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    Clinical Trial Results:
    Safety and intake effect of EPs®7630 (an extract from the roots of Pelargonium sidoides)

    Summary
    EudraCT number
    2013-004977-28
    Trial protocol
    GB  
    Global end of trial date
    31 Aug 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    01 Jul 2018
    First version publication date
    01 Jul 2018
    Other versions
    Summary report(s)
    701079.01.013 Summary of results 2016_09_07

    Trial information

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    Trial identification
    Sponsor protocol code
    701079.01.013
    Additional study identifiers
    ISRCTN number
    ISRCTN35425744
    US NCT number
    NCT02174653
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Dr. Willmar Schwabe GmbH & Co. KG
    Sponsor organisation address
    Willmar Schwabe Str. 4, Karlsruhe, Germany, 76227
    Public contact
    Head Clinical Research, Dr. Willmar Schwabe GmbH & Co. KG, 0049 7214005573,
    Scientific contact
    Head Clinical Research, Dr. Willmar Schwabe GmbH & Co. KG, 0049 7214005573,
    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
    29 Jan 2016
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    24 Jul 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Aug 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective was to investigate the occurrence of adverse drug reactions (ADRs) during the 4 months treatment, defined as the proportion of participants in each trial group with suspected adverse events.
    Protection of trial subjects
    Possibility to withdraw consent. Monitoring of adverse Events and laboratory Parameters.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    27 Mar 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
    United Kingdom: 798
    Worldwide total number of subjects
    798
    EEA total number of subjects
    798
    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)
    797
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    n.a.

    Pre-assignment
    Screening details
    Seventy eight participants were not randomized and did not receive the investigational product since they did not fulfill all in-/exclusion criteria.

    Pre-assignment period milestones
    Number of subjects started
    798
    Number of subjects completed
    683

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    Screening Failures: 78
    Reason: Number of subjects
    No Intake of Study Medication: 37
    Period 1
    Period 1 title
    Treatment period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    EPs® 7630
    Arm description
    EPs® 7630 3x20 mg or 3x20/40 mg film-coated tablets
    Arm type
    Experimental

    Investigational medicinal product name
    EPs® 7630
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    3x20 mg / 3x40 mg

    Arm title
    Placebo
    Arm description
    Placebo film-coated tablets
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    3x0 mg

    Number of subjects in period 1 [1]
    EPs® 7630 Placebo
    Started
    460
    223
    Completed
    425
    213
    Not completed
    35
    10
         Adverse event, non-fatal
    2
    -
         Other
    10
    3
         Withdrawal of consent without giving the reason
    5
    -
         Lost to follow-up
    18
    7
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: 78 Screening Failures and 37 subjects with no intake of study medication.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    EPs® 7630
    Reporting group description
    EPs® 7630 3x20 mg or 3x20/40 mg film-coated tablets

    Reporting group title
    Placebo
    Reporting group description
    Placebo film-coated tablets

    Reporting group values
    EPs® 7630 Placebo Total
    Number of subjects
    460 223 683
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    459 223 682
        From 65-84 years
    1 0 1
        85 years and over
    0 0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    21.7 ( 6.6 ) 21 ( 5 ) -
    Gender categorical
    Units: Subjects
        Female
    291 148 439
        Male
    169 75 244
    Subject analysis sets

    Subject analysis set title
    Safety analysis set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    Safety Analysis set

    Subject analysis sets values
    Safety analysis set
    Number of subjects
    683
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    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)
    682
        From 65-84 years
    1
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    21.5 ( 6.1 )
    Gender categorical
    Units: Subjects
        Female
    439
        Male
    244

    End points

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    End points reporting groups
    Reporting group title
    EPs® 7630
    Reporting group description
    EPs® 7630 3x20 mg or 3x20/40 mg film-coated tablets

    Reporting group title
    Placebo
    Reporting group description
    Placebo film-coated tablets

    Subject analysis set title
    Safety analysis set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    Safety Analysis set

    Primary: Occurrence of adverse drug reactions (ADRs) during the 4 months treatment, defined as the proportion of participants in each trial group with suspected adverse events

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    End point title
    Occurrence of adverse drug reactions (ADRs) during the 4 months treatment, defined as the proportion of participants in each trial group with suspected adverse events
    End point description
    Note: Occurrence of adverse drug reactions is the primary pre-specified endpoint. See document for a complete description of the endpoints.
    End point type
    Primary
    End point timeframe
    Baseline and End of Treatment (4 month Treatment Period)
    End point values
    EPs® 7630 Placebo Safety analysis set
    Number of subjects analysed
    460
    223
    683
    Units: Number of ADR
        number (not applicable)
    89
    43
    132
    Statistical analysis title
    Occurence of adverse drug reactions
    Comparison groups
    EPs® 7630 v Placebo
    Number of subjects included in analysis
    683
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    Parameter type
    Risk difference (RD) %
    Point estimate
    0.07
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -
         upper limit
    6.4

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    4 Months
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18
    Reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Placebo

    Reporting group title
    EPs®7630
    Reporting group description
    EPs®7630

    Serious adverse events
    Placebo EPs®7630
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 223 (0.00%)
    3 / 460 (0.65%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Blood and lymphatic system disorders
    Thrombocytopenia
         subjects affected / exposed
    0 / 223 (0.00%)
    1 / 460 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    0 / 223 (0.00%)
    1 / 460 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infectious mononucleosis
         subjects affected / exposed
    0 / 223 (0.00%)
    1 / 460 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Placebo EPs®7630
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    65 / 223 (29.15%)
    135 / 460 (29.35%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    40 / 223 (17.94%)
    82 / 460 (17.83%)
         occurrences all number
    95
    198
    Gastrointestinal disorders
    Abdominal pain upper
         subjects affected / exposed
    14 / 223 (6.28%)
    36 / 460 (7.83%)
         occurrences all number
    27
    53
    Nausea
         subjects affected / exposed
    13 / 223 (5.83%)
    18 / 460 (3.91%)
         occurrences all number
    15
    28
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    13 / 223 (5.83%)
    20 / 460 (4.35%)
         occurrences all number
    20
    30
    Oropharyngeal pain
         subjects affected / exposed
    31 / 223 (13.90%)
    33 / 460 (7.17%)
         occurrences all number
    48
    49

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    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.

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