Overview
Sponsor-declared trial summary
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
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | PT | 10061873 | Non-small cell lung cancer | 100000004864 |
Study design 2 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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 number | Title | Sponsor |
|---|---|---|
| 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
- Provision of signed and dated, written ICF.
- 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.
- 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
- Ongoing, unresolved, Grade 3 or above toxicity requiring interruption of treatment at the time of the termination of the parent study.
- Currently receiving treatment with any prohibited medication(s).
- Concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
- Permanent discontinuation from the parent study due to toxicity or disease progression.
- 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.
- 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
- 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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| France | Ongoing, recruiting | 1 | 1 |
| Poland | Ongoing, recruiting | 1 | 1 |
| Rest of world
Malaysia, Korea, Republic of, China, United Kingdom, Taiwan
|
— | 40 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |