A multicenter, single-arm phase II study to assess the safety, tolerability, and efficacy of Isatuximab in adult patients with cytologic or molecular relapsed/refractory CD38 positive T-cell acute lymphoblastic leukemia

2023-507899-47-00 Protocol GMALL-Isatuximab Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 22 Oct 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 18 sites · Protocol GMALL-Isatuximab

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 40
Countries 1
Sites 18

Cytologic or molecular relapsed/refractory CD38 positive T-cell acute lymphoblastic leukemia

Cohort 1: To evaluate safety and efficacy of Isatuximab as part of a combination chemotherapy regimen for R/R T-ALL Cohort 2: To evaluate the efficacy of Isatuximab as single drug to induce molecular remission (MolCR) combined in MRD+ T-ALL

Key facts

Sponsor
Goethe University Frankfurt
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
22 Oct 2024 → ongoing
Decision date (initial)
2024-07-23
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No
Funding sources
Sanofi-Aventis Deutschland GmbH

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Safety, Efficacy

Cohort 1: To evaluate safety and efficacy of Isatuximab as part of a combination chemotherapy regimen for R/R T-ALL
Cohort 2: To evaluate the efficacy of Isatuximab as single drug to induce molecular remission (MolCR) combined in MRD+ T-ALL

Secondary objectives 11

  1. Efficacy of Isatuximab to induce complete remission (CR), molecular remission (MolCR) and complete molecular remission (cMolCR) in R/R ALL
  2. CR, MolCR, cMolCR at different time-points
  3. Remission duration, relapse-free survival, event-free survival and overall survival
  4. Duration of CR, MolCR and cMolCR
  5. Kinetics of MolCR and cMolCR
  6. Relapse localisation and relapse characteristics
  7. Safety and tolerability
  8. Incidence of CR (ORR), MolCR and cMolCR after 1 and 2 cycles
  9. Isatuximab treatment realization
  10. Outcome of patients with and without SCT after treatment with Isatuximab
  11. Quality of life (QoL)

Conditions and MedDRA coding

Cytologic or molecular relapsed/refractory CD38 positive T-cell acute lymphoblastic leukemia

VersionLevelCodeTermSystem organ class
21.1 LLT 10066110 T-cell lymphoblastic leukemia acute 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 14

  1. Patients with CD38 positive T-ALL fitting either to the definitions for cohort 1 or cohort 2:
  2. Cohort 1: In relapse or with primary refractory disease defined as ≥5% blasts in bone marrow after at least three chemotherapy cycles (induction I-II, consolidation I) with the following additional specifications: • early relapse within 12 months from first achievement of CR or • late relapse later than 12 months from first achievement of CR or • primary refractory disease without any CR or • any relapse after stem cell transplantation or • any refractory relapse, defined as no response to at least one salvage therapy or • any second or later relapse and • Availability of patient material with blast cells (bone marrow or peripheral blood) for central MRD assessment.
  3. Cohort 2: In complete hematological remission (defined as less than 5% blasts in bone marrow and no evidence of extramedullary disease) after at least three chemotherapy cycles (induction I-II, consolidation I) • Detection of quantifiable MRD at a level of ≥10-4, either as molecular failure without prior achievement of molecular remission or molecular relapse after prior achievement of molecular remission • MRD assay at the central reference lab with at least one marker a minimum sensitivity of 10-4 • MRD detection for study inclusion after an interval of at least 2 weeks from last systemic chemotherapy including antibody therapy • (in patients without clonal molecular MRD marker, MRD testing can be based on flow-cytometry established in reference laboratory)
  4. ECOG status: • Cohort 1: 0-2 • Cohort 2: 0-1
  5. Age at least 18 years or older
  6. Evidence of a personally signed and dated informed consent indication that the patient has been informed of all pertinent aspects of the study
  7. Patient must be willing and able to comply with scheduled visits, treatment plan, laboratory tests and other study procedures
  8. Regeneration from last chemotherapy defined as follows: • Cohort 1: -Platelets >=10.000/µL (platelet transfusion allowed); - Hemoglobin >=7.5 g/dL (red blood cell transfusion allowed) • Cohort 2: -Neutrophils >=1.000/µL; -Platelets >=50.000/µL; - Hemoglobin >=9 g/dL
  9. Adequate liver function defined as follows: - Bilirubin ≤ 1.5 ULN (unless Gilbert Meulengracht disease or classified as result of liver infiltration by investigator); - AST and ALT ≤ 2.5 x ULN (unless classified as result of liver infiltration by investigator)
  10. Adequate renal function defined as follows: - Serum creatinine ≤ 2 x ULN; - Any serum creatinine level associated with a calculated creatinine clearance >= 40 mL/min
  11. Negative pregnancy test in women of childbearing potential (WOCBP)
  12. WOCBP must commit to either abstain continuously from heterosexual sexual intercourse or to use 2 methods of reliable birth control simultaneously
  13. Men who are sexually active with a WOCBP must agree to use a barrier method of contraception
  14. Participation in the registry of the German Multicenter Study Group for Adult ALL (GMALL)

Exclusion criteria 17

  1. Extramedullary involvement except for non-bulky (<7.5 cm) lymph node involvement, splenomegaly, or hepatomegaly
  2. Patients who have received prior antileukemic immunotherapy within 2 weeks prior to start of Isatuximab treatment
  3. Patients who have received treatment for leukemia with chemotherapy as follows: • Cohort 1: Patients who have received treatment for leukemia with chemotherapy within 2 weeks prior to start of Isatuximab treatment (exception: pre-phase therapy with 5-7 days of Dexamethasone, 3 days of Cyclophosphamide; intrathecal prophylaxis); • Cohort 2: Any chemotherapy or antibody therapy after the MRD assay leading to study inclusion (exception: intrathecal prophylaxis)
  4. Patients must have recovered from acute non-hematologic toxicity form previous therapies to ≤ grade I unless signs or symptoms are correlated to leukaemia involvement
  5. Prior SCT ≤ 3 months from start of study treatment
  6. Acute GvHD >= grade II or active chronic GvHD requiring systemic treatment
  7. Any systemic GvHD prophylaxis or treatment within 2 weeks from start of study treatment
  8. Known HIV positivity, known hepatitis B surface antigen positivity or known history of hepatitis C
  9. Unstable or severe uncontrolled medical condition e.g. unstable cardiac function or unstable pulmonary condition
  10. Treatment with an investigational agent within 4 weeks from start of study treatment (safety follow-up period of respective study)
  11. Concurrent active malignancy other than non-melanoma skin cancer, carcinoma in situ of the cervix, or localized prostate cancer that has been treated with radiation or surgery; patients with previous malignancies are eligible if they have been disease free for >= 2 years and do not require any antitumor therapy
  12. Evidence of uncontrolled current serious active infection or recent history (within 4 months) of deep tissue infections such as fasciitis or osteomyelitis
  13. Known allergies, hypersensitivity, or intolerance to Boron or Mannitol, corticosteroids, mAb (including Isatuximab) or human proteins, or their excipients (refer to respective Summary of Product Characteristics), or known sensitivity to mammalian-derived products
  14. Active infection, any other concurrent disease or medical condition that are deemed to interfere with the conduct of the study as judged by the investigator
  15. Pregnant or breastfeeding females
  16. Vaccination with live attenuated vaccines within 4 weeks of first study agent administration
  17. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgement of the investigator, would make the patient inappropriate for entry into this study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Cohort 1: Proportion of patients with complete hematologic response (ORR= CR and CRi) after 2 cycles of induction therapy including Isatuximab (refer to Section 12 for definitions of CR and CRi).

Secondary endpoints 17

  1. Cohort 2: Proportion of patients with molecular response (MolCR) after one cycle of Isatuximab (refer to Section 12 for definitions of molecular response). (Key secondary end point)
  2. Proportion of patients with CR and CRi, MolCR and cMolCR in R/R (cohort 1) after 1 or 2 cycles of induction (best response)
  3. Probability of continuous complete remission (remission duration) at 18 months
  4. Probability of overall survival at 18 months
  5. Probability of relapse-free survival at 18 months
  6. Probability of event-free survival at 18 months
  7. Incidence of relapses and proportion of relapse localisations
  8. Overall incidence and severity of adverse events (CTCAE 5.0) including incidence of GvHD in patients with prior SCT
  9. Evaluation of overall survival, relapse-free survival, remission duration and treatment related mortality in patients with and without SCT in complete remission after therapy
  10. Duration of molecular remission
  11. Treatment realization for Isatuximab
  12. Probability of continuous MolCR and cMolCR and duration of MolCR and cMolCR
  13. Time to MolCR and cMolCR measured by time-point of first achievement
  14. Realization of SCT in patients with CR (ORR), MolCR, cMolCR, SCT parameters and outcome
  15. Evaluation of all endpoints by T-ALL subgroups
  16. Measurement of Quality of Life with EORTC instruments (e.g. EORTC QLQ-C30) at different time-points during treatment
  17. Hospitalisation days

Investigational products

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

Test 13

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8587492 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/001
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8132767 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/003
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8587472 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/002
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8587491 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/002
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Iceland
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8587471 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/003
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8587470 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/001
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Norway
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8587497 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/003
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Norway
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8587495 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/003
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Iceland
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8587493 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/002
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Norway
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8132765 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/001
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8132766 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/002
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

SARCLISA 20mg/mL concentrate for solution for infusion.

PRD8587473 · Product

Active substance
Isatuximab
Substance synonyms
Humanised monoclonal antibody against CD38, SAR650984
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/Kg milligram(s)/kilogram
Max total dose
150 mg/kg milligram(s)/kilogram
Max treatment duration
25 Week(s)
Authorisation status
Authorised
ATC code
L01FC02 — -
Marketing authorisation
EU/1/20/1435/001
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Iceland
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1268
Modified vs. Marketing Authorisation
No

Bortezomib

SUB20020 · Substance

Active substance
Bortezomib
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
1.3 mg/kg milligram(s)/kilogram
Max total dose
5.2 mg/kg milligram(s)/kilogram
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 11

Dexamethasone

SUB07017MIG · Substance

Active substance
Dexamethasone
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRATHECAL
Max daily dose
4 mg milligram(s)
Max total dose
16 mg milligram(s)
Max treatment duration
19 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Dexamethasone

SUB07017MIG · Substance

Active substance
Dexamethasone
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
40 mg milligram(s)
Max total dose
240 mg milligram(s)
Max treatment duration
22 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Daunorubicin

SUB06917MIG · Substance

Active substance
Daunorubicin
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
45 mg/m2 milligram(s)/sq. meter
Max total dose
45 mg/m2 milligram(s)/sq. meter
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Pegaspargase

SUB03666MIG · Substance

Active substance
Pegaspargase
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
2000 Other
Max total dose
2000 Other
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Methotrexate

SUB08856MIG · Substance

Active substance
Methotrexate
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRATHECAL
Max daily dose
15 mg milligram(s)
Max total dose
105 mg milligram(s)
Max treatment duration
22 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Methotrexate

SUB08856MIG · Substance

Active substance
Methotrexate
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
20 mg/m2 milligram(s)/sq. meter
Max total dose
380 mg/m2 milligram(s)/sq. meter
Max treatment duration
19 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vincristine

SUB00059MIG · Substance

Active substance
Vincristine
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
2 mg milligram(s)
Max total dose
10 mg milligram(s)
Max treatment duration
22 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cytarabine

SUB06880MIG · Substance

Active substance
Cytarabine
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
900 mg/m2 milligram(s)/sq. meter
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cytarabine

SUB06880MIG · Substance

Active substance
Cytarabine
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRATHECAL
Max daily dose
40 mg milligram(s)
Max total dose
160 mg milligram(s)
Max treatment duration
19 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cyclophosphamide

SUB06859MIG · Substance

Active substance
Cyclophosphamide
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
1000 mg/m2 milligram(s)/sq. meter
Max total dose
2000 mg/m2 milligram(s)/sq. meter
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Mercaptopurine

SUB12149MIG · Substance

Active substance
Mercaptopurine
Pharmaceutical form
TABLETS
Route of administration
ORAL
Max daily dose
60 mg/m2 milligram(s)/sq. meter
Max total dose
7500 mg/m2 milligram(s)/sq. meter
Max treatment duration
22 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

Goethe University Frankfurt

Sponsor organisation
Goethe University Frankfurt
Address
Theodor-Stern-Kai 7
City
Frankfurt Am Main
Postcode
60590
Country
Germany

Scientific contact point

Organisation
Goethe University Frankfurt
Contact name
GMALL Studienzentrale

Public contact point

Organisation
Goethe University Frankfurt
Contact name
GMALL Studienzentrale

Locations

1 EU/EEA country · 18 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruiting 40 18
Rest of world 0

Investigational sites

Germany

18 sites · Ongoing, recruiting
Universitaetsmedizin Goettingen
Department Hematology and Medical Oncology, Robert-Koch-Strasse 40, Weende, Goettingen
Universitaetsklinikum Schleswig-Holstein AöR
Medical Department II, Arnold-Heller-Strasse 3, Brunswik, Kiel
Universitaetsklinikum Augsburg
II Medical Clinic Hematologic, Oncologic Department, Stenglinstrasse 2, Kriegshaber, Augsburg
Klinikum Oldenburg AöR
Universitätsklinik für Innere Medizin – Onkologie und Hämatologie, Rahel-Straus-Strasse 10, Kreyenbrueck, Oldenburg
Universitaet Leipzig
Medical Department for Hematology, Cell Therapy, Hemostaseology and Infectiology, Liebigstrasse 22, Zentrum-Suedost, Leipzig
Universitaetsklinikum Ulm AöR
Department of Internal Medicine III, Albert-Einstein-Allee 23, Eselsberg, Ulm
Robert Bosch Gesellschaft fuer medizinische Forschung mbH
Abteilung für Hämatologie, Onkologie und Palliativmedizin, Auerbachstrasse 112, Bad Cannstatt, Stuttgart
Universitaet Muenster
Department of Medicine A, Hematology and Oncology, Albert-Schweitzer-Campus 1, Sentrup, Muenster
Technische Universitaet Dresden
Medizinische Klinik und Poliklinik I, Fetscherstrasse 74, Johannstadt-Nord, Dresden
University Medical Center Hamburg-Eppendorf
II. Medizinische Klinik und Poliklinik, Martinistrasse 52, Eppendorf, Hamburg
Universitaetsklinikum Heidelberg AöR
Department V, Hematology, Oncology and Rheumatology, Im Neuenheimer Feld 410, Neuenheim, Heidelberg
Charite Universitaetsmedizin Berlin KöR
Department of Hematology, Oncology and Tumorimmunologyt Hämatologie, Onkologie und Tumorimmunologie, Hindenburgdamm 30, Lichterfelde, Berlin
Universitaetsklinikum Essen AöR
Hämatologie und Stammzelltransplantation, Hufelandstrasse 55, Holsterhausen, Essen
Goethe University Frankfurt
Department of Medicine II, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main
Universitaetsklinikum Erlangen AöR
Department of Medicine 5, Ulmenweg 18, Innenstadt, Erlangen
Universitaetsklinikum Duesseldorf AöR
Department of Hematology, Oncology and Clinical Immunology, Moorenstrasse 5, Bilk, Duesseldorf
Klinikum der Universitaet Muenchen AöR
Department of Medicine 3, Marchioninistrasse 15, Hadern, Munich
Gesundheit Nord gGmbH Klinikverbund Bremen
Medizinische Klinik 1, St.-Juergen-Strasse 1, Hulsberg, Bremen

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 2024-10-22 2024-12-16

Results and documents

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

Documents 5 files

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

TypeTitleVersion
Recruitment arrangements (for publication) K1_Recruitment_arrangements 1
Subject information and informed consent form (for publication) L1_SIS_and_ICF_2023-507899-47-00_DE 1
Subject information and informed consent form (for publication) L2_patient_study_card 1
Subject information and informed consent form (for publication) L2_questionnaire_EQ5D 1
Subject information and informed consent form (for publication) L2_questionnaire_QLQ-C30 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-18 Germany Acceptable
2024-07-18
2024-07-23
2 SUBSTANTIAL MODIFICATION SM-1 2025-10-24 Germany Acceptable 2025-12-08