A study to continue providing GME751 (a new medicine that is similar to pembrolizumab) to participants who are eligible for pembrolizumab treatment after participation in previous studies (CGME751A12101 or CGME751A12301)

2024-513160-25-00 Protocol CGME751A12302 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 30 Oct 2024 · Status Ongoing, recruitment ended · 3 EU/EEA countries · 27 sites · Protocol CGME751A12302

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 529
Countries 3
Sites 27

Melanoma and Non-small-cell lung cancer

To descriptively assess the safety of continued treatment with GME751, based on the occurrence of SAEs

Key facts

Sponsor
H e x a l AG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
30 Oct 2024 → ongoing
Decision date (initial)
2025-03-13
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Hexal AG

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

To descriptively assess the safety of continued treatment with GME751, based on the occurrence of SAEs

Conditions and MedDRA coding

Melanoma and Non-small-cell lung cancer

VersionLevelCodeTermSystem organ class
20.0 LLT 10079440 Non-squamous non-small cell lung cancer 10029104
21.1 PT 10025669 Malignant melanoma stage II 100000004864
21.1 PT 10025670 Malignant melanoma stage III 100000004864

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
No
EU CT numberTitleSponsor
2023-506881-30-00 A randomized, double-blind, parallel-group study to compare pharmacokinetics of GME751 (proposed pembrolizumab biosimilar) and US-licensed and EU-authorized Keytruda® in participants with stage II and III melanoma requiring adjuvant treatment with pembrolizumab H e x a l AG
2023-506882-70-00 A randomized, double-blind, parallel-group study to compare efficacy, safety, and immunogenicity of GME751 (proposed pembrolizumab biosimilar) and EU-authorized Keytruda® in adult participants with untreated metastatic non-squamous non-small cell lung cancer (NSCLC) H e x a l AG

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Signed informed consent must be obtained prior to participation in the study.
  2. Participant must be at least 18 years of age (or the legal age of consent in the jurisdiction in which the study is taking place) on the day of signing informed consent.
  3. Participants of Study 101 or Study 301 who are judged to benefit from continued treatment with pembrolizumab by their Investigator.
  4. Participants who have demonstrated compliance with Study 101 or Study 301 protocol requirements as assessed by their Investigator.
  5. Participants who completed Study 101 or Study 301 as per protocol OR who discontinued treatment and consequently study participation in Study 101 or 301 Note: Examples for discontinued participants: • Study 101, e.g. participants who did not receive pembrolizumab within the predefined visit schedule window, • Study 301, e.g. participants with unacceptable toxicity to background chemotherapy Cis-/Carboplatin and/or Pemetrexed.
  6. Participants who discontinued from Study 301 based on Sponsor´s decision to terminate Study 301

Exclusion criteria 4

  1. Participants who experienced disease recurrence during Study 101 or Study 301
  2. Participants who experienced disease progression during Study 301
  3. Participants who experienced unacceptable toxicity related to pembrolizumab during Study 101 or Study 301
  4. Participants who have full reimbursable access to Keytruda for their indication.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Cohort A (Melanoma): SAEs up to 6 – 12 months (EOS/ED) after start of treatment in Study 302 Cohort B (NSCLC): SAEs up to 12- 24 months (EOS/ED) after start of treatment in Study 302

Investigational products

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

Test 1

pembrolizumab

PRD10822834 · Product

Active substance
Pembrolizumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
400 mg milligram(s)
Max total dose
3200 mg milligram(s)
Max treatment duration
24 Month(s)
Authorisation status
Not Authorised
ATC code
L01FF02 — -
MA holder
HEXAL AG
Paediatric formulation
No
Orphan designation
No

Auxiliary 1

Pemetrexed STADA® 25 mg/ml Konzentrat zur Herstellung einer Infusionslösung

PRD3860023 · Product

Active substance
Pemetrexed Disodium Hemipentahydrate
Substance synonyms
Pemetrexed disodium 2.5-hydrate
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
500 mg/m2 milligram(s)/sq. meter
Max total dose
17000 mg/m2 milligram(s)/square meter
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
L01BA04 — -
Marketing authorisation
93559.00.00
MA holder
STADAPHARM GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

H e x a l AG

Sponsor organisation
H e x a l AG
Address
Industriestrasse 25
City
Holzkirchen
Postcode
83607
Country
Germany

Scientific contact point

Organisation
H e x a l AG
Contact name
Biosimilar Clinical Trials Information Point

Public contact point

Organisation
H e x a l AG
Contact name
Biosimilar Clinical Trials Information Point

Third parties 1

OrganisationCity, countryDuties
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland On site monitoring, Code 10, Code 11, Code 12, Code 13, Code 14, Code 2, Code 5, Data management, E-data capture, Code 8

Locations

3 EU/EEA countries · 27 investigational sites

By country

CountryMS statusPlanned subjectsSites
Lithuania Ongoing, recruitment ended 10 2
Romania Ongoing, recruitment ended 36 10
Spain Ongoing, recruitment ended 29 15
Rest of world
Bosnia and Herzegovina, Taiwan, Vietnam, Turkey, Serbia, United States, Brazil, Japan, Korea, Republic of, Moldova, Republic of, Georgia, South Africa, India, Thailand, Malaysia, North Macedonia, Mexico, Philippines
454

Investigational sites

Lithuania

2 sites · Ongoing, recruitment ended
Klaipedos universiteto ligonine VšĮ
#2600: Chemotherapy, Liepojos G. 41, Klaipedos M. Sav., Klaipeda
Nacionalinis vezio institutas
#2601: Conservative Tumour Therapy, Santariskiu G. 1, Vilniaus M. Sav., Vilnius

Romania

10 sites · Ongoing, recruitment ended
Centrul De Oncologie-Euroclinic S.R.L.
3208: Oncology, Strada Conta Vasile 2, 700106, Iasi
Medisprof S.R.L.
3202: Oncology, Bulevardul Muncii 96, 400641, Cluj-Napoca
Oncolab S.R.L.
3206: Medical oncology, Strada Bujorului 7, 200385, Craiova
Oncomed S.R.L.
3205: Medical Oncology, Strada Porumbescu Ciprian 57-59, 300239, Timisoara
Institutul Oncologic Prof. Dr. Alexandru Trestioreanu Bucuresti
3200: Medical Oncology II Department, Radiotherapy I Department, Soseaua Fundeni 252, 022328, Bucharest
Radiotherapy Center Cluj S.R.L.
3203: Oncology, Str. Razoare Nr. 486g Jud. Cluj, 407280, Floresti
Centrul De Oncologie SF Nectarie S.R.L.
3210: Oncology, Strada Caracal Nr 109, 200542, Craiova
Institute Of Oncology Prof. Dr. Ion Chiricuta Cluj-Napoca
3201: Radiotherapy Department, Strada Republicii 34-36, 400015, Cluj-Napoca
Oncocenter Oncologie Clinica S.R.L.
3204: Oncology, Strada Garii 1a, 300166, Timisoara
Onco Clinic Consult S.A.
3207: Oncology, Strada Sararilor 28j, 200508, Craiova

Spain

15 sites · Ongoing, recruitment ended
Complexo Hospitalario Universitario De Santiago
3607; Oncología Médica, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Universitario Virgen De La Macarena
3610; Oncología Médica, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital San Pedro De Alcantara
3611; Oncología, Avenida De Pablo Naranjo Porras S/n, 10002, Caceres
Institut Catala D'oncologia
3603; Oncología Médica, Carretera Canyet S/n, 08916, Badalona
Fundacion Instituto Valenciano De Oncologia
3606; Oncología, Calle Professor Beltran Baguena 8, 46009, Valencia
Hospital Universitario Y Politecnico La Fe
3609; Onco-Hematologia Pediatrica, Avenida Fernando Abril Martorell 106, 46026, Valencia
University Hospital Virgen Del Rocio S.L.
3608; Oncología, Avenida De Manuel Siurot S/n, 41013, Sevilla
University Clinical Hospital Virgen De La Arrixaca
3600; Oncología, Carretera Madrid-Cartagena S/N, El Palmar, Murcia
Hospital Universitari Vall D Hebron
3601; Oncología Médica, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital De La Santa Creu I Sant Pau
3602; Oncología Médica, Carrer De San Quinti 89, 08041, Barcelona
Hospital Universitario Miguel Servet
3605; Oncología, Paseo De Isabel La Catolica 1-3, 50009, Zaragoza
Hospital Universitario Fundacion Jimenez Diaz
3604; Oncología Médica, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitario Central De Asturias
3612: Oncología Médica, Avenida De Roma S/n, 33011, Oviedo
Fundacion Centro Oncologico Regional De Galicia Jose Antonio Quiroga Y Pineyro
3613: Oncología Médica, Rua Doctor Camilo Veiras 1, 15009, A Coruna
Hospital Universitario Reina Sofia
3614: Oncología Médica, Avenida Menendez Pidal S/n, 14004, Cordoba

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Lithuania 2025-03-26 2025-03-27 2026-02-19
Romania 2024-10-30 2024-11-15 2026-05-07
Spain 2025-04-16 2025-04-21 2025-12-29

Results and documents

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

Documents 18 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol Amendment Main English Public 4.0
Protocol (for publication) D1_Protocol Amendment Main_Signature Page English Public 4.0
Recruitment arrangements (for publication) K1_LTU Recruitment and Informed Consent Procedure_Public 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_Country ICF Procedure English Public 1.0
Recruitment arrangements (for publication) K2_Recruitment Procedure Description English Public 1.0
Subject information and informed consent form (for publication) L1_ICF - LTU Country ICF Future Research Lithuanian Public v1.0
Subject information and informed consent form (for publication) L1_ICF - LTU Country ICF Main Lithuanian Public 2.0
Subject information and informed consent form (for publication) L1_ICF - LTU Country ICF Other Lithuanian Public 2.0
Subject information and informed consent form (for publication) L1_ICF - ROU Country ICF Main_Cohort A Romanian Public 2.0
Subject information and informed consent form (for publication) L1_ICF - ROU Country ICF Main_Cohort B Romanian Public 2.0
Subject information and informed consent form (for publication) L1_ICF - ROU Country ICF Other Romanian Public 2.0
Subject information and informed consent form (for publication) L1_ICF Main Cohort A Mel Spanish Public 2.0
Subject information and informed consent form (for publication) L1_ICF Main Cohort B Lung Spanish Public 1.0
Subject information and informed consent form (for publication) L1_ICF Other Pregnant Partner Spanish Public 2.0
Synopsis of the protocol (for publication) D1_ESP Lay Protocol Synopsis Main Spanish Public 2.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main English Public 2.0
Synopsis of the protocol (for publication) D1_LTU Lay Protocol Synopsis Main Lithuanian Public 2.0
Synopsis of the protocol (for publication) D1_ROU Lay Protocol Synopsis Main Romanian Public 2.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-07 Romania Acceptable
2024-09-13
2024-09-16
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-10-14 Romania Acceptable
2024-09-13
2024-10-14
3 SUBSTANTIAL MODIFICATION SM-1 2024-11-08 Romania Acceptable 2025-02-10
4 SUBSEQUENT ADDITION OF MSC APP-4 2024-12-09 Acceptable
2024-09-13
2025-03-13
5 SUBSEQUENT ADDITION OF MSC APP-5 2025-03-12 Acceptable
2024-09-13
2025-04-10
6 SUBSTANTIAL MODIFICATION SM-2 2025-08-08 Romania Acceptable
2025-09-22
2025-09-23