Clinical trial • Not applicable • Oncology|Gastroenterology|Immunology|Musculoskeletal

NIVOLUMAB for Inflammatory bowel disease|Rheumatic disease|Cancer

Not applicable trial of NIVOLUMAB for Inflammatory bowel disease|Rheumatic disease|Cancer. open-label. 1261 participants.

Overview

Trial Therapeutic Area
Oncology|Gastroenterology|Immunology|Musculoskeletal
Trial Disease
Inflammatory bowel disease|Rheumatic disease|Cancer
Trial Stage
Not applicable
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
14-11-2024
First CTIS Authorization Date
25-11-2024

Trial design

open-label Not applicable trial across 6 sites in Netherlands.

Open Label
Yes
Real World Control
Yes
Target Sample Size
1261

Eligibility

Recruits 1261 Vulnerable populations not selected; participants must be able and willing to sign the Informed Consent Form prior to screening; no assent or special consent provisions for minors described (study enrols 18 years and older)..

Vulnerable Population
Vulnerable populations not selected; participants must be able and willing to sign the Informed Consent Form prior to screening; no assent or special consent provisions for minors described (study enrols 18 years and older).

Inclusion criteria

  • {"criterion_text":"- Starting, or on treatment with monoclonal antibodies: nivolumab, pembrolizumab ipilimumab, bevacizumab, trastuzumab, durvalumab, atezolizumab, or rituximab."}
  • {"criterion_text":"- 18 years and older."}
  • {"criterion_text":"- No known history of increased susceptibility to immunological reactions."}
  • {"criterion_text":"- Subject is able and willing to sign the Informed Consent Form prior to screening evaluations."}

Exclusion criteria

  • {"criterion_text":"- Other research medication within 4 weeks of the start of the study."}
  • {"criterion_text":"- Inclusion in medical research in which the administration of medication should follow its stated times and dosages of infusions"}
  • {"criterion_text":"- Dosage deviates from standard protocol"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Numer of infusion related reactions","definition_or_measurement_approach":"Incidence of infusion-related reactions reported per drug using the definition of Common Terminology Criteria for Adverse Events (CTCAE) for infusion related reaction during accelerated infusion of mAbs (comparison to historical matching cohorts)."}
  • {"endpoint_text":"- Grade of IRR","definition_or_measurement_approach":"Grading of infusion-related reactions using CTCAE criteria."}

Secondary endpoints

  • {"endpoint_text":"- Efficacy treatment parameters (progression, remission)","definition_or_measurement_approach":"Assessment of treatment efficacy parameters such as disease progression and remission as recorded in patient records."}
  • {"endpoint_text":"- plasma levels of the administered drug","definition_or_measurement_approach":"Measurement of intra- and inter-individual plasma concentrations of the studied monoclonal antibodies."}
  • {"endpoint_text":"- Patient reported expierence measurements","definition_or_measurement_approach":"Patient-reported experience measures assessing shortened infusion times."}
  • {"endpoint_text":"- number of treatments needed","definition_or_measurement_approach":"Count of treatments administered per participant as recorded in clinical records."}
  • {"endpoint_text":"- death","definition_or_measurement_approach":"All-cause mortality captured during study period."}
  • {"endpoint_text":"- switchting of treatmet","definition_or_measurement_approach":"Recording of treatment switches (change of therapy) during follow-up."}

Recruitment

Planned Sample Size
1261
Recruitment Window Months
36
Consent Approach
Participants must sign the Informed Consent Form prior to screening evaluations. Subject information and ICF documents are provided (multiple versions present in the dossier). Study enrols adults (18+); no assent/parental consent arrangements described.

Geography

Total Number Of Sites
6
Total Number Of Participants
1261

Netherlands

Earliest CTIS Part Ii Submission Date
19-11-2024
Latest Decision Or Authorization Date
18-12-2025
Processing Time Days
394
Number Of Sites
6
Number Of Participants
1261

Sites

Site Name
Rijnstate Ziekenhuis Stichting
Department Name
Medical oncology
Contact Person Name
N Claessens
Contact Person Email
nclaessens@rijnstate.nl
Site Name
Jeroen Bosch Ziekenhuis Stichting
Department Name
Medical oncology
Contact Person Name
J Tol
Contact Person Email
j.tol@jbz.nl
Site Name
Medisch Spectrum Twente
Department Name
pharmacy
Contact Person Name
N Lankheet
Contact Person Email
a.lankheet@mst.nl
Site Name
Isala Klinieken Stichting
Department Name
Clinical Pharmacy
Contact Person Name
Elise Smolders
Contact Person Email
e.j.smolders@isala.nl
Site Name
Universitair Medisch Centrum Groningen
Department Name
Medical oncology
Contact Person Name
DG Knapen
Contact Person Email
d.g.knapen@umcg.nl
Site Name
Noordwest Ziekenhuisgroep Stichting
Department Name
Medical oncology
Contact Person Name
M Hendriks
Contact Person Email
m.p.hendriks@nwz.nl

Sponsor

Primary sponsor

Full Name
Isala Klinieken Stichting
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
OPDIVO 10 mg/mL concentrate for solution for infusion.
Active Substance
NIVOLUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Authorisation Status
Authorised
Maximum Dose
6 mg/kg
Investigational Product Name
Remicade 100 mg powder for concentrate for solution for infusion.
Active Substance
INFLIXIMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Maximum Dose
10 mg/kg
Investigational Product Name
Herceptin 150 mg powder for concentrate for solution for infusion
Active Substance
TRASTUZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Authorisation Status
Authorised
Maximum Dose
8 mg/kg
Investigational Product Name
KEYTRUDA 25 mg/mL concentrate for solution for infusion
Active Substance
PEMBROLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Authorisation Status
Authorised
Maximum Dose
400 mg
Investigational Product Name
IMFINZI 50 mg/mL concentrate for solution for infusion.
Active Substance
DURVALUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Authorisation Status
Authorised
Maximum Dose
1500 mg
Investigational Product Name
Vectibix 20 mg/ml concentrate for solution for infusion
Active Substance
PANITUMUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Maximum Dose
6 mg/kg
Investigational Product Name
Entyvio 300 mg powder for concentrate for solution for infusion
Active Substance
VEDOLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Maximum Dose
300 mg
Investigational Product Name
Truxima 500 mg concentrate for solution for infusion
Active Substance
RITUXIMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Authorisation Status
Authorised
Maximum Dose
375 mg/m2
Investigational Product Name
Tecentriq 1 875 mg solution for injection
Active Substance
ATEZOLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Authorisation Status
Authorised
Maximum Dose
1680 mg/kg
Investigational Product Name
YERVOY 5 mg/ml concentrate for solution for infusion
Active Substance
IPILIMUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Authorisation Status
Authorised
Maximum Dose
3 mg/kg
Investigational Product Name
RoActemra 20 mg/mL concentrate for solution for infusion
Active Substance
TOCILIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Maximum Dose
8 mg/kg
Investigational Product Name
Perjeta 420 mg concentrate for solution for infusion
Active Substance
PERTUZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Maximum Dose
100 mg/m2
Investigational Product Name
Avastin 25 mg/ml concentrate for solution for infusion.
Active Substance
BEVACIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Authorisation Status
Authorised
Maximum Dose
15 mg/kg