Overview
Sponsor-declared trial summary
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
- 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
| Version | Level | Code | Term | System 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
- 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.
- Participant is currently benefiting from the treatment with sabatolimab as determined by guidelines of the parent protocol and investigator's judgment.
- Participant has demonstrated compliance, as assessed by the investigator, with the parent study protocol requirements.
- Willingness and ability to comply with scheduled visits, treatment plan and any other study procedures.
- Written informed consent obtained prior to enrolling in the roll-over study.
Exclusion criteria 6
- Participants in cohorts or treatment groups not receiving sabatolimab in the parent protocol.
- 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.
- 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).
- 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.
- Participant not willing to comply with the contraception requirements outlined in the exclusion criteria of the parent protocol.
- Local access to commercially available sabatolimab for parent protocol indications.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Frequency and severity of AEs and SAEs
Secondary endpoints 1
- Duration of exposure to sabatolimab
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 5
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.
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.
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.
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |