The study's aim is to treat adult patients affected by Ph-like ALL, a Philadelphianegative ALL subtype, with a combination of the tyrosine kinase inhibitor ponatinib and chemotherapy. The main objective of the trial is to improve the percentace of patients that achieve a disease remission also at the molecular level.

2023-510240-20-00 Protocol GIMEMA ALL2922 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 5 Oct 2022 · Status Ongoing, recruiting · 1 EU/EEA countries · 36 sites · Protocol GIMEMA ALL2922

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 32
Countries 1
Sites 36

Adult Philadelphia Chromosome-Negative Acute Lymphoblastic Leukemia.

The primary objective is to evaluate the clinical response - in terms of MRD negativity - in patients with a BCR/ABL1-like profile, according to the BCR/ABL1-like predictor tool, treated with Ponatinib in combination with chemotherapy.

Key facts

Sponsor
Fondazione Gimema Franco Mandelli Onlus
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
5 Oct 2022 → ongoing
Decision date (initial)
2024-07-16
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Incyte Biosciences International Sàrl · Fondazione GIMEMA Franco Mandelli onlus

External identifiers

EU CT number
2023-510240-20-00
EudraCT number
2022-000633-17
ClinicalTrials.gov
NCT05306301

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Therapy

The primary objective is to evaluate the clinical response - in terms of MRD negativity - in patients with a BCR/ABL1-like profile, according to the BCR/ABL1-like predictor tool, treated with Ponatinib in combination with chemotherapy.

Secondary objectives 9

  1. MRD monitoring during the different time points of the study treatment
  2. Disease Free Survival
  3. Event Free Survival
  4. Cumulative Incidence of Relapse
  5. Overall Survival
  6. Treatment-related mortality (TRM)
  7. Clinical response
  8. Feasibility of a combination approach with Ponatinib and chemotherapy
  9. Safety

Conditions and MedDRA coding

Adult Philadelphia Chromosome-Negative Acute Lymphoblastic Leukemia.

VersionLevelCodeTermSystem organ class
21.0 LLT 10000845 Acute lymphoblastic leukemia 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Age18-65 years.
  2. De novo Ph+-like ALL, as defined by the BCR/ABL1-like predictor (13).
  3. WHO score =2
  4. Adequate liver function, as defined by the following criteria: total serum bilirubin =1.5 x upper limit of normal (ULN), unless due to Gilbert's syndrome, alanine aminotransferase (ALT) =2.5 ×ULN or aspartate aminotransferase (AST) =2.5 x ULN or leukemia related.
  5. Adequate pancreatic function as defined by serum lipase and amylase =1.5 × ULN or leukemia related
  6. No history of dyslipidemia, thrombotic events or cardiac disease.
  7. For females of childbearing potential, a negative pregnancy test must be documented. Female and male patients who are fertile must agree to use an effective form of contraception with their sexual partners from enrollment through 12 months after the end of treatment.
  8. Signed informed consent, according to ICH/EU/GCP and national regulation.

Exclusion criteria 18

  1. WHO performance status >2.
  2. Taking any medications or herbal supplements that are known to be strong inhibitors of CYP3A4 within at least 14 days before the first dose of ponatinib.
  3. Creatinine levels > 2.5mg/dl or glomerular filtration rate (GFR) < 20 ml/min or proteinuria >3.5 g/day.
  4. Active HBV or HCV hepatitis, or AST/ALT > 2.5 x ULN and bilirubin > 1.5 x ULN.
  5. History of acute pancreatitis within 1 year of study or history of chronic pancreatitis.
  6. History of alcohol abuse
  7. Ongoing or active infections
  8. Uncontrolled hypertriglyceridemia (triglycerides >450 mg/dL).
  9. Clinically significant, uncontrolled or active cardiovascular disease, specifically including, but not restricted to: - Any history of myocardial infarction, stroke, or revascularization, unstable angina or transient ischemic attack within 6 months prior to enrollment, - Congestive heart failure within 6 months prior to enrollment, or left ventricular ejection fraction (LVEF) less than lower limit of normal per local institutional standards, - History of clinically significant (as determined by the treating physician) atrial arrhythmia, - Any history of ventricular arrhythmia, - Any history of venous thromboembolism including deep venous thrombosis or pulmonary embolism.
  10. Uncontrolled hypertension (diastolic blood pressure >90 mm Hg; systolic >140 mm Hg). Patients with hypertension should be under treatment on study entry to effect blood pressure control.
  11. Taking medications that are known to be associated with torsades de pointes
  12. Gastrointestinal (GI) function impairment, or a GI disease that may significantly alter the absorption of study drugs.
  13. Patients who are currently receiving treatment with any of the medications with potential to prolong QT interval (listed in Appendix F) if the medications cannot be either discontinued or switched to a different medication prior to starting study drug
  14. Patients who have received any investigational drug = 4 weeks.
  15. Patients who have undergone major surgery = 2 weeks prior to starting study drug or who have not recovered from side effects of such therapy
  16. Patients who are pregnant or breast feeding and adults of reproductive potential not employing an effective method of birth control (women of childbearing potential must have a negative serum pregnancy test within 48 hrs. prior to administration of Ponatinib). Postmenopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential. Male and female patients must agree to employ two effective reliable methods of birth control throughout the study and for up to 12 months following discontinuation of study drugs
  17. Patients with a history of another primary malignancy that is currently clinically significant or currently requires active intervention
  18. Patients unwilling or unable to comply with the protocol

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary endpoint of this study is to evaluate clinical response - in terms of MRD negativity rate after 3 cycles (TP2) in patients with BCR/ABL1-like ALL treated with a Ponatinib plus chemotherapy approach.

Secondary endpoints 9

  1. The rate of MRD negativity at 2 timepoints TP1, TP3
  2. DFS at 24 months
  3. EFS at 24 months
  4. CIR estimation from CR achievement at 24 months
  5. OS at 24 months
  6. Treatment-related mortality (TRM)
  7. Rate of patients in CR after TP2
  8. Rate of patients who undego transplantion and who complete the Chemotherapy plus ponatinib scheme
  9. Rate of Adverse Events (AEs) and Seriuos AEs related to Ponatinib

Investigational products

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

Test 2

Iclusig 15 mg film-coated tablets

PRD4563022 · 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 USE
Max daily dose
15 mg milligram(s)
Max total dose
12.26 g gram(s)
Max treatment duration
32 Month(s)
Authorisation status
Authorised
ATC code
L01EA05 — -
Marketing authorisation
EU/1/13/839/001
MA holder
INCYTE BIOSCIENCES DISTRIBUTION B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Iclusig 15 mg film-coated tablets

PRD4872103 · 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 USE
Max daily dose
30 mg milligram(s)
Max total dose
24.51 g gram(s)
Max treatment duration
32 Month(s)
Authorisation status
Authorised
ATC code
L01EA05 — -
Marketing authorisation
EU/1/13/839/002
MA holder
INCYTE BIOSCIENCES DISTRIBUTION B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 14

Vincristine Sulfate

SUB05101MIG · Substance

Active substance
Vincristine Sulfate
Pharmaceutical form
SOLUTION FOR INJECTION OR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
2 mg/m2 milligram(s)/sq. meter
Max total dose
32 mg/m2 milligram(s)/sq. meter
Max treatment duration
16 Day(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
TABLET
Route of administration
ORAL
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
45250 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

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
240 mg milligram(s)
Max treatment duration
12 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Folinic Acid

SUB13910MIG · Substance

Active substance
Folinic Acid
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
37.5 mg/m2 milligram(s)/sq. meter
Max total dose
787.5 mg/m2 milligram(s)/sq. meter
Max treatment duration
6 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Prednisone

SUB10020MIG · Substance

Active substance
Prednisone
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
40 mg/m2 milligram(s)/sq. meter
Max total dose
1600 mg/m2 milligram(s)/sq. meter
Max treatment duration
40 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Idarubicin Hydrochloride

SUB02635MIG · Substance

Active substance
Idarubicin Hydrochloride
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
12 mg/m2 milligram(s)/sq. meter
Max total dose
84 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

Dexamethasone Disodium Phosphate

SUB122698 · Substance

Active substance
Dexamethasone Disodium Phosphate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
10 mg/m2 milligram(s)/sq. meter
Max total dose
300 mg/m2 milligram(s)/sq. meter
Max treatment duration
30 Day(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
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS (IV) OR SUBCUTANEOUS (SC)
Max daily dose
4000 mg/m2 milligram(s)/sq. meter
Max total dose
16900 mg/m2 milligram(s)/sq. meter
Max treatment duration
16 Day(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
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS (IV) OR SUBCUTANEOUS (SC)
Max daily dose
50 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
12 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Lenograstim

SUB02888MIG · Substance

Active substance
Lenograstim
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
SUBCUTANEOUS
Max daily dose
5 µg/Kg microgram(s)/kilogram
Max total dose
840 µg/Kg microgram(s)/kilogram
Max treatment duration
24 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
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
2500 mg/m2 milligram(s)/sq. meter
Max total dose
8580 mg/m2 milligram(s)/sq. meter
Max treatment duration
75 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
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
12.5 mg milligram(s)
Max total dose
150 mg milligram(s)
Max treatment duration
12 Day(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
POWDER FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
1000 mg/m2 milligram(s)/sq. meter
Max total dose
5200 mg/m2 milligram(s)/sq. meter
Max treatment duration
13 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Filgrastim

SUB07627MIG · Substance

Active substance
Filgrastim
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
SUBCUTANEOUS
Max daily dose
5 µg/Kg microgram(s)/kilogram
Max total dose
840 µg/Kg microgram(s)/kilogram
Max treatment duration
24 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

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

OrganisationCity, countryDuties
Laboratorio Ematologia, Azienda Policlinico "Umberto I", Diapartimento Medicina Traslaz. e di Precis
ORL-000006908
Roma, Italy Laboratory analysis

Locations

1 EU/EEA country · 36 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruiting 32 36
Rest of world 0

Investigational sites

Italy

36 sites · Ongoing, recruiting
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
DIPARTIMENTO DI MEDICINA SPECIALISTICA, DIAGNOSTICA E SPERIMENTALE (DIMES), Via Pietro Albertoni 15, 40138, Bologna
Istituto Europeo di Oncologia - Milano
DIVISIONE DI ONCOEMATOLOGIA, Via Ripamonti,435, Italy, Milano
Azienda Ospedaliera Di Rilievo Nazionale Antonio Cardarelli
DIPARTIMENTO DI EMATOLOGIA, Via Antonio Cardarelli 9, 80131, Naples
Azienda Ospedaliero-Universitaria Sant Andre
DIPARTIMENTO SCIENZE ONCOLOGICHE, Via Di Grottarossa 1035-1039, 00189, Rome
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII
Dipartimento di Oncologia ed Ematologia, Piazza Oms 1, 24127, Bergamo
Careggi University Hospital
DIPARTIMENTO DI MEDICINA SPERIMENTALE E CLINICA, Largo Giovanni Alessandro Brambilla 3, 50134, Florence
Fondazione Policlinico Universitario Campus Bio-Medico
Divisione Ematologia, Via Alvaro Del Portillo N 200, 00128, Rome
Fondazione IRCCS Policlinico San Matteo
DIPARTIMENTO ONCOLOGIA, Viale Camillo Golgi 19, 27100, Pavia
Azienda Sanitaria Universitaria Friuli Centrale
DIPARTIMENTO DI MEDICINA SPECIALISTICA, Via Pozzuolo 330, 33100, Udine
AORN San Giuseppe Moscati Avellino
Onco-Ematologico, Contrada Amoretta, 83100, Avellino
Azienda Ospedaliera Universitaria Senese
DIPARTIMENTO DI SCIENZE MEDICHE, CHIRURGICHE E NEUROSCIENZE, Strada Delle Scotte 14, 53100, Siena
Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello
DIPARTIMENTO DI ONCOLOGIA, Viale Strasburgo 233, 90146, Palermo
Azienda Unita Sanitaria Locale Di Piacenza
DIPARTIMENTO ONCOLOGIA - EMATOLOGIA, Via Antonio Anguissola 15, 29121, Piacenza
Hospital Santa Maria Della Misericordia
DIPARTIMENTO DI MEDICINA E CHIRURGIA, Piazzale Giorgio Menghini 1, 06129, Perugia
Azienda Ospedaliera Policlinico Universitario Tor Vergata
DIPARTIMENTO DI MEDICINA, Viale Oxford 81, 00133, Rome
Azienda Ospedaliera Ospedale Niguarda Ca Granda
DIPARTIMENTO DI EMATOLOGIA ED ONCOLOGIA, Piazza Dell'ospedale Maggiore 3, 20162, Milan
Ospedale San Raffaele S.r.l.
AREA ONCOLOGICA, Via Olgettina 60, 20132, Milan
Azienda Ospedaliero Universitaria Policlinico G Rodolico San Marco Di Catania
DIPARTIMENTO DI CHIRURGIA GENERALE E SPECIALITA' MEDICO CHIRURGICHE, Via Santa Sofia 78, 95123, Catania
Azienda Ospedaliero-Universitaria Maggiore Della Carita
DIMECS E DIPARTIMENTO ONCOLOGICO, Corso Giuseppe Mazzini 18, 28100, Novara
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
DIPARTIMENTO DI DIAGNOSTICA PER IMMAGINI, RADIOTERAPIA ONCOLOGICA ED EMATOLOGIA, Largo Francesco Vito 1, 00168, Rome
Azienda Ospedaliera Universitaria Integrata Verona
DAI MEDICO GENERALE, Piazzale Aristide Stefani 1, 37126, Verona
University Hospital Of Ferrara
DIPARTIMENTO ONCOLOGIA - EMATOLOGIA, Cona, Via Aldo Moro 8, Ferrara
Azienda Sanitaria Locale Di Salerno
EMATOLOGIA, Via Nizza 146, 84124, Salerno
Azienda Unita Sanitaria Locale Della Romagna
DIPARTIMENTO ONCOEMATOLOGICO, Via Alcide De Gasperi 8, 48121, Ravenna
Ospedale Vito Fazzi Lecce
POLO ONCOLOGICO “GIOVANNI PAOLO II”, Piazza Filippo Muratore 1, 73100, Lecce
Azienda Sanitaria Locale Di Pescara
DIPARTIMENTO ONCOLOGICO-EMATOLOGICO, Via Renato Paolini 47, 65124, Pescara
ULSS3 SERENISSIMA - Ospedale dell'Angelo di Mestre
UO EMATOLOGIA, via Paccagnella 11, Italy
Azienda Ospedaliero-Universitaria Policlinico Umberto I
DIPARTIMENTO DI MEDICINA TRASLAZIONALE E DI PRECISIONE, Viale Del Policlinico 155, 00161, Rome
Azienda Unita Locale Socio Sanitaria N 8 Berica
DIPARTIMENTO STRUTTURALE ONCOLOGIA CLINICA, Viale Ferdinando Rodolfi 37, 36100, Vicenza
Azienda Ospedaliera Universitaria Federico II Di Napoli
DIPARTIMENTO DI MEDICINA CLINICA E CHIRURGIA, Via Sergio Pansini 5, 80131, Naples
Azienda Ospedale-Universita Padova
DIPARTIMENTO DI EMATOLOGIA ED IMMUNOLOGIA CLINICA, Via Nicolo' Giustiniani 2, 35128, Padova
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
DIPARTIMENTO DI MEDICINA INTERNA, Via Francesco Sforza 28, 20122, Milan
Azienda Unita Sanitaria Locale Della Romagna
DIPARTIMENTO ONCOEMATOLOGICO, Viale Luigi Settembrini 2, 47923, Rimini
Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino
DIPARTIMENTO DI ONCOLOGIA ED EMATOLOGIA, Corso Bramante 88, 10126, Turin
Azienda Ospedaliera Ordine Mauriziano Di Torino
DIPARTIMENTO DI SCIENZE CLINICHE E BIOLOGICHE, Via Ferdinando Magellano 1, 10128, Turin
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
DIPARTIMENTO DI ONCOLOGIA CLINICA, Piazzale Spedali Civili 1, 25123, Brescia

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2022-10-05 2022-10-29

Results and documents

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

Documents 12 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-510240-20-00_Redacted 1
Recruitment arrangements (for publication) K1_Recruitment arrangement 1
Recruitment arrangements (for publication) K1_Recruitment arrangement_Blank document 1
Subject information and informed consent form (for publication) L1_Dear Doctor Letter 1
Subject information and informed consent form (for publication) L1_ICF Study_redacted 1.2
Subject information and informed consent form (for publication) L1_ICF translational study_redacted 1.1
Subject information and informed consent form (for publication) L1_PP study_redacted 1.1
Subject information and informed consent form (for publication) L1_PP translational study_redacted 1.1
Subject information and informed consent form (for publication) L1_SIS translational study_redacted 1.1
Subject information and informed consent form (for publication) L1_SIS study_redacted 1.2
Summary of Product Characteristics (SmPC) (for publication) E1_SmPC ponatinib IT 1
Synopsis of the protocol (for publication) D1_Protocol synopsis IT 2023-510240-20-00_Redacted 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-27 Italy Acceptable
2024-07-10
2024-07-16
2 SUBSTANTIAL MODIFICATION SM-1 2025-03-06 Italy Acceptable 2025-05-13