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    Summary
    EudraCT Number:2013-004590-27
    Sponsor's Protocol Code Number:D3251C00003
    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:2014-07-04
    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 number2013-004590-27
    A.3Full title of the trial
    Randomised, double-blind, 56 week placebo-controlled, parallel group, multicentre, phase 3 study to evaluate the efficacy and safety of 2 doses of benralizumab in patients with moderate to very severe COPD with a history of exacerbations (GALATHEA)
    Ensayo fase III, aleatorizado, doble ciego, de administración crónica (56 semanas) controlado con placebo, de grupos paralelos y multicéntrico para evaluar la eficacia y seguridad de dos dosis de benralizumab (MEDI-563) en pacientes con Enfermedad Pulmonar Obstructiva Crónica (EPOC) de moderada a muy grave y antecedentes de exacerbaciones de EPOC (GALATHEA)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Efficacy and safety of 2 benralizumab doses in moderate to very severe COPD patients with prior exacerbation history
    Eficacia y seguridad de dos dosis de benralizumab (MEDI-563) en pacientes con Enfermedad Pulmonar Obstructiva Crónica (EPOC) de moderada a muy grave y antecedentes de exacerbaciones de EPOC
    A.4.1Sponsor's protocol code numberD3251C00003
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation PlanP/020/2014
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorAstraZeneca
    B.1.3.4CountrySweden
    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 supportAstraZeneca AB
    B.4.2CountrySweden
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationAstraZeneca Farmacéutica Spain, S.A.
    B.5.2Functional name of contact pointUnidad de Investigación Clínica
    B.5.3 Address:
    B.5.3.1Street AddressC/ Serrano Galvache, 56; Parque Norte, Edificio Roble
    B.5.3.2Town/ cityMadrid
    B.5.3.3Post code28033
    B.5.3.4CountrySpain
    B.5.4Telephone number900200444
    B.5.6E-mailinformacionEECC-Spain@astrazeneca.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.3.1Product namebenralizumab
    D.3.2Product code Medi-563
    D.3.4Pharmaceutical form Solution for injection in pre-filled syringe
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNbenralizumab
    D.3.9.1CAS number 1044511-01-4
    D.3.9.2Current sponsor codeMEDI-563
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeup to
    D.3.10.3Concentration number100
    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 Yes
    D.3.11.13.1Other medicinal product typeMonoclonal antibody
    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 No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namebenralizumab
    D.3.2Product code Medi-563
    D.3.4Pharmaceutical form Solution for injection in pre-filled syringe
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNbenralizumab
    D.3.9.1CAS number 1044511-01-4
    D.3.9.2Current sponsor codeMEDI-563
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeup to
    D.3.10.3Concentration number100
    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 Yes
    D.3.11.13.1Other medicinal product typeMonoclonal antibody
    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 placeboSolution for injection in pre-filled syringe
    D.8.4Route of administration of the placeboSubcutaneous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Chronic Obstructive Pulmonary Disease
    Enfermedad Pulmonar Obstructiva Crónica
    E.1.1.1Medical condition in easily understood language
    Chronic Obstructive Pulmonary Disease that cause exacerbations which can no be fully controlled using standard care of treatment
    Enfermedad Pulmonar Obstructiva Crónica que causa exacerbaciones y no puede ser controlada con el tratamiento estándar.
    E.1.1.2Therapeutic area Diseases [C] - Respiratory Tract Diseases [C08]
    MedDRA Classification
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate the effect of benralizumab on COPD exacerbations in subjects with moderate to very severe COPD
    Evaluar el efecto de dos dosis de benralizumab sobre las exacerbaciones de la EPOC en sujetos con EPOC moderada a muy grave
    E.2.2Secondary objectives of the trial
    To evaluate the effect of benralizumab:
    - on health status/health-related quality of life
    - on pulmonary function
    - on respiratory symptoms
    - on rescue medication use
    - on nocturnal awakenings
    - on the severity, frequency and duration of EXACT-PRO defined events
    - on healthcare resource utilization due to COPD
    - on general health status
    - on blood eosinophil levels
    To evaluate the pharmacokinetics parameters of benralizumab.
    Assessment of the safety and tolerability of benralizumab.
    To evaluate the immunogenicity of benralizumab
    Evaluar el efecto de dos dosis de benralizumab sobre:
    - el estado de salud / la calidad de vida relacionada con la salud
    - sobre la función pulmonar
    - sobre los síntomas respiratorios
    - sobre el uso de medicación de rescate
    - sobre los despertares nocturnos
    - sobre la intensidad, frecuencia y duración de los acontecimientos definidos por EXACT-RCP.
    - sobre otros parámetros asociados a exacerbaciones de la EPOC
    - sobre el estado general de salud
    - sobre los niveles sanguíneos de eosinófilos
    Evaluar la farmacocinética y la inmunogenicidad de dos dosis de benralizumab.
    Evaluar la seguridad y tolerabilidad de dos dosis de benralizumab.
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives
    Additional pulmonary function tests:

    To evaluate the effect of two doses of
    benralizumab in a subset of patients for lung
    volumes.
    To evaluate the effect of two doses of
    benralizumab in a subset of patients for DLCO.
    To evaluate the effect of two doses of
    benralizumab in a subset of patients on exercise
    endurance.

    Sputum analysis:
    To evaluate the effect of two doses of
    benralizumab on sputum biomarkers/cell counts
    in a subset of patients.
    Pruebas de función pulmonar adicionales:

    Evaluar el efecto de dos dosis de benralizumab sobre los volúmenes pulmonares en un subgrupo de pacientes.
    Evaluar el efecto de dos dosis de benralizumab sobre la DLCO en un subgrupo de pacientes.
    Evaluar el efecto de dos dosis de benralizumab sobre la resistencia al ejercicio en un subgrupo de pacientes.

    Análisis de esputo:
    Evaluar el efecto de dos dosis de benralizumab sobre biomarcadores/recuentos celulares y microbiología en el esputo en un subgrupo de pacientes.
    E.3Principal inclusion criteria
    1.Informed consent.
    2.Subjects 40-85 y.o.
    3.Moderate to very severe COPD with post-BD FEV1>20% and ?65% .
    4.?2 moderate or ?1 severe COPD exacerbation(s) required treatment or hospitalization within 2-52 weeks prior to Visit1.
    5.mMRC score ?1 at Visit 1.
    6.Treatment with double or triple therapy in the year prior to Visit 1, constant 2 weeks prior to Visit 1. 7.Tobacco history of ?10 pack-years.
    8.Women of childbearing potential must use a highly effective form of birth control from Visit 1 until 16 weeks after their last dose, and negative serum pregnancy test result at Visit 1.
    9.Male subjects who are sexually active must be surgically sterile one year prior to Visit 1 or use an adequate method of contraception from the first IP dose until 16 weeks after their last dose.
    10.Compliance with maintenance therapy during run-in ?70%.
    1. Firma del consentimiento informado.
    2. Mujeres o varones de 40 a 85 años inclusive.
    3. Antecedentes de EPOC moderada a muy grave con un FEV1/CVF después del broncodilatador de <0,70 y un FEV1 después del broncodilatador de >20% y ?65% del valor normal previsto en la selección.
    4. Antecedentes de 2 o más exacerbaciones moderadas de la EPOC que han requerido tratamiento con corticosteroides sistémicos y/o antibióticos o 1 o más exacerbaciones graves de la EPOC que requirieron hospitalización (definida como un ingreso hospitalario estancia ?24 horas en un área de observación en el servicio de urgencias u otro servicio de salud equivalente dependiendo del país y del sistema sanitario) en las 2 a 52 semanas previas al reclutamiento.
    5. Puntuación MRCm ?1 en la visita 1.
    6. Tratamiento documentado de los sujetos con terapia doble (ICS/LABA o LABA/LAMA) o triple (ICS/LABA/LAMA) aprobada para la EPOC en un país dado en el año previo al reclutamiento (Visita 1). Se acepta que los sujetos hayan aumentado o disminuido la terapia (de doble a triple y viceversa), pero tienen que haber seguido siendo tratados sistemáticamente con sus medicaciones y dosis actuales durante un mínimo de 2 semanas antes del reclutamiento (Visita 1).
    7. Fumadores o exfumadores con una historia de tabaquismo de ?10 paquete-años.
    8. Las mujeres potencialmente fértiles deben usar un método anticonceptivo muy eficaz, según la definición anterior, desde el reclutamiento, durante todo el ensayo y hasta 16 semanas después de la última dosis del producto en investigación, y deben tener un resultado negativo en una prueba de embarazo en suero realizada en la visita 1.
    9. Los pacientes varones que sean sexualmente activos deben haber sido esterilizados quirúrgicamente al menos un año antes de la visita 1 o deben usar un método anticonceptivo adecuado (preservativo con espermicida) desde la primera dosis del PI hasta 16 semanas después de su última dosis.
    10. Al menos un 70% de cumplimiento con el tratamiento de mantenimiento del sujeto.
    E.4Principal exclusion criteria
    1. Clinically important pulmonary disease other than COPD or another diagnosed pulmonary or systemic disease associated with elevated peripheral eosinophil counts.
    2. Any disorder or major physical impairment that is not stable by Investigator opinion and could affect: - subject safety?study findings or their interpretation or subject?s ability to complete the entire study duration.
    3. Unstable ischemic heart disease, arrhythmia, cardiomyopathy, or other relevant cardiovascular disorder that in Investigator?s judgment may put the patient at risk or negatively affect the study outcome.
    4. Treatment with systemic corticosteroids and/or antibiotics, and/or hospitalization for a COPD exacerbation within 2 weeks prior to Visit1.
    5. Acute upper or lower respiratory infection requiring antibiotics or antiviral medication within 2 weeks prior to Visit1.
    6. Pneumonia within 8 weeks prior to Visit1.
    7. Pregnant, breastfeeding, or lactating women.
    8. Risk factors for pneumonia
    9. History of anaphylaxis to any other biologic therapy.
    10. Long term oxygen therapy with signs and/or symptoms of cor pulmonale, right ventricular failure.
    11. Use of immunosuppressive medication within 28 days prior to randomisation.
    12. Receipt of any investigational non-biologic product within 30 days or 5 half-lives prior to Visit 1.
    13. Evidence of active tuberculosis (TB), either treated or untreated, or latent TB without an appropriate course of treatment.
    14. Lung volume reduction surgery within the 6 months prior to Visit 1. History of partial or total lung resection (single lobe or segmentectomy is acceptable).
    15. Asthma as a primary or main diagnosis according to the GINA guidelines or other accepted guidelines.
    16. Previous treatment with benralizumab.
    17. Helminth parasitic infection diagnosed within 24 weeks prior to Visit 1.
    1. Otra enfermedad pulmonar clínicamente importante aparte de la EPOC o haber sido diagnosticado alguna vez de una enfermedad pulmonar o sistémica que se asocie a una cifra elevada de eosinófilos y /o hallazgos radiológicos sugerentes de una enfermedad respiratoria diferente a la EPOC que está contribuyendo a los síntomas respiratorios del paciente.
    2. Cualquier trastorno, como por ejemplo: cardiovascular, gastrointestinal, hepático, renal, neurológico, musculoesquelético, infeccioso, endocrino, metabólico, hematológico, psiquiátrico, o deterioro físico importante que no se encuentre estable en la opinión del investigador y que pudiera:
    ? Afectar a la seguridad del paciente durante el ensayo
    ? Influir en los resultados del ensayo o en su interpretación
    ? Impedir que el paciente pueda completar toda la duración del ensayo
    3. Cardiopatía isquémica inestable, arritmia, miocardiopatía, o cualquier otro trastorno cardiovascular relevante a juicio del investigador pudiera suponer un riesgo para el paciente o dificultar las evaluaciones del ensayo.
    4. Tratamiento con corticosteroides y/o antibióticos sistémicos y/o hospitalización para una exacerbación de la EPOC en las 2 semanas previas al reclutamiento (visita 1).
    5. Infecciones agudas de las vías respiratorias superiores o inferiores que haya precisado antibióticos o antivíricos 2 semanas previas al reclutamiento (visita 1).
    6. Neumonía en las 8 semanas antes del reclutamiento (visita 1).
    7. Mujeres embarazadas o en período de lactancia.
    8. Factores de riesgo de neumonía.
    9. Antecedente de anafilaxia a cualquier otro tratamiento biológico.
    10. Oxigenoterapia a largo plazo (OTLP) con signos y/o síntomas de cor pulmonale, y/o insuficiencia ventricular derecha.
    11. Uso de medicación inmunodepresora, incluyendo corticosteroides rectales, corticosteroides tópicos de alta potencia y esteroides sistémicos en los 28 días previos a la aleatorización
    12. Haber recibido cualquier producto no biológico experimental en los 30 días previos o en el período correspondiente a 5 semividas antes de la visita 1.
    13. Sujetos que en opinión del investigador o una representante designado cualificado tengan signos de tuberculosis (TB) activa, tratada o no tratada, o TB latente sin haber completado un ciclo de tratamiento adecuado o tratamiento actual adecuado.
    14. Sujetos con cirugía reductora del volumen pulmonar en los 6 meses previos a la visita 1. Sujetos con antecedentes de resección pulmonar parcial o total (se acepta de un lóbulo o la segmentectomía).
    15. Asma como diagnóstico primario o principal de acuerdo con las directrices de la Global Initiative for Asthma (GINA) (GINA 2011) u otras directrices aceptadas.
    16. Tratamiento previo con benralizumab (MEDI-563).
    17. Infección parasitaria helmíntica diagnosticada en las 24 semanas anteriores a la visita 1.
    E.5 End points
    E.5.1Primary end point(s)
    Annual COPD exacerbation rate
    Tasa anual de exacerbaciones
    E.5.1.1Timepoint(s) of evaluation of this end point
    56 week
    56 semanas
    E.5.2Secondary end point(s)
    - SGRQ (St. George?s Respiratory Questionnaire)
    -CAT (Chronic Obstructive Pulmonary Disease assessment tool)
    - Pre-dose/pre-bronchodilator FEV1 at the study center
    - BDI/TDI (Baseline/Transitional Dyspnea Index)
    - Total rescue medication use (average puffs/day), recorded by patient using electronic diary
    - Number of nights with awakening due to COPD, recorded by patient using electronic diary.
    - EXACT-PRO (Exacerbations of Chronic Pulmonary Disease Tool ? Patient-reported Outcome) questionnaire
    - COPD (Chronic Obstructive Pulmonary Disease) specific resource utilization (e.g. unscheduled physician visits, unscheduled phone calls to physicians, use of other Chronic Obstructive Pulmonary Disease medications)
    - PK (pharmacokinetics) - steady-state serum pre-dose concentration
    - Adverse Events/ Serious Adverse Events (AE/SAE) - Laboratory variables - 12 lead ECG (Electrocardiogram) - Physical Examination - Vital Signs
    - Determination of Anti-drug antibodies (ADA)
    - EQ-5D-5L (European Quality of Life-5 Dimensions) questionnaire
    - Blood eosinophils levels
    - Cuestionario Respiratorio de St. George (SGRQ)
    - Herramienta de evaluación de la EPOC (CAT)
    - Volumen espiratorio forzado en un segundo (FEV1) pre-dosis/pre-broncodilatador en el centro de estudio
    - Índice de disnea basal/transicional (BDI/TDI)
    - Utilización total de medicamentos de rescate (media de inhalaciones/día)
    - Número de noches con despertares debidos a EPOC
    - Herramienta de Exacerbaciones de la Enfermedad Pulmonar Crónica - Resultado comunicado por el paciente (EXACT-RCP)
    - Tasa anual de hospitalizaciones debidas a la EPOC; tasa anual combinada de hospitalizaciones y visitas a urgencias debidas a la EPOC; tasa anual de visitas a consultas externas no planificadas, incluidas visitas no planificadas a centros del ensayo debido a la EPOC y tasa anual de visitas al médico no planificadas debidas a la EPOC
    - Parámetros farmacocinéticos (FC)
    - Acontecimientos adversos/ Acontecimientos adversos graves (AA/AAG), Variables de laboratorio
    Electrocardiograma (ECG) de 12 derivaciones, Exploración física,
    Constantes vitales
    - Anticuerpos contra el fármaco (ACF)
    - Cuestionario Europeo de Calidad de Vida -5 Dimensiones (EQ-5D-5L)
    - Eosinófilos en sangre
    E.5.2.1Timepoint(s) of evaluation of this end point
    maximum of 60 weeks
    Máximo de 60 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 Yes
    E.6.7Pharmacodynamic Yes
    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) 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 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) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial3
    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 concerned9
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA150
    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
    Austria
    Canada
    Czech Republic
    Germany
    Hungary
    Italy
    Netherlands
    Poland
    Romania
    Russian Federation
    South Africa
    Spain
    Switzerland
    United Kingdom
    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
    Última visita del último paciente
    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 months3
    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 months6
    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: 872
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 871
    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 state70
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 1172
    F.4.2.2In the whole clinical trial 1743
    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)
    Standard of care
    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 Decision2014-09-26
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2014-09-19
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2018-04-10
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