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MEETING AGENDA Multi – region Ethics Committee 11 December 2007 VENUE: Room 2.08 Ministry of Health 1 – 3 The Terrace Wellington Emalene’s DDI: 470 0655 Committee cellphone on meeting day: 027 431 8281 Members of the public may attend the meeting, which commences at 9.30 am. Agenda for MREC meeting 11 December 2007 Page 1 of 10 Meeting of the Multi-Region Ethics Committee open to the public to be held on Tuesday 11 December 2007 at the Ministry of Health, 1 – 3 The Terrace, Wellington at 9.30am. PRESENT: Dr Martin Tolich (Chairperson) Mrs Mali Erick Dr Russell Franklin Dr Margaret Horsburgh Mrs Georgina Johnson Prof Graham Mellsop Dr Helen Moriarty Dr Barry Smith Mrs Carolyn Weston Dr Sheila Williams Ms Helen Colebrook APOLOGIES: Assoc Prof Cynthia Darlington ADMINISTRATOR: Emalene Pearson MINUTES OF THE PREVIOUS MEETING Confirmation of the Open Minutes of the Meeting on 20 November 2007. Confirmation of the Closed Minutes of the Meeting on 20 November 2007. RESUBMISSIONS Resubmission 1: A phase IIIb, multinational, randomized, double-blind, placebocontrolled trial to assess the efficacy and safety of certolizumab pegol, a pegylated Fab' fragment of a humanized anti-TNF-alpha monoclonal antibody, administered subcutaneously at weeks 0, 2 and 4 in subjects with moderately to severely active Crohn's disease (Study Number C87085) Lead Investigator: Dr Richard Gearry Main Site: Christchurch Hospital MEC Ref: MEC/07/11/158 Primary Presenter: Graham Secondary Presenter: Carolyn PIS& CF Site Christchurch Hospital Waikato Hospital Auckland City Hospital Shakespeare Specialist Group Wellington Hospital Agenda for MREC meeting 11 December 2007 L/A Y Y Y Y Y M/C Y Y Y Part 4 Y Y Y Y Y Page 2 of 10 Resubmission 2: A Phase IIIb, multinational open-label, follow-on trial to C87085 designed to assess the long-term safety of certolizumab pegol, a pegylated Fab' Fragment of a humanized anti-TNF - alpha monoclonal antibody, administered at weeks 0, 2 and 4, and then every 4 weeks therafter, in subjects with moderately to severely active Crohn's disease who have participated in Study C87085 Lead Investigator: Dr Richard Gearry Main Site: Christchurch Hospital MEC Ref: MEC/07/11/160 Primary Presenter: Graham Secondary Presenter: Carolyn PIS & CF Site Christchurch Hospital Waikato Hospital Auckland Hospital Shakespeare Specialist Group Wellington Hospital L/A Y Y Y Y Y M/C Y Y Y Part 4 Y Y Y Y Y Resubmission 3: Children's Oncology Group (COG) AAML0531 A Phase III Randomized Trial of Gemtuzumab Ozogamicin (Mylotorg) combined with Conventional Chemotherapy for De Novo Acute Myeloid Leukemia (AML) in Children, Adolescents, and Young Adults Lead Investigator: Dr Nyree Cole Main Site: Starship Children’s Health MEC Ref: MEC/07/11/147 Primary Presenter: Russell Secondary Presenter: Margaret PIS for patients aged 7 – 15 PIS&CF for patients older than 16 PIS&CF for parents/guardians/caregivers Site Starship Children’s Health Wellington Hospital Christchurch Hospital L/A Y M/C Part 4 Y Resubmission 4: A Phase 1 Randomized, Blinded, Placebo Controlled, safety and Pharmacodynamic Study of BHT-3021 with Open Label Cross-Over in Subjects with Type I Diabetes Mellitus Lead Investigator: Dr John Baker Main Site: CCREP, Middlemore Hospital MEC Ref: MEC/07/12/177 Primary Presenter: Secondary Presenter: Margaret Form B Part 5 Part 6 Agenda for MREC meeting 11 December 2007 Page 3 of 10 PIS&CF for main study PIS for urine collection PIS for fasting Site Middlemore Hospital Christchurch Hospital Waikato Hospital Wellington Hospital L/A Y Y Y M/C Part 4 Y Y Y NEW PROTOCOLS 1. Open-Label, 6-12 Months Safety and Efficacy Study of Levodopa - Carbidopa Intestinal Gel in Levodopa-Responsive Subjects with Advanced Parkinson's Disease and Severe Motor -Fluctuations. Protocol Number: S187.3.004. Protocol Date: Amendment 01 dated 16 July 2007 Lead Investigator: Prof Tim Anderson Main Site: Van der Veer Institute, Christchurch MEC Ref: MEC/07/12/166 Primary Presenter: Russell Secondary Presenter: Helen C Protocol S187.3.004 amendment 01 dd 16/7/2007 Investigator’s Brochure IB-187.02 dated 14/9/2007 Form B Part 5 Generic PIS&CF from sponsor’s master version Site L/A M/C Part 4 Christchurch Y Y Y Wellington Y Waikato Y Y Y 2. A Phase 1 randomized, prospecive, double-masked, vehicle-controlled, dose-escalation study to evaluate the safety, tolerability and clinical effect of Nexagon in participants following bilateral photorefractive keratectomy (PRK) for the correction of mild to moderate myopia Lead Investigator: Dr Sue Ormonde Main Site: Auckland Eye MEC Ref: MEC/07/12/167 Primary Presenter: Helen M Secondary Presenter: Georgina Form B Protocol NEX-OCU-001 Investigator’s Brochure for NEXAGON™ Site L/A M/C Part 4 Auckland Eye Y Y Wellington Eye Center Ltd Y Y Agenda for MREC meeting 11 December 2007 Page 4 of 10 3. An Open-Label, Phase IIIb, Multi-centre, Randomised, Parallel-Group Study to Investigate the Efficacy and Safety of Three Dosing schedules of Subcutaneous Dynepo in Adult Patients with anaemia Associated with Chronic Kidney Disease who are Pre-Dialysis or Require Peritoneal Dialysis or Haemodialysis Lead Investigator: Dr John Schollum Main Site: Dunedin Hospital MEC Ref: MEC/07/12/168 Primary Presenter: Graham Secondary Presenter: Barry Form B Protocol SPD490-301 IB for Epoetin Delta (Dynepo®) PIS&CF EU Master V4, NZ v3 dd 21/11/2007 Site L/A M/C Part 4 Dunedin Hospital Y Y Middlemore Hospital Auckland city Hospital 4. A multi-centre, double-blind, parallel group, phase IIa clinical trial to assess the efficacy and safety of Cpn10 administered as twice weekly subcutaneous injections in subjects with rheumatoid arthritis Lead Investigator: Dr Nigel Gilchrist Main Site: CGM Research Trust, Christchurch MEC Ref: MEC/07/12/169 Primary Presenter: Russell Secondary Presenter: Helen C Form B Protocol CBIO2007-01 IB for Cpn10 Generic PIS&CF for main study version 1 dated 9/11/2007 PIS&CF for pharmacodynamic substudy for Dr Gilchrist only PIS&CF for pharmacokinetic substudy for Dr Gilchrist only Part 5 6 participant questionnaires Site L/A M/C Part 4 CGM Research Trust, Christchurch Y Y Middlemore Hospital Y Y QE Health, Rotorua Waikato Hospital Wellington Regional Rheumatology Unit Y 5. A multicentre, randomized, double-blind, non-inferiority study comparing the efficacy and safety of once-weekly subcutaneous biotinylated idraparinux (SSR 126517E) with oral adjusted-dose warfarin in the prevention of stroke and systemic thromboembolic events in patients with atrial fibrillation Lead Investigator: Prof Harvey White Main Site: Auckland City Hospital MEC Ref: MEC/07/12/170 Primary Presenter: Helen M Agenda for MREC meeting 11 December 2007 Page 5 of 10 Secondary Presenter: Form B Protocol EFC10295 version 2.0 IB SSR126517, edition 3 IB SSR126517, edition 5 Part 5 Site Auckland City Hospital Whangarei Hospital Christchurch Hospital Dunedin Hospital Georgina L/A M/C Part 4 Y 6. A Phase III, Randomised, double-blind, Dose-Response, Stratified, PlaceboControlled Study Evaluating the Safety and Efficacy of SPD476 versus Placebo over 104 weeks in the Prevention of Recurrence of Diverticulitis. Lead Investigator: Dr Alison Ross Main Site: CURT Medical Trials Trust Inc MEC Ref: MEC/07/12/171 Primary Presenter: Graham Secondary Presenter: Barry Form B Protocol Investigator’s Brochure PIS&CF for Christchurch site Part 5 Insurance Certificate until 31/7/2009 Health questionnaires Site L/A M/C Part 4 CURT Medical Trials Trust Inc, By Ethcomm Y Christchurch Shakespeare Specialist Group By Ethcomm Tauranga Hospital Auckland City Hospital 7. A randomised, double-blind, placebo controlled, Bayesian adaptive dose finding study to investigate the safety, tolerability, pharmacokinetics and pharmodynamics of single and repeat intravenous infusions of GSK315234A in patients with active rheumatoid arthritis. Lead Investigator: Dr Alan Doube Main Site: Waikato Hospital MEC Ref: MEC/07/12/172 Primary Presenter: Russell Secondary Presenter: Mali Form B Protocol IB P4 Waikato / Christchurch Loc Waikato PI Consent forms Waikato Agenda for MREC meeting 11 December 2007 Page 6 of 10 Questionnaires Site Waikato Christchurch Hutt Valley L/A Y M/C Part 4 Y Y 8. A Phase III, Randomized, Double-Blind, Active-Controlled, Parallel-Group, Conducted Under In-House Blinding Conditions, to Examine the Safety, Tolerability, and Efficacy of a Single Dose of Intravenous MK 0157 for the Prevention of Chemotherapy-Induced Nausea and Vomiting (CINV) Associated with Cisplatin Chemotherapy Lead Investigator: Dr David Gibbs Main Site: Christchurch MEC Ref: MEC/07/12/173 Primary Presenter: Helen M Secondary Presenter: Sheila Protocol Form B Investigator’s Brochure PIS&CF for Christchurch site Part 5 Insurance Cert Letter of Application for Scott Patient Diary Study Flow Chart Site L/A M/C Part 4 Christchurch Hospital Y Wellington Hospital Hamilton Hosptial 9. The Medtronic Branch Clinical Trial - A prospective, multi-centre, non-randomised, single arm trial to assess the feasibility and safety of the Medtronic Bifurcation Stent System for Bifurcation Lesions Lead Investigator: Dr John Ormiston Main Site: Auckland City Hospital MEC Ref: MEC/07/12/174 Primary Presenter: Graham Secondary Presenter: Carolyn Protocol Investigator Brochure Part 5 Form B PIS & CF Version 2 dated 29 November 2007 Bifurcation Stent System - Instructions for use Wire Placement Catheter - Instructions for use Letter re: radiation dosage Agenda for MREC meeting 11 December 2007 Page 7 of 10 Sponsor declaration Insurance Cert Site Auckland City Hospital Mercy Hospital Dunedin Hospital L/A Y Y M/C Part 4 Y Y 10. A sense of the possible through the view finder: The hopes of patients with terminal cancer and the optimistic expectations or hopes of clinicians within the culture of palliative care. Lead Investigator: Kate Richardson Main Site: University of Auckland School of Nursing MEC Ref: MEC/07/12/175 Primary Presenter: Margaret Secondary Presenter: Mali Form A Study design PIS for patients and for clinicians CF for patients and for clinicians Site L/A M/C Part 4 University of Auckland Y Dunedin Public Hospital Wakefield Hospital, Wellington 11. The Australian and New Zealand MS Genetics Project (ANZ gene) Lead Investigator: Associate Professor Bruce Taylor Main Site: MS Research Centre Christchurch MEC Ref: MEC/07/12/176 Primary Presenter: Barry Secondary Presenter: Sheila CF & PIS Part 5 & 6 Site Christchurch Auckland City Hospital L/A M/C Part 4 Y Y 12.A Phase 1 Randomized, Blinded, Placebo Controlled, safety and Pharmacodynamic Study of BHT-3021 with Open Label Cross-Over in Subjects with Type I Diabetes Mellitus – see resubmission 4 13 An Open-label follow up trial of telmisartan 40mg+ amlodipine 10mg or telmisartan 80mg- amlodipine 10mg tablets alone or with other antihypertensive medications in patients with hypertension. Study Number 1235.8 Lead Investigator: John Gillies Main Site: Tauranga MEC Ref: MEC/07/12/178 Agenda for MREC meeting 11 December 2007 Page 8 of 10 Primary Presenter: Russell Secondary Presenter: Margaret Protocol Part 5 Generic PIS & CF Patient Identification Card Insurance Cert Site Tauranga Middlemore Hospital Caversham Medical Centre L/A Y Y M/C Part 4 Y Y 14. Phase IV randomized, Observer-Blind, Placebo Controlled, Mulit-Centre Study to Evaluate the Efficacy, Safety and Tolerability of CSL Limited’s Influenza Virus Vaccine in Adults Aged >18 to >65 Lead Investigator: Dr Rob Ellis-Pegler Main Site: Auckland Clinical Studies Limited MEC Ref: MEC/07/12/179 Primary Presenter: Helen M Secondary Presenter: Sheila Protocol Product Information Part 5 Form B PIS & CF – Auckland, Youth Health, Christchurch South & Caversham Patient 5 Day Diary Patient 21 Day Diary Site L/A M/C Part 4 Auckland Clinical Studies Y Y Youth Health Centre Y Y Christchurch South Health Centre Y Y Caversham Medical Centre Y Y Y 15. Long Term Administration of Inhaled Dry Powder Mannitol (IDPM) In Cystic Fibrosis – A Safety and Efficacy Study Lead Investigator: Dr John Kolbe Main Site: Greenlane Clinical Centre MEC Ref: MEC/07/12/180 Primary Presenter: Graham Secondary Presenter: Margaret Protocol Part 5 Form B Insurance Cert PIS & C F - Otago PIS &CF - Auckland Site L/A M/C Part 4 Greenlane Clinical Centre Y Y Agenda for MREC meeting 11 December 2007 Page 9 of 10 Dunedin Hospital AMENDMENTS 1. An eight-week randomised, 3-arm, double-blind study to compare the safety and efficacy of the combination of telmisartan 40mg +amlodipine 10mg versus telmisartan 80mg + amlodipine 10mg versus amlodipine 10mg monotherapy in patients with hypertension who fail to respond adequately to treatment with amlodipine 10mg monotherapy MEC/07/08/109, Lead Investigator: Dr John Gillies Lead Site: P3 Tauranga Clarification of Guidelines for reporting of Serious Adverse Events 2. COG AOST0331: A randomized trial of the European and American Osteosarcoma study group to optimize treatment strategies for resectable osteosarcoma based on histological response to pre-operative chemotherapy MEC/06/09/104, Lead Investigator: Dr Ruellyn Cockcroft, Lead Site: Starship Hospital Lead Reviewer - Chris COG list of amendments – Therapy and Informed Consent Changes NIH letter of approval of amendment #2 Highlighted protocol AOST 331 Amendment #2 dated 21 September 2007 3. Neuroblastoma biology studies and banking of samples. ANBL00B1. Substudy of children's cancer group therapeutic neuroblastoma trials AKL/2000/270, Lead Investigator: Dr Lochie Teague, Lead Site – Starship Hospital COG Amended Protocol Version #7, 6th August 2007 –Eligibility Changes Information Sheets and Consent Forms 4. Cardiac inherited disease registry', familial hypertropic cardiomyopathy registry, familial dilated cardiomyopathy registry, long QT syndrome registrar AKX/02/00/10, Lead Investigator: Dr John French, Lead Site: Auckland Hospital Five year review of old study GENERAL BUSINESS 1. Schedule 1: Schedule 2: Schedule 3: Schedule 4: 2. Claim forms Amendments reviewed by the Chairperson Amendments reviewed by the Deputy-Chairperson SAEs reviewed by the Deputy-Chairperson Studies approved by the Multi-region Ethics Committee since the last Meeting Agenda for MREC meeting 11 December 2007 Page 10 of 10