A post-trial access roll-over study to allow access to ribociclib (LEE011) for patients who are on ribociclib treatment in Novartis-sponsored study

2024-514891-41-00 Protocol CLEE011A2412B Therapeutic use (Phase IV) Ongoing, recruitment ended

Start 19 Jul 2022 · Status Ongoing, recruitment ended · 5 EU/EEA countries · 7 sites · Protocol CLEE011A2412B

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruitment ended
Participants planned 73
Countries 5
Sites 7

HR+, HER2- advanced or metastatic breast cancer

To evaluate long-term safety as assessed by occurrence of adverse events of ribociclib as part of a combination regimen

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
19 Jul 2022 → ongoing
Decision date (initial)
2024-08-22
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Novartis Pharma AG -OMS ID: ORG-100003908

External identifiers

EU CT number
2024-514891-41-00
EudraCT number
2021-005184-42
ClinicalTrials.gov
NCT05161195

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy, Safety

To evaluate long-term safety as assessed by occurrence of adverse events of ribociclib as part of a combination regimen

Secondary objectives 1

  1. To evaluate clinical benefit as assessed by the Investigator

Conditions and MedDRA coding

HR+, HER2- advanced or metastatic breast cancer

VersionLevelCodeTermSystem organ class
20.0 PT 10006187 Breast cancer 100000004864
27.0 PT 10055113 Breast cancer metastatic 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Participant is currently participating in a Novartis sponsored global study (parent study), receiving treatment with ribociclib in combination with other drugs, and the parent study has fulfilled its primary objective(s).
  2. Willingness and ability to comply with scheduled visits, treatment plans and any other study procedures.
  3. Participant must have been receiving treatment with ribociclib for at least 6 cycles in the parent study.
  4. Participant must have evidence of clinical benefit as determined by the Investigator.

Exclusion criteria 4

  1. Permanent discontinuation of ribociclib in the parent study due to toxicity or disease progression, non-compliance to study procedures, withdrawal of consent or any other reason as stipulated in parent protocol.
  2. Participants currently have unresolved toxicities for which ribociclib dosing has been interrupted in the parent study (participants meeting all other eligibility criteria may be enrolled once toxicities have resolved to allow ribociclib dosing to resume).
  3. Local access to commercially available ribociclib and reimbursed (except for US enrolled participants from parent protocol CLEE011A2404 meeting all other eligibility criteria).
  4. Women of child-bearing potential defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during the study treatment and for 21 days after stopping the treatment. Highly effective contraception methods include: a) Total abstinence b) Female sterilization c) Male partner sterilization d) Placement of an intrauterine device (IUD)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Frequency and severity of AEs/SAEs
  2. Proportion of participants with clinical benefit as assessed by the Investigator

Investigational products

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

Test 5

Ribociclib

SUB180246 · Substance

Active substance
Ribociclib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
315000 mg milligram(s)
Max treatment duration
21 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

LEE011

PRD198877 · Product

Active substance
Ribociclib
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
315000 mg milligram(s)
Max treatment duration
21 Month(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

Tamoxifen

SUB10825MIG · Substance

Active substance
Tamoxifen
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
20 mg milligram(s)
Max total dose
13860 mg milligram(s)
Max treatment duration
21 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Letrozole

SUB08444MIG · Substance

Active substance
Letrozole
Pharmaceutical form
FILM COATED TABLET
Route of administration
ORAL
Max daily dose
2.5 mg milligram(s)
Max total dose
1732.5 mg milligram(s)
Max treatment duration
21 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Goserelin Acetate

SUB02400MIG · Substance

Active substance
Goserelin Acetate
Pharmaceutical form
IMPLANT
Route of administration
IMPLANTATION
Max daily dose
3.6 mg milligram(s)
Max total dose
90 mg milligram(s)
Max treatment duration
21 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
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 5

OrganisationCity, countryDuties
PRA Hellas CRO A.E.
ORG-100048208
Nea Ionia, Greece On site monitoring
IQVIA Limited
ORG-100008655
Reading, United Kingdom Interactive response technologies (IRT)
Syneos Health Inc.
ORG-100008382
Morrisville, United States On site monitoring
Opis S.r.l.
ORG-100011127
Desio, Italy Other
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland Code 12

Locations

5 EU/EEA countries · 7 investigational sites

By country

CountryMS statusPlanned subjectsSites
Greece Ended 1 1
Italy Ongoing, recruitment ended 1 1
Poland Ongoing, recruitment ended 1 1
Portugal Ongoing, recruitment ended 3 3
Spain Ongoing, recruitment ended 1 1
Rest of world
Mexico, Singapore, Brazil, Peru, Vietnam, Hong Kong, Japan, Turkey, Taiwan, United States, Korea, Republic of, Lebanon, South Africa, Costa Rica
66

Investigational sites

Greece

1 site · Ended
University General Hospital Of Heraklion
#1601:Department of Oncology, Stavrakia And Voutes, 715 00, Heraklion

Italy

1 site · Ongoing, recruitment ended
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
#2000:U.O. Oncologia Medica, Via Piero Maroncelli 40, 47014, Meldola

Poland

1 site · Ongoing, recruitment ended
Uniwersyteckie Centrum Kliniczne
#2800: Katedra i Klinika Onkologii i Radioterapii, Ul. Mariana Smoluchowskiego 17, 80-214, Gdansk

Portugal

3 sites · Ongoing, recruitment ended
Champalimaud Clinical Centre
#3000:Unidade da Mama, Avenida Brasilia S/n, 1400-038, Lisbon
Instituto Portugues De Oncologia Do Porto Francisco Gentil E.P.E.
#3002: Serviço de Oncologia Médica, Rua Dr. Antonio Bernardino De Almeida, 4200-072, Porto
Hospital Beatriz Angelo
#3001: Serviço de Oncologia, Avenida Carlos Teixeira No 3, 2674-514, Loures

Spain

1 site · Ongoing, recruitment ended
Consorci Sanitari Integral
#3400:Oncología, Avinguda De Josep Molins 29-41, 08906, 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
Greece 2023-03-21 2025-04-07 2023-03-21 2023-03-21
Italy 2022-09-21 2022-09-21 2022-09-21
Poland 2022-07-19 2022-07-19 2022-07-19
Portugal 2022-12-05 2022-12-05 2024-07-29
Spain 2022-09-20 2022-09-20 2022-09-20

Results and documents

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

Documents 45 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol - Signature Page_2024-514891-41-00_1_English_Red 03
Protocol (for publication) D1_Protocol_2024-51489-41-00_1_English_NonRed 03
Protocol (for publication) D1_Protocol_2024-514891-41-00_1_Greek_NonRed v02
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_ES_Spanish_NonRed 13Nov2024
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_GR_English_Note to Assesor_NonRed v00
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_IT_Italian_NonRed 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_PL_Polish_NonRed 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_PT_English_Note to Assesor_NonRed 22/11/2024
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_ES_Spanish_NonRed v00.00.00
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_GR_Greek_Red v00.00.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_IT_Italian_NonRed 00.00.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_PL_Polish_NonRed 00.00.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_PT_Portuguese_NonRed 01.00
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_ES_Spanish_NonRed v00.00.00
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_GR_Greek_Red v00.00.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_IT_Italian_NonRed 01.01.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_PT_Portuguese_NonRed 01.00
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_ES_Spanish_NonRed v00.00.01
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_IT_Italian_NonRed 01.01.01
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_PT_Portuguese_NonRed 01.00
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_ES_Spanish_NonRed v03.03.02
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_GR_Greek_NonRed 01.02.04
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_IT_Italian_Red 03.03.02
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_PL_Polish_NonRed 03.03.03
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_PT_Portuguese_NonRed v03.00
Subject information and informed consent form (for publication) L1_Subject Info Sheet or Other Info_1_IT_Italian_NonRed 01.02.01
Subject information and informed consent form (for publication) L2_ICF Procedure_1_ES_Spanish_NonRed 13Dec2024
Subject information and informed consent form (for publication) L2_ICF Procedure_1_GR_English_Red v1.0
Subject information and informed consent form (for publication) L2_ICF Procedure_1_PT_English_NonRed 25nov2024
Summary of Product Characteristics (SmPC) (for publication) E2_Reference Label_1_Goserelin_English_NonRed 15Sep2021
Summary of Product Characteristics (SmPC) (for publication) E2_Reference SmPC_1_Letrozole_English_Nonred 33
Summary of Product Characteristics (SmPC) (for publication) E2_Reference SmPC_1_Tamoxifen_English_NonRed 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_1_Goserelin_English_NonRed 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_1_Goserelin_German_NonRed 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_1_Goserelin_Hungarian_NonRed 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_1_Tamoxife_German_NonRed 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_2_Goserelin_English_NonRed 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_2_Tamoxifen_English_NonRed 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_2_Tamoxifen_German_NonRed 5
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_3_Tamoxifen_English_NonRed 5
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-514891-41_1_Italian_NonRed 01.00
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-514891-41-00_1_Greek_NonRed v02
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-514891-41-00_1_Polish_NonRed v02
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-514891-41-00_1_Portuguese_NonRed V02.00
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-514891-41-00_1_Spanish_NonRed v02

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-05 Spain Acceptable with conditions
2024-08-05
2024-08-05
2 SUBSTANTIAL MODIFICATION SM-1 2025-02-24 Spain Acceptable
2025-05-29
2025-05-29
3 SUBSTANTIAL MODIFICATION SM-2 2026-02-25 Spain Acceptable
2026-04-27
2026-04-29