Immunological variables associated to ICI toxicity in cancer patients

2023-505360-11-00 Protocol IJB-IRAES-2020 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 18 Aug 2022 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol IJB-IRAES-2020

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 441
Countries 1
Sites 1

solid tumour

The main objective of this pilot study is to explore the value of immune markers present in blood in the purpose of identifying biomarkers for immune-related toxicities of checkpoint inhibitors.

Key facts

Sponsor
Institut Jules Bordet
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
18 Aug 2022 → ongoing
Decision date (initial)
2023-07-03
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Les amis de Bordet, Belgium · Fondation Lambeau-Marteaux, Belgium · FNRS Télévie, Belgium

External identifiers

EU CT number
2023-505360-11-00
EudraCT number
2021-000027-12

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Safety

The main objective of this pilot study is to explore the value of immune markers present in blood in the purpose of identifying biomarkers for immune-related
toxicities of checkpoint inhibitors.

Conditions and MedDRA coding

solid tumour

VersionLevelCodeTermSystem organ class
21.1 LLT 10065252 Solid tumor 10029104

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2021-000027-12 Immunological variables associated to ICI toxicity in cancer patients IRAES

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 9

  1. Age ≥ 18 years old
  2. ECOG performance status ≤ 1
  3. Must have histologically or cytologically confirmed solid tumour, eligible fortreatment with ICI as standard-of-care alone or in combination with another ICI (cohort 1), ICI with chemotherapy (cohort 2), or ICI with targeted therapy (cohort 3) with no restrictions on number of prior systemic therapies
  4. All prior anti-cancer treatment-related toxicities (except alopecia) must be ≤ Grade 1 according to the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 at the time of enrolment
  5. Serum pregnancy test (for subjects of childbearing potential) negative within 15 days prior to study medications administration
  6. Women of childbearing potential must agree to use one highly effective method of contraception prior study entry, during the course of the study and at least 7 months after the last administration of study treatments
  7. Men with childbearing potential partner must agree to use condom during the course of this study and for at least 6 months after the last administration of the study treatments
  8. Completion of all necessary screening procedures within 14 days prior to enrolment
  9. Signed Informed Consent form (ICF) obtained prior to any study related procedure

Exclusion criteria 4

  1. Subject with a significant medical, neuro-psychiatric, or surgical condition, currently uncontrolled by treatment, which, in the principal investigator's opinion, may interfere with completion of the study
  2. Participation in another clinical trial
  3. Pregnant and/or lactating women
  4. Patients already receiving ICI

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Modification(s) in the immune blood markers including serum autoantibody level of treated subjects at three different time points during the treatment by ICI (early, mid time and late) and at the occurrence of irAEs as described below compared to baseline. Safety will be assessed: by the investigator(s) by using the adverse events reported during the study in accordance with the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0.

Investigational products

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

Test 18

Fluorouracil

SUB07721MIG · Substance

Active substance
Fluorouracil
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
2000 mg milligram(s)
Max total dose
52000 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Therapeutic indication, posology

Etoposide

SUB07337MIG · Substance

Active substance
Etoposide
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
100 mg/m2 milligram(s)/sq. meter
Max total dose
2600 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
posology

Ipilimumab

SUB29397 · Substance

Active substance
Ipilimumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
3 mg/Kg milligram(s)/kilogram
Max total dose
12 mg/kg milligram(s)/kilogram
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cisplatin

SUB07483MIG · Substance

Active substance
Cisplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
90 mg/m2 milligram(s)/sq. meter
Max total dose
1530 mg/m2 milligram(s)/sq. meter
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Bevacizumab

SUB16402MIG · Substance

Active substance
Bevacizumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
15 mg/kg milligram(s)/kilogram
Max total dose
15 mg/Kg milligram(s)/kilogram
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Oxaliplatin

SUB09490MIG · Substance

Active substance
Oxaliplatin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
85 mg milligram(s)
Max total dose
2210 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Therapeutic indication,

Pembrolizumab

SUB167136 · Substance

Active substance
Pembrolizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
200 mg milligram(s)
Max total dose
3466 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Nivolumab

SUB122750 · Substance

Active substance
Nivolumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
240 mg milligram(s)
Max total dose
6240 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Abraxane 5 mg/ml powder for dispersion for infusion.

PRD9254301 · Product

Active substance
Paclitaxel Albumin-Bound
Substance synonyms
PACLITAXEL ALBUMINE-BOUND
Pharmaceutical form
DISPERSION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
100 mg milligram(s)
Max total dose
1300 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L01CD01 — PACLITAXEL
Marketing authorisation
EU/1/07/428/001
MA holder
BRISTOL-MYERS SQUIBB PHARMA EEIG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cabozantinib

SUB93452 · Substance

Active substance
Cabozantinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
40 mg milligram(s)
Max total dose
14600 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Atezolizumab

SUB178312 · Substance

Active substance
Atezolizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
1200 mg milligram(s)
Max total dose
20400 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cemiplimab

SUB189482 · Substance

Active substance
Cemiplimab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
350 mg milligram(s)
Max total dose
6300 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Avelumab

SUB180078 · Substance

Active substance
Avelumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
800 mg milligram(s)
Max total dose
20800 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

CARBOPLATINE MEDAC 10 mg/mL, solution à diluer pour perfusion

PRD10027338 · Product

Active substance
Carboplatin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
750 mg milligram(s)
Max total dose
12750 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L01XA02 — CARBOPLATIN
Marketing authorisation
34009 550 922 6 1
MA holder
MEDAC GESELLSCHAFT FÜR KLINISCHE SPEZIALPRÄPARATE MBH (WEDEL)
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
population; posology; therapeutic ; indications ; treatment duration

Axitinib

SUB25427 · Substance

Active substance
Axitinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
10 mg milligram(s)
Max total dose
3650 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Paclitaxel

SUB09583MIG · Substance

Active substance
Paclitaxel
Pharmaceutical form
CONCENTRATE AND SOLVENT FOR SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
175 mg milligram(s)
Max total dose
3045 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Therapeutic indication

Pemetrexed

SUB09655MIG · Substance

Active substance
Pemetrexed
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
500 mg milligram(s)
Max total dose
8700 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Durvalumab

SUB176342 · Substance

Active substance
Durvalumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
1500 mg milligram(s)
Max total dose
2700 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 5

Pegfilgrastim

SUB16451MIG · Substance

Active substance
Pegfilgrastim
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
6 mg milligram(s)
Max total dose
104 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Calcium Folinate

SUB06052MIG · Substance

Active substance
Calcium Folinate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
160 mg/ml milligram(s)/millilitre
Max total dose
58400 mg/ml milligram(s)/millilitre
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Alizapride

SUB05332MIG · Substance

Active substance
Alizapride
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
ORAL USE
Max daily dose
300 mg milligram(s)
Max total dose
109500 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cetirizine

SUB07451MIG · Substance

Active substance
Cetirizine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
3650 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Dexamethasone Sodium Phosphate

SUB01615MIG · Substance

Active substance
Dexamethasone Sodium Phosphate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
15 mg milligram(s)
Max total dose
5475 mg/kg milligram(s)/kilogram
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Institut Jules Bordet

Sponsor organisation
Institut Jules Bordet
Address
Mijlenmeersstraat 90
City
Brussels
Postcode
1070
Country
Belgium

Scientific contact point

Organisation
Institut Jules Bordet
Contact name
Clinical Trial Support Unit

Public contact point

Organisation
Institut Jules Bordet
Contact name
Clinical Trial Support Unit

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 441 1
Rest of world 0

Investigational sites

Belgium

1 site · Ongoing, recruiting
Institut Jules Bordet
Oncology, Mijlenmeersstraat 90, 1070, Brussels

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2022-08-18 2022-08-18

Results and documents

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

Documents 35 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2023-505360-11-00_redacted 1.3
Protocol (for publication) D1_Protocol_2023-505360-11-00_Redacted 1.3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Atezolizumab 3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Carboplatin 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cemiplimab 3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Durvalumab 3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ipilimumab 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Nivolumab 3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Oxaliplatin 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Pembrolizumab 3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_summary_changes 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_summary_changes 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_summary_changes 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_summary_changes 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_summary_changes 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_summary_changes 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_summary_changes 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_summary_changes 2
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Avelumab 2.0
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Axitinib_EMA Pfizer
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Bevacizumab 2
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Cabozantinib 2.0
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Cisplatin TEVA
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Etoposide 2
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Fluorouracil 2
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Nab_paclitaxel 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Paclitaxel 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Pemetrexed 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_summary_changes 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_summary_changes 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_summary_changes 1
Synopsis of the protocol (for publication) D1_protocol_synopsis_2023-505360-11-00 1.3
Synopsis of the protocol (for publication) D1_protocol_synopsis_2023-505360-11-00_DE 1.3
Synopsis of the protocol (for publication) D1_protocol_synopsis_2023-505360-11-00_FR 1.3
Synopsis of the protocol (for publication) D1_protocol_synopsis_2023-505360-11-00_NL 1.3

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-05-15 Belgium Acceptable
2023-05-25
2023-07-03
2 SUBSTANTIAL MODIFICATION SM-1 2023-10-10 Belgium Acceptable
2023-11-23
2023-11-23
3 SUBSTANTIAL MODIFICATION SM-2 2024-05-15 Belgium Acceptable
2024-06-28
2024-06-28
4 SUBSTANTIAL MODIFICATION SM-3 2025-03-13 Belgium Acceptable
2025-04-22
2025-04-22