Overview
Sponsor-declared trial summary
Adult Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia.
To explore the efficacy of a front-line chemo-free strategy based on the administration of Ponatinib plus steroids as induction treatment, followed by the infusion of Blinatumomab as consolidation in adult Ph+ ALL (=18 years, no upper age limit), and to compare it with a chemotherapy scheme combined with Imatinib (cont…
Key facts
- Sponsor
- Fondazione Gimema Franco Mandelli Onlus
- 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
- 8 Sep 2021 → ongoing
- Decision date (initial)
- 2024-10-01
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Fondazione GIMEMA Franco Mandelli ONLUS · Incyte Biosciences International s.r.l. · Amgen s.r.l
External identifiers
- EU CT number
- 2023-508968-30-00
- EudraCT number
- 2020-006048-15
- ClinicalTrials.gov
- NCT04722848
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Therapy, Safety
To explore the efficacy of a front-line chemo-free strategy based on the administration of Ponatinib plus steroids as induction treatment, followed by the infusion of Blinatumomab as consolidation in adult Ph+ ALL (=18 years, no upper age limit), and to compare it with a chemotherapy scheme combined with Imatinib (control arm), in terms of event-free survival (EFS), a composite endpoint, with events defined as: non achievement of MRD negativity (CMR or PNQ), deaths for any reason, toxicity and resistance (due or not to an ABL1 mutation development) in adult Ph+ ALL (=18 years, no upper age limit).
Secondary objectives 9
- The key secondary objective is represented by the feasibility of patients’ stratification to allo-SCT allocation on the basis of a refined MRD evaluation and on the presence/absence of additional genetic lesions (namely IKZF1 plus CDKN2A/B and/or PAX5).
- Capability of Blinatumomab to further reduce the MRD levels after Ponatinib induction.
- CMR or positive not-quantifiable (PNQ) duration.
- DFS at 1 and 3 years.
- OS at 1 and 3 years.
- Cumulative incidence of relapse (CIR).
- Safety profile.
- Comparison of patients’ quality of life (QoL) profiles over time by randomization arms.
- CMR (or PNQ) achievement, duration of CMR, OS and DFS according to the clinical, biological and molecular characteristics at baseline, including type of fusion protein (p190 vs p210) and presence of additional genomic lesions. 10 & 11 please see the Protocol.
Conditions and MedDRA coding
Adult Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia.
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 11
- Signed written informed consent according to ICH/EU/GCP and national local laws.
- Newly diagnosed adult B-precursor Ph+ ALL patients.
- WHO performance status less or equal to 2.
- Age greater or equal to18 years, with no upper age limit.
- Renal and hepatic function as defined below: - AST (GOT), ALT (GPT), and AP <2 x upper limit of normal (ULN). - Total bilirubin <1.5 x ULN. - Creatinine clearance equal or greater than 50 mL/min.
- Pancreatic function as defined below: - Serum amylase less or equal to 1.5 x ULN and serum lipase less or equal to1.5 x ULN.
- Normal cardiac function.
- No evidence of CNS leukemia at blinatumomab start.
- Negative HIV test, negative hepatitis B (HBsAg) and hepatitis C virus (anti-HCV) test.
- Negative pregnancy test in women of childbearing potential.
- Bone marrow specimen from primary diagnosis available.
Exclusion criteria 12
- History of or current relevant CNS pathology (ongoing grade =2 epilepsy, seizure, paresis, aphasia, clinically relevant apoplexia, severe brain injuries, dementia, Parkinson’s disease, organic brain syndrome, psychosis).
- Impaired cardiac function, including any one of the following: - LVEF <45% as determined by MUGA scan or echocardiogram. - Complete left bundle branch block. - Use of a cardiac pacemaker. - ST depression of >1mm in 2 or more leads and/or T wave inversions in 2 or more contiguous leads. - Congenital long QT syndrome. - History of or presence of significant ventricular or atrial arrhythmia. - Clinically significant resting bradycardia (<50 beats per minute). - QTc >450 msec on screening ECG (using the QTcF formula). - Right bundle branch block plus left anterior hemiblock, bifascicular block. - Myocardial infarction within 3 months prior to starting Ponatinib. - Angina pectoris.
- Other clinically significant vascular and heart disease (e.g., congestive heart failure, uncontrolled hypertension, history of labile hypertension, or history of poor compliance with an antihypertensive regimen).
- Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of Ponatinib (e.g., ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection).
- Uncontrolled hypertriglyceridemia (triglycerides >450 mg/dL).
- Taking medications that are known to be associated with Torsades de Pointes and medications or herbal supplements that are known to be strong inhibitors of CYP3A4 within at least 14 days before the first dose of ponatinib.
- History of or current autoimmune disease.
- Systemic cancer chemotherapy within 2 weeks prior to study.
- Known hypersensitivity to immunoglobulins or to any other component of the study drug formulation.
- Active malignancy other than ALL with the exception of basal cell or squamous cell carcinoma of the skin, or carcinoma "in situ" of the cervix.
- 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.
- Nursing women or women of childbearing potential not willing to use an effective form of contraception during participation in the study and at least 3 months thereafter or male patients not willing to ensure effective contraception during participation in the study and at least three months thereafter.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- The primary endpoint of this study is to evaluate the efficacy of a sequential approach based on the administration of Ponatinib plus and Blinatumomab vs chemotherapy combined with Imatinib, in terms of (EFS), a composite endpoint, with events defined as: non achievement of MRD negativity (CMR or PNQ), deaths for any reason, toxicity and resistance (due or not to an ABL1 mutation development) in adult Ph+ ALL (=18 years, no upper age limit).
Secondary endpoints 8
- The feasibility of patients’ stratification to allo-SCT allocation on the basis of a refined MRD evaluation and on the presence/absence of IKZF1-plus).
- Capability of Blinatumomab to further reduce the MRD levels after Ponatinib induction.
- CMR or PNQ duration.
- DFS at 1 and 3 years.
- OS at 1 and 3 years.
- CIR.
- Safety profile. Safety profile in terms of incidence of grade =3 CTC-NCI side effects and toxicities.
- Comparison of patients’ quality of life (QoL) profiles over time by randomization arms.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 12
PRD3960999 · Product
- Active substance
- Imatinib
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL
- Max daily dose
- 800 mg milligram(s)
- Max total dose
- 360.4 g/m3 gram(s)/cubic meter
- Max treatment duration
- 30 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EA01 — -
- Marketing authorisation
- EU/1/01/198/005
- MA holder
- NOVARTIS EUROPHARM LIMITED
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
BLINCYTO 38.5 micrograms powder for concentrate and solution for solution for infusion
PRD3418637 · Product
- Active substance
- Blinatumomab
- Substance synonyms
- MT-103, MEDI-538, MT103, RECOMBINANT ANTIBODY DERIVATIVE AGAINST HUMAN CD19 AND CD3
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INFUSION
- Max daily dose
- 28 µg microgram(s)
- Max total dose
- 3920 µg microgram(s)
- Max treatment duration
- 20 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01XC19 — -
- Marketing authorisation
- EU/1/15/1047/001
- MA holder
- AMGEN EUROPE B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Iclusig 15 mg film-coated tablets
PRD4563018 · Product
- Active substance
- Ponatinib
- Substance synonyms
- AP-24534, 3-(2-(IMIDAZO(1,2-B)PYRIDAZIN-3-YL)ETHYNYL)-4-METHYL-N-(4-((4-METHYLPIPERAZIN-1- YL)METHYL)-3-(TRIFLUOROMETHYL)PHENYL)BENZAMIDE, Benzamide, 3-(2-imidazo[1,2-b]pyridazin-3-ylethynyl)-4-methyl-N-[4-[(4-methyl-1-piperazinyl)methyl]-3-(trifluoromethyl)phenyl]-
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 45 mg milligram(s)
- Max total dose
- 12.6 g gram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01EA05 — -
- Marketing authorisation
- EU/1/13/839/001
- MA holder
- INCYTE BIOSCIENCES DISTRIBUTION B.V.
- MA country
- Norway
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- EU/3/09/715
- Modified vs. Marketing Authorisation
- No
SUB06859MIG · Substance
- Active substance
- Cyclophosphamide
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 750 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2250 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 3 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Melphalan 50 mg powder and solvent for solution for injection/infusion
PRD10971210 · Product
- Active substance
- Melphalan Hydrochloride
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 100 mg/m2 milligram(s)/sq. meter
- Max total dose
- 100 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 1 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01AA03 — MELPHALAN
- Marketing authorisation
- PL 15413/0110
- MA holder
- HIKMA FARMACÊUTICA (PORTUGAL), S.A.
- MA country
- United Kingdom
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Vincristine Sulfate 1 mg/ml solution for injection
PRD993268 · Product
- Active substance
- Vincristine Sulfate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 2 mg/m2 milligram(s)/sq. meter
- Max total dose
- 28 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 14 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01CA02 — VINCRISTINE
- Marketing authorisation
- PL 04515/0008
- MA holder
- HOSPIRA UK LIMITED
- MA country
- XI
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Keppra 250 mg film-coated tablets
PRD336937 · Product
- Active substance
- Levetiracetam
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 1000 mg milligram(s)
- Max total dose
- 145 g gram(s)
- Max treatment duration
- 145 Day(s)
- Authorisation status
- Authorised
- ATC code
- N03AX14 — LEVETIRACETAM
- Marketing authorisation
- EU/1/00/146/001
- MA holder
- UCB PHARMA S.A. (ANDERL BE)
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Idarubicina Sandoz 1 mg/ml concentrato per soluzione per infusione
PRD1584999 · Product
- Active substance
- Idarubicin Hydrochloride
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 10 mg/m2 milligram(s)/sq. meter
- Max total dose
- 40 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 4 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01DB06 — IDARUBICIN
- Marketing authorisation
- 040308076
- MA holder
- SANDOZ S.P.A.
- MA country
- Italy
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07627MIG · Substance
- Active substance
- Filgrastim
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS
- Max daily dose
- 5 µg/Kg microgram(s)/kilogram
- Max total dose
- 645 µg/Kg microgram(s)/kilogram
- Max treatment duration
- 6 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD981205 · Product
- Active substance
- Mercaptopurine
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 75 mg/m2 milligram(s)/sq. meter
- Max total dose
- 23310 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 27 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01BB02 — MERCAPTOPURINE
- Marketing authorisation
- 010344012
- MA holder
- ASPEN PHARMA TRADING LIMITED
- MA country
- Italy
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
LEDERFOLIN 25 mg Polvere per soluzione iniettabile per uso endovenoso
PRD412215 · Product
- Active substance
- Calcium Levofolinate
- Substance synonyms
- Levoleucovorin calcium, CALCIUM (2R)-2-[[4-[[(6S)-2-AMINO-5-FORMYL-4-OXO-1,6,7,8-TETRAHYDROPTERIDIN-6-YL]METHYLAMINO]BENZOYL]AMINO]PENTANEDIOATE
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 37.5 mg/m2 milligram(s)/square meter
- Max total dose
- 450 mg/m2 milligram(s)/square meter
- Max treatment duration
- 6 Day(s)
- Authorisation status
- Authorised
- ATC code
- V03AF04 — CALCIUM LEVOFOLINATE
- Marketing authorisation
- 024659120
- MA holder
- PFIZER ITALIA S.R.L.
- MA country
- Italy
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Dexamethasone Phosphate 4 mg/ml Solution for Injection
PRD1172938 · Product
- Active substance
- Dexamethasone Sodium Phosphate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 10 mg/m2 milligram(s)/sq. meter
- Max total dose
- 250 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 25 Day(s)
- Authorisation status
- Authorised
- ATC code
- H02AB02 — DEXAMETHASONE
- Marketing authorisation
- PA 0822/201/001
- MA holder
- PFIZER HEALTHCARE IRELAND
- MA country
- Ireland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Auxiliary 10
Methylprednisolone Sodium Succinate
SUB14562MIG · Substance
- Active substance
- Methylprednisolone Sodium Succinate
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 20 mg milligram(s)
- Max total dose
- 200 mg milligram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Methylprednisolone Sodium Succinate
SUB14562MIG · Substance
- Active substance
- Methylprednisolone Sodium Succinate
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 20 mg milligram(s)
- Max total dose
- 300 mg milligram(s)
- Max treatment duration
- 15 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06880MIG · Substance
- Active substance
- Cytarabine
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 50 mg milligram(s)
- Max total dose
- 750 mg milligram(s)
- Max treatment duration
- 15 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06880MIG · Substance
- Active substance
- Cytarabine
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 50 mg milligram(s)
- Max total dose
- 500 mg milligram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06880MIG · Substance
- Active substance
- Cytarabine
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 2000 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2900 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 14 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08856MIG · Substance
- Active substance
- Methotrexate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 12.5 mg milligram(s)
- Max total dose
- 125 mg milligram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08856MIG · Substance
- Active substance
- Methotrexate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 12.5 mg milligram(s)
- Max total dose
- 187.5 mg milligram(s)
- Max treatment duration
- 15 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08856MIG · Substance
- Active substance
- Methotrexate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 1000 mg/m2 milligram(s)/sq. meter
- Max total dose
- 3035 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 23 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB10020MIG · Substance
- Active substance
- Prednisone
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 60 mg/m2 milligram(s)/sq. meter
- Max total dose
- 1915 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 38 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB10020MIG · Substance
- Active substance
- Prednisone
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 60 mg/m2 milligram(s)/sq. meter
- Max total dose
- 330 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 7 Day(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
Fondazione Gimema Franco Mandelli Onlus
- Sponsor organisation
- Fondazione Gimema Franco Mandelli Onlus
- Address
- Via Casilina 5
- City
- Rome
- Postcode
- 00182
- Country
- Italy
Scientific contact point
- Organisation
- Fondazione Gimema Franco Mandelli Onlus
- Contact name
- GIMEMA Centro Dati
Public contact point
- Organisation
- Fondazione Gimema Franco Mandelli Onlus
- Contact name
- GIMEMA Centro Dati
Third parties 1
| Organisation | City, country | Duties |
|---|---|---|
| Laboratorio di Ematologia, Policlinico Umberto I, Dip. Medicina Traslazionale e di Precisione ORL-000004351
|
Rome, Italy | Laboratory analysis |
Locations
1 EU/EEA country · 78 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Italy | Ongoing, recruitment ended | 236 | 78 |
| Rest of world | — | 0 | — |
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 |
|---|---|---|---|---|---|
| Italy | 2021-09-08 | 2021-09-10 | 2025-01-20 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 17 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2023-508968-30-00_redacted | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangement_Blank document | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF study_redacted | 1 |
| Subject information and informed consent form (for publication) | L2_SIS and ICF translational study redacted | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC blinatumomab | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC IT Filgrastim | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC IT Idarubicin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC IT Lederfolin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC IT Levetiracetam | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC IT Melfalan | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC IT Mercaptopurina | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC IT Vincristine | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC IT_Desametasone | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC IT_Imatinib | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Ponatinib | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Ciclofosfamide | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis IT 2023-508968-30-00_redacted | 1 |
Application history
2 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-09-05 | Italy | Acceptable 2024-09-20
|
2024-10-01 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2026-01-13 | Italy | Acceptable | 2026-04-01 |