Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43874   clinical trials with a EudraCT protocol, of which   7293   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    Near infrared imaging and measurement of extremity lymphatic collector function using indocyanine green

    Summary
    EudraCT number
    2013-004954-58
    Trial protocol
    DK  
    Global end of trial date
    06 Jun 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    24 Mar 2020
    First version publication date
    24 Mar 2020
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    2013-617
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Bispebjerg & Frederiksberg Hospital, Capital Region of Denmark
    Sponsor organisation address
    Ebba Lunds Vej 44, Copenhagen NW, Denmark, 2400
    Public contact
    Department of Clinical Physiology & Nuclear Medicine, Bispebjerg & Frederiksberg Hospital, 0045 3863 5530, mads.radmer.jensen@regionh.dk
    Scientific contact
    Department of Clinical Physiology & Nuclear Medicine, Bispebjerg & Frederiksberg Hospital, 0045 3863 5530, mads.radmer.jensen@regionh.dk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    03 Jan 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    06 Jun 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    06 Jun 2017
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    To assess effects of method variations and physical factors on visualisation of numbers of - and pumping activity in extremity lymphatic collectors in healthy adult subjects using indocyanine green (ICG) fluorescence lymphangiography.
    Protection of trial subjects
    During the study visit: - Discomfort/pain: To avoid precipitation in the injectate, ICG powder was dissolved in sterile water for injection purposes. However, this solution is hypotonic, and skin injection is therefore painful. This was alleviated by first dissolving ICG in 1 ml sterile water for injection purposes with subsequent dilution with sterile isotonic saline for injection purposes to the desired concentration. - Infection: Although the risk of skin infection related to injection of the ICG solution is expectedly minor in healthy subjects, the following measures were taken to further reduce the risk: 1) ICG was reconstituted using sterile technique, 2) Depot injection sites were disinfected twice with alcohol swaps prior to injection, 3) Sterile disposable needles and - syringes were used. - Acute adverse events and - reactions: Following depot injection and during the imaging procedure (minimum 180 min after 1. and 90 min after last injection) the subjects were monitored clinically for signs of acute local or systemic allergic reactions. None occurred, however if a reaction had occurred treatment and monitoring would have followed manufacturer (See SPC) and hospital guidelines. Necessary acute medication and utensils were always readily at hand in the study department. After the study visit: The subject was instructed to contact the primary investigator in case of suspected late adverse events and/or - reactions. One week after participation the subject participated in a short mandatory phone interview in order to identify any unrecognised adverse events or - reactions. None occurred; however, if an adverse reaction had been suspected, the subject would have been examined clinically and the event documented in detail in the CRF. Absence of adverse events or - reactions was specifically recorded in the CRF. Treatment, follow-up and/or referral – if necessary – would have been decided on a case-by-case basis
    Background therapy
    None
    Evidence for comparator
    Evidence has been published showing that skin injections of the fluorescent dye Indocyanine green (ICG) enable near infrared imaging of extremity lymphatic collectors. Through video analysis dynamics of peristaltic pumping activity in these collectors is possible. However, sparse evidence exists in the literature on the possible effects of study method variations, subject characteristics and physical factors on numbers of visualised lymphatic collectors and their pumping activity (lymph package frequency) in healthy adult subjects with normal Body Mass Index. Hence, this study is exploratory in nature and designed to elucidate possible large effects of below listed factors. The results may prove important to take into account in the design of future trials. Method variations (Group A): - Time delay from depot injection to imaging: 0 min, 30 min, 120 min and 150 min. - Injection method: Intradermal vs subcutaneous. - Injected volume: 0,1 ml vs 0,3 ml. - Injected concentration: 0,83 mg/ml, 1 mg/ml and 2,5 mg/ml. - Extremity: Depot injection interdigitally on the dorsum of the hand vs the foot. Physical factors (Group B*): - External skin heating: Heating lamp adjusted to 39 degrees centigrade skin temperature. - Exercise: Treadmill walking at 4 km/h in 10 min. - Tonicity of injectate: Sterile water dilution of the injectate vs dilution with isotonic saline. - Venous stasis: Depot dependency 30 cm below heart level. Other factors: - Age - Gender *Note: Data collection i group A was completed. It was our intend - according to protocol - to perform an interim analysis of the data acquired in group A. Based on these results we planned to choose the method to be applied in group B. However, due to lack of personnel resources the study was interrupted in the interim analysis period. Group B was never initiated.
    Actual start date of recruitment
    03 Feb 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 19
    Worldwide total number of subjects
    19
    EEA total number of subjects
    19
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    19
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    Volunteers were recruited from the Capital Region of Denmark by approved advertisement on the website http://www.forsøgsperson.dk. Interested subjects contacted the subinvestigator by e-mail or phone. Written informed consent was obtained prior to participation. The first subject was recruited on 30.12.2014 and the last on 06.06.2017

    Pre-assignment
    Screening details
    Inclusion: - Healthy - Capable - Age 18-65 years - BMI 18-25 kg/m2 - A negative urine-HCG test for fertile women Exclusion: - Any known disease or chronic medication - Pregnancy or lactation - Contraindication to ICG-PULSION® use (see SPC). - Smoking/other nicotine use. - Oedema, venous disease, local inflammation.

    Period 1
    Period 1 title
    Overall trail (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    None

    Arms
    Arm title
    Group A
    Arm description
    Effect of method variations on numbers of visualised lymphatic collectors and their pumping activity. Assessed factors are: - Time delay from depot injection to imaging: 0 min, 30 min, 120 min and 150 min. - Injectate concentration: 0,1 mg/ml, 0,83 mg/ml and 2,5 mg/ml. - Injected volume: 0,1 ml and 0,3 ml. - Skin injection method: Intradermal and subcutaneous. Other explanatory factors: Gender, age and extremity (arm and leg).
    Arm type
    Experimental

    Investigational medicinal product name
    ICG-PULSION(R)
    Investigational medicinal product code
    Other name
    Indocyanine Green
    Pharmaceutical forms
    Powder for concentrate for solution for injection/infusion
    Routes of administration
    Intradermal use, Subcutaneous use
    Dosage and administration details
    Sterile utensils and techniques were used. One vial of ICG-PULSION® was used for each subject. A base solution was prepared by reconstituting 25 mg ICG powder with 1 ml sterile water for injection purposes in the vial. From this base solution 1 ml syringes with solutions for injection (A, B, C & D) were prepared by dilution with isotonic saline for injection purposes (details are described in the protocol). - Solution A: 0,1 ml 2,5 mg/ml ICG injected intradermally in the dorsum of the right hand (depot A). - Solution B: 0,1 ml 1,0 mg/ml ICG injected intradermally in the dorsum of the left hand (depot B). - Solution C: 0,3 ml 0,83 mg/ml ICG injected intradermally in the dorsum of the right foot (depot C). - Solution D: 0,1 ml 2,5 mg/ml ICG injected subcutanously in the dorsum of the left foot (depot D).

    Number of subjects in period 1
    Group A
    Started
    19
    Completed
    18
    Not completed
    1
         Adverse event, non-fatal
    1

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Overall trail
    Reporting group description
    Group A consisting of healthy adult volunteers recruited evenly from both genders (see Subject disposition, Period 1). The reporting groups comprise data collceted from the same subjects (group A, 1 excluded, see non-serious adverse events).

    Reporting group values
    Overall trail Total
    Number of subjects
    19 19
    Age categorical
    Being adult (age 18 - 64 years) was an inclusion criterion; however effect of age was not a factor under investigation as such. During recruitment, an even age dispersion in the adult age range was sought for both genders, but not treated as a recruitment criterion per se. Volunteering subjects were primarily young (< 30 years) in both genders as reflected in the final study population age median.
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    19 19
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age continuous
    Being adult (age 18 - 64 years) was an inclusion criterion; however effect of age was not a factor under investigation as such. During recruitment, an even age dispersion in the adult age range was sought for both genders, but not treated as a recruitment criterion per se. Volunteering subjects were primarily young (< 30 years) in both genders as reflected in the final study population age median.
    Units: years
        median (full range (min-max))
    24 (18 to 59) -
    Gender categorical
    An even gender distribution was sought during recruitment. One female subject was excluded due to unintended intravenous injection rendering the video unusable for later analysis (See non-serious adverse events).
    Units: Subjects
        Female
    11 11
        Male
    8 8
    Subject analysis sets

    Subject analysis set title
    Video analysis results
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Results of visual and semi-automatic analysis of near infrared fluorescence videos recorded in group A except for one excluded subject (see non-serious adverse events). Results from each video are: (1) Mean package count (explained in “end points”), (2) maximum package count and (3) numbers of visualised lymphatic collectors.

    Subject analysis set title
    Age by gender
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Age distribution in male and female subjects, who completed the protocol.

    Subject analysis sets values
    Video analysis results Age by gender
    Number of subjects
    18
    18
    Age categorical
    Being adult (age 18 - 64 years) was an inclusion criterion; however effect of age was not a factor under investigation as such. During recruitment, an even age dispersion in the adult age range was sought for both genders, but not treated as a recruitment criterion per se. Volunteering subjects were primarily young (< 30 years) in both genders as reflected in the final study population age median.
    Units: Subjects
        In utero
    0
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
    0
        Newborns (0-27 days)
    0
    0
        Infants and toddlers (28 days-23 months)
    0
    0
        Children (2-11 years)
    0
    0
        Adolescents (12-17 years)
    0
    0
        Adults (18-64 years)
    18
    18
        From 65-84 years
    0
    0
        85 years and over
    0
    0
    Age continuous
    Being adult (age 18 - 64 years) was an inclusion criterion; however effect of age was not a factor under investigation as such. During recruitment, an even age dispersion in the adult age range was sought for both genders, but not treated as a recruitment criterion per se. Volunteering subjects were primarily young (< 30 years) in both genders as reflected in the final study population age median.
    Units: years
        median (full range (min-max))
    24 (18 to 59)
    24 (18 to 59)
    Gender categorical
    An even gender distribution was sought during recruitment. One female subject was excluded due to unintended intravenous injection rendering the video unusable for later analysis (See non-serious adverse events).
    Units: Subjects
        Female
    10
    10
        Male
    8
    8

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Group A
    Reporting group description
    Effect of method variations on numbers of visualised lymphatic collectors and their pumping activity. Assessed factors are: - Time delay from depot injection to imaging: 0 min, 30 min, 120 min and 150 min. - Injectate concentration: 0,1 mg/ml, 0,83 mg/ml and 2,5 mg/ml. - Injected volume: 0,1 ml and 0,3 ml. - Skin injection method: Intradermal and subcutaneous. Other explanatory factors: Gender, age and extremity (arm and leg).

    Subject analysis set title
    Video analysis results
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Results of visual and semi-automatic analysis of near infrared fluorescence videos recorded in group A except for one excluded subject (see non-serious adverse events). Results from each video are: (1) Mean package count (explained in “end points”), (2) maximum package count and (3) numbers of visualised lymphatic collectors.

    Subject analysis set title
    Age by gender
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Age distribution in male and female subjects, who completed the protocol.

    Primary: Mean number of packages in 30 min

    Close Top of page
    End point title
    Mean number of packages in 30 min
    End point description
    In each subject 8 videos were recorded of pumping activity in lymphatic collectors draining 4 depots injected dorsally and interdigitally in both hands and - feet with methodological variations and time delay as specified below. Pumping activity was quantified as spike-like fluorescence signal intensity increases recorded in 3 regions of interest (ROI) placed over each visualised collector enabling semi-automatic counting of package numbers in a 30 min recording. Mean package number is the average count from all ROIs in a video. As the number of visualised collectors varies, the number of ROIs also varies. Depot A: 0,1 ml 2,5 mg/ml ICG-PULSION(R), i.d., right hand. Depot B: 0,1 ml 1,0 mg/ml ICG-PULSION(R), i.d., left hand. Depot C: 0,3 ml 0,83 mg/ml ICG-PULSION(R), i.d., right foot. Depot D: 0,1 ml 2,5 mg/ml ICG-PULSION(R), s.c., left foot. Time delays from depot injection to recording were 0, 30 & 150 min for depot A, 30 min for depot B & 30 & 120 min for depot C and D.
    End point type
    Primary
    End point timeframe
    Analysis results of videos recorded during study visits from 30.12.2014 to 30.05.2017.
    End point values
    Group A Video analysis results
    Number of subjects analysed
    18 [1]
    18
    Units: Package count in 30 min
    median (full range (min-max))
        Depot A 0 min
    11 (3 to 42)
    11 (0 to 42)
        Depot A 30 min
    14 (1 to 34)
    14 (1 to 34)
        Depot A 150 min
    11 (2 to 38)
    11 (2 to 38)
        Depot B 30 min
    11 (5 to 37)
    11 (5 to 37)
        Depot C 30 min
    8 (1 to 24)
    8 (1 to 24)
        Depot C 120 min
    12 (2 to 30)
    12 (2 to 30)
        Depot D 30 min
    9 (0 to 35)
    9 (0 to 35)
        Depot D 120 min
    12 (4 to 29)
    12 (4 to 29)
    Attachments
    GLMM mean package count
    Notes
    [1] - xx
    Statistical analysis title
    GLMM mean "package" count
    Statistical analysis description
    No power calculation was performed, since insufficient human data existed in the literature. The study was exploratory in nature aiming at identifying large systematic differences; the null hypothesis being no difference in lymphatic collector pumping activity between described method variations (time delay, injection technique, ICG solution concentration, injected volume) or dependence on extremity (hands vs. feet), gender or age.
    Comparison groups
    Group A v Video analysis results
    Number of subjects included in analysis
    36
    Analysis specification
    Post-hoc
    Analysis type
    equivalence [2]
    P-value
    = 0.02 [3]
    Method
    Mixed models analysis
    Parameter type
    Estimated marginal means
    Point estimate
    12.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    10.1
         upper limit
    15.1
    Variability estimate
    Standard error of the mean
    Dispersion value
    1.2
    Notes
    [2] - Data was best fitted to a gamma probability distributiondistribution (Log link function). Information criterion: Akaike corrected 302,179 The model adjusted for multiple comparisons. The target was "mean package count". Fixed effects were: Gender, extremity, injection (subcutaneous vs intradermal), concentration, time delay and age. Subject ID was treated as a random effect.
    [3] - Intercept: p<0,00 Gender: p=0,02, Table 1 & Figure 1 No significant effect of extremity (p=0,21), injection (p=0,69), concentration (p=0,65), time delay (p=0,39) or age (p=0,29) Residual effect: Estimate 0,34, p < 0,00. Random effect: p = 0,09

    Secondary: Maximum number of packages in 30 min

    Close Top of page
    End point title
    Maximum number of packages in 30 min
    End point description
    In each subject 8 videos were recorded of pumping activity in lymphatic collectors draining 4 depots injected dorsally and interdigitally in both hands and - feet with methodological variations and time delay as specified below. Pumping activity was quantified as spike-like fluorescence signal intensity increases recorded in 3 regions of interest (ROI) placed over each visualised collector enabling semi-automatic counting of package numbers in a 30 min recording. Maximum package number is the highest count found in any ROI in a video. As the number of visualised collectors varies, the number of ROIs also varies. Depot A: 0,1 ml 2,5 mg/ml ICG-PULSION(R), i.d., right hand. Depot B: 0,1 ml 1,0 mg/ml ICG-PULSION(R), i.d., left hand. Depot C: 0,3 ml 0,83 mg/ml ICG-PULSION(R), i.d., right foot. Depot D: 0,1 ml 2,5 mg/ml ICG-PULSION(R), s.c., left foot. Time delays from depot injection to recording were 0, 30 & 150 min for depot A, 30 min for depot B & 30 & 120 min for depot C and D
    End point type
    Secondary
    End point timeframe
    Analysis results of videos recorded during study visits from 30.12.2014 to 30.05.2017.
    End point values
    Group A Video analysis results
    Number of subjects analysed
    18
    18
    Units: Frequency (package count/30 min)
    median (full range (min-max))
        A 0 min
    16 (3 to 54)
    16 (3 to 54)
        A 30 min
    23 (1 to 77)
    23 (1 to 77)
        A 150 min
    14 (3 to 56)
    14 (3 to 56)
        B 30 min
    15 (6 to 68)
    15 (6 to 68)
        C 30 min
    10 (2 to 47)
    10 (2 to 47)
        C 120 min
    17 (4 to 59)
    17 (4 to 59)
        D 30 min
    14 (0 to 56)
    14 (0 to 56)
        D 120 min
    20 (6 to 40)
    20 (6 to 40)
    Attachments
    GLMM max package count
    Statistical analysis title
    GLMM maximum "package" count
    Statistical analysis description
    No power calculation was performed, since insufficient human data existed in the literature. The study was exploratory in nature aiming at identifying large systematic differences; the null hypothesis being no difference in lymphatic collector pumping activity between described method variations (time delay, injection technique, ICG solution concentration, injected volume) or dependence on extremity (hands vs. feet), gender or age.
    Comparison groups
    Group A v Video analysis results
    Number of subjects included in analysis
    36
    Analysis specification
    Post-hoc
    Analysis type
    equivalence [4]
    P-value
    = 0.02 [5]
    Method
    Mixed models analysis
    Parameter type
    Grand Mean Estimate
    Point estimate
    18.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    14.5
         upper limit
    22.9
    Variability estimate
    Standard error of the mean
    Dispersion value
    2.06
    Notes
    [4] - Data was best fitted to a gamma probability distributiondistribution (Log link function). Information criterion: Akaike corrected 332,890 The model adjusted for multiple comparisons. The target was "maximum package count". Fixed effects were: Gender, extremity, injection (subcutaneous vs intradermal), concentration, time delay and age. Subject ID was treated as a random effect.
    [5] - Intercept (p<0,00) Gender: p = 0,02, Table 2 & Figure 2 No significant effect of extremity (p=0,42), injection (p=0,80), concentration (p=0,48), time delay (p=0,47) & age (p=0,31) Residual effect: Estimate 0.42, p < 0,00. Random effect: p = 0,07

    Secondary: Number of lymphatic collectors by depot type and delay

    Close Top of page
    End point title
    Number of lymphatic collectors by depot type and delay
    End point description
    In each subject 8 videos were recorded of pumping activity in lymphatic collectors draining 4 depots injected dorsally and interdigitally in both hands and - feet with methodological variations and time delay as specified below. The number of lymphatic collectors visualised in the beginning of each video was counted by visual assessment. Depot A: 0,1 ml 2,5 mg/ml ICG-PULSION(R), i.d., right hand. Depot B: 0,1 ml 1,0 mg/ml ICG-PULSION(R), i.d., left hand. Depot C: 0,3 ml 0,83 mg/ml ICG-PULSION(R), i.d., right foot. Depot D: 0,1 ml 2,5 mg/ml ICG-PULSION(R), s.c., left foot. Time delays from depot injection to recording were 0, 30 & 150 min for depot A, 30 min for depot B & 30 & 120 min for depot C and D.
    End point type
    Secondary
    End point timeframe
    Analysis results of videos recorded during study visits from 30.12.2014 to 30.05.2017.
    End point values
    Group A Video analysis results
    Number of subjects analysed
    18
    18
    Units: Count
    median (full range (min-max))
        A 0 min
    2 (1 to 3)
    2 (1 to 3)
        A 30 min
    3 (1 to 4)
    3 (1 to 4)
        A 150 min
    4 (1 to 8)
    4 (1 to 8)
        B 30 min
    2 (1 to 3)
    2 (1 to 3)
        C 30 min
    3 (1 to 5)
    3 (1 to 5)
        C 120 min
    3 (1 to 5)
    3 (1 to 5)
        D 30 min
    2 (1 to 5)
    2 (1 to 5)
        D 120 min
    2 (1 to 4)
    2 (1 to 4)
    Attachments
    Numbers of collectors by delay
    Statistical analysis title
    Number of visualised lymphatic collectors
    Statistical analysis description
    No power calculation was performed, since insufficient human data existed in the literature. The study was exploratory in nature aiming at identifying large systematic differences; the null hypothesis being no difference in number of lymphatic collectors between depot ID (defining extremity, injection technique, ICG solution concentration and injected volume), time delay, gender and age.
    Comparison groups
    Group A v Video analysis results
    Number of subjects included in analysis
    36
    Analysis specification
    Post-hoc
    Analysis type
    equivalence [6]
    P-value
    = 0.02 [7]
    Method
    Mixed models analysis
    Parameter type
    Grand Mean Estimate
    Point estimate
    2.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.1
         upper limit
    2.8
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.2
    Notes
    [6] - The target distribution was Loglinear. Information criterion: Akaike corrected 227,398 The model adjusted for multiple comparisons. The target was "number of lymphatic collectors". Fixed effects were: Gender, age, depot ID (A, B, C & D) and time delay (min). Subject ID was a random effect
    [7] - Intercept: p=0.03 Delay: p=0.02 (coefficient 0.002 95% CI 0.00 - 0.004) No significant effect of gender (p=0.47), age (p=0.50) or depot: p>0.05 (see box-plot) Random effect: p=0.42

    Secondary: Age by gender

    Close Top of page
    End point title
    Age by gender
    End point description
    Age distribution by gender in group A.
    End point type
    Secondary
    End point timeframe
    Analysis results from subjects recruited from 30.12.2014 to 30.05.2017.
    End point values
    Group A
    Number of subjects analysed
    18
    Units: Years
    median (full range (min-max))
        Males
    25 (18 to 59)
        Females
    24 (19 to 46)
    Attachments
    Age by gender
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    30-12-2017 to 06-06-2017
    Adverse event reporting additional description
    Clinical observation of possible acute local or systemic SAR during the study visit from injection of the first depot to completion of video recordings. Instruction to phone primary investigator in case of suspected delayed AE or AR. Mandatory phone interview by subinvestigator 1 week after the study visit to confirm no occurrence of AE or AR
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16
    Reporting groups
    Reporting group title
    Group A
    Reporting group description
    All healthy adult volunteers that were included in the study.

    Serious adverse events
    Group A
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 19 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Group A
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    1 / 19 (5.26%)
    Investigations
    Unintended intravenous injection
    Additional description: In one female subject, injection af depot A (see Subject disposition, Group A) was unintendedly injected intravenously instead of the planned intradermal injection. This did not result in any adverse reactions (neither acute nor delayed).
         subjects affected / exposed
    1 / 19 (5.26%)
         occurrences all number
    1

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    08 Jul 2016
    Increase in the allowed total number of subjects to be recruited to a maximum of 40 if deemed necessary. The amendment enabled replacement of subjects with an incomplete dataset or a dataset that could not be analysed due to reduced technical quality ensuring sufficient data for a comprehensible analysis of overall trial results.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    06 Jun 2017
    The last subject completed participation on 06-jun-2017. After, the interim analysis period started and until 04-03-2019 it was still our intend to complete the trial as described in the protocol. However, due to lack of personnel resources to complete the remaining study visits and following data analysis Sponsor and Investigator agreed to terminate the study before inititation of group B. This lack of personnel resources developed due to a combination of changes in employee composition and increasing clinical work load, and was not likely to improve in the foreseeable future. No adverse reactions occurred in the trial period; however, due to the small number of study subjects examined, rare adverse reactions are not likely to occur in this material. Overall the present data do not have a negative effect on the overall risk benefit assessment.
    -

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    The study population is relatively small increasing the risk of type 2 errors i.e. not finding small but significant effects of applied method variations, time delay, extremity and age. Studies with larger populations are needed to elucidate this.

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/22924087
    http://www.ncbi.nlm.nih.gov/pubmed/26993717
    http://www.ncbi.nlm.nih.gov/pubmed/22808440
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Thu May 09 04:06:50 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA