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    Summary
    EudraCT Number:2011-005210-11
    Sponsor's Protocol Code Number:BAY94-9027/13024
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2012-09-28
    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 ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2011-005210-11
    A.3Full title of the trial
    A Phase II/III, multicenter, partially randomized, open label trial investigating safety and efficacy of on-demand and prophylactic treatment with BAY 94-9027 in Severe Hemophilia A
    Studio in aperto, di Fase II/III, multicentrico, parzialmente randomizzato per la valutazione della sicurezza e dell'efficacia di Bay 94-9027 nel trattamento domanda o in profilassi con BAY 94-9027 d'Emofilia A grave
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A clinical trial investigating safety and efficacy of a long-acting factor VIII in severe hemophila A
    Studio clinico per valutare sicurezza ed efficacia di un fattore VIII a lunga emivita nell'emofilia A grave
    A.3.2Name or abbreviated title of the trial where available
    PROTECT VIII
    PROTECT VIII
    A.4.1Sponsor's protocol code numberBAY94-9027/13024
    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 SponsorBAYER HEALTHCARE AG
    B.1.3.4CountryGermany
    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 supportBayer HealthCare AG
    B.4.2CountryGermany
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationBayer HealthCare AG
    B.5.2Functional name of contact pointBayer Clin. Trials Contact CTP Team
    B.5.3 Address:
    B.5.3.1Street AddressBayer Pharma AG, S102, Level2, Room 156
    B.5.3.2Town/ cityBERLINO
    B.5.3.3Post code13342
    B.5.3.4CountryGermany
    B.5.4Telephone numberNA
    B.5.5Fax numberNA
    B.5.6E-mailclinical-trials-contact@bayerhealthcare.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 No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/10/847
    D.3 Description of the IMP
    D.3.1Product nameBAY: 94-9027 (500 IU/vial)
    D.3.2Product code NA
    D.3.4Pharmaceutical form Powder and solvent for solution for injection
    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.3.9.2Current sponsor codeBAY 94-9027
    D.3.9.3Other descriptive namePEGylated B-Domain Deleted Recombinant Human Antihemophilic Factor VIII
    D.3.10 Strength
    D.3.10.1Concentration unit IU/ml international unit(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    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 Yes
    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 No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/10/847
    D.3 Description of the IMP
    D.3.1Product nameBAY 94-9027 (1000 IU/vial)
    D.3.2Product code B02BD02
    D.3.4Pharmaceutical form Powder and solvent for solution for injection
    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.3.9.2Current sponsor codeBAY 94-9027
    D.3.10 Strength
    D.3.10.1Concentration unit IU/ml international unit(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number400
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    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 Yes
    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 No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/10/847
    D.3 Description of the IMP
    D.3.1Product nameBAY 94-9027 (3000 IU/vial)
    D.3.2Product code NA
    D.3.4Pharmaceutical form Powder and solvent for solution for injection
    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.3.9.2Current sponsor codeBAY 94-9027
    D.3.10 Strength
    D.3.10.1Concentration unit IU/ml international unit(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1200
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    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 Yes
    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
    Severe Hemophilia A
    Emofilia A grave
    E.1.1.1Medical condition in easily understood language
    Severe blood clotting factor VIII deficiency
    Carenza grave di fattore VIII della coagulazione
    E.1.1.2Therapeutic area Diseases [C] - Blood and lymphatic diseases [C15]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 15.0
    E.1.2Level LLT
    E.1.2Classification code 10053753
    E.1.2Term Hemophilia A without inhibitors
    E.1.2System Organ Class 10010331 - Congenital, familial and genetic disorders
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    • To assess the efficacy of BAY 94-9027 in prevention and treatment of bleeding at different infusion schedules Part B: Major surgery using BAY 94-9027 • To assess the safety and efficacy of BAY 94-9027 in the prevention of bleeding during major surgical
    PARTE A: Valutare l’efficacia di BAY 94-9027, somministrato secondo diversi schemi di infusione, nella prevenzione e nel trattamento delle emorragie. PARTE B: Valutare la sicurezza e l’efficacia di BAY 94-9027 nella prevenzione delle emorragie durante gli interventi di chirurgia maggiore
    E.2.2Secondary objectives of the trial
    • To evaluate the subject’s assessment of response to treatment • To demonstrate the safety and tolerability of BAY 94-9027 when used in both the on-demand and prophylaxis settings • To assess frequency of inhibitor development • To assess pharmacokinetics and incremental recovery following administration of BAY 94-9027 • To assess treatment satisfaction with BAY 94-9027 and its impact on quality-of-life, work productivity and pain as reported by the subjects
    Analizzare la valutazione del soggetto alla risposta al trattamento. Dimostrare la sicurezza e la tollerabilità di BAY 94-9027 utilizzato sia nel trattamento "a domanda" sia nel trattamento in profilassi Valutare la frequenza dello sviluppo di inibitori Valutare la farmacocinetica e il recupero (recovery) dopo somministrazione di BAY 94-9027 Analizzare la soddisfazione del soggetto al trattamento con BAY 94-9027 ed il suo impatto sulla qualità della vita, sulla produttività al lavoro e sul dolore.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    • Male; 12 to 65 years of age (or Male 18-65 years of age in countries where enrollment of minors is not permitted) • Subjects with severe hemophilia A (baseline FVIII activity FVIII:C <1%) determined by measurement at the time of screening or from reliable prior documentation (eg, measurement in other clinical trials, result from approved clinical laboratory) • Previously treated with FVIII concentrate(s) (plasma derived or recombinant) for a minimum of 150 ED • Immunocompetent. If HIV positive, CD4+ lymphocyte count >200/mm3
    •Maschi di età compresa tra i 12 e i 65 anni (o Maschi di età compresa tra i 18 e i 65 anni, dove non è permessa l’inclusione di pazienti minori) •Pazienti con Emofilia A grave (al basale, concentrazione di fattore VIII, FVIII:C ≤1%) documentata da un esame effettuato allo screening o da un esame storico (ad esempio misurazione effettuata durante la partecipazione in un precedente studio clinico, oppure risultato ottenuto presso un laboratorio clinico accreditato) •Pazienti precedentemente trattati con qualsiasi tipo di concentrato di FVIII (plasma derivato o ricombinante) per un minino di 150 giorni di esposizione (ED) •Pazienti Immunocompetenti. Se positivi al test dell’HIV, con conta linfocitaria CD4+ &gt;200/mm3 •Volontà e capacità da parte del paziente e/o del genitore di esercitarsi ad apprendere l’uso del diario elettronico per la registrazione di tutti i sanguinamenti e le infusioni effettuati nel corso dello studio •Consenso informato scritto del genitore o del rappresentante legale. Quando ritenuto appropriato può essere richiesto anche il consenso del paziente.
    E.4Principal exclusion criteria
    • Current evidence of inhibitor to FVIII with a titer ≥ 0.6 BU/mL, measured by the Nijmegen modified Bethesda assay at the time of screening (central laboratory) (BU: Bethesda unit) • History of inhibitor to FVIII with a titer ≥ 0.6 BU, or clinical history suggestive of inhibitor requiring modification of treatment. Subjects with a maximum historical titer of 1.0 BU on a single measurement but with at least 3 subsequent successive negative results (< 0.6 BU) thereafter are eligible • Any other inherited or acquired bleeding disorder in addition to Hemophilia A • Platelet count < 100,000/mm3 • Creatinine > 2x upper limit of normal • AST or ALT > 5x upper limit of normal (AST: aspartate aminotransferase; ALT: alanine aminotransferase) • The subject is currently participating in another investigational drug study, or has participated in a clinical study involving an investigational drug within 30 days of study entry. Subjects who are currently participating in an investigational study in which they are treated with a currently marketed FVIII concentrate are not excluded. Subjects currently treated with BAY 81-8973, and who have received at least 100 ED with the investigational product, may continue treatment with the product up to the start of Visit 1. • Any subject who is receiving chemotherapy, immune modulatory drugs other than anti-retroviral chemotherapy, or chronic use of oral or intravenous (IV) corticosteroids within the last 3 months. Brief courses of prednisone/methyprednisolone (< 14 days) for treatment of disorders such as synovitis, asthma, etc are allowed at the discretion of the treating physician
    •Evidenza allo Screening (ovvero all’esame del laboratorio centrale) della presenza di anticorpi inibitori del FVIII con un titolo &gt; 0,6 UB/mL, misurata secondo il metodo Bethesda modificato secondo Nijmegen (UB: Unità Bethesda) •Storia di sviluppo di alloanticorpi inibitori del FVIII con un titolo &gt; 0,6 UB/mL, o storia medica suggestiva per la presenza di inibitori che hanno richiesto una modificazione del regime terapeutico. Sono comunque eleggibili quei soggetti con riscontro di titolo storico massimo di inibitori pari a 1.0 UB in un’occasione, ma con almeno tre risultati successivi negativi (&lt; 0,6 UB). •Presenza di qualsiasi altra malattia emorragica, ereditata o acquisita, diversa dall’emofilia A •Conta piastrinica &lt; 100,000/mm3 •Valore di Creatinina due volte maggiore rispetto al limite superiore di normalità o valori di ALT/AST cinque volte superiori al limite di normalità •Nota ipersensibilità al principio attivo, o a qualunque dei suoi componenti (es. proteine del topo o criceto) •Paziente che sta già partecipando ad uno studio sperimentale con altro principio attivo , o che ha partecipato ad un trial clinico nei 30 giorni precedenti l’inclusione in questo. Non sono invece esclusi i soggetti che stanno prendendo parte ad uno studio clinico con concentrati di FVIII già in commercio. . Pazienti che sono in trattamento con BAY 81-8973, e che hanno superato i 100 ED a questo farmaco sperimentale, possono proseguire la terapia con il farmaco sperimentale fino alla Visita 1 di questo studio •Soggetti sottoposti a chemioterapia, in trattamento con agenti immunomodulatori diversi dalla terapia anti-retrovirale, o in trattamento cronico con corticosteroidi per via orale o per via endovenosa almeno negli ultimi 3 mesi. Sono permessi brevi cicli di prednisone/metilprednisolone (&lt; 14 giorni) per il trattamento di patologie concomitanti quali sinoviti, asma ecc. sono permessi a discrezione del trattamento medico. •Qualunque soggetto che, a giudizio dello Sperimentatore, risulti incapace o non disponibile a seguire le procedure previste dallo studio
    E.5 End points
    E.5.1Primary end point(s)
    Efficacy Prophylaxis & Treatment of bleeds: Annualized number of bleeds Pharmacokinetics: Pharmacokinetic data and incremental recovery of FVIII activity
    Risposta al trattamento definita come numero “annualizzato” di eventi emorragici. Valutazione della farmacocinetica e del recupero (recovery) dopo somministrazione di BAY 94-9027
    E.5.1.1Timepoint(s) of evaluation of this end point
    Prophylaxis & Treatment of bleeds: • End of Treatment Visit (after 36 weeks of treatment) Pharmacokinetics: • Baseline Visit = PK 1 Visit • End of Treatment Visit = PK 2 Visit
    Profilassi e Trattamento dei sanguinamenti: • Visita ''End of Treatment'' (dopo 36 settimane di trattamento) - Farmacocinetica: Visita basale = Visita PK 1 • Visita ''End of Treatment'' = Visita PK 2
    E.5.2Secondary end point(s)
    Efficacy Prophylaxis & Treatment of bleeds: Description of bleeding according to location and frequency of total bleeds (spontaneous and trauma), joint bleeds, trauma, spontaneous bleeds and all bleeds Treatment of bleeds: Number of infusions required to control a bleed -Subject or investigator assessment of response to treatment of a bleed, as excellent, good, moderate, poor -When counting bleeds, any infusion for a new spontaneous bleed reported within 72 h of a previous bleed reported for the same site should be considered a follow-up infusion and not a new bleed. Prophylaxis -Proportion of prophylaxis infusions that were followed by a bleed within 48, 72 and 96 h -Number of patients requiring dose escalation - Patient reported outcomes: -Patient satisfaction and burden with BAY 94-9027 -Change in overall pain severity and interference due to pain -Change in quality of life ( as assessed by Haemo-QoL/Haemo-QoL-A and HUI) -Change in work productivity and activity impairment Minor surgery: -Assessment of adequacy of hemostasis during minor surgical interventions including blood loss, transfusion, and/or hemostatic-related surgical complications. Part B: Major surgery -Change or drop in hemoglobin/hematocrit -Blood loss -Need for additional hemostatic medication, including blood products -Units of blood transfused -Hemostatic-related surgical complications -Surgeon’s assessment of hemostasis as excellent, good, moderate or poor -Investigator’s assessment of response to treatment as excellent, good, moderate or poor -rFVIII usage expressed as number of infusions and IU/kg per year, as well as IU/kg per event (prophylaxis, bleed treatment, and surgery) -Specific diagnostic evaluations (eg. Imaging to follow size of a hematoma) Safety -Vital signs (pulse, blood pressure, respiratory rate, temperature) -Physical examination -12-lead ECG -Health assessment -Standard laboratory assessment (CBC, chemistry, routine urinalysis) -Development of antibodies to BAY 94-9027, PEG and/or FVIII -Quantitative PEG measurement
    Profilassi di efficacia e trattamento dei sanguinamenti: • Descrizione dei sanguinamenti in base alla localizzazione e frequenza dei sanguinamenti totali (spontanei e traumatici), emartri, trauma, sanguinamenti spontanei e tutti i tipi di sanguinamento
    Trattamento dei sanguinamenti: • Numero delle infusioni richieste per controllare un sanguinamento • Valutazione del Paziente o dello Sperimentatore della risposta al trattamento di un sanguinamento come “eccellente, “buono”, “moderato”, “scarso” • Nella conta dei sanguinamenti, qualsiasi infusione per un nuovo sanguinamento spontaneo riportato entro 72 ore da un sanguinamento precedente avvenuto nello stesso sito di localizzazione dovrebbe essere considerato una infusione di follow-up anziché un nuovo sanguinamento.
    Profilassi:
    • Entità delle infusioni di profilassi seguite da un sanguinamento entro 48, 72 e 96 ore • Numero dei Pazienti che richiedono un aumento della dose
    - Esiti riferiti dai Pazienti: • soddisfazione e disagio con BAY 94-9027 • Variazioni nella classificazione globale della gravità del dolore ed interferenze dovute al dolore • Variazioni nella qualità della vita (secondo scale Haemo-QoL/Haemo-QoL-A e HUI) • Variazioni nella produttività lavorativa e nello svolgimento delle normali attività - chirurgia minore che impediscono la produttività: • Valutazione dell’emostasi durante interventi di chirurgia minore, perdite di sangue, trasfusioni e/o complicazioni chirurgiche di tipo emostatico.
    -Parte B: -Chirurgia maggiore • Variazione o calo di emoglobina/ematocrito • perdita di sangue • Necessità di terapia emostatica aggiuntiva inclusi prodotti plasmaderivati • Unità di sangue trasfuso • Complicazioni chirurgiche di tipo emostatico • Valutazione da parte del chirurgo della emostasi come “eccellente, “buono”, “moderato”, “scarso” • Valutazione dello Sperimentatore della risposta al trattamento di un sanguinamento come “eccellente, “buono”, “moderato”, “scarso” • • uso di rFVIII espresso come numero di infusioni e IU/kg all’anno, IU/kg per evento (profilassi, trattamento dei sanguinamenti, chirurgia) • Valutazioni diagnostiche specifiche (es. Imaging per monitorare la dimensione dell’ematoma)
    -Sicurezza • Segni vitali (pulsazioni, pressione sanguigna, frequenza respiratoria, temperatura) • Esame fisico • ECG 12 lead• -Stato di salute• Valutazioni Standard di laboratorio (CBC, chimica, esami unrine di routine) • Sviluppo di anticorpi verso il BAY 94-9027, PEG e/o FVIII • Misurazione quantitativa PEG
    E.5.2.1Timepoint(s) of evaluation of this end point
    Prophylaxis & Treatment of bleeds: • End of Treatment Visit (after 36 weeks of treatment) -Part B: Major surgery • Post-operative Visit
    Profilassi e Trattamento dei sanguinamenti: • Visita ''End of Treatment'' (dopo 36 settimane di trattamento)
    PARTE B: Chirurgia maggiore • Visita Post-operatoria
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis Yes
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic Yes
    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 No
    E.8.1.1Randomised No
    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 Yes
    E.8.1.7.1Other trial design description
    parzialmente randomizzato
    partially randomized
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Information not present in EudraCT
    E.8.2.2Placebo Information not present in EudraCT
    E.8.2.3Other Information not present in EudraCT
    E.8.2.4Number of treatment arms in the trial4
    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 concerned6
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA37
    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
    Argentina
    Australia
    Canada
    Colombia
    Israel
    Japan
    Korea, Republic of
    Mexico
    Singapore
    Taiwan
    Turkey
    United States
    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
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years0
    E.8.9.1In the Member State concerned months19
    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 months19
    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: 40
    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) Yes
    F.1.1.6.1Number of subjects for this age range: 40
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 100
    F.1.3Elderly (>=65 years) No
    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 state12
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 56
    F.4.2.2In the whole clinical trial 140
    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)
    NA
    NA
    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 Decision2012-09-14
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2012-09-14
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2019-11-21
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