race trial · format (84,1cm x 118,9cm) research poster. you can use it to create your poster that...

1
www.ebmt.org #EBMT16 At the ASH congress 2015 Neal Young presented promising results from the NIH phase II study on Eltrombopag. Addition of Eltrombopag to immuno- suppressive therapy markedly increases overall and complete hematologic response rates in treatment-naive SAA. See: bloodjournal.org/content/126/23/LBA-2. The Race trial investigates Eltrombopag in a phase III randomised setting, aiming to change standard practice in SAA. Purpose of the trial is to improve the efficacy of the current treatment by combining standard immunosuppression with Eltrombopag in order to rescue or improve the function of residual hematopoiesis. In Italy we obtained ethics approval in 3 sites; pending approval in 3 sites. For sites with ethics approval we are negotiating site agreements. As soon as approvals and contracts are finalised, we can formally open the site, ideally within 2 weeks. RACE Trial EBMT Clinical Trials Office A prospective Randomized multicenter study comparing horse Antithymocyte globuline (hATG) + Cyclosporine A (CsA) with or without Eltrombopag as front-line therapy for severe aplastic anemia patients 1. Diagnosis of severe or very severe aplastic anemia, defined by: At least two of the following: Absolute neutrophil counts <0,5 x 10 9 /L (severe) or <0,2 x 10 9 /L (very severe) Platelets counts <20 x 10 9 /L Reticulocyte counts <60 x 10 9 /L Hypocellular bone marrow (<30% cellularity without evidences of fibrosis or malignant cells) 2. Male or female age ≥ 15 years Main Inclusion Criteria Treatment schedule Country Status Country Approval Nr of sites Sites open France NCA & EC 6 4 United Kingdom NCA & EC 5 2 Spain NCA & EC 5 0 Italy NCA & local EC 6 2 Netherlands NCA & EC 4 1 Germany submitting 5 0 Switzerland submitting 1 0 Total 32 9 Accrual 0 50 100 150 200 250 Patients included Date Actual and Expected Accrual Actual Accrual Expected accrual sites open till June (exc. DE/CH/IT) 0 5 10 15 20 25 30 35 40 RACE Trial Working party Principal investigators Trial Coordinator SAA-WP Antonio M Risitano Regis Peffault De Latour Marleen van Os To investigate whether Eltrombopag (Revolade, Novartis) added to standard immunosuppressive treatment, CsA + hATG (ATGAM, Pfizer), increases the rate of early complete response in untreated AA patients Participating countries Primary Endpoint Rate of Complete Response at 3 months since start of treatment in untreated severe AA patients. CR is defined as: Hb>10 g/dL, ANC>1,000/μL and Platelets>100,000 μL Treatment Dose (units) Treatment Period Arm A (standard): ATGAM 40 mg/kg/day, iv Day 1, 2, 3 and 4 Cyclosporine A 5 mg/kg/day, po Day 1-365 Arm B: arm A + Investigational drug Eltrombopag 150 mg every 24 h, po Day 14-90 (or 14-180) NIH Phase II Study on Eltrombopag EBMT Executive Director Andreu Gusi Finance Jürgen Kuball Liesbeth Hoekstra Legal Consultant Jeroen Knijpinga CT Operations Manager Alain Barrois RACE Trial Manager Marleen van Os Trial Coordinator Janette Zarev (pharmacovigilance) Trial Coordinator Annelies Kleijne (data management) Trial Coordinator Eline Smits (drug supply) Trial Coordinator Ruzena Uddin (regulatory) Trial Coordinator Sue Philpott (insurance / CTMS) Statistician Simona Iacobelli SAA Working Party Chair Carlo Dufour Coordinating Investigator Antonio Risitano Coordinating Investigator Régis Peffault De Latour RACE Team Contact: [email protected]

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Page 1: RACE Trial · format (84,1cm x 118,9cm) research poster. You can use it to create your poster that will be displayed on the EBMT stand. This template will save valuable time placing

www.ebmt.org #EBMT16

(—THIS SIDEBAR DOES NOT PRINT—)

DESIGN GUIDE

This PowerPoint template produces a standard A0

format (84,1cm x 118,9cm) research poster. You can

use it to create your poster that will be displayed on

the EBMT stand. This template will save valuable

time placing titles, subtitles, text, and graphics, and

it will allow homogeneity throughout the various

posters.

QUICK START

Select desired layout When designing your own poster, you will be able to choose

between the two proposed layouts - the single or the double

column - according to the information you will have to

present.

Simply click right on the slide>layout: office theme, single

column or double column

Title, Authors, and Affiliations Start designing your poster by adding the title and subtitle,

the names of the authors, and the affiliated institutions. This

titles are indicative and you can change the type of

information.

Adding Sponsor logos Do not remove or move the EBMT logo. You can insert a logo

(of a sponsor for instance) where the red frame is. Logos

taken from web sites are likely to be low quality when

printed. Zoom it at 100% to see what the logo will look like

on the final poster and make any necessary adjustments.

Photographs / Graphics You can add images by dragging and dropping from your

desktop, copy and paste, or by going to INSERT > PICTURES.

Resize images proportionally by holding down the SHIFT key

and dragging one of the corner handles. For a professional-

looking poster, do not distort your images by enlarging them

disproportionally.

The image and/or graphic captions should be written in Arial

20 and centered.

Image Quality Check Zoom in and look at your images at 100% magnification. If

they look good they will print well.

QUICK START (cont. )

Text size Adjust the size of your text based on how much content you

have to present.

The default template text offers a good starting point.

Graphs / Charts You can simply copy and paste charts and graphs from Excel

or Word. Some reformatting may be required depending on

how the original document has been created.

How to remove the info bars You can delete the info bars by going to VIEW > SLIDE

MASTER.

Save your work Save your poster as a PowerPoint document (.ppt/.pptx) and

send it to the EBMT Communication Coordinator:

[email protected]

THANK YOU!

At the ASH congress 2015 Neal Young presented promising results from the NIH

phase II study on Eltrombopag. Addition of Eltrombopag to immuno-

suppressive therapy markedly increases overall and complete hematologic

response rates in treatment-naive SAA.

See: bloodjournal.org/content/126/23/LBA-2.

The Race trial investigates Eltrombopag in a phase III randomised setting,

aiming to change standard practice in SAA. Purpose of the trial is to improve

the efficacy of the current treatment by combining standard

immunosuppression with Eltrombopag in order to rescue or improve the

function of residual hematopoiesis.

In Italy we obtained ethics approval in 3 sites; pending approval in 3 sites.

For sites with ethics approval we are negotiating site agreements. As soon as

approvals and contracts are finalised, we can formally open the site, ideally

within 2 weeks.

RACE Trial

EBMT Clinical Trials Office

A prospective Randomized multicenter study comparing horse

Antithymocyte globuline (hATG) + Cyclosporine A (CsA) with or

without Eltrombopag as front-line therapy for

severe aplastic anemia patients

1. Diagnosis of severe or very severe aplastic anemia, defined by:

• At least two of the following:

Absolute neutrophil counts <0,5 x 109/L (severe) or <0,2 x 109/L

(very severe)

Platelets counts <20 x 109/L

Reticulocyte counts <60 x 109/L

• Hypocellular bone marrow (<30% cellularity without evidences of fibrosis

or malignant cells)

2. Male or female age ≥ 15 years

Main Inclusion Criteria

Treatment schedule

Country Status

Country Approval Nr of sites Sites open

France NCA & EC 6 4

United Kingdom NCA & EC 5 2

Spain NCA & EC 5 0

Italy NCA & local EC 6 2

Netherlands NCA & EC 4 1

Germany submitting 5 0

Switzerland submitting 1 0

Total 32 9

Accrual

0

50

100

150

200

250

Pat

ien

ts in

clu

de

d

Date

Actual and Expected Accrual

Actual Accrual

Expectedaccrual sitesopen till June(exc. DE/CH/IT)

0

5

10

15

20

25

30

35

40

RACE Trial

Working party Principal investigators Trial Coordinator

SAA-WP

Antonio M Risitano

Regis Peffault De Latour Marleen van Os

To investigate whether Eltrombopag (Revolade, Novartis) added to

standard immunosuppressive treatment, CsA + hATG (ATGAM, Pfizer),

increases the rate of early complete response in untreated AA patients

Participating

countries

Primary Endpoint

Rate of Complete Response at 3 months

since start of treatment in untreated severe AA patients.

CR is defined as: Hb>10 g/dL, ANC>1,000/µL and Platelets>100,000 µL

Treatment Dose (units) Treatment Period

Arm A (standard):

ATGAM 40 mg/kg/day, iv Day 1, 2, 3 and 4

Cyclosporine A 5 mg/kg/day, po Day 1-365

Arm B: arm A +

Investigational drug Eltrombopag 150 mg every 24 h, po Day 14-90 (or 14-180)

NIH Phase II Study on Eltrombopag

EBMT

Executive Director

Andreu Gusi

Finance

Jürgen Kuball Liesbeth Hoekstra

Legal Consultant

Jeroen Knijpinga

CT Operations Manager

Alain Barrois

RACE Trial Manager

Marleen van Os

Trial Coordinator

Janette Zarev (pharmacovigilance)

Trial Coordinator

Annelies Kleijne (data management)

Trial Coordinator

Eline Smits (drug supply)

Trial Coordinator

Ruzena Uddin (regulatory)

Trial Coordinator

Sue Philpott (insurance / CTMS)

Statistician

Simona Iacobelli

SAA Working Party

Chair Carlo Dufour

Coordinating Investigator

Antonio Risitano

Coordinating Investigator

Régis Peffault De Latour

RACE Team

Contact: [email protected]