (Coorte 3): i partecipanti devono aver fallito almeno 2 terapie precedenti per il trattamento del cHL (inclusi BV e anti-PD1), tranne quando non possono ricevere BV o anti-PD1 a causa di neuropatia o malattia autoimmune. - Presenza di almeno 1 lesione radiograficamente misurabile, con linfoma FDG-avid > 1,5 cm (secondo i criteri di Lugano [Cheson et al 2014]). - Livello di acido urico < ULN allo screening. Se allo screening è presente iperuricemia, deve essere somministrata una terapia SoC (inclusi liquidi EV e rasburicase o allopurinolo) per ridurre i livelli di acido urico a < ULN prima dell'inizio dell'intervento in studio. - Disponibilità e capacità di partecipare a tutte le valutazioni e procedure richieste in questo protocollo di studio, inclusa la somministrazione endovenosa del farmaco in studio e il ricover, se necessario, per almeno 24 ore durante la somministrazione del farmaco in studio. - La disponibilità di tessuto tumorale fresco o tessuto tumorale d'archivio deve essere confermata allo screening. - Adeguata funzione ematologica allo screening. - Solo PTCL: tutti i partecipanti con PTCL devono essere disposti e in grado di fornire obbligatoriamente un aspirato e/o una biopsia del midollo osseo non più vecchio di 3 mesi e devono accettare di sottoporsi a biopsia midollare post-trattamento quando richiesto per confermare la risposta. |
|
E.4 | Principal exclusion criteria |
- PTCL only: Presence of bulky disease (defined as largest lymphoma lesion >= 10 cm) or a LDH value > 3 x ULN. - PTCL only: Diagnosis of any of the following: • Lymphoblastic/precursor T-cell lymphoma or leukaemia • T-cell prolymphocytic leukaemia • T-cell large granular lymphocytic leukaemia • Cutaneous T-cell lymphoma (eg, primary cutaneous type ALCL, mycosis fungoide/Sezary syndrome). - With the exception of alopecia and neuropathy, presence of any unresolved non haematological toxicities from prior therapy greater than CTCAE Grade 1 at the time of starting study treatment. - Presence of, or history of, CNS lymphoma, leptomeningeal disease, or spinal cord compression. - History of prior non-haematological malignancy except for the following: • Malignancy treated with curative intent and with no evidence of active disease present for more than 1 year prior to screening and felt to be at low risk for recurrence by treating physician. • Adequately treated lentigo maligna melanoma without current evidence of disease or adequately controlled non-melanomatous skin cancer. • Adequately treated carcinoma in situ without current evidence of disease. - As judged by the investigator, any evidence of: • Severe or uncontrolled systemic disease (eg, severe hepatic impairment, interstitial lung disease [bilateral, diffuse, parenchymal lung disease]). • Current unstable or uncompensated respiratory or cardiac conditions. • Uncontrolled hypertension. • Uncontrolled active systemic fungal, bacterial, viral, or other infection (defined as exhibiting ongoing signs/symptoms related to the infection and without improvement, despite appropriate antibiotics or other treatment). • IV anti-infective treatment within 1 week before first dose of study drug. - Known history of infection with HIV. - Serologic status reflecting active hepatitis B or C infection: • Participants who are hepatitis B core antibody (anti-HBc) positive and who are surface antigen negative will need to have a negative PCR result before enrolment. Those who are hepatitis B surface antigen positive or hepatitis B PCR-positive will be excluded. • Participants who are hepatitis C antibody positive will need to have a negative PCR result before enrolment. Those who are hepatitis C PCRpositive will be excluded. - Any of the following cardiac criteria: • Resting QT interval corrected using Fridericia's formula (QTcF) >= 470 msec obtained from a single ECG. • Any clinically important abnormalities in rhythm (except for participants with a pacemaker in place), conduction or morphology of resting ECG (e.g., complete left bundle branch block, third degree heart block). • Any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as heart failure, congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age. - Documented confirmation and ongoing treatment of adrenal gland insufficiency or pancreatitis. - Undergone any of the following procedures or experienced any of the following conditions within 6 months prior to first dose: • Coronary artery bypass graft • Angioplasty • Vascular stent • Myocardial infarction • Angina pectoris • CHF (New York Heart Association Class >= 2) • Ventricular arrhythmias requiring continuous therapy • Atrial fibrillation, which is judged as uncontrolled by the treating physician • Haemorrhagic or thrombotic stroke, including transient ischemic attacks or any other CNS bleeding. |
- Solo PTCL: presenza di malattia bulky (definita come lesione di linfoma più grande >= 10 cm) o un valore di LDH > 3 x ULN. - Solo PTCL: diagnosi di uno dei seguenti: • Linfoma linfoblastico/precursore a cellule T o leucemia • Leucemia prolinfocitica a cellule T • Leucemia linfocitica granulare a grandi cellule T • Linfoma cutaneo a cellule T (es., ALCL di tipo cutaneo primitivo, micosi fungoide/sindrome di Sezary). - Ad eccezione dell'alopecia e della neuropatia, presenza di qualsiasi tossicità non ematologica non risolta da precedente terapia superiore al Grado 1 CTCAE al momento dell'inizio del trattamento in studio. - Presenza o anamnesi di linfoma del SNC, malattia leptomeningea o compressione del midollo spinale. - Anamnesi di precedenti neoplasie non ematologiche ad eccezione dei seguenti: • Malignità trattata con intento curativo e senza evidenza di malattia attiva presente da più di 1 anno prima dello screening e ritenuta a basso rischio di recidiva dal medico curante. • Melanoma lentigo maligna adeguatamente trattato senza evidenza attuale di malattia o cancro della pelle non melanomatoso adeguatamente controllato. • Carcinoma in situ adeguatamente trattato senza evidenza attuale di malattia. - A giudizio dell'investigatore, qualsiasi prova di: • Malattia sistemica grave o non controllata (ad es. insufficienza epatica grave, malattia polmonare interstiziale [bilaterale, diffusa, parenchimale]). • Attuali condizioni respiratorie o cardiache instabili o non compensate. • Ipertensione non controllata. • Infezioni sistemiche micotiche, batteriche, virali o di altro tipo non controllate (definite con la presenza di segni/sintomi in corso correlati all'infezione e senza miglioramento, nonostante gli antibiotici appropriati o altri trattamenti). • Trattamento antinfettivo per via endovenosa entro 1 settimana prima della prima dose del farmaco in studio. - Storia nota di infezione da HIV. - Stato sierologico che riflette l'infezione attiva da epatite B o C: • I partecipanti che sono positivi agli anticorpi di base dell'epatite B (anti-HBc) e che sono negativi all'antigene di superficie dovranno avere un risultato PCR negativo prima dell'arruolamento. Saranno esclusi coloro che sono positivi all'antigene di superficie dell'epatite B o positivi alla PCR dell'epatite B. • I partecipanti che sono positivi agli anticorpi dell'epatite C dovranno avere un risultato PCR negativo prima dell'arruolamento. Saranno esclusi coloro che risultano positivi alla PCR per l'epatite C. - Uno dei seguenti criteri cardiaci: • Intervallo QT a riposo corretto con la formula di Fridericia (QTcF) >= 470 msec ottenuto da un singolo ECG. • Qualsiasi anomalia clinicamente importante del ritmo (ad eccezione dei partecipanti con un pacemaker in sede), della conduzione o della morfologia dell'ECG a riposo (ad es. blocco di branca sinistro completo, blocco cardiaco di terzo grado). • Qualsiasi fattore che aumenta il rischio di prolungamento dell'intervallo QTc o il rischio di eventi aritmici come insufficienza cardiaca, sindrome congenita del QT lungo, storia familiare di sindrome del QT lungo o morte improvvisa inspiegabile al di sotto dei 40 anni. - Conferma documentata e trattamento in corso dell'insufficienza della ghiandola surrenale o della pancreatite. - Ha subito una delle seguenti procedure o ha manifestato una delle seguenti condizioni entro 6 mesi prima della prima dose: • Innesto di bypass coronarico • Angioplastica • Stent vascolare • Infarto miocardico • Angina pectoris • CHF (New York Heart Association Class >= 2) • Aritmie ventricolari che richiedono una terapia continua • Fibrillazione atriale, giudicata non controllata dal medico curante • Ictus emorragico o trombotico, inclusi attacchi ischemici transitori o qualsiasi altra emoraggia del SNC. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
ORR, defined as the proportion of participants who have a tumour response (CR and PR) based on Lugano response criteria for malignant lymphoma. |
ORR, definito come la proporzione di partecipanti che hanno una risposta tumorale (CR e PR) basata sui criteri di risposta di Lugano per il linfoma maligno. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
From Screening (Day -30 to Day -1) until disease progression or survival until death (approximately 6 months) |
Dallo Screening (Giorno -30 a Giorno -1) fino alla progressione della malattia o alla sopravvivenza fino alla morte (circa 6 mesi) |
|
E.5.2 | Secondary end point(s) |
- Endpoints based on Lugano response criteria for malignant lymphoma: CR rate, DoR, PFS. - OS - Plasma concentrations and derived PK parameters for AZD4573 |
- Endpoint basati sui criteri di risposta di Lugano per il linfoma maligno: Tasso di CR, DoR, PFS. - OS - Concentrazioni plasmatiche e parametri PK derivati per AZD4573 |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
From Screening (Day -30 to Day -1) until disease progression or survival until death (approximately 6 months) |
Dallo Screening (Giorno -30 a Giorno -1) fino alla progressione della malattia o alla sopravvivenza fino alla morte (circa 6 mesi) |
|
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 | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
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) | 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 | Yes |
E.8.1.7.1 | Other trial design description |
|
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 | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 10 |
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 |
Australia |
France |
Hong Kong |
Italy |
Korea, Republic of |
Singapore |
Sweden |
Taiwan |
United Kingdom |
United States |
|
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 | 1 |
E.8.9.1 | In the Member State concerned months | 11 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
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 |