Systemic Neoadjuvant and adjuvant Control by Precision medicine in rectal cancer (SYNCOPE) – approach on high-risk group to reduce metastases

2024-517149-15-00 Therapeutic use (Phase IV) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruitment pending
Participants planned 100
Countries 1
Sites 2

Rectal cancer

Applying a systemic control with precision approach over the course of the rectal cancer therapy is logistically feasible Applying a systemic control and precision approach as a treatment strategy, recurrence-free survival of rectal cancer patients is improved

Key facts

Sponsor
HUS-Yhtymae
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Decision date (initial)
2024-09-24
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-517149-15-00
EudraCT number
2020-003697-52

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

Applying a systemic control with precision approach over the course of the rectal cancer therapy is logistically feasible
Applying a systemic control and precision approach as a treatment strategy, recurrence-free survival of rectal cancer patients is improved

Conditions and MedDRA coding

Rectal cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. 1) rectal adenocarcinoma, 2) WHO performance status 0-1, assessed by the MDT to be able to undergo CAPOX (capecitabine and oxaliplatin) treatment, 3) mrEMVI+ and 4) assessed by the MDT to require either RT or CRT by the current standards. In general, indications for clinical rectal carcinoma MDT to recommend RT or CRT are: T3-4 tumor at mid- or low rectum location, involvement of lymph nodes, threatened operative margin or mrEMVI

Exclusion criteria 1

  1. 1.) deficient MMR status, non-DPYD genotype 2) a contraindication to capecitabine, oxaliplatin or RT, 3) failing in blood tests that describe the adequate circulatory 4) liver and kidney function for chemotherapy

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Recurrence-free survival at 3 (and 5) years at intention-to-treat analysis

Investigational products

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

Test 2

Capecitabine Orion 150 mg kalvopäällysteiset tabletit

PRD1625260 · Product

Active substance
Capecitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
2000 mg/m2 milligram(s)/square meter
Max total dose
56000 mg/m2 milligram(s)/square meter
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
L01BC06 — CAPECITABINE
Marketing authorisation
31391
MA holder
ORION CORPORATION
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Oxaliplatin Accord 5 mg/ml, infuusiokonsentraatti, liuosta varten.

PRD1785481 · Product

Active substance
Oxaliplatin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
85 mg/m2 milligram(s)/sq. meter
Max total dose
340 mg/m2 milligram(s)/square meter
Max treatment duration
10 Week(s)
Authorisation status
Authorised
ATC code
L01XA03 — OXALIPLATIN
Marketing authorisation
26943
MA holder
ACCORD HEALTHCARE B.V.
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

HUS-Yhtymae

Sponsor organisation
HUS-Yhtymae
Address
Haartmaninkatu 4
City
Helsinki
Postcode
00290
Country
Finland

Scientific contact point

Organisation
HUS-Yhtymae
Contact name
Toni Seppälä

Public contact point

Organisation
HUS-Yhtymae
Contact name
Toni Seppälä

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Authorised, recruitment pending 100 2
Rest of world 0

Investigational sites

Finland

2 sites · Authorised, recruitment pending
Tampere University Hospital
Gastroenterology, Elamanaukio 2, 33520, Tampere
HUS-Yhtymae
Gastrology, Haartmaninkatu 4, 00290, Helsinki

Results and documents

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

Documents 6 files

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

TypeTitleVersion
Protocol (for publication) Syncope_protocol_FINAL 3
Recruitment arrangements (for publication) Recruitment arrangements 1
Subject information and informed consent form (for publication) Suostumus tutkimukseen 1
Subject information and informed consent form (for publication) Tiedote tutkittavalle SYNCOPE 1
Summary of Product Characteristics (SmPC) (for publication) SPC_Capecitabine 1
Summary of Product Characteristics (SmPC) (for publication) SPC_Oxaliplatin 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-11 Finland Acceptable
2024-09-24
2024-09-24