Brain cancer and changes in immune system

2024-512136-30-00 Therapeutic use (Phase IV) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruitment pending
Participants planned 175
Countries 1
Sites 2

Glioblastoma multiforme

An open label, Phase IV study to assess immunological changes in patients with glioblastoma multiforme treated with bevacizumab infusion

Key facts

Sponsor
Orszagos Onkologiai Intezet
Participant type
Patients, Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04], Diseases [C] - Nervous System Diseases [C10]
Decision date (initial)
2024-06-28
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
National Institute of Oncology

External identifiers

EU CT number
2024-512136-30-00
EudraCT number
2022-002700-21

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

An open label, Phase IV study to assess immunological changes in patients with glioblastoma multiforme treated with bevacizumab infusion

Secondary objectives 1

  1. Overall survival

Conditions and MedDRA coding

Glioblastoma multiforme

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1.  Not recurrent glioblastoma multiforme patients (either after opus or with no opus) before radiotherapy and temozolomide therapy.  Recurrent patients who have already undergone other therapeutic intervention (surgery, radiotherapy and temozolomide therapy) and due to the recurrence of the disease, based on clinical experience, it is justified to start bevacizumab therapy.  Known relapse patients who are already receiving bevacizumab therapy.

Exclusion criteria 1

  1.  Unwillingness to sign the written Informed Consent Form.  History of psychiatric diseases and treatment.  Hypersensitivity to the active substance or to any of the excipients.  Hypersensitivity to Chinese Hamster Ovary (CHO) cell products or other recombinant human or humanised antibodies.  Participation in another clinical trial within 3 months prior to this study.  Known drug or chronic alcohol abuse, drug addiction.  Malignant disease other than GBM.  Legal incapacity and/or other circumstances rendering the subject unable to understand the nature, scope and possible consequences of the study.  Evidence of an uncooperative attitude.  Vulnerable subject.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. 1. Immunological changes in patients during the course of the disease before and under bevacizumab treatment, which might predict the course of the disease. 2. Local relapse free survival 3. Progression free survival 4. Overall survival.

Secondary endpoints 1

  1. Investigation of plasma-derived extracellular vesicles (EV), their micro-RNA and protein content, and free DNA-RNA fragments. We do not perform genome sequencing.

Investigational products

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

Test 1

Bevacizumab

SUB16402MIG · Substance

Active substance
Bevacizumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
10 mg/Kg milligram(s)/kilogram
Max total dose
110 mg/Kg milligram(s)/kilogram
Max treatment duration
120 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 2

Bevacizumab

SUB16402MIG · Substance

Active substance
Bevacizumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
110 mg/Kg milligram(s)/kilogram
Max treatment duration
120 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Avastin 25 mg/ml concentrate for solution for infusion.

PRD2153902 · Product

Active substance
Bevacizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
110 mg/kg milligram(s)/kilogram
Max treatment duration
120 Month(s)
Authorisation status
Authorised
ATC code
L01FG01 — -
Marketing authorisation
EU/1/04/300/002
MA holder
ROCHE REGISTRATION GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Orszagos Onkologiai Intezet

2 Total trials
Academic / Non-commercial
Sponsor organisation
Orszagos Onkologiai Intezet
Address
Rath Gyorgy Utca 7-9, Kerulet Kerulet
City
Budapest XII
Postcode
1122
Country
Hungary

Scientific contact point

Organisation
Orszagos Onkologiai Intezet
Contact name
Orszagos Onkologiai Intezet

Public contact point

Organisation
Orszagos Onkologiai Intezet
Contact name
Orszagos Onkologiai Intezet

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Hungary Authorised, recruitment pending 175 2
Rest of world 0

Investigational sites

Hungary

2 sites · Authorised, recruitment pending
Orszagos Onkologiai Intezet
Dept. of Radiobiology and Diagnostic Oncocytogenetics, Rath Gyorgy Utca 7-9, Kerulet, Budapest XII
University Of Szeged
Oncology Clinic, Koranyi Fasor 12, 6720, Szeged

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
Protocol (for publication) Bevacizumab study protocol modified 20240306 1
Recruitment arrangements (for publication) Recruitmentprocedure_en 1
Subject information and informed consent form (for publication) Glioblastoma tajekoztato es beleegyezo nyilatkozat OOI 1
Subject information and informed consent form (for publication) Glioblastoma tajekoztato es beleegyezo nyilatkozat Szeged 1
Summary of Product Characteristics (SmPC) (for publication) avastin-epar-product-information_en 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-20 Hungary Acceptable
2024-06-27
2024-06-28