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    Summary
    EudraCT Number:2013-005532-23
    Sponsor's Protocol Code Number:CO-1686-019
    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:2014-04-30
    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 number2013-005532-23
    A.3Full title of the trial
    TIGER-2: A Phase 2, Open-Label, Multicenter, Safety and Efficacy Study of Oral CO 1686 as 2nd Line EGFR-Directed TKI in Patients with Mutant EGFR Non-Small Cell Lung Cancer (NSCLC) with the T790M Resistance Mutation
    TIGER-2: Estudio de fase II abierto, multicéntrico, sobre la seguridad y eficacia de CO-1686 por vía oral como tratamiento de segunda línea dirigido al EGFR en pacientes con carcinoma pulmonar amicrocítico con mutación de EGFR con la mutación de resistencia T790M
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Phase 2 clinical study to evaluate the safety and efficacy of the study medication CO-1686 in subjects with Previously Treated EGFR Non-Small Cell Lung Cancer
    Estudio en fase 2 para evaluar la seguridad y la eficacia de la medicación del estudio CO-1686 en sujetos que han sido previamente tratados de cáncer de pulmón con células amicrocíticas con mutación del receptor del factor de crecimiento epidérmico
    A.3.2Name or abbreviated title of the trial where available
    TIGER-2
    TIGER-2
    A.4.1Sponsor's protocol code numberCO-1686-019
    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 SponsorClovis Oncology, Inc.
    B.1.3.4CountryUnited States
    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 supportClovis Oncology, Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationClovis Oncology UK Ltd
    B.5.2Functional name of contact pointDr Lindsey Rolfe
    B.5.3 Address:
    B.5.3.1Street AddressSheraton House, Castle Park
    B.5.3.2Town/ cityCambridge
    B.5.3.3Post codeCB3 0AX
    B.5.3.4CountryUnited Kingdom
    B.5.4Telephone number+441223370037
    B.5.6E-mailinfo@clovisoncology.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 nameCO-1686
    D.3.2Product code CO-1686
    D.3.4Pharmaceutical form Film-coated 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 INNNot applicable
    D.3.9.1CAS number 1446700-26-0
    D.3.9.2Current sponsor codeCO-1686
    D.3.9.3Other descriptive nameCO-1686
    D.3.9.4EV Substance CodeSUB126980
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number125
    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 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 nameCO-1686
    D.3.2Product code CO-1686
    D.3.4Pharmaceutical form Film-coated 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 INNNot applicable
    D.3.9.1CAS number 1446700-26-0
    D.3.9.2Current sponsor codeCO-1686
    D.3.9.3Other descriptive nameCO-1686
    D.3.9.4EV Substance CodeSUB126980
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number250
    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
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Previously treated NSCLC patients who have documented evidence of an
    activating mutation in the EGFR gene and have failed treatment with an
    EGFR inhibitor
    Pacientes previamente tratados de cáncer de pulmón amicrocítico, con evidencia documentada de una mutación del receptor del factor de crecimiento epidérmico, y que han sido fallo en el tratamiento con un inhibidor del receptor del factor de crecimiento epidérmico
    E.1.1.1Medical condition in easily understood language
    Patients with EGFR mutant Non-Small Cell Lung Cancer who have failed
    treatment with an EGFR inhibitor
    Pacientes con carcinoma pulmonar amicrocítico con mutación del EGFR o, que han sido fallo de tratamiento con un inhibidor del receptor de factor de crecimiento epidérmico
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 16.1
    E.1.2Level LLT
    E.1.2Classification code 10029514
    E.1.2Term Non-small cell lung cancer NOS
    E.1.2System Organ Class 100000004864
    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 antitumor efficacy of oral single agent CO-1686 , as measured by objective response rate (ORR), when administered to patients with EGFR-mutated,T790M positive, advanced non-small cell lung cancer (NSCLC) after tumor progression on one previous EGFR directed TKI
    Evaluar la eficacia antitumoral del agente único por vía oral CO-1686 según la medición por la tasa de respuesta objetiva (TRO), cuando se administra a pacientes con carcinoma pulmonar amicrocítico (CPA) en estadio avanzado, mutación del EGFR y positivo para T790M después de la progresión tumoral en un ICT dirigido contra el EGFR
    E.2.2Secondary objectives of the trial
    *To assess secondary measures of clinical efficacy (disease control rate (DCR), duration of response (DR), progression free survival (PFS), overall survival (OS)) following CO-1686 treatment
    * To assess quality of life (QoL) by patient-reported outcomes (PRO) following CO-1686 treatment
    * To evaluate the safety and tolerability of CO-1686
    * To determine pharmacokinetics (PK) of CO-1686 using population PK (POPPK) methods and explore correlations between PK, exposure, response, and/or safety findings
    *Evaluar las mediciones secundarias de la eficacia clínica (tasa de control de la enfermedad [TCE], duración de la respuesta [DR], supervivencia sin progresión [SSP], supervivencia general [SG]) después del tratamiento con CO-1686
    * Evaluar la calidad de vida (CdV) según los desenlaces comunicados por el paciente (PRO, patient-reported outcomes) después del tratamiento con CO-1686
    *Evaluar la seguridad y tolerabilidad de CO-1686
    *Determinar la farmacocinética (FC) de CO-1686 en esta población de pacientes usando métodos de FC poblacional y explorar las correlaciones entre los hallazgos de FC, exposición, respuesta y/o seguridad
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Histologically or cytologically confirmed metastatic or unresectable locally advanced, NSCLC
    2. Disease progression confirmed by radiologic assessment while receiving treatment with the first single agent EGFR-TKI (e.g., erlotinib, gefitinib, afatinib, or dacomitinib)
    *EGFR TKI treatment discontinued ? 30 days prior to planned initiation of CO-1686
    *The washout period for an EGFR inhibitor is a minimum of 3 days
    *No intervening treatment between cessation of single agent EGFR TKI and planned initiation of CO-1686
    *Previous treatment with <=1 prior chemotherapy (excluding prior neo-adjuvant or adjuvant chemotherapy or chemoradiotherapy with curative intent)
    *Any toxicity related to prior EGFR inhibitor treatment must have resolved to Grade 1 or less
    3. Documented evidence of a tumor with one or more EGFR mutations excluding exon 20 insertion
    4. Tumor with the T790M mutation, as confirmed by the central laboratory. Biopsy material obtained from either primary or metastatic tumor tissue and sent to the central laboratory must be within 28 days of dosing study drug and following disease progression on the first EGFR TKI
    5. Measureable disease according to RECIST Version 1.1
    6. Life expectancy of at least 3 months
    7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
    8. Age >= 18 years (in certain territories, the minimum age requirement may be higher eg age >= 20 years in Japan and Taiwan)
    9. Adequate hematological and biological function, confirmed by the
    following laboratory values: E.g. Bone Marrow Function, Hepatic
    Function, Renal Function and Electrolyte within normal range.
    10. Written consent on an Institutional Review Board/Independent Ethics Committee-approved Informed Consent Form (ICF) prior to any study specific evaluation
    1. CPA localmente avanzado irresecable o metastásico confirmado por histología o citología
    2. Progresión de la enfermedad confirmada mediante evaluación radiológica mientras se recibía tratamiento con el primer agente ITC de EGFR único (p. ej., erlotinib, gefitinib, afatinib o dacomitinib)
    *Interrupción del tratamiento con el ITC de EGFR ? 30 días antes del inicio previsto de CO-1686
    *El período de reposo farmacológico mínimo para un inhibidor del EGFR es de 3 días
    *Sin tratamiento intermedio entre la finalización del agente único ITC de EGFR y el inicio previsto de CO-1686
    *Tratamiento anterior con un máximo de una quimioterapia anterior (excluyendo la quimioterapia neoadyuvante o adyuvante anterior, o quimiorradioterapia con intención curativa)
    *Todo efecto secundario relacionado con el tratamiento inhibidor de EGFR anterior debe haber desaparecido hasta un grado 1 o inferior
    3. Prueba documentada de un tumor con una o varias mutaciones del EGFR excluida la inserción del exón 20.
    4. Tumor con la mutación T790M, confirmada por el laboratorio central. El material de biopsia obtenido bien del tejido tumoral primario o metastásico y enviado al laboratorio central debe haberse obtenido en los 28 días anteriores a la administración del fármaco del estudio y después de la progresión de la enfermedad con el primer ITC de EGFR.
    5. Enfermedad mensurable conforme a RECIST, versión 1.1
    6. Esperanza de vida de al menos 3 meses.
    7. Estado funcional de entre 0 y 1, según el Grupo Oncológico Cooperativo del Este (ECOG)
    8. Edad >= 18 años (en determinados territorios, el requisito de edad mínima puede ser mayor, p. ej., edad >= 20 años en Japón y Taiwán)
    9. Función hematológica y biológica adecuada, confirmada por los valores de laboratorio siguientes: ej. Función de la médula ósea, función hepática, Función Renal y electrolitos dentro del rango normal.
    10. Consentimiento informado en un formulario de consentimiento informado (FCI) aprobado por el Comité ético de investigación clínica (CEIC) antes de realizar las evaluaciones específicas del estudio
    E.4Principal exclusion criteria
    Any of the following criteria will exclude patients from study participation:
    1. Documented evidence of an Exon 20 insertion activating mutation in the EGFR gene
    2. Any other malignancies within the last 5 years, except for adequately treated and resolved:
    *in situ cervical cancer
    *non-melanoma skin cancer
    *ductal carcinoma in situ breast cancer
    *localised thyroid malignancy treated by curative surgery
    *localised prostate cancer
    3. Known pre-existing interstitial lung disease
    4. Brain metastases
    5. Treatment with prohibited medications (e.g., concurrent anticancer therapy including other chemotherapy, radiation, hormonal treatment [except corticosteroids and megesterol acetate], or immunotherapy) <= 14 days prior to treatment with CO-1686
    6. Patients who are currently receiving treatment with any medications that have the potential to prolong the QT interval and the treatment cannot be either discontinued or switched to a different medication before starting CO-1686
    7. Prior treatment with CO-1686, or other drugs that target T790M positive mutant EGFR with sparing of wild type EGFR eg AZD9291, HM61713, TAS-121
    8. Any of the following cardiac abnormalities or history :
    a. Clinically significant abnormal 12-lead ECG, QT interval corrected using Fridericia's method (QTCF) >450 msec
    b. Inability to measure QT interval on ECG
    c. Personal or family history of long QT syndrome
    d. Implantable pacemaker or implantable cardioverter defibrillator
    e. Resting bradycardia <50 beats/min
    9. Non-study related surgical procedures<=7 days prior to administration of CO 1686. In all cases, the patient must be sufficiently recovered and stable before treatment administration.
    10. Females who are pregnant or breastfeeding
    11. Refusal to use adequate contraception for fertile patients (females and males) while on treatment and for 6 months after the last dose of CO-1686
    12. Presence of any serious or unstable concomitant systemic disorder incompatible with the clinical study (e.g., substance abuse, uncontrolled intercurrent illness including active infection, arterial thrombosis, and symptomatic pulmonary embolism)
    13. Any other reason the investigator considers the patient should not participate in the study
    Cualquiera de los criterios siguientes excluirá a los pacientes de la participación en el estudio:
    1. Pruebas documentadas de una mutación activadora por inserción del exón 20 en el gen del EGFR
    2. Cualquier otra neoplasia maligna en los últimos 5 años, excepto si se ha tratado de forma adecuada y se ha resuelto:
    *Carcinoma cervicouterino in situ
    *Carcinoma cutáneo no melanómico
    *Cáncer de mama carcinoma canalicular in situ
    *Neoplasia maligna tiroidea localizada tratada mediante operación quirúrgica curativa
    *Cáncer de próstata localizado
    3. Neumopatía intersticial preexistente conocida
    4. Metástasis cerebrales
    5. Tratamiento con medicamentos prohibidos (p. ej., tratamiento antineoplásico concurrente que incluye otra quimioterapia, radiación, hormonoterapia [excepto corticoesteroides y acetato de megesterol], o inmunoterapia) <=14 días antes del tratamiento con CO-1686
    6. Pacientes que actualmente están recibiendo tratamiento con cualquier medicación que tenga el potencial de prolongar el intervalo QT y cuyo tratamiento no se pueda interrumpir o cambiar a un medicamento distinto antes de iniciar CO-1686
    7. Tratamiento anterior con CO-1686 u otros fármacos que actúan sobre el EGFR mutante positivo para T790M que no afecten al EGFR natural como, por ejemplo, AZD9291, HM61713, TAS-121
    8. Cualquiera de las siguientes anomalías cardíacas o historial:
    a. Anomalías clínicamente significativas en el ECG de 12 derivaciones, intervalo QT corregido usando el método de Fridericia (QTCF) > 450 ms
    b. Incapacidad para medir el intervalo QT en el ECG
    c. Antecedentes personales o familiares de síndrome de QT largo
    d. Marcapasos implantable o desfibrilador cardioversor implantable
    e. Bradicardia en reposo < 50 latidos/min
    9. Procedimientos quirúrgicos no relacionados con el estudio <= 7 días antes de la administración de CO-1686. En todos los casos, el paciente debe haberse recuperado lo suficiente y estar suficientemente estable antes de la administración del tratamiento.
    10. Mujeres embarazadas o en período de lactancia
    11. Negativa a usar anticonceptivos adecuados para pacientes fértiles (hombres y mujeres) durante el tratamiento y los 6 meses siguientes a la administración de la última dosis de CO-1686
    12. Presencia de algún trastorno sistémico concomitante grave o inestable incompatible con el estudio clínico (p. ej., drogadicción, enfermedad intercurrente no controlada, como infección activa, trombosis arterial y embolia pulmonar sintomática)
    13. Cualquier otra razón por la que el investigador considere que el paciente no debe participar en el estudio
    E.5 End points
    E.5.1Primary end point(s)
    ORR according to Response Criteria in Solid Tumors (RECIST) Version 1.1 as determined by independent radiology review (IRR)
    TRO conforme a los criterios de respuesta en los tumores sólidos (RECIST), versión 1.1 según lo determine una revisión radiológica independiente (RRI)
    E.5.1.1Timepoint(s) of evaluation of this end point
    From start of treatment until disease progression
    Desde el inicio del tratamiento hasta la progresión de la enfermedad
    E.5.2Secondary end point(s)
    *DR, DCR and PFS according to RECIST Version 1.1 as determined by IRR
    *ORR, DR, DCR and PFS according to RECIST Version 1.1 as determined by Investigator Assessment
    *OS
    *Change from baseline in patient reported outcomes using the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ C30), EORTC Quality of Life Questionnaire Lung Cancer module (EORTC QLQ LC13), and the Dermatology Life Quality Index (DLQI)
    *Treatment emergent adverse events (AEs), laboratory abnormalities and ECG abnormalities
    *Plasma PK parameters for CO-1686 based on sparse sampling
    *DR, TCE y SSP conforme a RECIST versión 1.1, según lo determine una RRI
    *TRO, DR, TCE y SSP conforme a RECIST versión 1.1, según lo determine la evaluación del investigador
    *SG
    *Cambio en relación con el momento inicial en los desenlaces comunicados por el paciente usando el Cuestionario de calidad de vida QLQ-30 de la EORTC (Organización Europea para la Investigación y el Tratamiento del Cáncer), el módulo de carcinoma pulmonar del QLQ de la EORTC (QLQ-LC13) y el índice de calidad de vida dermatológica (DLQI)
    *Acontecimientos adversos derivados del tratamiento, anomalías de laboratorio y anomalías en el ECG
    *Parámetros FC en plasma para CO-1686 basados en muestreo disperso
    E.5.2.1Timepoint(s) of evaluation of this end point
    From start of treatment until disease progression
    Desde el inicio del tratamiento hasta la progresión de la enfermedad
    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 Yes
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised No
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Information not present in EudraCT
    E.8.2.2Placebo Information not present in EudraCT
    E.8.2.3Other Information not present in EudraCT
    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 concerned3
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA13
    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
    France
    Australia
    Germany
    Hong Kong
    Korea, Republic of
    Spain
    Taiwan
    United Kingdom
    United States
    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
    The trial will be completed when all enrolled patients have discontinued treatment in this protocol and completed the end-of-study follow-up visit.
    El estudio estará finalizado cuando todos los pacientes seleccionados hayan discontinuado su tratamiento en este protocolo y hayan completado las visitas de seguimiento y de fin de ensayo.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months6
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months8
    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: 45
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 80
    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 state10
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 25
    F.4.2.2In the whole clinical trial 125
    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 the end of treatment the patients will return to their normal SOC
    medication.
    Despues del fin del tratamiento los pacientes volverán a su medicación standar
    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 Decision2014-07-07
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2014-06-06
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2019-08-27
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