Study to allow patients with cMET-dependent malignancies to continue capmatinib treatment

2024-510948-31-00 Protocol CINC280A2X02B Therapeutic exploratory (Phase II) Ongoing, recruitment ended

Start 4 Jul 2017 · Status Ongoing, recruitment ended · 3 EU/EEA countries · 4 sites · Protocol CINC280A2X02B

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruitment ended
Participants planned 20
Countries 3
Sites 4

cMET-dependent malignancies

To evaluate long term safety as assessed by the occurrence of AEs/SAEs.

Key facts

Sponsor
Novartis Pharma AG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
4 Jul 2017 → ongoing
Decision date (initial)
2024-06-12
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Novartis Pharma AG

External identifiers

EU CT number
2024-510948-31-00
EudraCT number
2016-005144-42

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

To evaluate long term safety as assessed by the occurrence of AEs/SAEs.

Conditions and MedDRA coding

cMET-dependent malignancies

VersionLevelCodeTermSystem organ class
21.0 LLT 10048683 Advanced cancer 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Participant is currently receiving capmatinib treatment (within Novartis-sponsored study which is eligible and approved to transition participants to rollover study) as single agent or in combination or is receiving a combination treatment alone
  2. Participant is currently deriving clinical benefit from study treatment as determined by the Investigator
  3. Willingness and ability to comply with scheduled visits, treatment plans and any other study procedures
  4. Written informed consent obtained prior to enrolling in the rollover study and receiving study medication. If consent cannot be expressed in writing, it must be formally documented and witnessed, ideally via an independent trusted witness

Exclusion criteria 5

  1. Participant is currently not receiving any study treatment due to unresolved toxicities for which study treatment dosing has been interrupted or permanently discontinued in the parent protocol (participants meeting all other eligibility criteria may be enrolled once toxicities have resolved to allow study treatment dosing to resume)
  2. Pregnant or nursing (lactating) women
  3. Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception while taking study treatment and for at least 7 days or following combination treatment parent trial recommendation (whichever is longer) of study treatment after stopping medication Highly effective contraception methods include: • Total abstinence (when this is in line with the preferred and usual lifestyle of the participant. Periodic abstinence (e.g., calendar, ovulation, symptothermal, postovulation methods) and withdrawal are not acceptable methods of contraception. • Female bilateral tubal ligation, female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy or total hysterectomy at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow-up hormone level assessment. • Male sterilization (at least 6 months prior to screening). For female participants on the study, the vasectomized male partner should be the sole partner for that participant. • Use of oral, (estrogen and progesterone), injected or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS), or other forms of hormonal contraception that have comparable efficacy (failure rate <1%), for example hormone vaginal ring or transdermal hormone contraception In case of use of oral contraception women should have been stable on the same pill for a minimum of 3 months before taking study treatment. Women are considered post-menopausal if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g., age-appropriate history of vasomotor symptoms). Women are considered not of childbearing potential if they are post-menopausal or have had surgical bilateral oophorectomy (with or without hysterectomy), total hysterectomy or bilateral tubal ligation at least six weeks prior to enrollment on study. In the case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow-up hormone level assessment is she considered to be not of childbearing potential. Sexually active males unwilling to use a condom during intercourse while taking study treatment and for at least 7 days or following combination treatment of the parent trial combination recommendation (whichever is longer) after stopping study treatment. A condom is required for all sexually active male participants to prevent them from fathering a child AND to prevent delivery of study treatment via seminal fluid to their partner. In addition, male participants must not donate sperm for the time period specified above.
  4. Concurrent participation in another clinical study other than a parent clinical study
  5. Participants who received live vaccines (e.g., intranasal influenza, measles, mumps, rubella, oral polio, BCG, yellow fever, varicella, TY21a typhoid vaccines and COVID-19 vaccines) within 30 days prior to the first dose of study treatment

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Safety: Frequency and severity of AEs/SAEs

Investigational products

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

Test 6

Gefitinib

SUB20637 · Substance

Active substance
Gefitinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
250 mg milligram(s)
Max total dose
912.5 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Study specific label

EGF816

PRD10985321 · Product

Active substance
Nazartinib
Substance synonyms
EGF816
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
100 mg milligram(s)
Max total dose
365 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

EGF816

PRD10985319 · Product

Active substance
Nazartinib
Substance synonyms
EGF816
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
100 mg milligram(s)
Max total dose
365 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

EGF816

PRD10985320 · Product

Active substance
Nazartinib
Substance synonyms
EGF816
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
100 mg milligram(s)
Max total dose
365 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

INC280

PRD5134826 · Product

Active substance
Capmatinib
Pharmaceutical form
FILM COATED TABLET
Route of administration
ORAL
Max daily dose
800 mg milligram(s)
Max total dose
96 kg kilogram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

INC280

PRD5134827 · Product

Active substance
Capmatinib
Pharmaceutical form
FILM COATED TABLET
Route of administration
ORAL
Max daily dose
800 mg milligram(s)
Max total dose
96 kg kilogram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Novartis Pharma AG

Sponsor organisation
Novartis Pharma AG
Address
Lichtstrasse 35
City
Basel
Postcode
4056
Country
Switzerland

Scientific contact point

Organisation
Novartis Pharma AG
Contact name
Novartis Pharma Arzneimittel GmbH

Public contact point

Organisation
Novartis Pharma AG
Contact name
Novartis Pharma Arzneimittel GmbH

Third parties 6

OrganisationCity, countryDuties
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland On site monitoring
Syneos Health Inc.
ORG-100008382
Morrisville, United States On site monitoring
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland Code 12
Opis S.r.l.
ORG-100011127
Desio, Italy Other
Mipharm S.p.A.
ORG-100000724
Milan, Italy Other
IQVIA Limited
ORG-100008655
Reading, United Kingdom On site monitoring, Interactive response technologies (IRT)

Locations

3 EU/EEA countries · 4 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 5 1
Germany Ongoing, recruitment ended 4 2
Italy Ongoing, recruitment ended 2 1
Rest of world
Singapore, Korea, Republic of, China, Canada, United States
9

Investigational sites

Belgium

1 site · Ongoing, recruitment ended
UZ Leuven
3400: Pneumology, Herestraat 49, 3000, Leuven

Germany

2 sites · Ongoing, recruitment ended
Medizinische Hochschule Hannover
1600: Klinik für Hämatologie, Hämostaseologie, Onkologie und Stammzelltransplantation, Carl-Neuberg-Strasse 1, Gross Buchholz, Hanover
University Hospital Cologne AöR
1602: Klinik I fuer Innere Medizin - LCGC, Kerpener Strasse 62, Lindenthal, Cologne

Italy

1 site · Ongoing, recruitment ended
European Institute Of Oncology S.r.l.
3002: Divisione di Oncologia Toracica, Via Giuseppe Ripamonti 435, 20141, Milan

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 2023-01-03 2023-01-03 2023-03-13
Germany 2017-07-04 2017-07-04 2023-03-15
Italy 2020-07-08 2020-07-08 2023-04-11

Results and documents

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

Documents 23 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol - Signature Page_2024-510948-31-00_1_English_Red 07
Protocol (for publication) D1_Protocol_2024-510948-31-00_1_English_Red 07
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_BE_English_NonRed 12Jul2022
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_DE_English_NonRed v01
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_IT_Italian_NonRed 1.0
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_DE_German_NonRed v06.04.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_IT_Italian_NonRed v06.04.03
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_DE_German_NonRed v06.04.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_IT_Italian_NonRed v06.04.03
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_DE_German_NonRed v00.00.01
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_IT_Italian_NonRed v06.03.03
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_BE_Dutch_NonRed 06.08.05
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_BE_English_NonRed 06.08.05
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_BE_French_NonRed 06.08.05
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_DE_German_NonRed v06.08.11
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_IT_Italian_Red v06.08.03
Subject information and informed consent form (for publication) L2_ICF Procedure_1_BE_English_NonRed 04Jul2022
Subject information and informed consent form (for publication) L2_ICF Procedure_1_DE_English_NonRed v01
Summary of Product Characteristics (SmPC) (for publication) E2_Reference Label_1_gefitinib_English_NonRed 23.04.2014
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-510948-31_1_Dutch_NonRed 27Nov2024
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-510948-31_1_French_NonRed 27Nov2024
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-510948-31_1_German_NonRed 27Nov2024
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-510948-31_1_Italian_NonRed 07.04

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-02 Germany Acceptable
2024-06-11
2024-06-12
2 SUBSTANTIAL MODIFICATION SM-1 2024-12-12 Germany Acceptable
2025-03-24
2025-03-24
3 SUBSTANTIAL MODIFICATION SM-2 2025-10-29 Acceptable 2025-12-22
4 NON SUBSTANTIAL MODIFICATION NSM-1 2026-01-29 Germany Acceptable 2026-01-29
5 SUBSTANTIAL MODIFICATION SM-3 2026-03-16 Acceptable 2026-04-14