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    Summary
    EudraCT Number:2013-000366-11
    Sponsor's Protocol Code Number:TP0503
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2013-07-12
    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 number2013-000366-11
    A.3Full title of the trial
    A Randomised Active-Controlled Double-Blind and Open Label Extension Study to Evaluate the Efficacy, Long-term Safety and Tolerability of TP05 3.2 g/day for the Treatment of Active Ulcerative Colitis (UC)
    Estudio aleatorizado, controlado con producto activo, con doble enmascaramiento y periodo de extensión abierto para evaluar la eficacia, seguridad y tolerabilidad a largo plazo de 3,2 g/día de TP05 para el tratamiento de la colitis ulcerosa (CU) activa
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Study to test whether TP05 at a dose of 3.2 g/day is safe, well-tolerated and works as a treatment for active Ulcerative Colitis. Treatment will be assigned by chance and patients and investigators will not know whether the patients are receiving TP05 or the standard therapy. This blinded period will be followed by a period where all patients receive TP05.
    Estudio para probar si TP05 a una dosis de 3.2 g/día es seguro, se tolera bien y funciona para el tratamiento de la colitis ulcerosa activa. El tratamiento se asignará por azar a pacientes e investigadores sin saber si el paciente está recibiendo TP05 o la terapia estándar. Este fase del estudio "ciego" irá seguido por otro periodo en el que todos los pacientes recibirán TP05.
    A.4.1Sponsor's protocol code numberTP0503
    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 SponsorTillotts Pharma AG
    B.1.3.4CountrySwitzerland
    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 supportTillotts Pharma AG
    B.4.2CountrySwitzerland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationRobarts Clinical Trials Inc.
    B.5.2Functional name of contact pointClinical Research Manager
    B.5.3 Address:
    B.5.3.1Street AddressPietersbergweg 17, Trinity Building C
    B.5.3.2Town/ cityAmsterdam
    B.5.3.3Post code1105 BM
    B.5.3.4CountryNetherlands
    B.5.6E-mailTanja.vanviegen@robartsinc.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 No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.2Product code TP05
    D.3.4Pharmaceutical form Gastro-resistant 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 INNMESALAZINE
    D.3.9.1CAS number 89-57-6
    D.3.9.2Current sponsor codeTP05
    D.3.9.4EV Substance CodeSUB08782MIG
    D.3.10 Strength
    D.3.10.1Concentration unit g gram(s)
    D.3.10.2Concentration typeup to
    D.3.10.3Concentration number4.8
    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 RoleComparator
    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 Asacol
    D.2.1.1.2Name of the Marketing Authorisation holderTillotts Pharma
    D.2.1.2Country which granted the Marketing AuthorisationUnited Kingdom
    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 Gastro-resistant tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    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 placeboTablet
    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 placeboGastro-resistant 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
    Ulcerative colitis
    Colitis Ulcerosa
    E.1.1.1Medical condition in easily understood language
    Ulcerative colitis
    Colitis Ulcerosa
    E.1.1.2Therapeutic area Diseases [C] - Digestive System Diseases [C06]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 16.0
    E.1.2Level LLT
    E.1.2Classification code 10045365
    E.1.2Term Ulcerative colitis
    E.1.2System Organ Class 100000004856
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Induction:
    The primary objective of the Induction phase is to determine if 8 weeks of treatment with 3.2 g/day of TP05 is not inferior to 3.2 g/day of Asacol? in inducing clinical and endoscopic remission (a
    score ? 2 points on the Mayo scoring scale with no individual sub-score > 1 point) in subjects with active mild to moderate Ulcerative Colitis (UC).

    Open Label Extension (OLE):
    The primary objective of the OLE is to assess the safety and tolerability of TP05 over a 26-week period in subjects achieving endoscopic and clinical remission or exhibiting a response during the initial phase of TP0503. Maintenance of clinical remission by TP05 will also be assessed by determining the proportion of patients in clinical remission at the final visit.
    Objetivo principal de la fase de inducción
    El objetivo principal de la fase de inducción consiste en determinar si un tratamiento de 8 semanas con 3,2 g/día de TP05 no es inferior a 3,2 g/día de Asacol™ en términos de remisión clínica y endoscópica (puntuación ≤ 2 puntos en la escala Mayo, sin subpuntuación individual > 1 punto).

    Objetivo principal del periodo de extensión abierto:
    El objetivo principal del periodo de extensión abierto (OLE) consiste en evaluar la seguridad y la tolerabilidad de TP05 durante un periodo de 26 semanas en sujetos que logren remisión clínica y endoscópica o bien que muestren una respuesta durante la fase inicial de TP0503. El mantenimiento de la remisión clínica debido a TP05 se evaluará también a través de la proporción de pacientes en remisión clínica en la visita final.
    E.2.2Secondary objectives of the trial
    Induction:
    Proportion of subjects achieving:
    - endoscopic remission at Week 8
    - clinical remission at Week 8 or 12
    - a rectal bleeding sub-score of 0 at Week 8 or 12
    - clinical remission at both Week 8 and 12
    - a clinical and endoscopic response at Week 8
    - a clinical response at Week 12
    - a clinical response at Week 8 and 12
    Also:
    - change in Mayo scores and PMCS at Week 8 and 12
    - change in rectal bleeding and stool frequency at Week 8 and 12

    OLE:
    To assess whether a dose escalation to 4.8 g/day of TP05 is effective in inducing remission in subjects who fail to respond to either Asacol? or TP05 during induction.
    Quality of life will also be assessed using the SF-36, EQ-5D, WPAI-UC, subject and physician global ratings.
    Exploratory analyses of potential associations between patient characteristics and clinical remission as well as AEs or SAEs will be conducted as well as the relationship between faecal calprotectin
    levels and UC disease severity.
    INDUCCION:proporción de sujetos que logra:remisión endoscópica en la semana 8, la remisión clínica en la semana 8 ó12. Una subpunt. de rectorragia = a 0 en la semana 8 ó 12. La remisión clínica tanto en sem. 8 como en la 12. Respuesta clínica y endoscópica en sem.8.Respuesta clínica en sem.12, así como tanto en sem. 8 como en 12. Cambios en las puntuaciones Mayo y PMCS en las sem. 8 y 12, y cambios en la rectorragia y la frecuencia de deposiciones tanto en la semana 8 /12. EXTENSION: Evaluar si un aumento de la dosis a 4,8 g/día de TP05 es eficaz para la remisión en sujetos que no respondan a Asacol™ o a TP05 durante la inducción. Se evaluará la calidad de vida a través de SF-36, EQ-5D, WPAI-UC y las valoraciones globales del médico y el sujeto. Se llevarán a cabo análisis exploratorios de las posibles asociaciones entre las características del paciente y la remisión clínica, así como los AA o AAG, o la relación entre la concentración de calprotectina fecal y la gravedad de la CU.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Induction:
    (1) Male or non-pregnant, non-lactating females, 18 years of age or older. Females of child bearing potential must have a negative serum pregnancy test prior to randomisation, and must use a hormonal (oral, implantable or injectable) or barrier method of birth control throughout the study. Females unable to bear children must have documentation of such in the source records (i.e., tubal ligation, hysterectomy, or post-menopausal [defined as a minimum of one year since the last menstrual period]).
    (2) Documented diagnosis of UC with disease extending at least 15 cm from the anal verge.
    (3) Active UC defined by:
    a. Mayo score of > 5
    b. Sigmoidoscopy component score ? 2 confirmed by central review and
    c. Rectal bleeding component score ? 1
    (4) Ability of the subject to participate fully in all aspects of this clinical trial.
    (5) Written informed consent must be obtained and documented.

    OLE:
    (1) Attendance at the Week 8 visit and completion of disease activity assessments prior to enrolment in OLE at Week 12 (responders or remitters) or Week 8 (non-responders).
    (2) At least 75% compliance with study medication in the induction phase.
    Inducción:
    (1) Hombres o mujeres que no estén embarazadas o en periodo de lactancia de 18 años o más. Antes de su aleatorización, las mujeres en edad fértil deben realizarse una prueba de embarazo en suero y obtener un resultado negativo. También deben utilizar un método anticonceptivo hormonal (oral, implantable o inyectable) o de barrera durante el transcurso del estudio. Las mujeres infértiles deben documentar tal situación en su historial de origen (ligadura de trompas, histerectomía o estado postmenopáusico [definido como un año como mínimo desde la última menstruación]).
    (2) Diagnóstico documentado de CU con extensión de la enfermedad de un mínimo de 15 cm desde el margen externo del ano.
    (3) CU activa, definida como:
    a. Puntuación Mayo > 5.
    b. Puntuación de la parte de sigmoidoscopia ≥ 2 (confirmada a través de una revisión central).
    c. Y puntuación de la parte de rectorragia ≥ 1.
    (4) Capacidad de participación plena en todos los aspectos de este ensayo clínico por parte del sujeto.
    (5) Debe obtenerse y documentarse un consentimiento informado por escrito.
    Extensión:
    (1) Asistencia a la visita de la semana 8 y finalización de las evaluaciones de la actividad de la enfermedad previas a la inclusión en el OLE en la semana 12 (sujetos con respuesta o remisión) o en la semana 8 (sujetos sin respuesta).
    (2) Un cumplimiento terapéutico con la medicación del estudio como mínimo del 75 % en la fase de inducción.
    E.4Principal exclusion criteria
    (1) Severe UC defined by the following criteria:
    ≥ 6 bloody stools daily with one or more of the following:
    a. oral temperature > 37.8°C or > 100.0°F
    b. pulse > 90 beats/min
    c. haemoglobin < 10 g/dL
    (2) Treatment with oral mesalamine at a dose of > 2.4 g/day within 4 weeks prior to randomisation.
    (3) Treatment with topical therapy (mesalamine or corticosteroids) within 2 weeks prior to randomisation.
    (4) Treatment with systemic or rectal steroids within 4 weeks prior to randomisation.
    (5) Treatment with immunosuppressants within 6 weeks prior to randomisation.
    (6) Treatment with infliximab or other biologics within 3 months prior to randomisation.
    (7) Treatment with antibiotics within 7 days prior to randomisation.
    (8) Treatment with probiotics within 7 days prior to randomisation
    (9) Treatment with anti-diarrhoeals within 7 days prior to randomisation
    (10) Treatment with nicotine patch within 7 days prior to randomisation.
    (11) Received any investigational drug within 30 days prior to randomisation.
    (12) History of colectomy or partial colectomy.
    (13) History of definite dysplasia in colonic biopsies.
    (14) Crohn’s disease.
    (15) Immediate or significant risk of toxic megacolon.
    (16) Known bleeding disorders.
    (17) Hypersensitivity to salicylates, aspirin, sulfasalazine or 5-ASA.
    (18) Serum creatinine > 1.5 times the upper limit of the normal range.
    (19) Aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin or alkaline phosphatase > 2 times the upper limit of the normal range.
    (20) Serious underlying disease other than UC which in the opinion of the investigator may interfere with the subject’s ability to fully participate in the study.
    (21) History of alcohol or drug abuse which in the opinion of the investigator may interfere with the subject’s ability to comply with the study procedures.
    (22) Stools positive for Clostridium difficile toxin.
    (23) Pregnant or lactating women.
    (24) Prior enrolment in the study.
    OLE:
    (1) Withdrawal from the induction phase prior to the Week 8 visit.
    Inducción:
    (1) CU grave, definida por los criterios siguientes:
     6 deposiciones hemorrágicas al día y una o más de las situaciones siguientes:
    a. Temperatura oral > 37,8 C o > 100,0 F.
    b. Pulso > 90 latidos/min.
    c. Hemoglobina < 10 g/dl.
    (2) Tratamiento oral con mesalamina a una dosis > 2,4 g/día en las 4 semanas anteriores a la aleatorización.
    (3) Tratamiento con terapias tópicas (mesalamina o corticoesteroides) en las 2 semanas previas a la aleatorización
    (4) Tratamiento con esteroides sistémicos o rectales en las 4 semanas anteriores a la aleatorización.
    (5) Tratamiento con inmunodepresores en las 6 semanas anteriores a la aleatorización.
    (6) Tratamiento con infliximab u otros agentes biológicos en los 3 meses anteriores a la aleatorización.
    (7) Tratamiento con antibióticos en los 7 días anteriores a la aleatorización.
    (8) Tratamiento con probióticos en los 7 días anteriores a la aleatorización.
    (9) Tratamiento con antidiarreicos en los 7 días anteriores a la aleatorización.
    (10) Tratamiento con parches de nicotina en los 7 días anteriores a la aleatorización.
    (11) Haber recibido algún fármaco en investigación en los 30 días anteriores a la aleatorización.
    (12) Antecedentes de colectomía o colectomía parcial.
    (13) Antecedentes de displasia confirmada en las biopsias de colon.
    (14) Enfermedad de Crohn.
    (15) Riesgo inmediato o significativo de megacolon tóxico.
    (16) Alteraciones hemorrágicas conocidas.
    (17) Hipersensibilidad a salicilatos, aspirina, sulfasalazina o 5-ASA.
    (18) Creatinina sérica > 1,5 veces el límite superior del rango normal.
    (19) Aspartato aminotransferasa (AST), alanina aminotransferasa (ALT), bilirrubina total o fosfatasa alcalina > 2 veces el límite superior del intervalo normal.
    (20) Enfermedad subyacente grave distinta de la CU que en opinión del investigador pueda interferir con la capacidad de participación plena en el estudio por parte del sujeto.
    (21) Antecedentes de alcoholismo o toxicomanía que en opinión del investigador puedan interferir con la capacidad de cumplimiento de los procedimientos del estudio por parte del sujeto.
    (22) Deposiciones con resultado positivo para las toxinas producidas por Clostridium difficile.
    (23) Mujeres embarazadas o en periodo de lactancia.
    (24) Inclusión anterior en el estudio.
    Extensión:
    (1) Retirada de la fase de inducción antes de la visita de la semana 8.
    E.5 End points
    E.5.1Primary end point(s)
    The primary efficacy endpoint is the proportion of subjects in clinical and endoscopic remission after 8 weeks of treatment, defined as achieving a Mayo score of ? 2 points, with no individual sub-score > 1 point at the Week 8 visit.
    La variable principal de eficacia es la proporción de sujetos que consiguen la remisión clínica y endoscópica, después de 8 semanas de tratamiento, definida como una puntuación Mayo ≤ 2 puntos, sin subpuntuación individual > 1 punto en la semana 8.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Week 8.
    Semana 8.
    E.5.2Secondary end point(s)
    Secondary efficacy endpoints based on changes in the Mayo score and the PMCS include:
    - the proportion of subjects achieving endoscopic remission (endoscopic sub-score of 0) at Week 8
    - the proportion of subjects achieving clinical remission at Week 8
    - the proportion of subjects achieving a rectal bleeding sub-score of 0 at Week 8
    - the proportion of subjects achieving clinical remission at Week 12
    - the proportion of patients achieving a rectal bleeding sub-score of 0 at Week 12
    - the proportion of subjects achieving clinical remission at both Week 8 and Week 12
    - the proportion of subjects achieving a clinical and endoscopic response at Week 8
    - the proportion of subjects achieving a clinical response at Week 12
    - the proportion of subjects achieving a clinical response at both Week 8 and Week 12
    - the changes in Mayo scores and PMCS at Week 8 and Week 12, respectively
    - the changes in rectal bleeding and stool frequency at both Week 8 and Week 12
    Valoraciones de eficacia secundaria basadas en cambios en la puntuación Mayo y PMCs incluyen:
    -La proporción de sujetos que logra la remisión endoscópica (subpuntuación de endoscopia igual a 0) en la semana 8.
    -La proporción de sujetos que logra la remisión clínica en la semana 8.
    -La proporción de sujetos que logran una subpuntuación de rectorragia igual a 0 en la semana 8.
    -La proporción de sujetos que logra la remisión clínica en la semana 12.
    -La proporción de sujetos que logra una subpuntuación de rectorragia igual a 0 en la semana 12.
    -La proporción de sujetos que logra la remisión clínica tanto en la semana 8 como en la 12.
    -La proporción de sujetos que logra una respuesta clínica y endoscópica en la semana 8.
    -La proporción de sujetos que logra una respuesta clínica en la semana 12.
    -La proporción de sujetos que logra una respuesta clínica tanto en la semana 8 como en la 12.
    -Los cambios en las puntuaciones Mayo y PMCS en las semanas 8 y 12, respectivamente.
    -Los cambios en la rectorragia y la frecuencia de deposiciones tanto en la semana 8 como en la 12.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Week 8 and 12.
    Semana 8 y 12
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Tolerability, Non-inferiority
    Tolerabilidad, No-inferioridad
    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 No
    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
    Double-blind parallel phase, followed by open label extension phase
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo No
    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 concerned15
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA106
    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
    Belarus
    Canada
    Russian Federation
    Ukraine
    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
    All subjects will be contacted via telephone for a post-treatment follow-up 4 weeks after the last dose of study drug. Any SAEs will be recorded.

    The end of the trial is defined as the date of the last patient contacted by telephone 4 weeks after the last dose of study drug.
    Se contactará telefónicamente a todos los sujetos para un seguimiento post tratamiento, 4 semanas después de la última dosis de medicación. Se recogerán todos los acontecimientos adversos graves.
    El final del estudio, queda definido como la fecha de último contacto telefónico, 4 semanas después de recibir la última dosis del estudio.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months4
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months4
    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: 752
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 48
    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 state68
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 576
    F.4.2.2In the whole clinical trial 800
    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)
    After a patient has completed/terminated their study participations, long term care for the participant will remain the responsibility of their primary treating physicians.
    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 Decision2013-10-07
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2013-09-16
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
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