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    Summary
    EudraCT Number:2011-002276-16
    Sponsor's Protocol Code Number:1218.60
    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:2011-10-03
    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 ConcernedSpain - AEMPS
    A.2EudraCT number2011-002276-16
    A.3Full title of the trial
    A randomised, double-blind, double-dummy active-comparator controlled study investigating the efficacy and safety of Linagliptin co-administered with metformin QD at bedtime versus metformin BID over 14 weeks in treatment naive type 2 diabetes and insufficient glycaemic control.
    Estudio aleatorizado, doble ciego, con doble simulación, controlado con un fármaco de referencia activo para investigar la eficacia y la seguridad de linagliptina coadministrada con metformina una vez al día a la hora de acostarse en comparación con metformina dos veces al día durante 14 semanas en el tratamiento de pacientes sin tratamiento previo con diabetes mellitus de tipo 2 y con un control de la glucemia insuficiente.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    linagliptin in combination with metformin in treatment naive patients with type 2 diabetes mellitus and insufficient glycaemic control.
    linagliptina en combinación con metformina en el tratamiento de pacientes sin tratamiento previo con diabetes mellitus de tipo 2 y control de la glucemia insuficiente.
    A.4.1Sponsor's protocol code number1218.60
    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 SponsorBoehringer Ingelheim España, S.A.
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportBoehringer Ingelheim España, S.A.
    B.4.2CountrySpain
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationBoehringer Ingelheim Pharma GmbH & Co. KG
    B.5.2Functional name of contact pointQRPE PSC CT Information Disclosure
    B.5.3 Address:
    B.5.3.1Street AddressBinger Strasse 173
    B.5.3.2Town/ cityIngelheim am Rhein
    B.5.3.3Post code55216
    B.5.3.4CountryGermany
    B.5.4Telephone number+1-800-243-0127
    B.5.5Fax number+1-800-821-7119
    B.5.6E-mailclintriage.rdg@boehringer-ingelheim.com
    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 Trajenta
    D.2.1.1.2Name of the Marketing Authorisation holderBoehringer Inglheim International GmbH
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    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 INNLINAGLIPTIN
    D.3.9.1CAS number 668270-12-0
    D.3.9.2Current sponsor codeBI 1356
    D.3.9.4EV Substance CodeSUB31340
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    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 Glucophage
    D.2.1.1.2Name of the Marketing Authorisation holderMerck Serono GmbH
    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 INNMETFORMIN HYDROCHLORIDE
    D.3.9.1CAS number 1115-70-4
    D.3.9.4EV Substance CodeSUB03200MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    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 placeboCoated tablet
    D.8.4Route of administration of the placeboOral use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboCoated tablet
    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
    Type 2 diabetes Mellitus
    Diabetes Mellitus tipo 2
    E.1.1.1Medical condition in easily understood language
    Type 2 Diabetes Mellitus
    Diabetes Mellitus tipo 2
    E.1.1.2Therapeutic area Body processes [G] - Metabolic Phenomena [G03]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 14.0
    E.1.2Level PT
    E.1.2Classification code 10067585
    E.1.2Term Type 2 diabetes mellitus
    E.1.2System Organ Class 10027433 - Metabolism and nutrition disorders
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The change from baseline in HbA1c after 14 weeks treatment
    Cambio en el nivel de HbA1c respecto a la situación basal después de 14 semanas de tratamiento.
    E.2.2Secondary objectives of the trial
    Key sencondary objectives are to assess whether the combination therapy (once daily) has improved tolerability to gastrointestinal (GI) side effects over metformin alone (twice daily), by comparing the composite endpoint of occurrence of treat to target response, defined HbA1c<7.0% and no occurence of moderate or severe metformin pre-specified GI side effects during 14 weeks treatment; and the occurrence of metformin pre-specified moderate or severe GI side effects during 14 weeks treatment.
    Los criterios secundarios de valoración más importantes son:
    Criterio de valoración compuesto de la aparición de la respuesta de eficacia objetivo, que es un nivel de HbA1c en tratamiento del < 7,0% después de 14 semanas de tratamiento, y no aparición de efectos secundarios GI moderados o graves definidos previamente para la metformina y evaluados por los investigadores durante 14 semanas de tratamiento.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1.Diagnosis of Type 2 diabetes mellitus prior to informed consent;
    2. Male and female patients on diet and excise regimen who are drug naive, defined as abesense of any oral antidiabetic therapy or insulin for 12 weeks prior to randomization
    3. Glycoslylated haemoglobin A1c (HbA1c) >/= 6.5% (48 mmol/mol) to </= 10.0% (86 mmol/mol)at visit 1 (screening);
    4. Age>/=18 and </=80 years at visit 1(screening);
    5. Body Mass Index(BMI)</= 45kg/m2 at vist 1 (screening);
    6. Signed and dated written informed consent by date of visit 1 in accordance with Good Clinical Practice (GCP) and local legislation
    1. Diagnóstico de DMT2 antes del consentimiento informado
    2. Pacientes de ambos sexos sometidos a un régimen de dieta y ejercicio sin tratamiento
    previo, definido como ausencia de cualquier antidiabético oral (ADO) o insulina
    durante al menos las 12 semanas previas a la aleatorización
    3. Nivel de HbA1c de >/= 6,5% (48 mmol/mol) y </= 10,0% (86 mmol/mol) en la visita 1
    (selección)
    4. Edad >/=18 18 y </= 80 años en la visita 1 (selección)
    5. IMC ? 45 kg/m2 (índice de masa corporal) en la visita 1 (selección)
    6. Consentimiento informado por escrito, firmado y fechado el día de la visita 1
    conforme a la BPC y a la legislación local
    E.4Principal exclusion criteria
    1.Uncontrolled hyperglycaemia with a glucose level >240 mg/dl (13.3mmol/L) after an overnight fast during screening/placebo run-in and confirmed by a second measurement (Not on the same day);
    2.Treatment with any oral antidiabetic drug or insulin within 12 weeks prior to randomization
    3. Myocaridial infarction,stroke or Transient ischemia attack (TIA) within 3 months prior to informed consent;
    4. Indication of liver disease/Impaired hepatic function, defined by serum levels of either Aspartate aminotransferase (ALT or SGPT), alanine aminotransferase (AST or SGOT), or alkaline phosphatase above 3 x uppler limit of normal (ULN) as determined at visit 1,
    5. Impaired renal function fuction, defined as eGFR< 60ml/min (severe renal impairement, modification of diet in renal disease (MDRD) formula) as determined at run-in phase
    6. Bariatric surgery within the past two years and other gastrointestinal surgeries that induced chronic malaborption
    7. Medical history of Cancer(except for basal cell carcinoma) and/or treatment for cancer within the last 5 years
    8. Blood dyscrasia or any other disorders causing hemolysis or unstable Red Blood Cell (eg. malaria, babesiosis, hamolytic anemia)
    9. Contraindications to moetformin according to the local label
    10. Treatment with anti-obesity drugs 3 months prior to informed consent or any otehr treatment at the time of screening (i.e. surgery, aggressive diet regimen etc) leading to unstable body weight
    12. Pre-menopausal women (last menstruation less than 1 year prior to informed consent) who:
    a. are nursing or pregnant or
    b. are of child-bearing potential and are not practicing an acceptable method of birth control, or do not plan to contiune using this method throughout the study and do not agree to submit to periodic pregancy testing during parcipation in the trial. Acceptable methods of birth control include transdermal patch, intra-uterine devices/systems (IUDs/IUSs), oral, implantable or injectable contraceptives, sexual abstinence and vasectomised partner.
    13. Alcohol or drug abuse within 3 months prior to informed consent that would interfere with trial participation or any ongoing condition leading to a decreased compliance to study procedures or study drug intake
    14. Participation in another trial with application of any investigational drug within 30 days prior to informed consent
    15. Any other clinical condition that would jeopardize patients safety while participating in this trial
    1. Hiperglucemia no controlada con un nivel de glucosa > 240 mg/dl (> 13,3 mmol/l)
    después de una noche en ayunas durante la selección/preinclusión con placebo y
    confirmada a través de una segunda medición (no en el mismo día).
    2. Tratamiento con cualquier antidiabético oral o insulina en las 12 semanas anteriores a
    la aleatorización
    3. Síndrome coronario agudo (no STEMI, STEMI y angina de pecho inestable), ictus o
    AIT en los 3 meses anteriores al consentimiento informado
    4. Indicios de hepatopatía/función hepática alterada, definida por una concentración
    sérica de ALT (SGPT), AST (SGOT) o de fosfatasa alcalina 3 veces mayor que el
    límite superior de la normalidad (LSN), según la determinación realizada durante la
    fase de selección o preinclusión.
    5. Función renal alterada, definida como una TFGe < 60 ml/min (fórmula MDRD)
    determinada durante la selección o la fase de preinclusión
    6. Cirugía bariátrica en los dos últimos años y otras intervenciones quirúrgicas de tipo
    gastrointestinal que induzcan a una malabsorción crónica.
    7. Antecedentes médicos de cáncer (excepto carcinoma de células basales) o tratamiento
    antineoplásico en los últimos 5 años.
    8. Discrasias sanguíneas o cualquier trastorno que cause hemólisis o conduzca a una
    cifra inestable de eritrocitos (p. ej., malaria, babesiosis, anemia hemolítica).
    9. Contraindicaciones de la metformina conforme al etiquetado local
    10. Tratamiento con fármacos antiobesidad 3 meses antes del consentimiento informado o
    cualquier otro tratamiento en el momento de la selección (es decir, cirugía, regimen
    dietético intensivo a criterio de los investigadores, etc.) que produce peso corporal
    inestable.
    12. Mujeres premenopáusicas (última menstruación ? 1 año antes del consentimiento
    informado) que:
    a. estén en periodo de lactancia o embarazadas, o
    b. sean fértiles y no utilicen un método anticonceptivo fiable o no tengan
    previsto seguir utilizándolo durante todo el estudio y no estén de acuerdo en
    someterse a pruebas de embarazo periódicas durante su participación en este
    estudio. Los métodos anticonceptivos seguros son por, ejemplo, la ligadura de
    trompas, los parches transdérmicos, los dispositivos o sistemas intrauterinos
    (DIU o SIU), los anticonceptivos orales, implantables o inyectables, la
    abstinencia sexual total (si se acepta por parte de las autoridades locales), los
    métodos de doble barrera y la vasectomía de la pareja.
    13. Antecedentes de alcoholismo o toxicomanía, a juicio de los investigadores, en los 3
    meses anteriores al consentimiento informado que pudieran interferir en la
    participación en el estudio o cualquier afección en curso que conduzca a una
    disminución del cumplimiento de los procedimientos del estudio o de la toma del
    fármaco en estudio.
    14. Participación en otro ensayo clínico con administración de cualquier otro fármaco en
    fase de investigación en los 30 días anteriores al consentimiento informado.
    15. Cualquier otra afección clínica que pudiera poner en peligro la seguridad de los
    pacientes mientras participen en este ensayo clínico, según el criterio del investigador.
    E.5 End points
    E.5.1Primary end point(s)
    1: The change from baseline in Glycosylated Hemoglobin A1c (HbA1c) after 14 weeks treatment
    1: cambio en el nivel de HbA1c respecto a la situación basal después de 14 semanas de tratamiento
    E.5.1.1Timepoint(s) of evaluation of this end point
    1: 14 weeks
    1: 14 semanas
    E.5.2Secondary end point(s)
    1: Composite endpoint of occurence of treat to target efficacy response, that is an HbA1c under treatment of <7.0% after 14 weeks of treatment, and no occurence of moderate or severe gastrointestinal (GI) side effects during 14 weeks of treatment

    2: Change from baseline in fasting plasma glucose (FPG) after 14 weeks of treatment

    3: Metformin pre-specified GI symptom intensity score assessed by investigators during 14 weeks of treatment

    4: Metformin pre-specified GI symptom intensty score assessed by patients during 14 weeks of treatment

    5: Composite endpoint of occurrence of treat to target efficacy response, that is an HbA1c under treatment of <6.5% after 14 weeks of treatment, and on occurence of moderate or severe metformin pre-specified GI side effects assessed by investigators

    6: Occurrence of relative efficacy response (HbA1c lowering by at least 0.5% after 14 weeks of treatment)

    7: Occurence of metformin pre-specified moderate to severe GI side effects assessed by investigators during 14 weeks of treatment

    8: Occurrence of relative efficacy response (HbA1c lowering by at least 0.8% after 14 weeks of treatment)

    9: Composite endponit of occurence of relative efficacy response(HbA1c lowering by at least 0.5% after 14 weeks of treatment) and no occurence of moderate and severe metformin pre-specified GI side effects assessed by the investigators during 14 weeks

    10: Compostie endpoint of occurrence of relative efficacy response(HbA1c lowering by at least 0.8% after 14 weeks of treatment) and no occurrence of moderate and severe metformin pre-specified GI side effects assessed by investigators during 14 weeks

    11: change from baseline in HbA1c by visit over time

    12: change from baseline in body weight by visit over time
    1: Criterio de valoración compuesto de la aparición de la respuesta de eficacia objetivo,
    que es un nivel de HbA1c en tratamiento del < 7,0% después de 14 semanas de
    tratamiento, y no aparición de efectos secundarios GI moderados o graves definidos
    previamente para la metformina y evaluados por los investigadores durante 14 semanas
    de tratamiento.
    2: Aparición de efectos secundarios GI moderados o graves definidos previamente para la
    metformina y evaluados por los investigadores durante 14 semanas de tratamiento
    3: Cambio respecto a la situación basal en las concentraciones de glucosa plasmática en
    ayunas (GPA) tras 14 semanas de tratamiento.
    4: Puntuaciones de la intensidad de los síntomas GI definidos previamente para la
    metformina, evaluados por los investigadores, durante 14 semanas de tratamiento
    5: Puntuaciones de la intensidad de los síntomas GI definidos previamente de la
    metformina, evaluados por los pacientes, durante 14 semanas de tratamiento
    6: Criterio de valoración compuesto de la aparición de la respuesta de eficacia objetivo, es
    decir, un nivel de HbA1c en tratamiento del < 6,5% tras 14 semanas de tratamiento y la
    no aparición de efectos secundarios GI moderados o graves definidos previamente para
    la metformina y evaluados por los investigadores durante 14 semanas de tratamiento.
    7: Consecución de una respuesta de eficacia relativa (disminución en el nivel de HbA1c de
    al menos un 0,5% tras 14 semanas de tratamiento).
    8: Consecución de una respuesta de eficacia relativa (disminución en el nivel de HbA1c de
    al menos un 0,8% tras 14 semanas de tratamiento).
    9: Criterio de valoración compuesto de la consecución de respuesta de eficacia relativa
    (disminución en el nivel de HbA1c de al menos un 0,5% tras 14 semanas de tratamiento)
    y no aparición de efectos secundarios GI moderados o graves definidos previamente para
    la metformina y evaluados por los investigadores durante 14 semanas de tratamiento.
    10: Criterio de valoración compuesto de la consecución de respuesta de eficacia relativa
    (disminución en el nivel de HbA1c de al menos un 0,8% tras 14 semanas de tratamiento)
    y no aparición de efectos secundarios GI moderados o graves definidos previamente para
    la metformina y evaluados por los investigadores durante 14 semanas de tratamiento.
    11: Cambio con respecto a la situación basal en el valor de la HbA1c por visita en función del
    tiempo.
    12: Cambio con respecto a la situación basal en el valor del peso corporal por visita en
    función del tiempo.
    E.5.2.1Timepoint(s) of evaluation of this end point
    1: 14 weeks

    2: 14 weeks

    3: 14 weeks

    4: 14 weeks

    5: 14 weeks

    6: 14 weeks

    7: 14 weeks

    8: 14 weeks

    9: 14 weeks

    10: 14 weeks

    11: 14 weeks

    12:14 weeks
    1: 14 semanas

    2: 14 semanas

    3: 14 semanas

    4: 14 semanas

    5: 14 semanas

    6: 14 semanas

    7: 14 semanas

    8: 14 semanas

    9: 14 semanas

    10: 14 semanas

    11: 14 semanas

    12:14 semanas
    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 Yes
    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) Yes
    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 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 concerned10
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA21
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Canada
    China
    Guatemala
    Hong Kong
    India
    Lebanon
    Mexico
    Peru
    Philippines
    Taiwan
    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
    LVLS
    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 months1
    E.8.9.1In the Member State concerned days18
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months1
    E.8.9.2In all countries concerned by the trial days18
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1Number of subjects for this age range: 0
    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: 500
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 180
    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 Yes
    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 state120
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 210
    F.4.2.2In the whole clinical trial 1360
    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)
    There is no plan for treatment care after subjects end participation in the trial
    No hay ningún plan de tratamiento tras el fin de la participación en el ensayo.
    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 Decision2011-11-18
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2011-11-11
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2013-03-05
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