Impact-Aml: a Randomized Pragmatic Clinical Trial for Relapse or Refractory Acute Myeloid Leukemia

2024-514517-35-00 Protocol IRST204.07 Therapeutic confirmatory (Phase III) Authorised, recruiting

Start 27 Feb 2025 · Status Authorised, recruiting · 7 EU/EEA countries · 48 sites · Protocol IRST204.07

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruiting
Participants planned 267
Countries 7
Sites 48

Acute myeloid leukemia

To determine in R/R AML patients the clinical benefit of low intensity therapy as shown by event-free survival compared to high intensity therapy

Key facts

Sponsor
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
27 Feb 2025 → ongoing
Decision date (initial)
2024-11-28
Transition trial
No
Low-intervention
Yes
Rare-disease indication
Yes
Vulnerable population
No
Funding sources
European Commission (HORIZON-MISS-2022-CANCER-01-03 Project)

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To determine in R/R AML patients the clinical benefit of low intensity therapy as shown by event-free survival compared to high intensity therapy

Secondary objectives 4

  1. To determine if low intensity therapy improves overall survival
  2. To determine if low intensity therapy improves the overall response (CR/CRh/CRi, Morphologic leukemia-free state MLFS)
  3. To determine if low intensity therapy improves patients-reported quality of life
  4. To evaluate the safety of low intensity therapies as compared to high intensity therapies

Conditions and MedDRA coding

Acute myeloid leukemia

VersionLevelCodeTermSystem organ class
21.0 LLT 10000886 Acute myeloid leukemia 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 9

  1. Non-APL AML defined according WHO 2022 (or ICC 2022) criteria
  2. 1st or 2nd relapse or refractory according to ELN 2022
  3. Patient is clinically candidate both to low intensity therapy and to high dose chemotherapy in the opinion of the physician
  4. Both low intensity therapy and high dose chemotherapy to which patient is candidate are available and can be provided as per local practice
  5. No specific treatment protocol can be rationally considered better suited to patient needs. This specifically include, but is not limited to i) the availability of a drug that is already demonstrated superior to comparator arm and can be considered the only standard of care ii) specific contraindications related to fitness or any medical conditions that deem to avoid one of the two arms of this randomization iii) patient willingness to avoid one of the two arm of this randomization iv) lack of social support that make unfeasible one of the two arm of this randomization
  6. Male or Female, aged>18 years
  7. ECOG performance status <4
  8. A female participant is eligible to participate if she is not pregnant and not breastfeeding. If Women of childbearing potential (WOCBP), negative serum pregnancy test within 14 days of starting treatment must be obtained. WOCBP must adopt highly effective birth control methods, according to guideline “Recommendation related to contraception and pregnancy testing in clinical trials”. Male patient and his female partner who is of childbearing potential must use 2 methods of birth control (a condom as a barrier method of contraception and one of the highly effective birth control methods, according to guideline “Recommendation related to contraception and pregnancy testing in clinical trials”. Use of- and compliance to- birth control methods are required beginning at the screening visit and continuing until 6 months following last treatment with study drug.
  9. Participant is willing and able to give informed consent for participation in the study

Exclusion criteria 3

  1. Known contraindication to the study drug that will be selected by the treating physician within the list of high or low intensity treatment, according to most update version of SmPC (e.g. hypersensitivity, allergy, organ failure precluding treatment)
  2. Participation in another clinical trial with any investigational agents within 14 days or 5 drug half-lives (whatever comes first) prior to randomization.
  3. Active infections or other clinical conditions that in the opinion of the investigator make the patient ineligible to receive study treatment.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Event-free survival is defined as time from randomization to treatment failure, hematologic relapse from CR/CRh/Cri or death from any cause, whichever occurs first

Secondary endpoints 4

  1. Overall survival, defined as time from randomization to the date of death from any cause
  2. Overall response rate (CR/CRh/CRi, MLFS) as the best assessment of response during the study treatment and the overall study cohort
  3. Change in Hematologic Malignancy–Patient-Reported Outcome (HM-PRO) A-total as defined by the HM-PRO questionnaire between screening and end of treatment assessment.
  4. Proportion of patients experiencing adverse events

Investigational products

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

Test 9

Decitabine

SCP54217654 · ATC

Active substance
Decitabine
Substance synonyms
5-AZA-2'-DEOXYCYTIDINE, 4-AMINO-1-(2-DEOXY-.BETA.-D-ERYTHRO-PENTOFURANOSYL)-S-TRIAZIN-2(1H)-ONE
Route of administration
INTRAVENOUS
Max daily dose
20 mg/m2 milligram(s)/square meter
Max total dose
20 mg/m2 milligram(s)/square meter
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
L01BC08 — DECITABINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/06/370
Modified vs. Marketing Authorisation
No

SCP36094379 · ATC

Route of administration
ORAL
Max daily dose
100 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L01XJ03 — GLASDEGIB
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/17/1923
Modified vs. Marketing Authorisation
No

Azacitidine

SCP184620 · ATC

Active substance
Azacitidine
Route of administration
INTRAVENOUS (IV) OR SUBCUTANEOUS (SC)
Max daily dose
75 mg/m2 milligram(s)/square meter
Max total dose
75 mg/m2 milligram(s)/square meter
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
L01BC07 — AZACITIDINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Venetoclax

SCP16272936 · ATC

Active substance
Venetoclax
Substance synonyms
ABT-199, GDC-0199, 4-(4-((2-(4-CHLOROPHENYL)-4,4-DIMETHYLCYCLOHEX-1-EN-1-YL)METHYL)PIPERAZIN-1-YL)-N-((3-NITRO-4-((TETRAHYDRO-2H-PYRAN-4-YLMETHYL)AMINO)PHENYL)SULFONYL)-2-(1H-PYRROLO(2,3-B)PYRIDIN-5-YLOXY)BENZAMIDE
Route of administration
ORAL
Max daily dose
400 mg milligram(s)
Max total dose
400 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L01XX52 — VENETOCLAX
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cytarabine

SCP142361 · ATC

Active substance
Cytarabine
Substance synonyms
ARA-C, CYTOSINE ARABINOSIDE
Route of administration
INJECTION
Max daily dose
40 mg/m2 milligram(s)/square meter
Max total dose
20 mg/m2 milligram(s)/square meter
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
L01BC01 — CYTARABINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cladribine

SCP16260900 · ATC

Active substance
Cladribine
Substance synonyms
2-CHLORODEOXYADENOSINE
Route of administration
INJECTION
Max daily dose
5 mg/m2 milligram(s)/square meter
Max total dose
5 mg/m2 milligram(s)/square meter
Max treatment duration
5 Day(s)
Authorisation status
Authorised
ATC code
L01BB04 — CLADRIBINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Gilteritinib

SCP39502294 · ATC

Active substance
Gilteritinib
Substance synonyms
ASP2215
Route of administration
ORAL
Max daily dose
200 mg milligram(s)
Max total dose
200 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L01XE54 — GILTERITINIB
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/17/1961
Modified vs. Marketing Authorisation
No

Ivosidenib

SCP36066504 · ATC

Active substance
Ivosidenib
Substance synonyms
AG-120
Route of administration
ORAL
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L01XX62 — IVOSIDENIB
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/16/1802
Modified vs. Marketing Authorisation
No

Gemtuzumab Ozogamicin

SCP30296356 · ATC

Active substance
Gemtuzumab Ozogamicin
Substance synonyms
GEMTUZUMAB OZOGAMICIN (GENETICAL RECOMBINATION)
Route of administration
INTRAVENOUS INFUSION
Max daily dose
3 mg/m2 milligram(s)/square meter
Max total dose
5 mg milligram(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
L01FX02 — GEMTUZUMAB OZOGAMICIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/00/005
Modified vs. Marketing Authorisation
No

Comparator 7

Mitoxantrone Hydrochloride

SCP1166197 · ATC

Active substance
Mitoxantrone Hydrochloride
Substance synonyms
Mitoxantrone dihydrochloride, MITOXANTRONI HYDROCHLORIDUM, DIHYDROXYANTHRACENEDIONE DIHYDROCHLORIDE, MITOZANTRONE HYDROCHLORIDE
Route of administration
INTRAVENOUS INFUSION
Max daily dose
12 mg/m2 milligram(s)/square meter
Max total dose
12 mg/m2 milligram(s)/square meter
Max treatment duration
6 Day(s)
Authorisation status
Authorised
ATC code
L01DB07 — MITOXANTRONE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Daunorubicin Hydrochloride

SCP11397391 · ATC

Active substance
Daunorubicin Hydrochloride
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
90 mg/m2 milligram(s)/square meter
Max total dose
90 mg/m2 milligram(s)/square meter
Max treatment duration
3 Day(s)
Authorisation status
Authorised
ATC code
L01DB02 — DAUNORUBICIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Etoposide

SCP100376572 · ATC

Active substance
Etoposide
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
100 mg/m2 milligram(s)/square meter
Max total dose
100 mg/m2 milligram(s)/square meter
Max treatment duration
6 Day(s)
Authorisation status
Authorised
ATC code
L01CB01 — ETOPOSIDE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Fludarabine Phosphate

SCP107125968 · ATC

Active substance
Fludarabine Phosphate
Substance synonyms
FLUDARABINE 5'-MONOPHOSPHATE, FLUDARABINE MONOPHOSPHATE
Route of administration
INTRAVENOUS INFUSION
Max daily dose
30 mg/m2 milligram(s)/square meter
Max total dose
30 mg/m2 milligram(s)/square meter
Max treatment duration
5 Day(s)
Authorisation status
Authorised
ATC code
L01BB05 — FLUDARABINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cytarabine

SCP142361 · ATC

Active substance
Cytarabine
Substance synonyms
ARA-C, CYTOSINE ARABINOSIDE
Route of administration
INJECTION
Max daily dose
6 g gram(s)
Max total dose
18 g gram(s)
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
L01BC01 — CYTARABINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Idarubicin Hydrochloride

SCP170002 · ATC

Active substance
Idarubicin Hydrochloride
Substance synonyms
4-DEMETHOXYDAUNORUBICIN HYDROCHLORIDE
Route of administration
INTRAVENOUS INFUSION
Max daily dose
14 mg/m2 milligram(s)/square meter
Max total dose
14 mg/m2 milligram(s)/square meter
Max treatment duration
3 Day(s)
Authorisation status
Authorised
ATC code
L01DB06 — IDARUBICIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Amsacrine

SCP2015642 · ATC

Active substance
Amsacrine
Route of administration
INTRAVENOUS INFUSION
Max daily dose
125 mg/m2 milligram(s)/square meter
Max total dose
750 mg/m2 milligram(s)/square meter
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
L01XX01 — AMSACRINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.

Sponsor organisation
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Address
Via Piero Maroncelli 40
City
Meldola
Postcode
47014
Country
Italy

Scientific contact point

Organisation
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Contact name
Oriana Nanni

Public contact point

Organisation
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Contact name
Oriana Nanni

Third parties 4

OrganisationCity, countryDuties
Czech Leukemia Study Group - for Life
ORL-000009589
Brno, Czechia On site monitoring, Code 12, Code 2, Code 5
Fondazione Gimema Franco Mandelli Onlus
ORG-100010442
Rome, Italy On site monitoring, Code 12, Code 2, Code 5
Ostdeutsche Studiengruppe Haematologie Und Onkologie e.V.
ORG-100050543
Leipzig, Germany On site monitoring, Code 12, Code 2, Code 5
IIS La Fe
ORG-100050641
Valencia, Spain On site monitoring, Code 12, Code 2, Code 5

Locations

7 EU/EEA countries · 48 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Authorised, recruiting 30 6
Germany Ongoing, recruiting 50 6
Italy Ongoing, recruiting 120 27
Lithuania Ongoing, recruiting 20 1
Portugal Authorised, recruiting 20 1
Romania Ongoing, recruiting 12 1
Spain Ongoing, recruiting 15 6
Rest of world 0

Investigational sites

Czechia

6 sites · Authorised, recruiting
Fakultni Nemocnice Ostrava
Haematooncology, 17. Listopadu 1790/5, Poruba, Ostrava
Fakultni Nemocnice Hradec Kralove
Hematology, Sokolska 581, 500 03, Novy Hradec Kralove
University Hospital Olomouc
Department of Haemato-oncology, Zdravotniku 248/7, 779 00, Olomouc
Fakultni Nemocnice Brno
Internal Medicine, Hematology and Oncology, Jihlavska 340/20, Bohunice, Brno
Fakultni Nemocnice Plzen
Haematology and Oncology, Alej Svobody 923/80, 323 00, Plzen 23
Fakultni Nemocnice Kralovske Vinohrady
Hematology, Srobarova 1150/50, Vinohrady, Prague

Germany

6 sites · Ongoing, recruiting
Universitaetsklinikum Halle (Saale) AöR
Innere Medizin IV (Hämatologie und Onkologie), Ernst-Grube-Strasse 40, Kroellwitz, Halle Saale
Rostock University Medical Center
Innere Medizin, Hämatologie, Ernst-Heydemann-Strasse 6, Hansaviertel, Rostock
Universitaetsmedizin Greifswald KöR
Universitätsmedizin Greifswald Klinik für Innere Medizin C, Hämatologie und Onkologie, Ferdinand-Sauerbruch-Strasse, 17489, Greifswald
Universitaetsklinikum Aachen AöR
Klinik für Hämatologie, Onkologie, Hämostaseologie und Stammzell transplantation, Pauwelsstrasse 30, 52074, Aachen
Heinrich-Braun-Klinikum Zwickau gGmbH
Internal Medicine, Karl-Keil-Strasse 35, Marienthal, Zwickau
Krankenhaus St. Elisabeth und St. Barbara Halle (Saale) GmbH
Internal Medicine, Mauerstrasse 5, Suedliche Innenstadt, Halle (Saale)

Italy

27 sites · Ongoing, recruiting
Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello
ONCOEMATOLOGIA, Viale Strasburgo 233, 90146, Palermo
Azienda Ospedaliera Policlinico Universitario Tor Vergata
Onco-Hematology, Viale Oxford 81, 00133, Rome
Istituto Oncologico Veneto
Oncohematology Unit and Transplant Unit, Via Dei Carpani 16/z, 31033, Castelfranco Veneto
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
Hematology, Via Pietro Albertoni 15, 40138, Bologna
Azienda Unita Sanitaria Locale Della Romagna
Hematology, Viale Vincenzo Randi 5, 48121, Ravenna
Azienda Ospedaliera di Padova
Ematologia, Via Nicolo' Giustiniani 2, 35128, Padova
Azienda Socio Sanitaria Territoriale Della Valle Olona
Oncologia, Via Arnaldo Da Brescia 1, 21052, Busto Arsizio
Azienda Ospedaliero-Universitaria Policlinico Umberto I
Hematology, Viale Del Policlinico 155, 00161, Rome
Azienda Unita Sanitaria Locale Della Romagna
Ematologia, Viale Luigi Settembrini 2, 47923, Rimini
Azienda Ospedaliera Ordine Mauriziano Di Torino
Dept of Clinical and Biological Sciences, Via Ferdinando Magellano 1, 10128, Turin
ASST Grande Ospedale Metropolitano Niguarda
Hematology, Piazza Dell'ospedale Maggiore 3, 20162, Milan
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Ematologia, Via Francesco Sforza 28, 20122, Milan
Azienda Ospedaliera Di Rilievo Nazionale Antonio Cardarelli
Hematology, Via Antonio Cardarelli 9, 80131, Naples
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
Hematology, Piazzale Spedali Civili 1, 25123, Brescia
Azienda Ospedaliero Universitaria Careggi
Experimental and Clinical medicine, Largo Giovanni Alessandro Brambilla 3, 50134, Florence
Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino
Haematology and Oncology, Corso Bramante 88, 10126, Turin
IRCCS Ospedale Policlinico San Martino
Ematologia e Terapie Cellulari, Largo Rosanna Benzi 10, 16132, Genoa
Azienda Sanitaria Locale Di Pescara
Oncologico-ematologico, UOC Ematologia, Via Renato Paolini 47, 65124, Pescara
Azienda Unita Locale Socio Sanitaria N 8 Berica
Oncologia, Viale Ferdinando Rodolfi 37, 36100, Vicenza
Hospital Santa Maria Della Misericordia
Medicina e chirurgia, Piazzale Giorgio Menghini 1, 06129, Perugia
IRCCS Ospedale Policlinico San Martino
Clinica Ematologica, Dipartimento di Medicina Interna, Largo Rosanna Benzi 10, 16132, Genoa
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Oncohematology, Via Piero Maroncelli 40, 47014, Meldola
Azienda Ospedaliero-Universitaria Senese
Hematology, Viale Mario Bracci 2, 53100, Siena
Fondazione IRCCS Policlinico San Matteo
Hematology, Viale Camillo Golgi 19, 27100, Pavia
Azienda Ospedaliero Universitaria Delle Marche
Hematology, Via Conca 71, 60126, Ancona
Casa Sollievo Della Sofferenza
Hematology, Viale Convento Cappuccini 1, 71013, San Giovanni Rotondo
Azienda Unita Sanitaria Locale Di Piacenza
Hematology, Via Giuseppe Taverna 49, 29121, Piacenza

Lithuania

1 site · Ongoing, recruiting
Lietuvos sveikatos mokslu universiteto ligonine Kauno klinikos
Hematology, Eiveniu G. 2, Kauno M. Sav., Kaunas

Portugal

1 site · Authorised, recruiting
Hospital De Santa Maria E.P.E.
Hematology, Avenida Professor Egas Moniz Piso 3, 1649-028, Lisbon

Romania

1 site · Ongoing, recruiting
Institutul Clinic Fundeni
Hematology, Soseaua Fundeni 258, 022328, Bucharest

Spain

6 sites · Ongoing, recruiting
Hospital Universitario Y Politecnico La Fe
Hematology, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Hospital General Universitario De Albacete
Hematology, Calle Hermanos Falco 37, 02006, Albacete
Hospital General Universitario Dr. Balmis
Hematology, Avinguda Del Pintor Baeza 12, 03010, Alicante
Consorcio Hospital General Universitario De Valencia
Hematology, Avenida Tres Cruces 2, 46014, Valencia
Hospital Clinico Universitario De Valencia
Hematology, Avenida Blasco Ibanez 17, 46010, Valencia
Hospital Universitari Vall D Hebron
Hematology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Czechia 2025-11-19
Germany 2025-03-19 2025-04-16
Italy 2025-02-27 2025-03-03
Lithuania 2025-04-14 2025-09-11
Portugal 2026-02-05
Romania 2025-08-14 2025-08-19
Spain 2025-03-04 2025-03-10

Results and documents

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

Documents 129 files

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

TypeTitleVersion
Protocol (for publication) 20407_Prot_changes_SM-2 3.0
Protocol (for publication) D1_20407_Prot_2024-514517-35-00_EN_PUB 3.0
Protocol (for publication) D4_20407_Quest_FROM-16_EN_PUB 1
Protocol (for publication) D4_20407_Quest_HM-PRO_EN_PUB 1
Protocol (for publication) Declaration_QoL_Quest 1
Recruitment arrangements (for publication) Declaration_language 1 1
Recruitment arrangements (for publication) Declaration_language 2 1
Recruitment arrangements (for publication) K1_20407_Recru_CZ-EN_PUB 1
Recruitment arrangements (for publication) K1_20407_Recru_DE_PUB 1
Recruitment arrangements (for publication) K1_20407_Recru_ES_PUB 1
Recruitment arrangements (for publication) K1_20407_Recru_LT_PUB 2
Recruitment arrangements (for publication) K1_20407_Recru_RO_PUB 1.0
Recruitment arrangements (for publication) K1_2047_Recru_EN_PUB 1
Recruitment arrangements (for publication) K1_2047_Recru_EN_PUB 1
Subject information and informed consent form (for publication) L1_20407_ICF_Biobank_CZ_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_Biobank_DE_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_Biobank_ES_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_Biobank_IT_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_Biobank_LT_PUB 1
Subject information and informed consent form (for publication) L1_20407_ICF_Biobank_PT_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_Biobank_RO_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_CZ_PUB 3.0
Subject information and informed consent form (for publication) L1_20407_ICF_CZ_SM-2_tc 3.0
Subject information and informed consent form (for publication) L1_20407_ICF_DE_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_ES_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_IT_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_Living Lab_IT_PUB 4.0
Subject information and informed consent form (for publication) L1_20407_ICF_Living_Lab_IT_SM-2_tc 3.0
Subject information and informed consent form (for publication) L1_20407_ICF_LT_PUB 3.0
Subject information and informed consent form (for publication) L1_20407_ICF_LT_SM-2_tc 3.0
Subject information and informed consent form (for publication) L1_20407_ICF_PT_PUB 2.0
Subject information and informed consent form (for publication) L1_20407_ICF_RO_PUB 3.0
Subject information and informed consent form (for publication) L2_20407_Privacy_CZ_PUB 2.0
Subject information and informed consent form (for publication) L2_20407_Privacy_DE_PUB 2.0
Subject information and informed consent form (for publication) L2_20407_Privacy_ES_PUB 2.0
Subject information and informed consent form (for publication) L2_20407_Privacy_IT_PUB 2.0
Subject information and informed consent form (for publication) L2_20407_Privacy_LT_PUB 1
Subject information and informed consent form (for publication) L2_20407_Privacy_PT_PUB 2.0
Subject information and informed consent form (for publication) L2_20407_Privacy_RO_PUB 3.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Fludarabine_LT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrina_ES 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrina_ES 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_PT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_PT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_PT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_PT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_PT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_PT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amsacrine_PT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Azacitidine_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Citarabina_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Citarabina_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cladribine_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabin_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabin_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabine_CZ 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabine_CZ 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabine_ES 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabine_ES 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabine_LT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabine_LT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabine_RO 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cytarabine_RO 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_LT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_RO 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_RO 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicin_RO 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicine_CZ 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicine_ES 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicine_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicine_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicine_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicine_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Daunorubicine_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Decitabine_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Etoposide_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Fludarabina_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Fludarabine_CZ 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Fludarabine_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Fludarabine_ES 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Fludarabine_RO 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Gemtuzumab_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Gemtuzumab_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Gilteritinib_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Glasdegib_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Idarubicina_ES 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Idarubicina_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Idarubicine_CZ 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Idarubicine_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Idarubicine_LT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Idarubicine_RO 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ivosidenib_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Mitoxantrone_CZ 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Mitoxantrone_DE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Mitoxantrone_ES 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Mitoxantrone_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Mitoxantrone_LT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Mitoxantrone_RO 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Venetoclax_EN 1
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_CZ_PUB 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_DE_PUB 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_EN_PUB 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_ES_PUB 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_IT_PUB 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_LT_PUB 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_PT_PUB 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_RO_PUB 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_SM-2_CZ_tc 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_SM-2_DE_tc 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_SM-2_EN_tc 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_SM-2_ES_tc 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_SM-2_IT_tc 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_SM-2_LT_tc 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_SM-2_PT_tc 3.0
Synopsis of the protocol (for publication) D1_20407_ProtSyn_2024-514517-35-00_SM-2_RO_tc 3.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-01 Italy Acceptable
2024-11-25
2024-11-27
2 SUBSEQUENT ADDITION OF MSC APP-2 2025-03-28 Acceptable
2024-11-25
2025-06-23
3 SUBSTANTIAL MODIFICATION SM-1 2025-03-28 Italy Acceptable 2025-05-26
4 SUBSEQUENT ADDITION OF MSC APP-4 2025-04-01 2025-05-12
5 SUBSTANTIAL MODIFICATION SM-2 2025-09-23 Italy Acceptable
2025-11-24
2025-11-25
6 SUBSTANTIAL MODIFICATION SM-3 2026-03-19 Italy Acceptable 2026-05-08
7 SUBSTANTIAL MODIFICATION SM-4 2026-03-19 Acceptable 2026-04-27
8 SUBSTANTIAL MODIFICATION SM-5 2026-03-19 Acceptable 2026-04-22