Roll-over study for patients who have completed a prior Novartis sponsored sabatolimab (MBG453) study and are judged by the investigator to benefit from continued treatment with sabatolimab

2024-515281-14-00 Protocol CMBG453B12206B Therapeutic exploratory (Phase II) Ongoing, recruitment ended

Start 13 Feb 2023 · Status Ongoing, recruitment ended · 6 EU/EEA countries · 12 sites · Protocol CMBG453B12206B

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruitment ended
Participants planned 45
Countries 6
Sites 12

intermediate, high or very high risk MDS in adult patients chronic Myelomonocytic Leukemia - 2 (CMML-2) Acute Myeloid Leukemia (AML) in adult patients unfit for chemotherapy

To evaluate safety, including SAE and AE

Key facts

Sponsor
Novartis Pharma AG
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
13 Feb 2023 → ongoing
Decision date (initial)
2024-09-20
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes

External identifiers

EU CT number
2024-515281-14-00
EudraCT number
2021-004422-30
ClinicalTrials.gov
NCT05201066

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety, Others

To evaluate safety, including SAE and AE

Secondary objectives 1

  1. To collect exposure to sabatolimab

Conditions and MedDRA coding

intermediate, high or very high risk MDS in adult patients chronic Myelomonocytic Leukemia - 2 (CMML-2) Acute Myeloid Leukemia (AML) in adult patients unfit for chemotherapy

VersionLevelCodeTermSystem organ class
21.0 PT 10009018 Chronic myelomonocytic leukaemia 100000004864
21.0 LLT 10000886 Acute myeloid leukemia 10029104
20.0 HLT 10028536 Myelodysplastic syndromes 10029104
27.0 PT 10028533 Myelodysplastic syndrome 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Participant is currently enrolled in a Novartis-sponsored study with sabatolimab, is being treated with sabatolimab, and has fulfilled all requirements in the parent study.
  2. Participant is currently benefiting from the treatment with sabatolimab as determined by guidelines of the parent protocol and investigator's judgment.
  3. Participant has demonstrated compliance, as assessed by the investigator, with the parent study protocol requirements.
  4. Willingness and ability to comply with scheduled visits, treatment plan and any other study procedures.
  5. Written informed consent obtained prior to enrolling in the roll-over study.

Exclusion criteria 6

  1. Participants in cohorts or treatment groups not receiving sabatolimab in the parent protocol.
  2. Participant has been permanently discontinued from sabatolimab treatment in the parent study due to unacceptable toxicity, noncompliance to study procedures, withdrawal of consent or any other reason.
  3. Participant currently has unresolved toxicities for which sabatolimab dosing has been interrupted in the parent study (participants meeting all other eligibility criteria may be enrolled once toxicities have resolved to allow sabatolimab dosing to resume).
  4. Pregnant or nursing (lactating) women. Where pregnancy is defined as the state of a female after conception confirmed by a positive serum hCG laboratory test and until the termination of gestation.
  5. Participant not willing to comply with the contraception requirements outlined in the exclusion criteria of the parent protocol.
  6. Local access to commercially available sabatolimab for parent protocol indications.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Frequency and severity of AEs and SAEs

Secondary endpoints 1

  1. Duration of exposure to sabatolimab

Investigational products

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

Test 5

Venetoclax

SUB176260 · Substance

Active substance
Venetoclax
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
24000 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Commercial packs are being purchased from the manufacturer, unpacked, commercial blisters are relabelled, secondary packaged in a new outer carton with corresponding labels for the clinical trial.

Venetoclax

SUB176260 · Substance

Active substance
Venetoclax
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
24000 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Commercial packs are being purchased from the manufacturer, unpacked, commercial blisters are relabelled, secondary packaged in a new outer carton with corresponding labels for the clinical trial.

Venetoclax

SUB176260 · Substance

Active substance
Venetoclax
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
24000 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Commercial packs are being purchased from the manufacturer, unpacked, commercial blisters are relabelled, secondary packaged in a new outer carton with corresponding labels for the clinical trial.

MBG453

PRD7812649 · Product

Active substance
Sabatolimab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
800 mg milligram(s)
Max total dose
48000 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

Azacitidine

SUB05624MIG · Substance

Active substance
Azacitidine
Pharmaceutical form
POWDER FOR SUSPENSION FOR INJECTION
Route of administration
INTRAVENOUS (IV) OR SUBCUTANEOUS (SC)
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
4500 mg/m2 milligram(s)/square meter
Max treatment duration
60 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 7

OrganisationCity, countryDuties
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland On site monitoring
Syneos Health Inc.
ORG-100008382
Morrisville, United States On site monitoring
PRA Hellas CRO A.E.
ORG-100048208
Nea Ionia, Greece On site monitoring
Opis S.r.l.
ORG-100011127
Desio, Italy Other
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland Code 12
Medidata Solutions International Limited
ORG-100048319
London, United Kingdom Other, Data management
IQVIA Limited
ORG-100008655
Reading, United Kingdom On site monitoring, Other, Interactive response technologies (IRT)

Locations

6 EU/EEA countries · 12 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ongoing, recruitment ended 2 1
France Ongoing, recruitment ended 1 1
Germany Ended 1 2
Greece Ongoing, recruitment ended 2 2
Italy Ongoing, recruitment ended 5 3
Spain Ongoing, recruitment ended 7 3
Rest of world
China, Canada, Malaysia, Brazil, Japan, Switzerland, Turkey, Australia, United States
27

Investigational sites

Czechia

1 site · Ongoing, recruitment ended
Vseobecna Fakultni Nemocnice V Praze
1100: I. Interní klinika - klinika hematologie, U Nemocnice 499/2, Nove Mesto, Prague

France

1 site · Ongoing, recruitment ended
Oncopole Claudius Regaud
1001: Hematology, 1 Avenue Irene Joliot Curie, 31059, Toulouse Cedex 9

Germany

2 sites · Ended
Universitaet Leipzig
2200: Klinik und Poliklinik fuer Haematologie, Zelltherapie und Haemostaseologie, Johannisallee 32a, Zentrum-Südost, Leipzig
Medical Center - University Of Freiburg
2211: Klinik fuer Innere Medizin I, Hugstetter Strasse 55, Stuehlinger, Freiburg Im Breisgau

Greece

2 sites · Ongoing, recruitment ended
University General Hospital Of Alexandroupoli
1301: Hematology, 6th Km Alex Polis Makris, Dragana, Alexandroupoli
General University Hospital Of Patras
1300: Hematology Division, Hematology Department, Rio, 265 04, Patras

Italy

3 sites · Ongoing, recruitment ended
Careggi University Hospital
2403: Hematology, Largo Giovanni Alessandro Brambilla 3, 50134, Florence
Azienda Ospedaliera Policlinico Universitario Tor Vergata
2404: Oncoematologia, Viale Oxford 81, 00133, Rome
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
2408: U.S.D. Trapianto Midollo Osseo per Adulti, Piazzale Spedali Civili 1, 25123, Brescia

Spain

3 sites · Ongoing, recruitment ended
Hospital Clinic De Barcelona
1800: Hematología, Calle Villarroel 170, 08036, Barcelona
Hospital General Universitario Gregorio Maranon
1805: Hematología, Calle Del Doctor Esquerdo 46, 28007, Madrid
Institut Catala D'oncologia
1803: Hematología, Carretera Canyet S/n, 08916, Badalona

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 2024-06-10 2024-06-10 2024-10-16
France 2024-07-18 2024-07-18 2024-10-16
Germany 2024-08-12 2025-02-11 2024-08-12 2024-10-16
Greece 2023-05-02 2023-05-02 2024-10-16
Italy 2024-02-19 2024-02-19 2024-10-16
Spain 2023-02-13 2023-02-13 2024-10-16

Results and documents

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

Documents 59 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol - Signature Page_2024-515281-14-00_1_English_Red v02
Protocol (for publication) D1_Protocol_2024-515281-14-00_1_English_NonRed v02
Protocol (for publication) D1_Protocol_2024-515281-14-00_1_Greece_NonRed 01
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_CZ_English_Note to Assesor_NonRed v1
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_ES_English_Note to Assesor_NonRed 30Jan2025
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_FR_NonRed V00
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_GR_English_Red 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_IT_English_Note to Assessor_NonRed 07Feb2025
Recruitment arrangements (for publication) K1_Recruitment Arrangements_Transition Replacement 5.0
Subject information and informed consent form (for publication) L1_ICF - Adolescent Assent_1_IT_Italian_NonRed 02.00.02
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_CZ_Czech_Red 00.00.03
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_ES_Spanish_NonRed 00.00.00
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_FR_French_NonRed 00.00.00
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_GR_English_NonRed 00.00.00
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_GR_Greek_NonRed 00.00.00
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_CZ_Czech_Red 00.00.03
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_ES_Spanish_NonRed 00.00.00
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_GR_English_NonRed 00.00.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant partner of participant_1_GR_Greek_NonRed 00.00.01
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_CZ_Czech_NonRed 02.02.03
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_DE_German_NonRed 00.00.00
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_ES_Spanish_NonRed 00.00.00
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_FR_French_NonRed 00.00.00
Subject information and informed consent form (for publication) L1_ICF - Info Sheet Female Partner_1_IT_Italian_NonRed 00.00.02
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_CZ_Czech_Red 02.03.07
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_DE_German_NonRed 02.00.00
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_ES_Spanish_NonRed v02.03.03
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_FR_French_Red 02.02.02
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_IT_Italian_Red 02.03.05
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_2_CZ_Czech_Red 02.03.07
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_2_ES_Spanish_NonRed v02.03.03
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_2_FR_French_NonRed V02.03.03
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_2_IT_Italian_Red 02.00.03
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_3_CZ_Czech_NonRed 02.03.01
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_3_ES_Spanish_NonRed v02.03.03
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_MBG453B12201 rollover_1_GR_English_NonRed 01.01.02
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_MBG453B12201 rollover_1_GR_Greek_NonRed 02.03.04
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_MBG453B12203 rollover_1_GR_English_NonRed 01.01.02
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_MBG453B12203 rollover_1_GR_Greek_NonRed 02.03.04
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_MBG453B12301 rollover_1_GR_English_NonRed 01.01.02
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_MBG453B12301 rollover_1_GR_Greek_NonRed 01.01.02
Subject information and informed consent form (for publication) L1_ICF - Optional1_1_IT_Italian_NonRed 00.00.02
Subject information and informed consent form (for publication) L1_ICF - Optional2_1_IT_Italian_NonRed 00.00.02
Subject information and informed consent form (for publication) L1_ICF - Parent Legal Guardian_1_IT_Italian_Red 02.00.03
Subject information and informed consent form (for publication) L1_ICF - Separate Data Protection Consent_1_CZ_Czech_NonRed 02.02.02
Subject information and informed consent form (for publication) L1_ICF - Separate Data Protection Consent_1_ES_Spanish_NonRed v3
Subject information and informed consent form (for publication) L1_ICF - Separate Data Protection Consent_2_ES_Spanish_NonRed v3
Subject information and informed consent form (for publication) L2_ICF Procedure_1_ES_Spanish_NonRed 26Feb2025
Subject information and informed consent form (for publication) L2_ICF Procedure_1_GR_English_Red 1.0
Summary of Product Characteristics (SmPC) - Extract (for publication) E2_Reference SmPC_1_Azacitidine_English_Soc_NonRed 05Nov2024
Summary of Product Characteristics (SmPC) - Extract (for publication) E2_Reference SmPC_1_Venetoclax_English_Soc_NonRed 14Jan2025
Summary of Product Characteristics (SmPC) (for publication) E2_Reference SmPC_1_Azacitidine_English_NonRed 12Nov2025
Summary of Product Characteristics (SmPC) (for publication) E2_Reference SmPC_1_Venetoclax_English_NonRed 12Nov2025
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-515281-14-00_1_French_NonRed 02
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-515281-14-00_1_Greece_NonRed 01
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-515281-14-00_1_Italian_NonRed V02.00
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_2024-515281-14-00_1_Spain_NonRed v02
Synopsis of the protocol (for publication) D1_Protocol - Protocol Summary in Technical Language_EU CT Number_1_Czech_NonRed 1.0
Synopsis of the protocol (for publication) D1_Protocol Summary in Lay Language_2024-515281-14-00_1_Czech Republic_NonRed v1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-13 Spain Acceptable with conditions
2024-09-16
2024-09-16
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-02-14 Spain Acceptable with conditions
2024-09-16
2025-02-14
3 SUBSTANTIAL MODIFICATION SM-1 2025-04-17 Spain Acceptable
2025-06-02
2025-06-02
4 NON SUBSTANTIAL MODIFICATION NSM-2 2025-09-30 Acceptable
2025-06-02
2025-09-30
5 NON SUBSTANTIAL MODIFICATION NSM-3 2026-04-21 Spain Acceptable
2025-06-02
2026-04-21