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    Summary
    EudraCT Number:2011-000337-36
    Sponsor's Protocol Code Number:FSJD-GLUCOBR-2010
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2011-07-04
    Trial 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 ConcernedSpain - AEMPS
    A.2EudraCT number2011-000337-36
    A.3Full title of the trial
    IMPACT OF THE ADMINISTRATION OF SYSTEMIC GLUCOCORTICOIDS ON INFLAMMATORY RESPONSE AND CLINICAL EVOLUTION OF PATIENTS DIAGNOSED WITH MODERATE-SEVERE BRONCHIOLITIS
    IMPACTO DE LA ADMINISTRACIÓN DE GLUCOCORTICOIDES SISTÉMICOS EN LA RESPUESTA INFLAMATORIA Y EVOLUCIÓN CLÍNICA DE LOS PACIENTES DIAGNOSTICADOS DE BRONQUIOLITIS MODERADA-GRAVE
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    IMPACT OF THE ADMINISTRATION OF SYSTEMIC GLUCOCORTICOIDS ON INFLAMMATORY RESPONSE AND CLINICAL EVOLUTION OF PATIENTS DIAGNOSED WITH MODERATE-SEVERE BRONCHIOLITIS
    IMPACTO DE LA ADMINISTRACIÓN DE GLUCOCORTICOIDES SISTÉMICOS EN LA RESPUESTA INFLAMATORIA Y EVOLUCIÓN CLÍNICA DE LOS PACIENTES DIAGNOSTICADOS DE BRONQUIOLITIS MODERADA-GRAVE
    A.3.2Name or abbreviated title of the trial where available
    N/A
    A.4.1Sponsor's protocol code numberFSJD-GLUCOBR-2010
    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 SponsorFUNDACIÓ SANT JOAN DE DÉU
    B.1.3.4CountrySpain
    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 supportFondo del Ministerio de Sanidad y Política Social
    B.4.2CountrySpain
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationFUNDACIÓ SANT JOAN DE DÉU
    B.5.2Functional name of contact pointFUNDACIÓ SANT JOAN DE DÉU
    B.5.3 Address:
    B.5.3.1Street AddressC/ Santa Rosa 39-57, 3ª Planta Edificio Docente
    B.5.3.2Town/ cityEsplugues de Llobregat (Barcelona)
    B.5.3.3Post code08950
    B.5.3.4CountrySpain
    B.5.4Telephone number+34936009751
    B.5.5Fax number+34936009771
    B.5.6E-mailrmorales@fsjd.org
    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 SOLU-MODERIN 40 mg
    D.2.1.1.2Name of the Marketing Authorisation holderPFIZER. S.A.
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    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 Powder for solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.1CAS number 2375-03-3
    D.3.9.3Other descriptive nameMETHYLPREDNISOLONE SODIUM SUCCINATE
    D.3.9.4EV Substance CodeSUB14562MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/g milligram(s)/gram
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number40
    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.2.1.1.1Trade name ESTILSONA Gotas
    D.2.1.1.2Name of the Marketing Authorisation holderLABORATORIOS SONPHAR, S.L.
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    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 Oral drops
    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 INNPREDNISOLONE STEAGLATE
    D.3.9.1CAS number 5060-55-9
    D.3.9.4EV Substance CodeSUB10019MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number13.3
    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.2.1.1.1Trade name SOLU-MODERIN 125 mg
    D.2.1.1.2Name of the Marketing Authorisation holderPFIZER. S.A.
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    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 Powder for solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.1CAS number 2375-03-3
    D.3.9.3Other descriptive nameMETHYLPREDNISOLONE SODIUM SUCCINATE
    D.3.9.4EV Substance CodeSUB14562MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/g milligram(s)/gram
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number125
    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 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 SOLU-MODERIN 500 mg
    D.2.1.1.2Name of the Marketing Authorisation holderPFIZER. S.A.
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    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 Powder for solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.1CAS number 2375-03-3
    D.3.9.3Other descriptive nameMETHYLPREDNISOLONE SODIUM SUCCINATE
    D.3.9.4EV Substance CodeSUB14562MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/g milligram(s)/gram
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number500
    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
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for injection/infusion
    D.8.4Route of administration of the placeboIntravenous use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboOral drops
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Viral bronchiolitis
    Bronquiolitis viral
    E.1.1.1Medical condition in easily understood language
    Respiratory viral infection.
    Infección respiratoria por virus.
    E.1.1.2Therapeutic area Diseases [C] - Respiratory Tract Diseases [C08]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 14.0
    E.1.2Level PT
    E.1.2Classification code 10038718
    E.1.2Term Respiratory syncytial virus bronchiolitis
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    a) To determine whether a 7-day course of systemic glucocorticoids reduces the inflammatory activity in paediatric patients under one year-old diagnosed with moderate or severe bronchioloitis compared to a control group.
    b) To assess the morbidity in relation to clinical evolution (need for admission in the PICU-CCM, for mechanical ventilation, inotropes, nosocomial infection, rescue therapies for respiratory insufficiency; number of days in PICU and hospital stay; and death), in the treatment and control groups.
    a) Valorar si un curso de glucocorticoides sistémicos, de 7 días de duración, reduce la actividad inflamatoria en los pacientes pediátricos, menores de un año de edad, diagnosticados de bronquiolitis moderada o grave, en relación al grupo control.
    b) Evaluar la morbilidad, en cuanto a los datos de evolución clínica (necesidad de ingreso en UCIP-SMC, de ventilación mecánica, de inotrópicos, de infección nosocomial, de terapias de rescate de la insuficiencia respiratoria; días de ingreso en UCIP y de hospitalización; y éxitus), en los grupos de tratamiento y control.
    E.2.2Secondary objectives of the trial
    a) To study differences in inflammatory response and clinical evolution of patients diagnosed with moderate-severe bronchiolitis in relation to the causal pathogen.
    b) To study differences in the clinical evolution of patients diagnosed with moderate-severe bronchiolitis in relation to the causal pathogen between those receiving low doses of methylprednisolone/prednisolone and the control group.
    c) To study if the inflammatory response is different in patients requiring admission to the Intensive Care Unit than those who do not.
    d) To determine the side effects of the glucocorticoids.
    a) Analizar si existen diferencias en la respuesta inflamatoria y la evolución clínica de los pacientes diagnosticados de bronquiolitis moderada o grave, en función del patógeno causal.
    b) Analizar si existen diferencias en la evolución clínica de los pacientes diagnosticados de bronquiolitis moderada o grave, según el patógeno causal, entre los que reciben dosis bajas de metilprednisolona/prednisolona y el grupo control.
    c) Analizar si la respuesta inflamatoria es diferente en los pacientes que precisan ingreso en la unidad de cuidados intensivos y los que no.
    d) Determinar los efectos secundarios de los corticoides.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    The study will recruit paediatric patients under one year old who require hospitalization for moderate-severe bronchiolitis according to the HSJD BRONCHIOLITIS SCORE of Sant Joan de Deu Hospital (Annex 1).
    Se incluirán pacientes pediátricos menores de un año de edad que requieran ingreso en hospitalización por bronquiolitis moderada o grave según puntuación del SCORE HSJD BRONQUIOLITIS de Sant Joan de Déu (Anexo 1).
    E.4Principal exclusion criteria
    a) Patients of either gender under one year old with mild bronchiolitis.
    b) Patients with bronchiolitis in which the principal symptom is apnoea.
    c) Patients who have received corticotherapy before admission to hospital.
    d) No consent from parents or tutors.
    e) Patients with previous acquired or innate immunodepression.
    f) Patients enrolled in other clinical trials.
    a) Pacientes de cualquier edad y sexo menores de un año diagnosticados de bronquiolitis leve.
    b) Pacientes con bronquiolitis que presenten apneas como clínica principal.
    c) Pacientes con corticoterapia previa al ingreso en el hospital.
    d) No consentimiento de los padres o tutores.
    e) Pacientes con inmunodepresión previa adquirida o innata.
    f) Pacientes incluidos en otros ensayos clínicos.
    E.5 End points
    E.5.1Primary end point(s)
    The existence of differences in inflammatory response and clinical evolution of patients with moderate-severe bronchiolitis treated with methylprednisolone/prednisolone compared to those receiving placebo.
    Other key clinical variables studied include:
    Risk factors of severe bronchiolitis: prematurity, heart disease, previous respiratory condition, immune deficiency.
    Variables requiring clinical monitoring

    Heart rate (HR), Breathing rate (BR), blood pressure (BP), Daily HSJD BRONCHIOLITIS score (Annex 1).

    Analytical variables

    ? Inflammatory stimulants (IL-12, IFN-? and IL-2), inflammatory inhibitors (IL-4, IL-10), lymphocytic parameters (LT, LB, LT4 and LT8) and total Ig with Ig E. The values of interleukins and IFN-? will be determined by ELISA using commercially available reagents. White blood cell populations will be determined by flow cytometry.
    ? Full blood count and basic biochemical tests, reactive-C protein and procalcitonin. The blood count parameters, basic biochemistry, reactive-C protein and procalcitonin will be determined by the standard commercially available kits.

    Three mL of blood will be extracted for each test, one extraction will be carried out in the baseline visit and another after 5-7 days of treatment.

    Clinical evolution-complications

    Need for admission to the PICU-CCM, requirement of inotropes, requirement of invasive or non-invasive mechanical ventilation, the need for other respiratory rescue treatments (nitric oxide, high frequency ventilation, extracorporeal membrane oxygenation), the need for extrarenal purification. Community or nosocomial bacterial superinfection (according to criteria of the Center of Disease Control ?CDC- Annex 9)(34). Presence of criteria of multiorgan failure (The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine, Annex 10)(35). Days of admission to the PICU and days of hospital stay. Death.
    Existencia de diferencias en la respuesta inflamatoria y la evolución clínica de los pacientes con bronquiolitis moderada-grave tratados con metilprednisolona/prednisolona respecto a los que reciben placebo.
    Se consideran también variables principales:
    Factores de riesgo de bronquiolitis grave: prematuridad, cardiopatía, patología respiratoria previa, inmunodeficiencia.
    Variables de monitorización clínica

    Frecuencia cardiaca (FC) frecuencia respiratoria (FR), tensión arterial (TA), SCORE HSJD BRONQUIOLITIS diario (Anexo 1).

    Variables analíticas

    ? Factores estimuladores de la reacción inflamatoria (IL-12, IFN-? e IL-2), factores inhibidores de la reacción inflamatoria (IL-4, IL-10), parámetros linfocitarios (LT, LB, LT4 y LT8) e Ig totales con Ig E. Los valores de interleukinas y IFN-? se determinarán por ELISA utilizando reactivos comerciales. Las poblaciones linfocitarias se determinarán por citometría de flujo.
    ? Hemograma y bioquímica básica, proteína C reactiva y la procalcitonia. Los parámetros del hemograma, y bioquímica básica así como la proteína C reactiva y la procalcitonia se determinarán mediante los kits comerciales habituales.

    El volumen de sangre a extraer será de 3ml por cada determinación. Se realizan dos determinaciones, una en la visita basal y otra entre los 5-7 días de tratamiento.






    Evolución clínica-Complicaciones

    Necesidad de ingreso en UCIP-SMC, necesidad de inotrópicos, necesidad de ventilación mecánica invasiva o no invasiva, necesidad de otros tratamientos de rescate respiratorio (óxido nítrico, ventilación alta frecuencia, oxigenación por membrana extracorpórea), necesidad de depuración extrarrenal. Sobreinfección bacteriana comunitaria o nosocomial (según criterios del Center of Disease Control ?CDC- Anexo 9)(34). Presencia de criterios de fallo multiorgánico (The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine, Anexo 10)(35). Días de ingreso en UCIP y días de ingreso hospitalario. Exitus.
    E.5.1.1Timepoint(s) of evaluation of this end point
    The principal variable will be studied with the data recorded from the tests and questionnaires carried out on the patients during the study (baseline visit and treatment).
    Se analizará la variable principal con los datos que se recojan en los controles y cuestionarios que se realizan a los pacientes a lo largo del estudio. (Visita basal y tratamiento)
    E.5.2Secondary end point(s)
    The following secondary variables will be recorded:

    Demographic data

    Age, weight, gender. Day of admission to hospital.

    Protection factors

    Previous immunization with Palivizumab®.

    Severity factors on admission

    Paediatric risk score mortality (PRISM) III on admission (Annex 7), clinical severity of bronchiolitis according to the HSJD BRONCHIOLITIS SCORE (Annex 1) and radiographic pattern (interstitial, alveolar, mixed, ADRS).

    Etiological agent

    RSV-A, RSV-B, influenza A, Influenza B, influenza A/H1N1, adenovirus, metapneumovirus, rhinovirus, par influenza virus 1-4, enterovirus. The virus will be analyzed by PCR in a sample of nasopharyngeal aspirate. Respiratory viruses will be determined by the Luminex Xtag respiratory viral test.
    Se recogerán las siguientes variables secundarias:

    Datos demográficos

    Edad, peso, sexo. Día de ingreso en hospitalización.

    Factores de protección

    Inmunización previa con Palivizumab®.

    Factores de gravedad al ingreso

    Pediatric risk score mortality (PRISM) III al ingreso (Anexo 7), gravedad clínica de la bronquiolitis según SCORE HSJD BRONQUIOLITIS (Anexo 1) y patrón radiográfico (intersticial, alveolar, mixto, SDRA).

    Agente etiológico

    VRS-A, VRS-B, influenza A, Influenza B, influenza A/H1N1, adenovirus, metaneumovirus, rinovirus, virus parainfluenza 1-4, enterovirus. El de virus se realizará mediante técnica de PCR en muestra de aspirado nasofaríngeo. Los virus respiratorios se determinarán mediante Xtag respiratory virus de Luminex.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Secondary variables will be studied during the study, mainly in the baseline visit.
    Se analizará las variables secundarias a lo largo del estudio fundamentalmente en la visita basal.
    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 No
    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) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    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) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned Yes
    E.8.4 The trial involves multiple sites in the Member State concerned No
    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 No
    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
    Last patient last visit will be the end of the trial
    El final del ensayo coincide con la última visita del último sujeto
    reclutado en el ensayo.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months3
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1Number of subjects for this age range: 78
    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) Yes
    F.1.1.4.1Number of subjects for this age range: 78
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) No
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    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 Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    Infants and toddlers less than one year old
    Niños en fase de Lactancia menores de un año de edad
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state78
    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)
    Not applicable
    No aplica
    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 Decision2011-08-30
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2011-07-29
    P. End of Trial
    P.End of Trial StatusCompleted
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