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    Clinical Trial Results:
    Essai multicentrique de phase II évaluant l'efficcacité et la tolérance de l'association de bevacizumab, paclitaxel et capecitabine en première ligne chez des patientes atteintes de cancer du sein métastatique ou localement avancé récepteurs triples negatifs .

    Summary
    EudraCT number
    2009-016708-21
    Trial protocol
    FR  
    Global end of trial date
    03 Feb 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    09 Jul 2022
    First version publication date
    09 Jul 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    GINECO-BR108
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    ARCAGY-GYNECO
    Sponsor organisation address
    HOPITAL HOTEL DIEU-B2 5eme étage 1 Place du Parvis de Notre Dame, PARIS, France, 75181 cedex 4
    Public contact
    S. Armanet, ARCAGY, reglementaire@arcagy.org
    Scientific contact
    Dr Rémy LARGILLIER , Centre Azuréen de Cancérologie 1 Place du Dr Jean-Luc Broquerie 06250 Mougins, +33 492923739, rlargillier@wanadoo.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    17 May 2013
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    13 May 2013
    Global end of trial reached?
    Yes
    Global end of trial date
    03 Feb 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Le recours à l’association de paclitaxel en administration hebdomadaire à 80 mg par mètre carré trois semaines sur quatre et de la capécitabine cinq jours sur sept à la dose de 1600 mg par mètre carré par jour avec une thérapeutique anti-angiogénique telle que le bevacizumab pourrait permettre d’optimiser le schéma thérapeutique aussi bien en terme de réponse que de survie sans rechute avec un profil de tolérance acceptable dans la population des patientes atteintes d’un cancer du sein métastatique « triple négatif ». Objectif Primaire : Taux de réponse
    Protection of trial subjects
    Cette étude a été menée selon les recommandations : - de la loi Huriet (n°88-1138) du 20 décembre 1988 relative à la Protection des Personnes se prêtant à la Recherche Biomédicale et modifiée par la loi de santé publique (n°2004-806) du 9 août 2004, - de la loi Informatique et Libertés n°78-17 modifiée par la loi n° 2004-801 du 6 août 2004 relative à la protection des personnes physiques à l'égard des traitements de données à caractère personnel, - de la loi Bioéthique n° 2004-800 du 6 août 2004, - des bonnes pratiques cliniques de la conférence internationale d’harmonisation (ICH-E6 du 17/07/1996), - de la direction européenne (2001/20/CE) sur la conduite des essais cliniques.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    27 Apr 2010
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy, Scientific research
    Long term follow-up duration
    24 Months
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 62
    Worldwide total number of subjects
    62
    EEA total number of subjects
    62
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    46
    From 65 to 84 years
    16
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Eligible patients were aged 18 years with an Eastern Cooperative Oncology Group performance status of 0 or 1 and measurable triple-negative LA/MBC (negative estrogen receptor, progesterone receptor, and HER2 status).

    Period 1
    Period 1 title
    OVERALL TRIAL (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    Paclitaxel/Capecitabine/Bevacizumab
    Arm description
    Combination of bevacizumab with weekly paclitaxel and capecitabine
    Arm type
    Experimental

    Investigational medicinal product name
    Bevacizumab
    Investigational medicinal product code
    R04876646
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    10 mg/kg at Day 1 and Day 15 (on 28 days cycle)

    Investigational medicinal product name
    Paclitaxel
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    80 mg/m2 at Day 1, Day 8 and Day 15 (on 28 days cycle)

    Investigational medicinal product name
    Capecitabine Xeloda
    Investigational medicinal product code
    3657456
    Other name
    Pharmaceutical forms
    Coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    1600 mg/m2/day from Day 1 to Day 5, weeks 1, 2 and 3 (on 28 days cycle)

    Number of subjects in period 1
    Paclitaxel/Capecitabine/Bevacizumab
    Started
    62
    Completed
    62

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    OVERALL TRIAL (overall period)
    Reporting group description
    -

    Reporting group values
    OVERALL TRIAL (overall period) Total
    Number of subjects
    62 62
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    55.7 ( 13.7 ) -
    Gender categorical
    Units: Subjects
        Female
    62 62
        Male
    0 0

    End points

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    End points reporting groups
    Reporting group title
    Paclitaxel/Capecitabine/Bevacizumab
    Reporting group description
    Combination of bevacizumab with weekly paclitaxel and capecitabine

    Subject analysis set title
    Response analysis
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Efficacy analyis for objective response rate (ORR). 5 patients non analysable for ORR because of absence of mesurable lesion at inclusion

    Subject analysis set title
    Survival analysis
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    Population for survival analysis

    Primary: Ojective response rate (ORR)

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    End point title
    Ojective response rate (ORR) [1]
    End point description
    End point type
    Primary
    End point timeframe
    during the study
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistics
    End point values
    Response analysis
    Number of subjects analysed
    57
    Units: number
        Response (CR or PR)
    44
        No response (SD or PD)
    13
    No statistical analyses for this end point

    Primary: Response duration

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    End point title
    Response duration [2]
    End point description
    End point type
    Primary
    End point timeframe
    During the study
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistics
    End point values
    Response analysis
    Number of subjects analysed
    57
    Units: month
        median (full range (min-max))
    5.6 (1.3 to 27.6)
    No statistical analyses for this end point

    Primary: Response

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    End point title
    Response [3]
    End point description
    End point type
    Primary
    End point timeframe
    During the study
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistics
    End point values
    Response analysis
    Number of subjects analysed
    57
    Units: number
        Complete response (CR)
    11
        Partial response (PR)
    33
        Stable disease (SD)
    8
        Progressive disease (PD)
    5
    No statistical analyses for this end point

    Secondary: Progression free survival (PFS)

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    End point title
    Progression free survival (PFS)
    End point description
    End point type
    Secondary
    End point timeframe
    During the study
    End point values
    Survival analysis
    Number of subjects analysed
    62
    Units: month
        median (confidence interval 95%)
    7.6 (6.3 to 9.0)
    No statistical analyses for this end point

    Secondary: Overall survival (OS)

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    End point title
    Overall survival (OS)
    End point description
    End point type
    Secondary
    End point timeframe
    During the study
    End point values
    Survival analysis
    Number of subjects analysed
    62
    Units: month
        median (confidence interval 95%)
    19.2 (17.4 to 20.9)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Until the end of the treatment period
    Adverse event reporting additional description
    "Subjects affected number" is also reported in "occurences all number" as thi"occurences all number" is not calculated
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    CTCAE
    Dictionary version
    4.03
    Reporting groups
    Reporting group title
    Paclitaxel/Capecitabine/Bevacizumab
    Reporting group description
    Combination of bevacizumab with weekly paclitaxel and capecitabine

    Serious adverse events
    Paclitaxel/Capecitabine/Bevacizumab
    Total subjects affected by serious adverse events
         subjects affected / exposed
    32 / 62 (51.61%)
         number of deaths (all causes)
    43
         number of deaths resulting from adverse events
    1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Metastases to meninges
         subjects affected / exposed
    2 / 62 (3.23%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Aneurysm
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Epistaxis
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Retinal artery occlusion
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Thrombosis
         subjects affected / exposed
    3 / 62 (4.84%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Surgical and medical procedures
    Cementoplasty
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Death
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 1
    Disease progression
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Mucosal inflammation
         subjects affected / exposed
    2 / 62 (3.23%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    1 / 1
    Multi-organ failure
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Pain
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Performance status decreased
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Investigations
    Transaminases increased
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Implant site infection
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Injection site infection
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Spinal fracture
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Cardiac failure
         subjects affected / exposed
    2 / 62 (3.23%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Cardio-respiratory arrest
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Neuropathy peripheral
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Disseminated intravascular coagulation
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    2 / 62 (3.23%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Anal fistula
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Diarrhoea
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastritis
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Hepatocellular injury
         subjects affected / exposed
    2 / 62 (3.23%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Nail disorder
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Onycholysis
         subjects affected / exposed
    3 / 62 (4.84%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    2 / 62 (3.23%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Abscess
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Infection
         subjects affected / exposed
    3 / 62 (4.84%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Meningitis viral
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Food intolerance
         subjects affected / exposed
    1 / 62 (1.61%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Paclitaxel/Capecitabine/Bevacizumab
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    62 / 62 (100.00%)
    Vascular disorders
    lymphedema
         subjects affected / exposed
    14 / 62 (22.58%)
         occurrences all number
    14
    Thrombosis
         subjects affected / exposed
    5 / 62 (8.06%)
         occurrences all number
    5
    Hypertension
         subjects affected / exposed
    49 / 62 (79.03%)
         occurrences all number
    49
    Hot flush
         subjects affected / exposed
    5 / 62 (8.06%)
         occurrences all number
    5
    Epistaxis
         subjects affected / exposed
    32 / 62 (51.61%)
         occurrences all number
    32
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    56 / 62 (90.32%)
         occurrences all number
    56
    fever
         subjects affected / exposed
    15 / 62 (24.19%)
         occurrences all number
    15
    weight loss
         subjects affected / exposed
    8 / 62 (12.90%)
         occurrences all number
    8
    Pain
         subjects affected / exposed
    52 / 62 (83.87%)
         occurrences all number
    52
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    11 / 62 (17.74%)
         occurrences all number
    11
    Dyspnoea
         subjects affected / exposed
    15 / 62 (24.19%)
         occurrences all number
    15
    Psychiatric disorders
    Mood altered
         subjects affected / exposed
    14 / 62 (22.58%)
         occurrences all number
    14
    Cardiac disorders
    Tachycardia
         subjects affected / exposed
    4 / 62 (6.45%)
         occurrences all number
    3
    Nervous system disorders
    Paresthesia / Dysesthesia
         subjects affected / exposed
    36 / 62 (58.06%)
         occurrences all number
    36
    Peripheral motor
         subjects affected / exposed
    5 / 62 (8.06%)
         occurrences all number
    5
    Dizziness
         subjects affected / exposed
    9 / 62 (14.52%)
         occurrences all number
    9
    Dysgeusia
         subjects affected / exposed
    10 / 62 (16.13%)
         occurrences all number
    10
    Dysphonia
         subjects affected / exposed
    4 / 62 (6.45%)
         occurrences all number
    4
    Headache
         subjects affected / exposed
    18 / 62 (29.03%)
         occurrences all number
    18
    Eye disorders
    Conjunctivitis
         subjects affected / exposed
    6 / 62 (9.68%)
         occurrences all number
    6
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    31 / 62 (50.00%)
         occurrences all number
    31
    Vomiting
         subjects affected / exposed
    16 / 62 (25.81%)
         occurrences all number
    16
    Constipation
         subjects affected / exposed
    18 / 62 (29.03%)
         occurrences all number
    18
    Diarrhoea
         subjects affected / exposed
    24 / 62 (38.71%)
         occurrences all number
    24
    Mucositis
         subjects affected / exposed
    33 / 62 (53.23%)
         occurrences all number
    33
    Gastrooesophageal reflux
         subjects affected / exposed
    5 / 62 (8.06%)
         occurrences all number
    5
    Hepatobiliary disorders
    Hepatic failure
         subjects affected / exposed
    6 / 62 (9.68%)
         occurrences all number
    6
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    41 / 62 (66.13%)
         occurrences all number
    41
    Nail toxicity
         subjects affected / exposed
    33 / 62 (53.23%)
         occurrences all number
    33
    Hand and foot syndrome
         subjects affected / exposed
    34 / 62 (54.84%)
         occurrences all number
    34
    Dry skin
         subjects affected / exposed
    7 / 62 (11.29%)
         occurrences all number
    7
    Erythema
         subjects affected / exposed
    6 / 62 (9.68%)
         occurrences all number
    6
    rash acneiform
         subjects affected / exposed
    6 / 62 (9.68%)
         occurrences all number
    6
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    14 / 62 (22.58%)
         occurrences all number
    14
    Myalgia
         subjects affected / exposed
    11 / 62 (17.74%)
         occurrences all number
    11
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    5 / 62 (8.06%)
         occurrences all number
    5
    Catheter site infection
         subjects affected / exposed
    4 / 62 (6.45%)
         occurrences all number
    4
    Infection
         subjects affected / exposed
    15 / 62 (24.19%)
         occurrences all number
    15
    Rhinitis
         subjects affected / exposed
    12 / 62 (19.35%)
         occurrences all number
    12
    urinary infection
         subjects affected / exposed
    9 / 62 (14.52%)
         occurrences all number
    9
    Laryngitis
         subjects affected / exposed
    4 / 62 (6.45%)
         occurrences all number
    4
    Metabolism and nutrition disorders
    weight gain
         subjects affected / exposed
    5 / 62 (8.06%)
         occurrences all number
    5

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    26 Oct 2010
    Version 3.0 du 26 Avril 2010 approuvée par le CPP ile de France 1 en date du 18/05/2010 et autorisée par l’AFSSAPS le 12/05/2010

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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