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SNCTP000004623 | EUCTR2020-001847-16 | BASEC2021-00425

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

Data source: BASEC (Imported from 26.07.2024), WHO (Imported from 27.07.2024)
Changed: Jul 27, 2024, 1:00 AM
Disease category: Other Cancer

Brief description of trial (Data source: 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)

Health conditions investigated(Data source: BASEC)

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

Health conditions (Data source: WHO)

Solid tumors
MedDRA version: 21.1Level: LLTClassification code 10065147Term: Malignant solid tumorSystem Organ Class: 100000004864
MedDRA version: 21.1Level: LLTClassification code 10065252Term: Solid tumorSystem Organ Class: 100000004864;Therapeutic area: Diseases [C] - Cancer [C04]

Rare disease (Data source: BASEC)

No

Intervention investigated (e.g. drug, therapy or campaign) (Data source: 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 (Data source: WHO)


Trade Name: Kadcyla 160 mg powder for concentrate for solution for infusion.
Product Name: trastuzumab emtansine
Product Code: RO530-4020/F02-01
Pharmaceutical Form: Powder for concentrate and solution for solution for infusion
INN or Proposed INN: trastuzumab emtansine
CAS Number: 1018448-65-1
Current Sponsor code: RO5304020
Other descriptive name: TRASTUZUMAB EMTANSINE
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 160-

Trade Name: Tecentriq
Product Name: Atezolizumab
Product Code: RO554-1267/F03-01
Pharmaceutical Form: Concentrate for solution for infusion
INN or Proposed INN: ATEZOLIZUMAB
CAS Number: 1380723-44-3
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 Prop

Criteria for participation in trial (Data source: 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.

Exclusion criteria (Data source: 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 (Data source: 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

Further information on the trial from WHO database (ICTRP)

https://trialsearch.who.int/Trial2.aspx?TrialID=EUCTR2020-001847-16
Further information on trial

Date trial registered

Nov 23, 2020

Incorporation of the first participant

Apr 8, 2021

Recruitment status

Not Recruiting

Academic title (Data source: WHO)

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

Type of trial (Data source: WHO)

Interventional clinical trial of medicinal product

Design of the trial (Data source: 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: 10

Phase (Data source: WHO)

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

Primary end point (Data source: 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 by blood-based NGS assay and 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: Approximately 12 years

Secundary end point (Data source: 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, D, E, F, G, H, I, J, and K: IRC-assessed ORR, DOR, CBR, and PFS per INRC
8. Cohorts A, B, D, E, F, G, H, I, J, and K: INV-assessed ORR, DOR, CBR, and PFS per INRC
9. IRC-assessed ORR, DOR, CBR, and PFS per RECIST v1.1 in patients with alteration/biomarker-positive ctDNA by blood-based NGS assay
10. INV-assessed ORR, DOR, CBR, and PFS per RECIST v1.1 in patients with alteration/biomarker-positive ctDNA by blood-based NGS assay
11. Cohorts A, B, C, D, I, J, and K: IRC-assessed IC-ORR, IC-DOR, IC-CBR, IC-PFS rate per RECIST v1.1
12. Cohorts A, B, C, D, I, J, and K: INV-assessed IC-ORR, IC-DOR, IC-CBR, IC-PFS per RECIST v1.1
13. 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
14. Descriptive endpoint of time to confirmed symptom onset or worsening from tumor-related symptom scores from the EORTC QLQ-C30 and EORTC IL71
15. Incidence, type, and severity of adverse events (based on the NCI CTCAE v5.0), including serious adverse events
16. Concentration of study treatment at specified timepoints
17. Incidence of ADAs during the study relative to the prevalence of ADAs at baseline
18. Relationship between ADA status and efficacy, safety, or pharmacokinetic endpoints
19. Cohort K: for pediatric patients - evaluate the acceptability and palatability of pralsetinib with Acceptability Survey scores on Day 1 of Cycle 1
;Timepoint(s) of evaluation of this end point: 1-18. Approximately 12 years
19. Day 1 of Cycle 1

Contact information (Data source: WHO)

F. Hoffman-La Roche Ltd.

Trial results (Data source: WHO)

Results summary

no information available yet

Link to the results in the primary register

no information available yet

Information on the availability of individual participant data

no information available yet

Trial sites

Trial sites in Switzerland (Data source: BASEC)

Basel, Bellinzona, Bern, Zurich

Countries (Data source: WHO)

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

Contact for further information on the trial

Details of contact in Switzerland (Data source: BASEC)

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

Contact for general information (Data source: WHO)

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

Contact for scientific information (Data source: WHO)

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

Authorisation by the ethics committee (Data source: BASEC)

Name of the authorising ethics committee (for multicentre studies only the lead committee)

Comitato etico cantonale Ticino

Date of authorisation by the ethics committee

23.09.2021

Further trial identification numbers

Trial identification number of the ethics committee (BASEC-ID) (Data source: BASEC)

2021-00425

Secondary ID (Data source: WHO)

BO41932
2020-001847-16-DK
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