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    Summary
    EudraCT Number:2009-015122-11
    Sponsor's Protocol Code Number:GBG54
    National Competent Authority:Germany - BfArM
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2012-01-17
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedGermany - BfArM
    A.2EudraCT number2009-015122-11
    A.3Full title of the trial
    A prospective, randomised multi-centre phase II study evaluating the adjuvant, neoadjuvant or palliative treatment with tamoxifen +/- GnRH analogue versus aromatase inhibitor + GnRH analogue in
    male breast cancer patients.
    Eine prospektive, randomisierte, multizentrische Phase II Studie zur Evaluierung der Östrogensuppression unter Tamoxifen alleine versus Tamoxifen plus GnRH-Analogon versus Aromatase-Inhibitor plus GnRH-Analogon in der (neo-) adjuvanten und palliativen Therapie männlicher Patienten mit Mammakarzinom.
    A.3.2Name or abbreviated title of the trial where available
    GBG 54 - MALE
    A.4.1Sponsor's protocol code numberGBG54
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorGBG Forschungs GmbH
    B.1.3.4CountryGermany
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportPfizer Pharma GmbH
    B.4.2CountryGermany
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationGBG Forschungs GmbH
    B.5.2Functional name of contact pointDr. Mathias Uhlig
    B.5.3 Address:
    B.5.3.1Street AddressMartin-Behaim-Straße 12
    B.5.3.2Town/ cityNeu-Isenburg
    B.5.3.3Post code63263
    B.5.3.4CountryGermany
    B.5.4Telephone number+49610274800
    B.5.5Fax number+4961027480440
    B.5.6E-mailMALE@GermanBreastGroup.de
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Aromasin
    D.2.1.1.2Name of the Marketing Authorisation holderPfizer
    D.2.1.2Country which granted the Marketing AuthorisationGermany
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.4Pharmaceutical form Coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNExemestan
    D.3.9.1CAS number 107868-30-4
    D.3.9.3Other descriptive nameEXEMESTANE
    D.3.9.4EV Substance CodeSUB07492MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.2Country which granted the Marketing AuthorisationGermany
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameGoserelin
    D.3.4Pharmaceutical form Implant
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPImplantation
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNGOSERELIN ACETATE
    D.3.9.4EV Substance CodeSUB02400MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.3Concentration number10,8
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.2Country which granted the Marketing AuthorisationGermany
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameLeuprorelin
    D.3.4Pharmaceutical form
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNLEUPRORELIN ACETATE
    D.3.9.1CAS number 74381-53-6
    D.3.9.4EV Substance CodeSUB02900MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.3Concentration number11.25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 4
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.2Country which granted the Marketing AuthorisationGermany
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameTamoxifen
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNTAMOXIFEN
    D.3.9.1CAS number 10540-29-1
    D.3.9.4EV Substance CodeSUB10825MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.3Concentration number20
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Breast Cancer in Male Patients
    Brustkrebs bei Männern
    E.1.1.1Medical condition in easily understood language
    Breast Cancer in Male Patients
    Brustkrebs bei Männern
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 19.0
    E.1.2Level PT
    E.1.2Classification code 10061020
    E.1.2Term Breast cancer male
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To determine the estradiol suppression between the three treatment arms after three months.
    Vergleich der Östradiolsuppression zwischen den drei Studienarmen nach drei Monaten Therapiedauer.
    E.2.2Secondary objectives of the trial
    To determine the estradiol suppression between the three treatment arms after six months
    To compare the compliance in the three treatment arms.
    To compare the efficacy in terms of overall response (for neoadjuvant and metastatic patients) in the three treatment arms.
    To compare testosterone, dihydrotestosterone (DHT), SHBG, FSH, LH, osteocalcin and CTX in the three treatments arms.To determine the safety and side effect parameters (at every visit):
    - PSA and hemoglobin.
    - Lipids (total cholesterol, high density lipid cholesterol,
    low density lipid cholesterol).
    - Questionnaires AMS, IIEF, IPSS.
    - Adverse events according to NCI-CTCAE version 4.0.
    Translational research.
    Vergleich der Östradiolsuppression zwischen den drei Studienarmen nach sechs Monaten Therapiedauer.
    Vergleich der Compliance zwischen den drei Studienarmen.
    Vergleich der Effektivität bezüglich des Ansprechens zwischen den drei Studienarmen für neoadjuvante und metastasierte Patienten.
    Vergleich von Testosteron, Dihydrotestosteron, SHBG, LH, FSH, Osteocalcin und CTX in den drei Studienarmen.
    Bestimmung von Sicherheitsparametern und Neben-wirkungen (vor Randomisierung, nach drei und sechs Monaten):
    - PSA und Hämoglobin.
    - Lipidwerte (Gesamtcholesterin, HDL, LDL).
    - Fragebögen
    Aging Male Symptom Score (AMS),
    International Index of Erectil Function (IIEF),
    International Prostate Symptom Score (IPSS).
    - Unerwünschte Ereignisse nach NCI-CTCAE Version 4.0.
    Translationale Forschung
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Written informed consent for all study procedures.
    2. Complete baseline documentation sent to GBG Forschungs GmbH.
    3. Male patients.
    4. Age ≥ 18 years.
    5. Karnofsky-Index ≥ 60 %.
    6. Histologically confirmed unilateral or bilateral carcinoma (enrolment possible in neoadjuvant, adjuvant and metastatic situation).
    7. no target lesion necessary for metastatic situation
    8. Positive hormone receptor status (e.g. ER and/or PR-receptor positive).
    9. Completed staging prior randomisation (within 8 weeks after diagnose or last therapy (operation, chemotherapy or radiation): chest X-ray, ultrasound of the liver, bone scan).
    In case of positive findings, further investigations are required to verify the findings as clinically indicated.
    10. Prior chemotherapy is possible. In case of adjuvant treatment: adequate surgical treatment with histological complete resection including axillary lymph nodes if patients are included as adjuvant treatment. A sentinel lymph node biopsy is possible if the sentinel is not involved.
    11. Normal cardiac function must be confirmed by ECG within three months prior to randomisation.
    12. Laboratory requirements (≤ 14 days before therapy start):
    Hematology
    - Hemoglobin ≥ 9 g/dL,
    - Leukocytes 4 - 10 x103/µL,
    - Thrombocytes 150 - 400 x103/µL.
    Hepatic function
    - ASAT (SGOT) or ALAT (SGPT) ≤ 2x UNL,
    - Total bilirubin ≤ 2x UNL.
    Renal function
    - Serum creatinine ≤ 1.5x UNL,
    - Creatinine clearance > 30mL/min (if creatinine is above UNL, according to Cockroft-Gault).
    - Cholesterol 200 - 240 mg/dL (5.18 - 6.22 mmol/L),
    - HDL cholesterol > 40 mg/dL (> 1 mmol/L),
    - LDL cholesterol ≤ 160 mg/dL (≤ 4 mmol/L).
    - Prostate specific antigen (PSA): analysis has to be done
    13. Two serum samples (5 mL) centrally made available.
    14. Paraffin tumor tissue block and full blood sample centrally made available (except when the patient does not agree to central biomaterial collection).
    15. The patient must be accessible for treatment.
    Patients can simultaneously be registered in the register study of the University Hospital of Magdeburg.
    1. Schriftliche Einwilligungserklärung vor Beginn für alle im Prüfplan beschriebenen Studienprozesse gemäß der lokalen gesetzlichen Bestimmungen.
    2. Komplette Baseline-Dokumentation muss an die
    GBG Forschungs GmbH gesendet werden.
    3. Männlicher Patient.
    4. Alter ≥ 18 Jahre.
    5. Karnofsky-Index ≥ 60%
    6. Histologisch gesichertes, invasives Karzinom der Brust(Studienteilnahme ist in der adjuvaten, neoadjuvanten oder metastasierten Situation möglich)
    7. In der metastasierten Situation ist keine Targetläsion erforderlich.
    8. Positiver Hormonrezeptor-Status (Östrogen- und/oder Progesteron-Rezeptor positiv).
    9. Ein komplettes Staging innerhalb von 8 Wochen nach Diagnose oder letztem Therapieschritt (Operation, Chemotherapie oder Bestrahlung)vor Studienbeginn (Minimum: Röntgen der Lunge, Ultraschall der Leber und Knochenszintigraphie, bei Auffälligkeiten weitere verifizierende Untersuchungen).
    10. Vorherige Chemotherapie ist erlaubt. Bei adjuvantem Einschluss des Patienten: adäquate operative Entfernung des Tumors. Die Resektionsränder der endgültigen Operation müssen histologisch frei sein und axilläre Lymphknoten entfernt worden sein. Eine Sentinel Node Biopsie ist erlaubt, falls der Sentinel Node nicht befallen ist.
    11. Normale kardiale Funktion bestätigt mittels EKG innerhalb von drei Monaten vor Randomisierung.
    12. Laboruntersuchungen (≤ 14 Tage vor Therapiestart):
    Hämatologie
    - Hämoglobin ≥ 9 g/dl,
    - Leukozyten 4 - 10 x103/µl,
    - Thrombozyten 150 - 400 x103/µl.
    Leberfunktion
    - ASAT (SGOT) oder ALAT (SGPT) ≤ 2x UNL,
    - Gesamt-Bilirubin ≤ 2x UNL.
    Nierenfunktion
    - Serum-Kreatinin ≤ 1.5x UNL,
    - Kreatinin-Clearance > 30ml/min (falls Kreatinin > UNL,
    nach Cockroft-Gault).
    - Cholesterol 200 - 240 mg/dl (5.18 - 6.22 mmol/l),
    - HDL-Cholesterol > 40 mg/dl (> 1 mmol/l),
    - LDL-Cholesterol ≤ 160 mg/dl (≤ 4 mmol/l).
    - Prostata-spezifisches Antigen (PSA): Analyse verpflichtend
    13. Zwei Serumproben (5 ml) an Zentrallabor gesendet.
    14. FFPE-Block und Vollblutprobe an Zentrallabor gesendet (außer Patient hat der Biomaterialsammlung nicht zugestimmt).
    15. Patient muss für den Zeitraum der Behandlung zur Verfügung stehen.
    Die gleichzeitige Teilnahme an der Registerstudie zum Mammakarzinom des Mannes des Universitätsklinikums Magdeburg ist möglich.
    E.4Principal exclusion criteria
    1. Female patients.
    2. Prior endocrine therapy of breast carcinoma.
    3. Known or suspected hypersensitivity reaction to the compounds or incorporated substances.
    4. No indication for endocrine treatment.
    5. Life expectancy of less than six months.
    6. International Prostate Symptom Score (IPSS) > 17.
    7. Prostate carcinoma
    8. History of prostate cancer within the last five years and regardless the time frame all patients with hormone receptor positive prostate carcinoma who have received endocrine treatment.
    9. Concurrent neuronal or cardiac disease, poorly controlled arterial hypertension.
    10. Previous thromboembolic event within the last five years (except for thromboembolic events correlated to implanted devices (e.g. port thrombosis)).
    11. Currently active hepatitis.
    12. Disease significantly affecting gastrointestinal function, e.g. malabsorption syndrome, resection of the stomach or small bowel.
    13. Concurrent treatment with other experimental drugs or participation in another clinical trial with any investigational, not marketed drug within 30 days prior to study entry.
    14. Patients who are not able to give informed consent as defined according to AMG.
    1. Weibliche Patienten.
    2. Vorherige antihormonelle Therapie zur Behandlung des Mammakarzinoms.
    3. Bekannte oder vermutete Hypersensitivität gegen die Prüf-substanzen oder gegen einen der Begleitstoffe.
    4. Keine Indikation für endokrine Therapie.
    5. Lebenserwartung unter sechs Monaten.
    6. International Prostate Symptom Score (IPSS) > 17.
    7. Prostatakarzinom
    8. Prostatakarzinom innerhalb der letzten fünf Jahre oder – unabhängig vom Zeitfenster – Z.n. endokriner Behandlung eines Prostatakarzinoms.
    9. Signifikante neuronale oder kardiale Erkrankungen, schlecht oder unkontrollierter Bluthochdruck.
    10. Thromboembolische Ereignisse in den letzten fünf Jahren (ausgenommen Portthrombosen).
    11. Aktive Hepatitis.
    12. Signifikante gastrointestinale Erkrankungen, wie z.B. Malabsorbtionssyndrom, Resektion des Magens oder Dünndarms
    13. Zeitgleiche Behandlung mit anderen experimentellen Substanzen oder einer anderen Krebstherapie oder Teilnahme an einer anderen klinischen Prüfung mit nicht zugelassener Prüfsubstanz innerhalb 30 Tage vor Randomisierung.
    14. Patienten, denen es nicht möglich ist eine Ein¬ver¬ständnis-erklärung abzugeben.
    E.5 End points
    E.5.1Primary end point(s)
    Estradiol suppression between the three treatment arms after three months.
    Östradiolsuppression zwischen den drei Studienarmen nach drei Monaten Therapiedauer.
    E.5.1.1Timepoint(s) of evaluation of this end point
    After three months of study treatment.
    Nach drei Monaten Studienmedikation.
    E.5.2Secondary end point(s)
    To determine the estradiol suppression between the three treatment arms after six months
    To compare the compliance in the three treatment arms.
    To compare the efficacy in terms of overall response (for neoadjuvant and metastatic patients) in the three treatment arms.
    To compare testosterone, dihydrotestosterone (DHT), SHBG, FSH, LH, osteocalcin and CTX in the three treatments arms.
    Vergleich der Östradiolsuppression zwischen den drei Studienarmen nach sechs Monaten Therapiedauer.
    Vergleich der Compliance zwischen den drei Studienarmen.
    Vergleich der Effektivität bezüglich des Ansprechens zwischen den drei Studien¬armen für neoadjuvante und metastasierte Patienten.
    Vergleich von Testosteron, Dihydrotestosteron, SHBG, LH, FSH, Osteocalcin und CTX in den drei Studienarmen.
    E.5.2.1Timepoint(s) of evaluation of this end point
    After six months of study treatment.
    Nach sechs Monaten Studienmedikation.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial3
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned35
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    The regular end of study is defined as 4 weeks after the last patient completed (or discontinued) the study medication.
    Das Studienende ist vier Wochen nach dem der letzte Patient die letzte Medikation eingenommen hat.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months3
    E.8.9.1In the Member State concerned days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 48
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female No
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations No
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception No
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state48
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    As no study specific treatment or investigation is planned after the end of systemic treatment, surgery and follow up are not part of this study. However, information on the health status of the patients might be collected either based on yearly chart reviews at the sites or based on information deriving from the GBG registry of previous study participants.
    Da keine studienspezifische Behandlung oder Untersuchung nach Ende der systemischen Studientherapie geplant ist, sind Operation und Follow-up-Phase kein Teil dieser Studie. Allerdings werden Informationen über den Gesundheits-zustand der Patienten entweder anhand der jährlichen Krankenaktenauswertung an den Zentren oder mittels des GBG-Selbstauskunftsregisters eingeholt.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2012-07-05
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2012-08-27
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2018-06-12
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