Rituximab-Gemcitabine-Dexamethasone-Platinum (R-GDP) with or without Selinexor in Patients with Diffuse Large B-Cell Lymphoma

2024-513616-95-00 Protocol XPORT-DLBCL-30 Phase II and Phase III (Integrated) Ongoing, recruitment ended

Start 22 Dec 2020 · Status Ongoing, recruitment ended · 3 EU/EEA countries · 12 sites · Protocol XPORT-DLBCL-30

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ongoing, recruitment ended
Participants planned 60
Countries 3
Sites 12

Relapsed/Refractory Diffuse Large B-Cell Lymphoma (RR DLBCL)

Phase 2: To compare efficacy (ORR - overall response rate) in patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma (RR DLBCL) treated with Rituximab-Gemcitabine-Dexamethasone-Platinum plus either selinexor 40 mg or selinexor 60 mg to R-GDP alone based on the Lugano 2014 Criteria. Phase 3: To compare Progres…

Key facts

Sponsor
Karyopharm Therapeutics Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15], Diseases [C] - Neoplasms [C04]
Trial duration
22 Dec 2020 → ongoing
Decision date (initial)
2024-11-12
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

External identifiers

EU CT number
2024-513616-95-00
EudraCT number
2020-000605-84
ClinicalTrials.gov
NCT04442022

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacogenomic, Pharmacogenetic, Safety, Therapy, Pharmacodynamic, Efficacy, Pharmacokinetic

Phase 2: To compare efficacy (ORR - overall response rate) in patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma (RR DLBCL) treated with Rituximab-Gemcitabine-Dexamethasone-Platinum plus either selinexor 40 mg or selinexor 60 mg to R-GDP alone based on the Lugano 2014 Criteria.

Phase 3: To compare Progression-free survival (PFS) in patients with RR DLBCL treated with SR-GDP (selinexor + rituximab, gemcitabine, dexamethasone, platinum) followed by selinexor to PR-GDP (placebo plus rituximab, gemcitabine, dexamethasone, platinum) followed by placebo based on the Lugano 2014 Criteria.

Secondary objectives 1

  1. Phase 2: To compare PFS in patients with RR DLBC treated with R-GDP plus either selinexor 40 mg or selinexor 60 mg to R-GDP alone based on the Lugano 2014 Criteria. To assess overall survival (OS) in each treatment arm. Phase 3: To evaluate overall response rate (ORR) in patients with RR DLBCL treated with SR-GDP (selinexor + rituximab, gemcitabine, dexamethasone, platinum) followed by selinexor and with SR-GDP (selinexor + rituximab, gemcitabine, dexamethasone, platinum) followed by placebo compared to PR-GDP (placebo plus rituximab, gemcitabine, dexamethasone, platinum) followed by placebo based on the Lugano 2014 Criteria. To assess OS in each treatment arm.

Conditions and MedDRA coding

Relapsed/Refractory Diffuse Large B-Cell Lymphoma (RR DLBCL)

VersionLevelCodeTermSystem organ class
21.1 LLT 10012857 Diffuse large cell lymphoma (Diffuse large B-cell lymphoma) (Working Formulation) refractory 10029104
21.1 LLT 10012856 Diffuse large cell lymphoma (Diffuse large B-cell lymphoma) (Working Formulation) recurrent 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 12

  1. Patients ≥18 years of age
  2. Have pathologically confirmed de novo DLBCL or DLBCL transformed from previously diagnosed indolent lymphoma (e.g., follicular lymphoma). Patients with high grade lymphoma with c-MYC, Bcl-2 and/or Bcl-6 rearrangements are eligible (Phase 2 only) (Documentation to be provided)
  3. Have received at least 1 but no more than 3 prior lines of systemic therapy for the treatment of DLBCL with relapsed or refractory disease following their most recent regimen (Documentation to be provided) • Salvage chemoimmunotherapy followed by stem cell transplantation will be considered as 1 line of systemic therapy • Maintenance therapy will not be counted as a separate line of systemic therapy • Radiation with curative intent for localized DLBCL will not be counted as 1 line of systemic therapy
  4. Positron emission tomography (PET) positive measurable disease with at least 1 node having longest diameter (LDi) >1.5 cm or 1 extranodal lesion with LDi >1 cm (per the Lugano 2014 Criteria) (Documentation to be provided). The Deauville 5-point scale (D5PS) score assessed on the FDG PET/CT should be between 3 to 5.
  5. Not intended for HSCT or CAR-T cell therapy based on objective clinical criteria determined by the treating physician. Patients who cannot receive HSCT due to active disease are allowed on study (up to approximately 15% of patients enrolled in each Phase). Documentation on lack of intention to proceed to receive HSCT or CAR-T therapy must be provided by the treating physician.
  6. Adequate bone marrow function at screening, defined as (Documentation to be provided): • Absolute neutrophil count ≥1 × 109/L • Platelet count ≥100 × 109/L (without platelet transfusion <14 days prior to C1D1) • Hemoglobin ≥8.5g/dl (without red blood cell transfusion <14 days prior to C1D1)
  7. Circulating lymphocytes ≤50 × 109/L
  8. Adequate liver and kidney function, defined as (Documentation to be provided): • Aspartate transaminase (AST) or alanine transaminase (ALT) ≤2.5 × upper limit of normal (ULN), or ≤5 × ULN in cases with known lymphoma involvement in the liver • Serum total bilirubin ≤2 × ULN, or ≤5 ULN if due to Gilbert syndrome or in cases with known lymphoma involvement in the liver • Calculated creatinine clearance (CrCl) ≥30 mL/min based on Cockcroft-Gault formula
  9. Eastern Cooperative Oncology Group (ECOG) performance status of ≤2
  10. An estimated life expectancy of >3 months at Screening
  11. Patients with primary refractory DLBCL defined as no response or relapse within 6 months after ending first-line treatment will be allowed on study
  12. Agree to highly effective contraception during the duration of the study with contraception use continuing for 12 months after the last dose of study treatment • Female patients of childbearing potential must have a negative serum pregnancy test at Screening and agree to use highly effective methods of contraception throughout the study and for 12 months following the last dose of study treatment (except patients with non-childbearing potential: Age >50 years and naturally amenorrhoeic for >1 year, or previous bilateral salpingo-oophorectomy, or hysterectomy). • Male patients who are sexually active must use highly effective methods of contraception throughout the study and for 12 months following the last dose of study treatment. Male patients must agree not to donate sperm during the study treatment period and for 12 months following the last dose of study treatment.

Exclusion criteria 17

  1. DLBCL with mucosa-associated lymphoid tissue (MALT) lymphoma; composite lymphoma (Hodgkin’s lymphoma + non-Hodgkin’s lymphoma [NHL]); DLBCL transformed from diseases other than indolent NHL; primary mediastinal (thymic) large B-cell lymphoma (PMBL); T-cell rich large B-cell lymphoma.
  2. Any life-threatening illness, medical condition, or organ system dysfunction which, in the Investigator’s opinion, could compromise the patient’s safety, or being compliant with the study procedures
  3. Uncontrolled (i.e., clinically unstable) infection requiring parenteral antibiotics, antivirals, or antifungals within 7 days prior to first dose of study treatment; however, prophylactic use of these agents is acceptable (including parenteral)
  4. Patients with active hepatitis B virus (HBV), hepatitis C virus (HCV) or human immunodeficiency virus (HIV) infections: • Patients with active HBV are allowed if antiviral therapy for hepatitis B has been given for >8 weeks and viral load is <100 IU/mL prior to first dose of study treatment. • Patients with known history of HCV or found to be HCV antibody positive on screening, are allowed if there is documentation of negative viral load per institutional standard. • Patients with HIV are allowed if they have a negative viral load per institutional standard, and no history of acquired immune deficiency syndrome (AIDS)-defining opportunistic infections in the last year.
  5. Inability to swallow tablets, malabsorption syndrome, or any other gastrointestinal disease or dysfunction that could interfere with absorption of study treatment
  6. Breastfeeding or pregnant women
  7. Inability or unwillingness to sign an informed consent form (ICF)
  8. In the opinion of the Investigator, patients who are significantly below their ideal body weight
  9. Patients who received a live attenuated vaccine within prior 28 days of the first dose of study treatment
  10. Previous treatment with selinexor or other XPO1 inhibitors
  11. Contraindication to any drug contained in the combination therapy regimen (SR-GDP)
  12. Known active central nervous system or meningeal involvement due to DLBCL at the time of Screening
  13. Use of any standard or experimental anti-DLBCL therapy (including nonpalliative radiation, chemotherapy, immunotherapy, radio-immunotherapy, or any other anticancer therapy) <21 days prior to Cycle 1 Day 1 (Prednisone <30 mg or equivalent are permitted; palliative radiation is permitted only if on non-target lesions)
  14. Any AE, by Cycle 1 Day 1, which has not recovered to Grade ≤1 (Common Terminology Criteria for Adverse Events [CTCAE] v5.0), or returned to baseline, related to the previous DLBCL therapy, except hematological abnormalities (per Inclusion criteria #6) and alopecia
  15. Major surgery <14 days of Cycle 1 Day 1
  16. Hematopoietic stem cell transplantation/CAR-T therapy as follows: • Autologous HSCT <100 days or allogeneic HSCT <180 days prior to Cycle 1 Day 1 • Active graft-versus-host disease (GVHD) after allogeneic HSCT (or cannot discontinue GVHD treatment or prophylaxis) • CAR-T infusion <90 days prior to Cycle 1
  17. Neuropathy Grade ≥2 (CTCAE v5.0)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Phase 2: overall response rate (ORR) based on the Lugano Classification 2014.
  2. Phase 3: Progression-free survival (PFS) based on the Lugano Classification 2014

Secondary endpoints 2

  1. Phase 2: Progression-free survival (PFS) based on the Lugano Classification 2014. Overall survival
  2. Phase 3: overall response rate (ORR) based on the Lugano Classification 2014. Overall survival.

Investigational products

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

Test 7

Dexametazona Krka 4 mg comprimate

PRD9520304 · Product

Active substance
Dexamethasone
Pharmaceutical form
TABLET
Route of administration
INTRAVENOUS
Max daily dose
40 mg milligram(s)
Max total dose
160 mg milligram(s)
Max treatment duration
126 Week(s)
Authorisation status
Authorised
ATC code
H02AB02 — DEXAMETHASONE
Marketing authorisation
14158/2021/02
MA holder
KRKA, D.D., NOVO MESTO
MA country
Romania
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Selinexor

SUB177942 · Substance

Active substance
Selinexor
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
60 mg milligram(s)
Max total dose
360 mg milligram(s)
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1355
Modified vs. Marketing Authorisation
Yes
Modification description
Although Selinexor is authorized in the EU, clinical trial product batches using the same bulk drug product are packaged by Catalent CTS, LLC (US) and labeled at Almac Clinical Services Limited, Craigavon.

Gemcitabine 2 g Powder for Solution for Infusion

PRD391099 · Product

Active substance
Gemcitabine
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
1000 mg/m2 milligram(s)/sq. meter
Max total dose
126 gm/m2 gram(s)/square meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01BC05 — GEMCITABINE
Marketing authorisation
PL 20075/0262
MA holder
ACCORD HEALTHCARE LIMITED
MA country
United Kingdom
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cisplatin 1 mg/ml Concentrate for Solution for Infusion

PRD8604333 · Product

Active substance
Cisplatin
Substance synonyms
Cis-diamminedichloroplatinum, (SP-4-2)-cis -diamminedichloroplatinum, CDDP
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/sq. meter
Max treatment duration
126 Week(s)
Authorisation status
Authorised
ATC code
L01XA01 — CISPLATIN
Marketing authorisation
PL 20075/0123
MA holder
ACCORD HEALTHCARE LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Carboplatin Hikma 10 mg/ml Konzentrat zur Herstellung einer Infusionslösung

PRD10240124 · Product

Active substance
Carboplatin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
1000 mg/ml milligram(s)/millilitre
Max total dose
1000 mg/ml milligram(s)/millilitre
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L01XA02 — CARBOPLATIN
Marketing authorisation
3002152.00.00
MA holder
HIKMA FARMACÊUTICA (PORTUGAL), S.A.
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rixathon 500 mg concentrate for solution for infusion

PRD6060692 · Product

Active substance
Rituximab
Substance synonyms
CT-P10, PF-05280586, ABP 798, BI 695500, JHL1101, HLX01
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
375 mg/m2 milligram(s)/square meter
Max total dose
375 mg/m2 milligram(s)/sq. meter
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L01FA01 — -
Marketing authorisation
EU/1/17/1185/003
MA holder
SANDOZ GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rixathon 500 mg concentrate for solution for infusion

PRD6060651 · Product

Active substance
Rituximab
Substance synonyms
CT-P10, PF-05280586, ABP 798, BI 695500, JHL1101, HLX01
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
375 mg/m2 milligram(s)/square meter
Max total dose
375 mg/m2 milligram(s)/sq. meter
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L01FA01 — -
Marketing authorisation
EU/1/17/1185/004
MA holder
SANDOZ GMBH
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Selinexor placebo for 20 mg tablets is formulated for oral administration. Selinexor placebo tablets are film coated bi-convex round tablets

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
Route of administration
ORAL
Max daily dose
60 mg milligram(s)
Max total dose
360 mg milligram(s)
Max treatment duration
18 Week(s)
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Although selinexor is authorized in the EU, clinical trial product batches using the same bulk drug product are packaged by Catalent CTS, LLC (US) and labeled at Almac Clinical Services Limited, Craigavon.

Auxiliary 6

Zarzio 48 MU/0.5 ml solution for injection or infusion in pre-filled syringe

PRD6059200 · Product

Active substance
Filgrastim
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
5 µg/Kg microgram(s)/kilogram
Max total dose
5 µg/Kg microgram(s)/kilogram
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L03AA02 — FILGRASTIM
Marketing authorisation
EU/1/08/495/008
MA holder
SANDOZ GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Zarzio 48 MU/0.5 ml solution for injection or infusion in pre-filled syringe

PRD6059714 · Product

Active substance
Filgrastim
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
5 µg/Kg microgram(s)/kilogram
Max total dose
5 µg/Kg microgram(s)/kilogram
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L03AA02 — FILGRASTIM
Marketing authorisation
EU/1/08/495/006
MA holder
SANDOZ GMBH
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Zarzio 48 MU/0.5 ml solution for injection or infusion in pre-filled syringe

PRD6059198 · Product

Active substance
Filgrastim
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
5 µg/Kg microgram(s)/kilogram
Max total dose
5 µg/Kg microgram(s)/kilogram
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L03AA02 — FILGRASTIM
Marketing authorisation
EU/1/08/495/005
MA holder
SANDOZ GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Zarzio 48 MU/0.5 ml solution for injection or infusion in pre-filled syringe

PRD6059199 · Product

Active substance
Filgrastim
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
5 µg/Kg microgram(s)/kilogram
Max total dose
5 µg/Kg microgram(s)/kilogram
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L03AA02 — FILGRASTIM
Marketing authorisation
EU/1/08/495/007
MA holder
SANDOZ GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

EMEND 125 mg+80 mg hard capsules

PRD6279198 · Product

Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
125 mg milligram(s)
Max total dose
125 mg milligram(s)
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
A04AD12 — -
Marketing authorisation
EU/1/03/262/006
MA holder
MERCK SHARP & DOHME B.V.
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ondansetron Aurobindo 8 mg Filmtabletten

PRD925043 · Product

Active substance
Ondansetron
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
24 mg milligram(s)
Max total dose
1176 mg milligram(s)
Max treatment duration
49 Day(s)
Authorisation status
Authorised
ATC code
A04AA01 — ONDANSETRON
Marketing authorisation
87835.00.00
MA holder
PUREN PHARMA GMBH & CO. KG
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Karyopharm Therapeutics Inc.

Sponsor organisation
Karyopharm Therapeutics Inc.
Address
85 Wells Avenue
City
Newton
Postcode
02459-3298
Country
United States

Scientific contact point

Organisation
Karyopharm Therapeutics Inc.
Contact name
Clinical Trials Information Desk

Public contact point

Organisation
Karyopharm Therapeutics Inc.
Contact name
Clinical Trials Information Desk

Third parties 10

OrganisationCity, countryDuties
Drugdev Inc.
ORG-100047542
Wayne, United States Other
Almac Clinical Services Limited
ORG-100017464
Craigavon, United Kingdom (Northern Ireland) Code 14
Eclinical Solutions LLC
ORG-100044778
Mansfield, United States Data management
4g Clinical LLC
ORG-100042775
Wellesley, United States Data management
PPD (UK) Limited
ORG-100022673
Cambridge, United Kingdom Code 8
AIT Bioscience, LLC
ORL-000001146
Indianapolis, United States Laboratory analysis
Labconnect LLC
ORG-100042800
Johnson City, United States Laboratory analysis
WCG Clinical Inc.
ORG-100040730
Bolton, United States Code 13
Intana Bioscience GmbH
ORL-000010152
Planegg, Germany Laboratory analysis
Precision for Medicine (HU) Kft.
ORG-100040390
Budapest XII, Hungary On site monitoring, Code 12, Code 5

Locations

3 EU/EEA countries · 12 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruitment ended 27 6
Poland Ended 15 3
Spain Ended 18 3
Rest of world 0

Investigational sites

Italy

6 sites · Ongoing, recruitment ended
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Oncology, Largo Francesco Vito 1, 00168, Rome
Azienda Ospedaliero-Universitaria Maggiore Della Carita
Oncology, Corso Giuseppe Mazzini 18, 28100, Novara
Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello
Oncology, Via Trabucco 180, 90146, Palermo
Azienda Ospedaliera Sant'anna E San Sebastiano Di Caserta
Oncology, Via Ferdinando Palasciano Snc, 81100, Caserta
Azienda Ospedaliero Universitaria Delle Marche
Hematology, Via Conca 71, 60126, Ancona
IRCCS Istituto Nazionale Tumori Fondazione Pascale
Oncology, Via Mariano Semmola 52, 80131, Naples

Poland

3 sites · Ended
Szpitale Pomorskie Sp. z o.o.
Department of Haematology, Ul. Powstania Styczniowego 1, 81-519, Gdynia
Pratia S.A.
N/A, Ul. Tadeusza Rejtana 2, 30-510, Cracow
Pratia S.A.
N/A, Ul. Poznanska 14, 60-185, Skorzewo

Spain

3 sites · Ended
Institut Catala D'oncologia
Oncology, Carretera Canyet S/n, 08916, Badalona
Hospital Universitario La Paz
Oncology, Paseo De La Castellana 261, 28046, Madrid
Institut Catala D'oncologia
Oncology, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat

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 2020-12-22 2021-02-03 2026-04-24
Poland 2021-03-24 2022-06-11 2021-05-11 2021-11-18
Spain 2021-02-25 2023-08-23 2021-06-02 2021-10-20

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_ 2024-513616-95-00_ Protocol_SOC 7.3
Protocol (for publication) D1_Protocol_2024-513616-95-00_Tracked 1
Protocol (for publication) D1_Redacted Protocol_2024-513616-95-00 7.3
Recruitment arrangements (for publication) K_CTIS placeholder_2024-513616-95 N/A
Recruitment arrangements (for publication) K_CTIS placeholder_2024-513616-95 N/A
Recruitment arrangements (for publication) K_CTIS placeholder_2024-513616-95 N/A
Subject information and informed consent form (for publication) L1 SIS and ICF_Genetics_ES_2024-513616-95 N/A
Subject information and informed consent form (for publication) L1 SIS and ICF_Pregnant Partner_ES_2024-513616-95 N/A
Subject information and informed consent form (for publication) L1 SIS and ICF_Samples_ES_2024-513616-95 N/A
Subject information and informed consent form (for publication) L1_SIS and ICF Master_PL_2024-513616-95 N/A
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_ES_2024-513616-95 N/A
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_IT_2024-513616-95_Redacted N/A
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Carboplatin 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Cisplatin 1 mg 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Dexamethasone 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Gemcitabine 2g 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Rituximab 500mg 1.0
Synopsis of the protocol (for publication) D1__Protocol Synopsis_EN 7
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ES_2024-513616-95-00 7.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_IT_2024-513616-95-00 7.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_Layperson_EN_2024-513616-95-00 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_PL_2024-513616-95-00 7.0
Synopsis of the protocol (for publication) D1_XPORT-DLBCL-030_Layperson Summary_IT 7.3

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-10 Italy Acceptable
2024-11-07
2024-11-07
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-12-16 Italy Acceptable
2024-11-07
2024-12-16
3 NON SUBSTANTIAL MODIFICATION NSM-3 2025-02-26 Italy Acceptable
2024-11-07
2025-02-26
4 SUBSTANTIAL MODIFICATION SM-1 2025-04-01 Italy Acceptable
2025-06-25
2025-06-26
5 NON SUBSTANTIAL MODIFICATION NSM-4 2025-10-02 Italy Acceptable
2025-06-25
2025-10-02
6 SUBSTANTIAL MODIFICATION SM-2 2026-03-18 Italy Acceptable
2026-04-24
2026-04-24