Smouldering Systemic, Indolent Systemic or Cutaneous Mastocytosis with handicaps MedDRA version: 20.0 Level: PT Classification code 10026891 Term: Mastocytosis System Organ Class: 10005329 - Blood and lymphatic system disorders
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient with one of the following documented mastocytosis as per WHO classification: - Smouldering Systemic Mastocytosis - Indolent Systemic Mastocytosis - Cutaneous Mastocytosis 2. Patient with documented mastocytosis and evaluable disease based upon histological criteria: typical infiltrates of mast cells in a multifocal or diffuse pattern in skin and/or bone marrow biopsy 3. Patient with documented treatment failure of his/her handicap(s) with at least one of the following therapy used at optimized dose (refer to table 2): - Anti H1 - Anti H2 - Proton pump inhibitor - Osteoclast inhibitor - Cromoglycate Sodium - Antileukotriene 4. Handicapped status defined as at least two of the following handicaps, including at least one among pruritus, flushes, depression and asthenia: - pruritus score = 6 - number of flushes per week = 7 - Hamilton rating scale (depression) = 10 - number of stools per day = 4 , - number of mictions per day = 8 , - Fatigue Impact Scale total score (asthenia) = 40 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1.Patient with one of the following mastocytosis: - Systemic Mastocytosis with an Associated clonal Hematologic Non Mast cell lineage Disease (SM-AHNMD) - Mast cell leukemia (MCL) - Aggressive systemic mastocytosis (ASM) 2. Previous treatment with any Tyrosine Kinase Inhibitor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The objective is to compare the safety and efficacy of masitinib to placebo in patients with indolent mastocytosis with handicap. Primary endpoint: ? Responder rate at week 24 ;Secondary Objective: Secondary endpoints: ? Response in at least two out of three variables among pruritus, flushes, depression or asthenia, at week 12 and week 24 ? Responder rate at week 12 ? Pruritus score at week 12 and week 24 ? Number of flushes per week at week 12 and week 24 ? Hamilton score at week 12 and week 24 ? Fatigue Impact Scale at week 12 and week 24 ? Number of mictions per day at week 12 and week 24 ? Number of stools per day at week 12 and week 24 ? QLQ-C30 scores at week 12 and week 24 ? Overall Patient Assessment (OPA) at week 12 and week 24 ? AFIRMM V2 score at week 12 and week 24 ? Percentage of patient without handicap at week 12 and 24 ? Mast cell infiltration in the skin or bone marrow at week 24 ? Serum tryptase level at week 24 Safety profile of masitinib: Occurrence of Adverse Events, vital signs, EKG, Chest X-Ray, cardiac ultrasonography and biological parameters. ;Primary end point(s): Primary variable: Responder rate A patient is classified as responder if he/she presents an improvement of = 50% in at least one handicap, handicap being defined as a score above the cut in any of the 4 variables: - pruritus score = 6, - number of flushes per week = 7, - Hamilton score = 10, - Fatigue Impact Scale score = 40. Any patient with a worsening of more than 50% of any handicap, and/or with emergence of a new handicap with an increase of more than 50% from baseline, will be considered a non responder ;Timepoint(s) of evaluation of this end point: Week 24 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Response in at least two out of three variables among pruritus, flushes, depression or asthenia, at week 12 and week 24 - Responder rate at week 12 - Pruritus score at week 12 and week 24 - Number of flushes per week at week 12 and week 24 - Hamilton rating scale for depression score at week 12 and week 24 - Fatigue Impact Scale at week 12 and week 24 - Number of micturitions per day at week 12 and week 24 - Number of stools per day at week 12 and week 24 - QLQ-C30 scores at week 12 and week 24 - Overall Patient Assessment (OPA) at week 12 and week 24 - AFIRMM V2 score at week 12 and week 24 - Percentage of patient without handicap at week 12 and 24 - Mast cell infiltration in the skin or bone marrow at week 24 - Serum tryptase level at week 24;Timepoint(s) of evaluation of this end point: Week 12 and 24 | — |
Countries
Austria, Bulgaria, Czech Republic, France, Germany, Greece, Hungary, India, Italy, Latvia, Poland, Russian Federation, Slovakia, Spain, Ukraine, United Kingdom, United States
Contacts
AB Science