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SNCTP000004623 | EUCTR2020-001847-16 | BASEC2021-00425

Plattform-Studie mit Präzisions-Immunoonkologie bei fortgeschrittenen, inoperablen oder metastasierten soliden Tumoren (TAPISTRY)

Base de données : BASEC (Importation du 26.04.2024), WHO (Importation du 25.04.2024)
Modifié: 13 janv. 2024 à 01:00
Catégorie de maladie: Autres cancer

Brève description de l’étude (Source de données: BASEC)

Das Ziel dieser Studie ist es, die Auswirkungen, ob gut oder schlecht, von zielgerichteten Therapien (Medikamente, die bestimmte Arten von Krebszellen identifizieren und angreifen) oder Immuntherapie (Medikamente, die das körpereigene Immunsystem bei der Bekämpfung von Krebszellen unterstützen) bei Patienten mit soliden Tumoren mit spezifischen genetischen Veränderungen oder mit einer hohen Anzahl von Mutationen aufweisen. Die Patienten werden in Kohorten (Gruppen) eingeteilt, je nachdem, ob sie eine bestimmte Art von genetischer Veränderung oder eine hohe Anzahl von Mutationen in ihrem Tumor aufweisen. Anzahl von Mutationen in ihrem Tumor. Kohorte A: Entrectinib bei Patienten mit ROS1-Fusions-positiven Tumoren Kohorte B: Entrectinib bei Patienten mit NTRK1/2/3-Fusions-positiven Tumoren Kohorte C: Alectinib bei Patienten mit ALK-Fusions-positiven Tumoren Kohorte H: GDC-0077 bei Patienten mit PIK3CA-multimutierten-positiven Tumoren Kohorte J: Belvarafenib bei Patienten mit BRAF-Klasse-III-Mutations-positiven Tumoren Kohorte K: Pralsetinib bei Patienten mit RET-Fusions-positiven Tumoren (ausser NSCLC)

Maladies étudiées(Source de données: BASEC)

In dieser Studie werden inoperable, lokal fortgeschrittene solide Tumore (mit bestimmten genetischen Veränderungen oder einer hoher Anzahl von Mutationen) untersucht.

Health conditions (Source de données: WHO)

Locally advanced or metastatic solid tumors determined to harbor specific oncogenic genomic alterations or who are TMB-high as identified by a validated NGS assay
MedDRA version: 21.1Level: LLTClassification code 10065147Term: Malignant solid tumorSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA version: 21.1Level: LLTClassification code 10065252Term: Solid tumorSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps);Therapeutic area: Diseases [C] - Cancer [C04]

Maladie rare (Source de données: BASEC)

Non

Intervention étudiée (p. ex., médicament, thérapie, campagne) (Source de données: BASEC)

Personalisierte Therapie für jeden Patienten entweder mit Entrectinib, Alectinib, Atezolizumab, Ipatasertib, Trastuzumab emtansine oder GDC-0077 in Abhängigkeit vom molekularen Profil des Tumors. Diese Therapien zielen auf die Mutationen im Tumor.

Interventions (Source de données: WHO)


Trade Name: Tecentriq
Product Name: Atezolizumab
Product Code: RO554-1267/F03
Pharmaceutical Form: Concentrate for solution for infusion
INN or Proposed INN: ATEZOLIZUMAB
Current Sponsor code: RO5541267
Other descriptive name: Tecentriq / MPDL3280A
Concentration unit: mg/ml milligram(s)/millilitre
Concentration type: equal
Concentration number: 60-

Product Name: Entrectinib
Product Code: RO710-2122/F08/F09/F11/F20/F25
Pharmaceutical Form: Capsule, hard
INN or Proposed INN: ENTRECTINIB
CAS Number: 1108743-60-7
Current Sponsor code: RO7102122
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 100-

Product Name: Entrectinib
Product Code: RO710-2122/F04/F06/F10/F14/F24
Pharmaceutical Form: Capsule, hard
INN or Proposed INN: ENTRECTINIB
CAS Number: 1108743-60-7
Current Sponsor code: RO7102122
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 200-

Product Name: Entrectinib
Product Code: RO710-2122/F15/F17
Pharmaceutical Form: Film-coated tablet
INN or Proposed INN: ENTRECTINIB
CAS Number: 1108743-60-7
Current Sponsor code: RO7102122
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 50-

Product Name: Ipatasertib
Product Code: RO5532961/F16
Pharmaceutical Form: Film-coated tablet
INN or Proposed INN: IPATASERTIB
Current Sponsor code: RO5532961
Other descriptive name: GDC-0068 / Akt Inhibitor
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 100-

Product Name: Ipatasertib
Product Code: RO5532961/F17
Pharmaceutical Form: Film-coated tablet
INN or Proposed INN: IPATASERTIB
Current Sponsor code: RO5532961
Other descriptive name: GDC-0068 / Akt Inhibitor
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 200-

P

Critères de participation à l’étude (Source de données: BASEC)

-Histologisch oder zytologisch gesicherte Diagnose eines fortgeschrittenen und inoperablen oder metastasierten soliden Malignoms
-Mindestens eines der folgenden molekularen Tumorprofile:
ROS1-Fusions-positiver Tumor, NTRK1/2/3-Fusions-positiver Tumor, ALK-Fusions-positiver Tumor, TMB-high-Tumor, AKT1/2/3-Mutation-positiver Tumor, HER2-Mutation-positiver Tumor, PIK3CA-Multimutation-positiver Tumor
-Fortschreiten der Erkrankung unter der vorherigen Behandlung oder zuvor unbehandelte Erkrankung ohne verfügbare akzeptable Behandlung.

Critères d’exclusion (Source de données: BASEC)

-Ganzhirnbestrahlung innerhalb von 14 Tagen vor Beginn der Studienbehandlung
-Sterotaktische Radiochirurgie innerhalb von 7 Tagen vor Beginn der Studienbehandlung
-Schwanger oder stillend, oder beabsichtigt, während der Studie schwanger zu werden

Inclusion/Exclusion Criteria (Source de données: WHO)

Gender:
Female: yes
Male: yes

Inclusion criteria:
? Histologically or cytologically confirmed diagnosis of advanced and unresectable or metastatic solid malignancy
? Measurable disease as defined by Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1), Response Assessment in Neuro-Oncology (RANO) criteria, or International Neuroblastoma Response Criteria (INRC)
? Performance status as follows: Participants aged >= 18 years: Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2; Participants aged 16 to < 18 years: Karnofsky score >= 50%; Participants aged < 16 years: Lansky score >= 50%
? For participants aged >= 18 and <18 years: adequate hematologic and end-organ function
? Disease progression on prior treatment, or previously untreated disease with no available acceptable treatment
? Adequate recovery from most recent systemic or local treatment for cancer
? Life expectancy >= 8 weeks
? Ability to comply with the study protocol, in the investigator's judgment
? For female participants of childbearing potential: Negative serum pregnancy test <= 7 days prior to initiating study treatment; agreement to remain abstinent or use single or combined contraception methods that result in a failure rate of < 1% per year for the period defined in the cohort-specific inclusion criteria; and agreement to refrain from donating eggs during the same period
o Stricter cohort-specific contraception requirements may be included in the cohort-specific appendices
? For male participants: Willingness to remain abstinent or use acceptable methods of contraception as defined in the cohort-specific inclusion criteria
? In addition to the general inclusion criteria above, participants must meet all of the cohort-specific inclusion criteria for the respective cohort

Are the trial subjects under 18? yes
Number of subjects for this age range: 32
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 423
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 195

Exclusion criteria:
? Current participation or enrollment in another therapeutic clinical trial
? Any anticancer treatment within 2 weeks prior to start of study treatment (Please refer to the cohort-specific eligibility criteria for requirements on enrollment, if applicable)
? Whole brain radiotherapy within 14 days prior to start of study treatment
? Stereotactic radiosurgery within 7 days prior to start of study treatment
? Pregnant or breastfeeding, or intending to become pregnant during the study
? History of or concurrent serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the participant's safe participation in and completion of the study or confounds the ability to interpret data from the study
? Incomplete recovery from any surgery prior to the start of study treatment that would interfere with the determination of safety or efficacy of study treatment
? Significant cardiovascular disease, such as New York Heart Association cardiac disease (Class II or higher), myocardial infarction, or cerebrovascular accident within 3 months prior to enrollment, unstable arrhythmias, or unstable angina
? History of another active cancer within 5 years prior to screening that may interfere with the determination of safety or efficacy of study treatment with respect to the qualifying solid tumor malignancy
? In addition to the general exclusion criteria above, in order to be enrolled in a treatment cohort of the study, participants must not meet any of the cohort-specific exclusion criteria

Plus de données sur l’étude tirée du registre primaire de l’OMS

https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2020-001847-16

Plus de données sur l’étude tirée de la base de données de l’OMS (ICTRP)

https://trialsearch.who.int/Trial2.aspx?TrialID=EUCTR2020-001847-16
Plus d’informations sur l’étude

Date d’enregistrement de l’étude

11 nov. 2020

Intégration du premier participant

30 juin 2021

Statut de recrutement

Authorised-recruitment may be ongoing or finished

Titre scientifique (Source de données: WHO)

TUMOR-AGNOSTIC PRECISION IMMUNOONCOLOGY AND SOMATIC TARGETING RATIONAL FOR YOU (TAPISTRY) PHASE II PLATFORM TRIAL

Type d’étude (Source de données: WHO)

Interventional clinical trial of medicinal product

Conception de l’étude (Source de données: WHO)

Controlled: no Randomised: no Open: yes Single blind: no Double blind: no Parallel group: no Cross over: no Other: yes Other trial design description: multi-cohort If controlled, specify comparator, Other Medicinial Product: no Placebo: no Other: no Number of treatment arms in the trial: 13

Phase (Source de données: WHO)

Human pharmacology (Phase I): noTherapeutic exploratory (Phase II): yesTherapeutic confirmatory - (Phase III): noTherapeutic use (Phase IV): no

Points finaux primaires (Source de données: WHO)

Main Objective: ? To evaluate the efficacy of study treatment in patients with alteration/biomarker-positive advanced or metastatic solid tumors (for tumor types that are assessed by RECIST v1.1) based on IRC-assessed ORR;Secondary Objective: ? To evaluate efficacy of study treatment in patients with alteration/biomarker-positive advanced or metastatic solid tumors, alteration/biomarker-positive primary CNS tumors at baseline and alteration/biomarker-positive advanced or metastatic neuroblastoma
? To evaluate the efficacy of study treatment in subgroup of patients with advanced or metastatic solid tumors that are alteration/biomarker-positive solid tumors with CNS metastases at baseline
? To evaluate the impact of study treatment on PROs of function and symptoms in patients with alteration/biomarker-positive advanced or metastatic solid tumors
? To evaluate the safety and tolerability of study treatment in patients with alteration/biomarker-positive solid tumors
? To characterize the pharmacokinetics of study treatment (and metabolite[s] if applicable)
? To evaluate the immune response to study treatment and potential effects of ADAs
;Primary end point(s): 1.IRC-assessed ORR based on confirmed (>= 4 weeks after initial documentation of response) objective response (per RECIST v1.1);Timepoint(s) of evaluation of this end point: 1. Approximately 8 years

Points finaux secondaires (Source de données: WHO)

Secondary end point(s): 1. IRC-assessed DOR, CBR, and PFS per RECIST v1.1
2. INV-assessed ORR, DOR, CBR, and PFS per RECIST v1.1
3. IRC- and INV-assessed time to CNS progression per RECIST v1.1
4. OS
5. Cohorts A, B, C, D, I, J, and K: IRC-assessed CNS-ORR, CNS-DOR, CNS-CBR, and CNS-PFS per RANO
6. Cohorts A, B, C, D, I, J, and K: INV-assessed CNS-ORR, CNS-DOR, CNS-CBR, and CNS-PFS per RANO
7. Cohorts A, B, C, D, E, F, H, I, J, K, L, M, and N: IRC-assessed ORR, DOR, CBR, and PFS per INRC
8. Cohorts A, B, C, D, E, F, H, I, J, K, L, M, and N: INV-assessed ORR, DOR, CBR, and PFS per INRC
9. Cohorts A, B, C, D, I, J, and K: IRC-assessed IC-ORR, IC-DOR, IC-CBR, IC-PFS rate per RECIST v1.1
10. Cohorts A, B, C, D, I, J, and K: INV-assessed IC-ORR, IC-DOR, IC-CBR, IC-PFS per RECIST v1.1
11. Descriptive endpoint of time to confirmed deterioration, change from baseline, proportion of patients with a clinical meaningful change on the Global Health Status, Physical Functioning, and Role Functioning scores from the EORTC QLQ-C30
12. Descriptive endpoint of time to confirmed symptom onset or worsening from tumor-related symptom scores from the EORTC QLQ-C30 and EORTC IL71
13. Incidence, type, and severity of adverse events (based on the NCI CTCAE v5.0), including serious adverse events
14. Concentration of study treatment at specified timepoints
15. Incidence of ADAs during the study relative to the prevalence of ADAs at baseline
16. Relationship between ADA status and efficacy, safety, or pharmacokinetic endpoints
17. Cohort A, B and K: for pediatric patients - evaluate the acceptability and palatability of pralsetinib and Entrectinib with Acceptability Survey scores on Day 1 of Cycle 1
;Timepoint(s) of evaluation of this end point: 1-16. Approximately 8 years
17. Day 1 of Cycle 1

Contact pour informations (Source de données: WHO)

F. Hoffman-La Roche Ltd.

Résultats de l’étude (Source de données: WHO)

Résumé des résultats

TUMOR-AGNOSTIC PRECISION IMMUNOONCOLOGY AND SOMATIC TARGETING RATIONAL FOR YOU (TAPISTRY) PHASE II PLATFORM TRIAL

Lien vers les résultats dans le registre primaire

pas encore d’informations disponibles

Informations sur la disponibilité des données individuelles des participants

pas encore d’informations disponibles

Lieux de réalisation des études

Lieux de réalisation des études en Suisse (Source de données: BASEC)

Bâle, Bellinzona, Berne, Zurich

Pays où sont réalisées les études (Source de données: WHO)

Australia, Belgium, Brazil, Canada, China, Denmark, France, Germany, Hong Kong, Israel, Italy, Korea, Netherlands, Poland, Portugal, Republic of, Singapore, Spain, Switzerland, Taiwan, United Kingdom, United States

Contact pour plus d’informations sur l’étude

Données sur la personne de contact en Suisse (Source de données: BASEC)

Clinical Trials
+41 61 715 43 91
switzerland.clinical-research@roche.com

Contact pour des informations générales (Source de données: WHO)

Trial Information Support Line-TISL
Grenzacherstrasse 124
F. Hoffmann-La Roche Ltd
global.rochegenentechtrials@roche.com

Contact pour des informations scientifiques (Source de données: WHO)

Trial Information Support Line-TISL
Grenzacherstrasse 124
F. Hoffmann-La Roche Ltd
global.rochegenentechtrials@roche.com

Autorisation de la commission d’éthique (Source de données: BASEC)

Nom de la commission d’éthique chargée de l’autorisation (dans le cas d’études multicentriques, uniquement la commission directrice)

Comitato etico cantonale Ticino

Date d’autorisation de la commission d’éthique

23.09.2021

Plus de numéros d’identification d’étude

Numéro d’identification de l’étude de la commission d’éthique (BASEC-ID) (Source de données: BASEC)

2021-00425

Secondary ID (Source de données: WHO)

BO41932
2020-001847-16-DK
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