ROSY-T: Roll Over StudY for Patients Who Have Completed a Previous Oncology Study with Osimertinib (TAGRISSO) and are Judged by the Investigator to Clinically Benefit From Continued Treatment

2022-501528-58-00 Protocol D5161N00007 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 16 Oct 2023 · Status Ongoing, recruiting · 2 EU/EEA countries · 2 sites · Protocol D5161N00007

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 42
Countries 2
Sites 2

Various tumor types depending on the parent study

To provide continuous study treatment to patients who continue to benefit at the end of a clinical trial, while monitoring safety and tolerability of osimertinib (TAGRISSO)

Key facts

Sponsor
Astrazeneca AB
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
16 Oct 2023 → ongoing
Decision date (initial)
2023-08-09
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Safety

To provide continuous study treatment to patients who continue to benefit at the end of a clinical trial, while monitoring safety and tolerability of osimertinib (TAGRISSO)

Conditions and MedDRA coding

Various tumor types depending on the parent study

VersionLevelCodeTermSystem organ class
21.1 PT 10061873 Non-small cell lung cancer 100000004864

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Treatment period
Osimertinib (TAGRISSO) will be provided as 40 mg and 80 mg tablets for oral administration. At each dispensation visit, sufficient osimertinib (TAGRISSO) for 12 weeks
2 None Treatment arm: Osimertinib (TAGRISSO) will be provided as 40 mg and 80
mg tablets for oral administration. At each dispensation
visit, sufficient osimertinib (TAGRISSO) for 12 weeks
2 Follow up period
Any patient discontinuing osimertinib (TAGRISSO) should be contacted (or preferably seen in person) at approximately 28 days post-discontinuation for the follow-up to collect and/or complete SAE information.
2 None

Regulatory references

Plan to share IPD
Yes
IPD plan description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared. AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment https://vivli.org/. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
EU CT numberTitleSponsor
2021-003031-29 Roll Over StudY for Patients Who Have Completed a Previous Oncology Study with Durvalumab and Are Judged by the Investigator to Clinically Benefit From Continued Treatment, Studio principale di roll-over per pazienti che hanno completato uno studio oncologico precedente con Durvalumab e che secondo lo sperimentatore possono trarre un beneficio clinico dalla continuazione del trattamento, ROSY-D: Estudio maestro de continuación en pacientes que hayan completado un estudio en oncología previo y que el investigador considere que van a beneficiarse clínicamente de continuar el tratamiento, Roll Over StudY (převáděcí klinická studie) pro pacienty, kteří dokončili předchozí onkologickou studii s durvalumabem a podle názoru zkoušejícího lékaře mají z pokračující léčby klinický prospěch
2019-003777-26 Roll Over StudY for Patients Who Have Completed a Previous Oncology Study with Olaparib and Are Judged by the Investigator to Clinically Benefit From Continued Treatment, Átlépéses vizsgálat olyan betegek számára, akik teljesítettek egy korábbi, olaparibra irányuló onkológiai vizsgálatot, és a vizsgáló szerint klinikai előnyük származik a további kezelésből, ROSY-O: Roll Over StudY Navazující studie pro pacienty, kteří dokončili předchozí hlavní onkologickou studii s olaparibem a dle zkoušejícího lékaře mají z pokračování léčby klinický přínos, Estudio maestro de continuación en pacientes que hayan completado un estudio en oncología previo con Olaparib y que el investigador considere que van a beneficiarse clínicamente de continuar el tratamiento, Studio di roll-over per pazienti che hanno completato uno studio oncologico precedente con olaparib e che secondo lo sperimentatore possono trarre un beneficio clinico dalla continuazione del trattamento

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Provision of signed and dated, written ICF.
  2. Patient is currently deriving clinical benefit, as judged by the Investigator, from continued treatment with osimertinib (TAGRISSO) in an AstraZeneca parent study using osimertinib (TAGRISSO) monotherapy, which has met its endpoints or has otherwise stopped.
  3. Females should be using adequate contraceptive measures if of childbearing potential. Male patients should be willing to use barrier contraception, ie, condoms.

Exclusion criteria 6

  1. Ongoing, unresolved, Grade 3 or above toxicity requiring interruption of treatment at the time of the termination of the parent study.
  2. Currently receiving treatment with any prohibited medication(s).
  3. Concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
  4. Permanent discontinuation from the parent study due to toxicity or disease progression.
  5. Local access to commercially-available drug at no cost to the patient is permitted by local regulation. Note: In countries where, according to local requirements, it is not possible to switch patients to the commercial drug through prescription, even if fully reimbursed, patients are eligible to participate in the ROSY-T sub-study.
  6. Active infection (eg, patients receiving treatment for infection) including active hepatitis C and HIV infection or active uncontrolled HBV infection. Screening for chronic conditions is not required. Patients with HBV infection are only eligible if they meet all the following criteria: - Demonstrated absence of HCV co-infection or history of HCV co-infection; - Demonstrated absence of HIV infection; - Patients receiving anti-viral treatment for at least 6 weeks prior to study treatment, HBV DNA is suppressed to < 100 IU/mL, and transaminase levels are below ULN. Patients with a resolved or chronic HBV infection are eligible if they are: - Negative for HBsAg and positive for anti-HBc IgG. In addition, patients must be receiving anti-viral prophylaxis for 2 to 4 weeks prior to study treatment and 6 to 12 months (to be determined by hepatologist) post treatment; or - Positive for HBsAg, but for > 6 months have had transaminases levels below ULN and HBV DNA levels below < 100 IU/mL (ie, patients are in an inactive carrier state). In addition, patients must be receiving anti-viral prophylaxis for 2 to 4 weeks prior to study treatment and 6 to 12 months (to be determined by hepatologist) post treatment.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. SAEs and serious AESIs reported until 28 days after the last dose of study treatment

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

TAGRISSO 80 mg film-coated tablets

PRD4954976 · Product

Active substance
Osimertinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
240 mg milligram(s)
Max total dose
240 mg milligram(s)
Max treatment duration
29 Month(s)
Authorisation status
Authorised
ATC code
L01XE35 — -
Marketing authorisation
EU/1/16/1086/004
MA holder
ASTRAZENECA AB
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The clinical tablets are plain on both sides and packed in HDPE bottles, whereas the commercial tablets are debossed with a commercial image and packed in aluminum blisters. The acceptance criteria for the assay of the drug product , assigned shelf life and sites for packing and QP release are also different for the clinical versus commercial product.

TAGRISSO 40 mg film-coated tablets

PRD4954971 · Product

Active substance
Osimertinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
240 mg milligram(s)
Max total dose
240 mg milligram(s)
Max treatment duration
29 Month(s)
Authorisation status
Authorised
ATC code
L01EB04 — -
Marketing authorisation
EU/1/16/1086/003
MA holder
ASTRAZENECA AB
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The clinical tablets are plain on both sides and packed in HDPE bottles, whereas the commercial tablets are debossed with a commercial image and packed in aluminum blisters. The acceptance criteria for the assay of the drug product , assigned shelf life and sites for packing and QP release are also different for the clinical versus commercial product.

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Astrazeneca AB

Sponsor organisation
Astrazeneca AB
Address
Astraallen Gartuna, Karlebyhus Byggnad 674 Karlebyhus Byggnad 674
City
Sodertalje
Postcode
151 85
Country
Sweden

Scientific contact point

Organisation
Astrazeneca AB
Contact name
Clinical Trial Information Center

Public contact point

Organisation
Astrazeneca AB
Contact name
Clinical Trial Information Center

Third parties 1

OrganisationCity, countryDuties
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland On site monitoring, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, E-data capture, Code 8

Locations

2 EU/EEA countries · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 1 1
Poland Ongoing, recruiting 1 1
Rest of world
Malaysia, Korea, Republic of, China, United Kingdom, Taiwan
40

Investigational sites

France

1 site · Ongoing, recruiting
Institut Gustave Roussy
Oncologie Thoracique, 114 Rue Edouard Vaillant, 94800, Villejuif

Poland

1 site · Ongoing, recruiting
One Day Med Sp. z o.o.
One Day Med CENTRUM TERAPII, Plac Rodla 8, 70-419, Szczecin

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2023-12-07 2023-12-11
Poland 2023-10-16 2023-11-07

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 15 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol Main English D5161N00007 Public 4
Protocol (for publication) Protocol Substudy English D5161N00007 Public 3
Recruitment arrangements (for publication) FRA Country ICF Procedure English D5161N00007 Public 1
Recruitment arrangements (for publication) POL Recruitment Procedure Description English D5161N00007 Public 1
Recruitment arrangements (for publication) POL Recruitment Procedure Description Polish D5161N00007 Public 2
Subject information and informed consent form (for publication) L1_FRA Country ICF Main French D5161N00007 Public 2.0
Subject information and informed consent form (for publication) L1_FRA Country ICF Other Pregnant Partner French D5161N00007 Public 2.0
Subject information and informed consent form (for publication) L1_POL Country ICF Main Polish D5161N00007 Public 2.0
Subject information and informed consent form (for publication) L1_POL Country ICF Other Polish D5161N00007 Public 2.0
Subject information and informed consent form (for publication) POL Country ICF Main Polish D5161N00007 TC Public 1.1
Subject information and informed consent form (for publication) POL Country ICF Other Polish D5161N00007 TC Public 1.1
Subject information and informed consent form (for publication) POL Country ICF Procedure Polish D5161N00007 Public 2
Synopsis of the protocol (for publication) Lay Protocol Synopsis Substudy English D5161N00007 Public 1
Synopsis of the protocol (for publication) Lay Protocol Synopsis Substudy French D5161N00007 Public 2
Synopsis of the protocol (for publication) Lay Protocol Synopsis Substudy Polish D5161N00007 Public 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-04-21 France Acceptable
2023-08-09
2023-08-09
2 SUBSTANTIAL MODIFICATION SM-1 2024-07-17 France Acceptable
2024-08-20
2024-08-30
3 NON SUBSTANTIAL MODIFICATION NSM-1 2025-11-13 France Acceptable
2024-08-20
2025-11-13