Study which tests 2 medications (SB27, Keytruda) to compare how effective, safe and well tolerated in a large number of metastatic non-squamous non-small cell lung cancer patients

2023-507448-36-00 Protocol SB27-3004 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 16 Feb 2024 · Status Ongoing, recruitment ended · 3 EU/EEA countries · 19 sites · Protocol SB27-3004

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 555
Countries 3
Sites 19

Non-small Cell Lung Cancer

"To demonstrate the equivalence in efficacy of SB27 to Keytruda, in terms of objective response rate (ORR) in subjects with metastatic non-squamous non-small cell lung cancer (NSCLC)"

Key facts

Sponsor
Samsung Bioepis Co. Ltd.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
16 Feb 2024 → ongoing
Decision date (initial)
2024-01-17
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: Efficacy

"To demonstrate the equivalence in efficacy of SB27 to Keytruda, in terms of objective response rate (ORR) in subjects with metastatic non-squamous non-small cell lung cancer (NSCLC)"

Conditions and MedDRA coding

Non-small Cell Lung Cancer

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Male or female ≥ 18 years of age
  2. Have been diagnosed with stage IV non-squamous NSCLC
  3. Have not received any prior systemic anti-cancer therapy for metastatic NSCLC
  4. Agree to use adequate methods of contraception

Exclusion criteria 2

  1. Unable to take folic acid and vitamin B12 supplementation
  2. Unable to receive chemotherapy during the study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. objective response rate (ORR)

Investigational products

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

Test 1

Pembrolizumab

PRD10684646 · Product

Active substance
Pembrolizumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
200 mg milligram(s)
Max total dose
6600 mg milligram(s)
Max treatment duration
100 Week(s)
Authorisation status
Not Authorised
MA holder
SAMSUNG BIOEPIS CO., LTD.
Paediatric formulation
No
Orphan designation
No

Comparator 2

KEYTRUDA 25 mg/mL concentrate for solution for infusion

PRD4323105 · Product

Active substance
Pembrolizumab
Substance synonyms
Lambrolizumab, MK-3475, SCH-900475, ABP 234
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
200 mg milligram(s)
Max total dose
6600 mg milligram(s)
Max treatment duration
100 Week(s)
Authorisation status
Authorised
ATC code
L01FF02 — -
Marketing authorisation
EU/1/15/1024/002
MA holder
MERCK SHARP & DOHME B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

KEYTRUDA 25 mg/mL concentrate for solution for infusion

PRD12081132 · Product

Active substance
Pembrolizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
200 mg milligram(s)
Max total dose
6600 mg milligram(s)
Max treatment duration
100 Week(s)
Authorisation status
Authorised
ATC code
L01FF02 — -
Marketing authorisation
EU/1/15/1024/003
MA holder
MERCK SHARP & DOHME B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 2

Carboplatin

SUB06614MIG · Substance

Active substance
Carboplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
750 mg milligram(s)
Max total dose
3000 mg milligram(s)
Max treatment duration
9 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Pemetrexed

SUB09655MIG · Substance

Active substance
Pemetrexed
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
500 mg/m2 milligram(s)/square meter
Max total dose
16500 mg/m2 milligram(s)/square meter
Max treatment duration
96 Week(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

Samsung Bioepis Co. Ltd.

Sponsor organisation
Samsung Bioepis Co. Ltd.
Address
76 Songdogyoyuk Ro
City
Yeonsu
Postcode
21987
Country
Korea, Republic of

Scientific contact point

Organisation
Samsung Bioepis Co. Ltd.
Contact name
Regulatory affairs

Public contact point

Organisation
Samsung Bioepis Co. Ltd.
Contact name
Regulatory affairs

Third parties 8

OrganisationCity, countryDuties
IQVIA RDS East Asia Pte Ltd
ORL-000002832
Singapore, Singapore Code 8
Bioagilytix Labs LLC
ORG-100013030
Durham, United States Laboratory analysis
CluePoints SA
ORL-000002830
Louvain-La-Neuve, Belgium Other
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Other
Transperfect Translations International Inc.
ORG-100043494
New York, United States Other
PPD Global Central Labs
ORG-100046496
Zaventem, Belgium Other
Fortrea Inc.
ORG-100012602
Durham, United States Other
Veeva Systems Korea YH.
ORL-000002831
Seoul, Korea, Democratic People's Republic of E-data capture

Locations

3 EU/EEA countries · 19 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruitment ended 11 4
Romania Ongoing, recruitment ended 43 8
Spain Ongoing, recruitment ended 42 7
Rest of world
Turkey, Philippines, Bosnia and Herzegovina, Japan, Malaysia, Brazil, Serbia, India, Thailand, Mexico, Georgia
459

Investigational sites

Germany

4 sites · Ongoing, recruitment ended
Martha-Maria Krankenhaus Halle-Doelau gGmbH
Clinic for internal medicine II, Roentgenstrasse 1, Doelau, Halle (saale)
MVZ fuer Haematologie und Onkologie Rhein-Kreis GmbH
-, Am Hasenberg 44, Furth-Mitte, Neuss
Kaiserswerther Diakonie
Klinik für Pneumologie, Kardiologie und internistische Intensivmedizin, Kreuzbergstrasse 79, Kaiserswerth, Duesseldorf
Stiftung Krankenhaus Bethanien Fuer Die Grafschaft Moers
Medizinische Klinik III, Pneumologie, Bethanienstrasse 21, Innenstadt, Moers

Romania

8 sites · Ongoing, recruitment ended
Oncolab S.R.L.
Oncology, Strada Bujorului 7, 200385, Craiova
Sigmedical Services S.R.L.
Oncologie, Bis The Building Corp A, Strada Zamca Nr 21 Et 3, Suceava
Pelican Impex S.R.L.
Oncologie, Calea Coposu Corneliu 14a-14b, 410469, Oradea
Onco Clinic Consult S.A.
Oncologie, Strada Sararilor 28j, 200508, Craiova
Centrul De Oncologie-Euroclinic S.R.L.
Oncologie, Strada Conta Vasile 2, 700106, Iasi
Spitalul Clinic Judetean De Urgenta Sibiu
Oncology, Bulevardul Coposu Corneliu 2-4, 550245, Sibiu
Centrul De Oncologie SF Nectarie S.R.L.
Oncology, Strada Caracal Nr 109, 200542, Craiova
Medisprof S.R.L.
Oncology, Bulevardul Muncii 96, 400641, Cluj-Napoca

Spain

7 sites · Ongoing, recruitment ended
Hospital Universitario Central De Asturias
Oncology, Avenida De Roma S/n, 33011, Oviedo
University Hospital Virgen Del Rocio S.L.
Oncology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Complejo Hospitalario Universitario De Ourense
Oncology, Calle De Ramon Puga Noguerol Nº 52, 32005, Ourense
Hospital Quironsalud Malaga
Oncology, Avenida Imperio Argentina 1, 29004, Malaga
Hospital Universitario Severo Ochoa
Oncology, Avenida Orellana S/n, 28911, Leganes
Hospital Universitario Y Politecnico La Fe
Oncology, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Complexo Hospitalario Universitario De Santiago
Oncology, Calle Choupana Da S/n, 15706, Santiago De Compostela

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2024-04-24 2024-04-25 2025-09-30
Romania 2024-02-16 2024-03-28 2025-09-30
Spain 2024-03-14 2024-05-16 2025-09-30

Results and documents

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

Documents 29 files

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

TypeTitleVersion
Protocol (for publication) D1_SB27-3004_Protocol_Redacted 4.0
Protocol (for publication) D1_SB27-3004_Risk and Benefit Assessment_Signed_Redacted_Completed 1.0
Recruitment arrangements (for publication) K1_SB27-3004_DE_Recruitment and ICF process NA
Recruitment arrangements (for publication) K1_SB27-3004_ES_Recruitment and Informed consent procedure Form NA
Recruitment arrangements (for publication) K1_SB27-3004_RO_Recruitment and ICF process NA
Recruitment arrangements (for publication) K2_SB27-3004_DE_Physician Referral Letter 1.0
Recruitment arrangements (for publication) K2_SB27-3004_DE_Recruitment Poster 1.0
Recruitment arrangements (for publication) K2_SB27-3004_DE_Subject Brochure 1.0
Recruitment arrangements (for publication) K2_SB27-3004_ES_Physician Referral Letter 1.0
Recruitment arrangements (for publication) K2_SB27-3004_ES_Recruitment Poster 1.0
Recruitment arrangements (for publication) K2_SB27-3004_ES_Subject Brochure 1.0
Recruitment arrangements (for publication) K2_SB27-3004_RO_Physician Referral Letter 1.0
Recruitment arrangements (for publication) K2_SB27-3004_RO_Recruitment Poster 1.0
Recruitment arrangements (for publication) K2_SB27-3004_RO_Subject Brochure 1.0
Subject information and informed consent form (for publication) L1_SB27-3004_DE_Main ICF_German_Redacted 7.0
Subject information and informed consent form (for publication) L1_SB27-3004_DE_Pregnant Partner ICF_German_Redacted 2.0
Subject information and informed consent form (for publication) L1_SB27-3004_ES_Main ICF 7.0
Subject information and informed consent form (for publication) L1_SB27-3004_RO_Main ICF_Romania_Redacted 7.0
Subject information and informed consent form (for publication) L1_SB27-3004_RO_PP ICF_Romania 2.0
Subject information and informed consent form (for publication) L2_SB027-3004_DE_request for review acc to StrSchG 1
Subject information and informed consent form (for publication) L2_SB27-3004_ES_Annex I to Main ICF _Protection of Personal Data 7.0
Subject information and informed consent form (for publication) L3_SB27-3004_ES_Annex II to Main ICF_Study Visits and Procedures 7.0
Subject information and informed consent form (for publication) L4_SB27-3004_ES_Pregnant Partner ICF 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Keytruda_EU NA
Synopsis of the protocol (for publication) D1_SB27-3004_ES_Layperson Protocol Synopsis_Spanish 1.0
Synopsis of the protocol (for publication) D1_SB27-3004_ES_Protocol synopsis_Spanish 4.0
Synopsis of the protocol (for publication) D1_SB27-3004_Layperson Summary of Protocol Synopsis_EN 1.0
Synopsis of the protocol (for publication) D1_SB27-3004_RO_Layperson Summary of Protocol Synopsis_Romanian 1.0
Synopsis of the protocol (for publication) D1_SB27-3004_RO_Protocol synopsis_Romanian 4.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-09-22 Spain Acceptable
2024-01-16
2024-01-16
2 SUBSTANTIAL MODIFICATION SM-2 2024-02-06 Acceptable 2024-03-06
3 SUBSTANTIAL MODIFICATION SM-3 2024-02-08 Acceptable 2024-04-11
4 SUBSTANTIAL MODIFICATION SM-1 2024-02-09 Spain Acceptable 2024-02-22
5 NON SUBSTANTIAL MODIFICATION NSM-1 2024-04-11 Acceptable 2024-04-11
6 SUBSTANTIAL MODIFICATION SM-4 2024-05-10 Spain Acceptable
2024-06-18
2024-06-18
7 SUBSTANTIAL MODIFICATION SM-5 2024-09-19 Spain Acceptable
2024-11-21
2024-11-21
8 NON SUBSTANTIAL MODIFICATION NSM-2 2025-01-31 Spain Acceptable
2024-11-21
2025-01-31
9 SUBSTANTIAL MODIFICATION SM-7 2025-02-27 Spain Acceptable
2025-05-05
2025-05-05
10 SUBSTANTIAL MODIFICATION SM-9 2025-06-12 Spain Acceptable
2025-07-28
2025-07-31
11 SUBSTANTIAL MODIFICATION SM-10 2025-10-01 Acceptable 2025-10-22
12 SUBSTANTIAL MODIFICATION SM-11 2026-02-10 Spain Acceptable
2026-03-24
2026-03-25