Randomized, non-comparative, open-label early phase Ib study with OBT076 or OBT076 followed by Balstilimab in patients with Adenoid Cystic Carninoma of the Head and Neck

2023-503270-20-00 Protocol GORTEC 2023-01 Human pharmacology (Phase I) - Other Ended

Start 29 Nov 2023 · End 9 Oct 2024 · Status Ended · 1 EU/EEA countries · 16 sites · Protocol GORTEC 2023-01

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Other
Status Ended
Participants planned 32
Countries 1
Sites 16

recurrent or metastatic Adenoid Cystic Carcinoma of the Head and Neck

Key facts

Sponsor
Groupe Oncologie Radiotherapie Tete Cou
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
29 Nov 2023 → 9 Oct 2024
Decision date (initial)
2023-08-02
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Conditions and MedDRA coding

recurrent or metastatic Adenoid Cystic Carcinoma of the Head and Neck

VersionLevelCodeTermSystem organ class
21.0 PT 10053231 Adenoid cystic carcinoma 100000004864

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Groupe Oncologie Radiotherapie Tete Cou

Sponsor organisation
Groupe Oncologie Radiotherapie Tete Cou
Address
19 Rue Edouard Vaillant
City
Tours
Postcode
37000
Country
France

Scientific contact point

Organisation
Groupe Oncologie Radiotherapie Tete Cou
Contact name
Coordinating investigator

Public contact point

Organisation
Groupe Oncologie Radiotherapie Tete Cou
Contact name
Project manager

Locations

1 EU/EEA country · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 32 16
Rest of world 0

Investigational sites

France

16 sites · Ended
Centre Hospitalier Regional Universitaire De Tours
Radiation oncology, 2 Boulevard Tonnelle, 37044, Tours Cedex 9
Assistance Publique Hopitaux De Marseille
Medical oncology, 264 Rue Saint Pierre, 13005, Marseille
Centre Hospitalier Lyon Sud
Medical oncology, 165 Chemin Du Grand Revoyet, 69310, Pierre-Benite
Institut Regional Du Cancer De Montpellier
Medical oncology, 208 Avenue Des Apothicaires, 34298, Montpellier Cedex 5
Institut De Cancerologie Strasbourg Europe
Medical oncology, 17 Rue Albert Calmette, 67200, Strasbourg
Centre Leon Berard
Medical Oncology, 28 Rue Laennec, 69008, Lyon
Centre Jean Perrin
Medical oncology, 58 Rue Montalembert, 63000, Clermont-Ferrand
Institut De Cancerologie De L Ouest
Medical oncology, Bd Du Professeur Jacques Monod, 44800, St Herblain
Institut Sainte Catherine
Medical oncology, 250 Chemin De Baigne Pieds, 84000, Avignon
Centre Antoine Lacassagne
Medical oncology, 33 Avenue De Valombrose, 06189, Nice Cedex 2
Centre Francois Baclesse
Surgery, 3 Avenue Du General Harris, Cs 45026, Caen Cedex 5
Institut Claudius Regaud
Medical oncology, 1 Avenue Irene Joliot Curie, 31100, Toulouse
Centre Oscar Lambret
Medical oncology, 3 Rue Frederic Combemale, 59000, Lille
Centre Hospitalier Universitaire De Bordeaux
Medical oncolgy, 1 Rue Jean Burguet, 33000, Bordeaux
Institut Gustave Roussy
Head and Neck, 114 Rue Edouard Vaillant, 94800, Villejuif
Institut De Cancerologie De Lorraine
Medical Oncology, 6 Avenue De Bourgogne, Cs 30519, Vandoeuvre Les Nancy Cedex

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 2023-11-29 2023-11-29 2024-05-15

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 1 · Art. 38 CTR

Temporary halt TH-25581

Halt date
2024-05-15
Planned restart
2024-12-01
Member states concerned
France
Publication date
2024-05-17
Reason
Safety related (clinical or pre-clinical results), Sponsor decision
Explanation
In response to the severe toxicities observed, a recent meeting of the IDSMC expert committee was convened to reassess the benefit-risk ratio of OBT076. Preliminary findings indicate severe toxicities, particularly cases of febrile neutropenia and severe infusion reactions. Although initial efficacy data have not shown any objective responses yet, the current number of evaluable patients is insufficient for definitive conclusions. Interruption of pre screening, screening and randomization is a recommandation of IDMSC. The steering comittee is in agreement with this recommadation, so inclusion are interrupted until results of interim analysis.
A MUS has been submitted
Follow-up measures
For the patients already enrolled in the study :
- Adjustment of Infusion Rate: OBT076 administration should last 6 hours for all doses.
- Extended Post-administration Observation: Observation time after OBT076 administration should be extended to at least 2 hours.
- Premedication: Administering premedication dosage, particularly for methylprednisolone (or equivalent), should be increased to 120mg.
- Mandatory Use of filgrastim-type G-CSF instead of the pegylated form.
Benefit-risk balance changed
Yes
Treatment stopped
No

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-04-21 France Acceptable
2023-07-28
2023-08-02
2 SUBSTANTIAL MODIFICATION SM-1 2023-12-19 France Acceptable 2024-02-07
3 SUBSTANTIAL MODIFICATION SM-2 2024-03-13 France Acceptable
2024-06-03
2024-06-03