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    Summary
    EudraCT Number:2012-001580-68
    Sponsor's Protocol Code Number:RoCHOP
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2013-06-25
    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 number2012-001580-68
    A.3Full title of the trial
    Phase 3 Multi-Center Randomized Study to Compare Efficacy and Safety of Romidepsin¬ CHOP (Ro-CHOP) versus CHOP in subjects with Previously Untreated Peripheral T-Cell Lymphoma.
    Studio randomizzato multicentrico di fase III: confronto in termini di efficacia e sicurezza della Romidepsina in combinazione con il regime CHOP (Ro-CHOP) vs CHOP da solo nel trattamento di linfomi T periferici in pazienti non precedentemente trattati.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Multi-Center Randomized Study to Compare Efficacy and Safety of Romidepsin¬ CHOP (Ro-CHOP) versus CHOP in subjects with Previously Untreated Peripheral T-Cell Lymphoma.
    Studio randomizzato multicentrico di fase III: confronto in termini di efficacia e sicurezza della Romidepsina in combinazione con il regime CHOP (Ro-CHOP) vs CHOP da solo nel trattamento di linfomi T periferici in pazienti non precedentemente trattati.
    A.3.2Name or abbreviated title of the trial where available
    RoCHOP
    A.4.1Sponsor's protocol code numberRoCHOP
    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 SponsorLYSARC
    B.1.3.4CountryFrance
    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 supportCelgene
    B.4.2CountrySwitzerland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationLYSARC
    B.5.2Functional name of contact pointStéphanie PICARD
    B.5.3 Address:
    B.5.3.1Street AddressLYSARC - CH Lyon Sud -Secteur Sainte Eugénie - Pavillon 6D
    B.5.3.2Town/ cityPierre Bénite Cedex
    B.5.3.3Post code69495
    B.5.3.4CountryFrance
    B.5.4Telephone number330472 66 93 33
    B.5.5Fax number330426 07 40 13
    B.5.6E-mailstephanie.picard@lysarc.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 Istodax
    D.2.1.1.2Name of the Marketing Authorisation holderCelgene
    D.2.1.2Country which granted the Marketing AuthorisationUnited States
    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/3/05/328
    D.3 Description of the IMP
    D.3.1Product nameromidepsin
    D.3.2Product code FK228
    D.3.4Pharmaceutical form Powder and solvent for solution for 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.3.8INN - Proposed INNROMIDEPSIN
    D.3.9.1CAS number 128517-07-7
    D.3.9.4EV Substance CodeSUB26362
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    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 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 No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Peripheral T-Cell Lymphoma
    Linfoma a cellule T periferico
    E.1.1.1Medical condition in easily understood language
    Lymphoma
    Linfoma
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 14.1
    E.1.2Level PT
    E.1.2Classification code 10034623
    E.1.2Term Peripheral T-cell lymphoma unspecified
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objective of the study is to compare efficacy of romidepsin when administered with CHOP versus CHOP alone in subjects with previously untreated peripheral T-cell lymphoma (PTCL)
    : L’obiettivo primario dello studio è confrontare l’efficacia della Romidepsina somministrata in combinazione con CHOP vs CHOP da solo, in soggetti affetti da linfoma T periferico (PTCL)
    E.2.2Secondary objectives of the trial
    The secondary objectives are to compare Ro-CHOP and CHOP alone in terms of:
    • Overall survival
    • Overall Response Rate (ORR [PR+CR+CRu]) (according to the Response criteria for malignant lymphoma 1999)
    • Duration of response
    • Time to progression
    • Time to treatment failure
    • Safety
    • Quality of Life (QoL)
    • Response rates by PTCL histological subtypes
    • Response rate by standard prognostic parameters
    il confronto tra Ro-CHOP e CHOP da solo in termini di:

    • Sopravvivenza globale (OS)
    • Tassi di risposta globale (ORR [PR+CR+CRu] (secondo i criteri di risposta per linfoma maligno 1999).
    • Durata della risposta
    • Tempo alla progressione
    • Tempo all’insuccesso
    • Sicurezza
    • Qualità della vita (QoL)
    • Tassi di risposta in base ai sottotipi istologici PTCL
    • Tasso di risposta in base ai parametri prognostici standard
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Patients must satisfy all following criteria to be enrolled in the study:
    1. Males and females of 18 years of age to 80 years of age.
    2. Understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted.
    3. Able to adhere to the study visit schedule and other protocol requirements.
    4. Patients with histologically proven peripheral T-cell lymphoma (PTCL), not previously treated; the following subtypes as defined by the WHO classification (2008;2011) may be included, whatever the Ann Arbor stage (l-lV):
    a. Nodal types:
    i. PTCL, not otherwise specified
    ii. Angioimmunoblastic T-cell lymphoma
    iii. Anaplastic large cell lymphoma, ALK-negative type

    b. Extra-nodal types:
    i. Enteropathy-associated T-cell lymphoma
    ii. Hepato-splenic T-cell lymphoma
    iii. Subcutaneous panniculitis-like T-cell lymphoma
    iv. Primary cutaneous gamma-delta T-cell lymphoma
    v. Primary cutaneous CD8+ aggresive epidermotropic lymphoma
    vi. Primary cutaneous CD4+ small/medium T-cell lymphoma
    c. Other non classifiable peripheral T-cell lymphoma
    5. ECOG performance status 0, 1 or 2
    6. Negative pregnancy test for females of childbearing potential (FCBP)
    7. Female patients of child bearing potential must use an effective method of birth control (i.e. hormonal contraceptive, intrauterine device, diaphragm with spermicide, condom with spermicide or abstinence) during treatment period and 1 month thereafter; Males must use an effective method of birth control during treatment period and 3 months thereafter.
    8. Life expectancy of ≥ 90 days (3 months).
    1. Età compresa tra 18 e 80 anni
    2. Firma del consenso informato (spontaneamente e in piena coscienza) prima che vengano condotte valutazioni e procedure relative allo studio.
    3. In grado di aderire al programma di visite e altri requisiti del protocollo
    4. Pazienti non precedentemente trattati con diagnosi istologica di linfoma T periferico (PTCL); i seguenti sottotipi, come definito dalla classificazione WHO (2008;2011) possono essere inclusi, qualunque sia lo stadio di Ann Arbor (I-IV):
    a. Forme nodali
    i. PTCL, non diversamente specificato
    ii. Linfoma angioimmunoblastico a cellule T
    iii. Linfoma a grandi cellule anaplastico, tipo ALK-negativo
    b. Forme extranodali
    i. Linfoma T associato ad enteropatia
    ii. Linfoma epato-splenico a cellule T
    iii. Linfoma a cellule T sottocutaneo tipo pannicolite
    iv. Linfoma cutaneo primario a cellule T delta
    v. Linfoma cutaneo primario CD8+ aggressivo epidermotropico
    vi. Linfoma cutaneo primario a cellule T medio-piccole CD4+
    c. Altri linfomi periferici a cellule T non classificabili
    5. ECOG performance status 0, 1 o 2
    6. Test di gravidanza negativo per le donne in età fertile
    7. Le donne in età fertile devono utilizzare un metodo efficace di controllo delle nascite (ad esempio contraccettivi ormonali, dispositivo intrauterino, diaframma con spermicida, preservativo con spermicida o astinenza) durante il periodo di trattamento e nel 1° mese successivo; i pazienti di sesso maschile devono usare un efficace metodo di controllo delle nascite durante il periodo di trattamento e nei 3 mesi successivi.
    8. Aspettativa di vita ≥ 90 giorni (3 mesi)
    E.4Principal exclusion criteria
    The presence of any of the following will exclude a patient from enrollment:
    1. Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the patient from participating in the study.
    2. Any condition that confounds the ability to interpret data from the study.
    3. Other types of lymphomas, e.g. B-cell lymphoma.
    4. The following types of T cell lymphomas:
    a. Adult T-cell lymphoma/leukemia (HTLV-1 related T-cell lymphoma)
    b. Extranodal T-cell/NK-cell lymphoma, nasal type
    c. Anaplastic large cell lymphoma, ALK-positive type
    d. Cutaneous T cell lymphoma (mycosis fungoides, Sézary syndrome)
    e. Primary cutaneous CD30+ T-cell lymphoproliferative disorder
    f. Primary cutaneous anaplastic T-cell lymphoma
    5. Previous treatment for PTCL with immunotherapy or chemotherapy except for short-term corticosteroids (duration of <=8 days) before randomization.
    6. Previous radiotherapy for PTCL except if localized to one lymph node area.
    7. Patients planned for autologous or allogeneic transplant as consolidation in first line.
    8. Central nervous system-meningeal involvement
    9. Contraindication to any drug contained in the chemotherapy regimen.
    10. Subjects with HIV positivity.
    11. Subjects with active hepatitis B or C. Chronic carriers of hepatitis B without HBV DNA positive blood are eligible. Subjects with non-active hepatitis C (with normal transaminases) are eligible.
    12. Any of the following laboratory abnormalities, except if secondary to the lymphoma:
    a. Absolute neutrophil count (ANC) < 1,500 cells/mm3 (1.5 x 109/L),
    b. Platelet count < 100,000/mm3 (100 x 109/L), or < 75,000/mm3 if bone marrow is involved,
    c. Serum SGOT/AST or SGPT/ALT ≥ 3.0 x upper limit of normal (ULN),
    d. Serum total bilirubin > 2 x ULN, except in case of hemolytic anemia,
    e. K+ and Mg2+ levels < LLN, except if corrected per protocol guidance before beginning the romidepsin infusion.
    13. Serum creatinine > 2.0 x ULN
    14. Prior history of malignancies other than lymphoma (except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix or breast or untreated prostatic cancer without any plan for a treatment) unless the patient has been free of the disease for ≥ 3 years
    15. Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the patient from signing the informed consent form
    16. Any known cardiac abnormalities such as:
    a. Patients with congenital long QT syndrome,
    b. Corrected QT interval > 480 msec (using the Fridericia formula),
    c. Myocardial infarction within 6 months of cycle 1 day 1,
    d. History of or concomitant significant cardiovascular disease,
    e. Ejection fraction <45% by MUGA scan or by echocardiogram.
    17. Concomitant use of drugs that may cause a significant prolongation of the QTc.
    18. Patients who have received more than 200 mg/m2 doxorubicin.
    19. Concomitant use of strong CYP3A4 inhibitors (see Appendix)
    20. Concomitant use of therapeutic warfarin due to a potential drug interaction. Use of a low dose of warfarin or another anticoagulant to maintain patency of venous access port and cannulas is permitted.
    21. Clinically significant active infection.
    22. Use of any standard or experimental anti-cancer drug therapy within 28 days of the initiation (Day 1) of study drug.
    23. Pregnant or lactating females or women of childbearing potential not willing to use an adequate method of birth control for the duration of the study.
    1. Qualsiasi condizione medica significativa, alterazione di laboratorio o malattia psichiatrica, che potrebbe impedire al paziente di partecipare allo studio
    2. Qualsiasi condizione che confonde la capacità di interpretare i dati dello studio
    3. Altre tipologie di linfoma, quali ad esempio Linfoma a cellule B
    4. I seguenti tipi di linfoma T:
    a. Linfoma a cellule T dell'adulto/Leucemia (HTLV-1 related T-cell lymphoma)
    b. Linfoma extranodale a cellule NK/T di tipo nasale
    c. Linfoma anaplastico a grandi cellule, tipo ALK-positivo
    d. Linfoma cutaneo a cellule T (micosi fungoide, sindrome di Sézary)
    e. Disordine linfoproliferativo primario della cute a cellule T CD30+
    f. Linfoma cutaneo primario anaplastico a cellule T
    5. Precedente trattamento per PTCL con immunoterapia o chemioterapia fatta eccezione per i corticosteroidi nel breve periodo (durata ≤ 8 giorni) prima della randomizzazione
    6. Precedente radioterapia per PTCL tranne se localizzata a una sola stazione linfonodale
    7. Pazienti programmati per il trapianto autologo o allogenico come consolidamento in prima linea
    8. Coinvolgimento meningeo del sistema nervoso centrale
    9. Controindicazione a qualsiasi farmaco contenuto nel regime chemioterapico
    10. Sierologia positiva per HIV
    11. Soggetti con epatite B o C attiva. I portatori cronici di epatite B senza positività HBV DNA nel sangue sono elegibili. I soggetti con epatite C non attiva (con transaminasi normali) sono elegibili
    12. Una qualsiasi delle seguenti anomalie di laboratorio, salvo se secondaria rispetto al linfoma:
    a. Conta assoluta dei neutrofili (ANC) < 1,500 cellulle/mm³ (1.5 x 109/L),
    b. Conta delle piastrine <100,000/ mm³ (100 x 109/L), o <75.000/ mm³, se il midollo osseo è coinvolto,
    c. SGOT/AST o SGPT/ALT ≥ 3.0 x limite superiore di normalità (ULN),
    d. Bilirubina totale > 2 x ULN, salvo in caso di anemia emolitica
    e. Livelli di K+ e Mg2+ < LLN, tranne se corretto per indicazione del protocollo prima di iniziare l'infusione di Romidepsina
    13. Creatinina serica > 2.0 x ULN
    14. Precedente storia di tumori diversi dal linfoma (ad eccezione del carcinoma della pelle a cellule basali o a cellule squamose o carcinoma della cervice o del seno in situ o tumore alla prostata non trattato, senza alcun piano di trattamento) a meno che il paziente sia stato libero da malattia per un periodo di tempo superiore o pari a 3 anni.
    15. Qualsiasi condizione medica grave, alterazione di laboratorio o malattia psichiatrica, che possa impedire al paziente di firmare il modulo di consenso informato
    16. Eventuali anomalie cardiache note quali:
    a. Pazienti con sindrome congenita del QT lungo
    b. Intervallo QT corretto > 480msec (utilizzando la formula di Fridericia)
    c. Infarto miocardico nei 6 mesi precedenti al ciclo 1 giorno 1
    d. Storia di concomitante significativa malattia cardiovascolare
    e. Frazione di eiezione <45% misurata con MUGA scan o ecocardiogramma;
    17. L'uso concomitante di farmaci che possono provocare un significativo prolungamento del QTc
    18. Pazienti che hanno ricevuto più di 200 mg/m2 di Doxorubicina
    19. Uso concomitante di potenti inibitori del CYP3A4
    20. Uso concomitante di Warfarin terapeutico per evitare una potenziale interazione farmacologica. È permesso l’uso di una bassa dose di Warfarin o di un altro anticoagulante per mantenere la pervietà dell’accesso venoso o delle cannule.
    21. Infezione attiva clinicamente significativa
    22. Uso di qualsiasi terapia farmacologica antitumorale standard o sperimentale entro 28 giorni dall’inizio del trattamento (Giorno 1)
    23. Donne in gravidanza o in fase di allattamento o donne in età fertile non disposte a utilizzare un adeguato metodo contraccettivo per tutta la durata dello studio.
    E.5 End points
    E.5.1Primary end point(s)
    Progression-free survival (PFS) assessed according to Response criteria for malignant lymphoma 1999 by a Response adjudication committee.
    Sopravvivenza libera da progressione (PFS) stimata secondo i Criteri di risposta per il linfoma maligno del 1999, del Response Adjudication Committee (RAC)
    E.5.1.1Timepoint(s) of evaluation of this end point
    Tumor assessment (clinical examination, laboratory tests, pelvis, abdominal, chest and cervical CT scan, bone marrow examination) will be performed at baseline, at mid-treatment after 3 cycles (CT scan only) and 4 weeks after the last treatment dose. To ensure comparability, baseline and on-study methods for response assessment will be performed using identical techniques.
    Follow-up assessment, including CT Scan, will be clinical visit every 3 months the first year, then every 4 months the 2nd year, and every 6 months thereafter.
    Una valutazione del tumore (esame clinico, esami di laboratorio, TC di bacino, addome, torace, cervice, esame del midollo osseo) verrà eseguita al basale, dopo 3 cicli di trattamento (solo una TC) e 4 settimane dopo l'ultima dose di trattamento.
    Per garantire la comparabilità, le indagini basali e le rivalutazioni in corso di studio saranno eseguite utilizzando tecniche identiche.
    Follow-up di valutazione, tra cui TC, visita clinica ogni 3 mesi il primo anno, poi ogni 4 mesi il secondo anno, e in seguito ogni 6 mesi.
    E.5.2Secondary end point(s)
    • Overall survival
    • Overall Response Rate (ORR [PR+CR+CRu]) (according to the Response criteria for malignant lymphoma 1999)
    • Duration of response
    • Time to progression
    • Time to treatment failure
    • Safety
    • Quality of Life (QoL)
    • Response rates by PTCL histological subtypes
    • Response rate by standard prognostic parameters
    • • Sopravvivenza globale (OS)
    • Tassi di risposta globale (ORR [PR+CR+CRu] (secondo i criteri di risposta per linfoma maligno 1999).
    • Durata della risposta
    • Tempo alla progressione
    • Tempo all’insuccesso
    • Sicurezza
    • Qualità della vita (QoL)
    • Tassi di risposta in base ai sottotipi istologici PTCL
    • Tasso di risposta in base ai parametri prognostici standard
    E.5.2.1Timepoint(s) of evaluation of this end point
    • Overall survival: 2 years after the end of treatment
    • Overall Response Rate (ORR [PR+CR+CRu]): at the end of treatment
    • Duration of response: all duration of the study
    • Time to progression: all duration of the study
    • Time to treatment failure: all duration of the study
    • Safety: all duration of the study
    • Quality of Life (QoL) :At randomization, at D1 of cycle 4, at evaluation at the end of treatment, and during follow-up every 3 months the first year, every 4 months the second year and every year during follow-up period until primary analysis
    • Response rates by PTCL histological subtypes:at the end of treatment
    • Response rate by standard prognostic parameters: at the end of treatment
    • • Sopravvivenza globale (OS): 2 anni dopo la fine del trattamento
    • Tassi di risposta globale (ORR [PR+CR+CRu] : alla fine del trattamento
    • Durata della risposta: tutta la durata dello studio
    • Tempo alla progressione: tutta la durata dello studio
    • Tempo all’insuccesso: tutta la durata dello studio
    • Sicurezza: tutta la durata dello studio
    • Qualità della vita (QoL): alla randomizzazione al giorno 1 del ciclo 4, alla valutazione alla fine dello studio, durante il follow up ogni 3 mesi il primo anno, ogni 4 masi il secondo anno e ogni anno durante il follow up fino all’analisi primaria
    • Tassi di risposta in base ai sottotipi istologici PTCL: alla fine del trattamento
    • Tasso di risposta in base ai parametri prognostici standard: alla fine del trattamento
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other Yes
    E.8.2.3.1Comparator description
    association of romidepsin and CHOP versus CHOP alone
    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 EEA120
    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
    Australia
    Korea, Democratic People's Republic of
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    The end of the trial will be the end of follow up so approximately 6 years after the last patient randomized.
    La fine dello studio corrisponderà con la fine del follow up, quindi approssimativamente 6 anni dopo la randomizzazione dell’ultimo paziente.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years9
    E.8.9.1In the Member State concerned months
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years9
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 120
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 300
    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 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 state180
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 300
    F.4.2.2In the whole clinical trial 420
    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)
    no difference
    Nessuna differenza
    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 Decision2013-09-12
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2013-12-10
    P. End of Trial
    P.End of Trial StatusOngoing
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