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    Summary
    EudraCT Number:2014-001977-15
    Sponsor's Protocol Code Number:KCP-330-009
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2015-05-07
    Trial 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 ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2014-001977-15
    A.3Full title of the trial
    A Phase 2b Open-label, Randomized, Two-arm Study comparing high and low doses of Selinexor (KPT-330) in Patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
    Studio di fase 2b in aperto, randomizzato, a due bracci mettendo a confronto dosi alte e basse di Selinexor (KPT-330) in pazienti affetti da linfoma diffuso a grandi cellule B (DLBCL) recidivante/refrattario
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Phase 2b Open-label, Randomized, Two-arm Study comparing high and low doses of Selinexor (KPT-330) in Patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
    Studio di fase 2b in aperto, randomizzato, a due bracci mettendo a confronto dosi alte e basse di Selinexor (KPT-330) in pazienti affetti da linfoma diffuso a grandi cellule B (DLBCL) recidivante/refrattario
    A.3.2Name or abbreviated title of the trial where available
    SADAL: Selinexor Against Diffuse Aggressive Lymphoma
    Selinexor contro il linfoma aggressivo diffuso
    A.4.1Sponsor's protocol code numberKCP-330-009
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT02227251
    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 SponsorKaryopharm Therapeutics, 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 supportKaryopharm Therapeutics, Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationLeon Research S.L.
    B.5.2Functional name of contact pointCarla D´Altilia
    B.5.3 Address:
    B.5.3.1Street AddressVia Enrico Fermi, 3
    B.5.3.2Town/ cityCordenons (PN)
    B.5.3.3Post code33084
    B.5.3.4CountryItaly
    B.5.4Telephone number+393345967636
    B.5.5Fax number+34987216243
    B.5.6E-mailcdaltilia@leonresearch.es
    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 Yes
    D.2.5.1Orphan drug designation numberEU/3/14/1317
    D.3 Description of the IMP
    D.3.1Product nameSelinexor 25mg coated tablets
    D.3.2Product code KPT-330
    D.3.4Pharmaceutical form 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 INNSelinexor
    D.3.9.1CAS number 1393477-72-9
    D.3.9.2Current sponsor codeKPT-330
    D.3.9.4EV Substance CodeSUB168135
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    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 Yes
    D.2.5.1Orphan drug designation numberEU/3/14/1317
    D.3 Description of the IMP
    D.3.1Product nameSelinexor 10mg coated tablets
    D.3.2Product code KPT-330
    D.3.4Pharmaceutical form 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 INNSelinexor
    D.3.9.1CAS number 1393477-72-9
    D.3.9.2Current sponsor codeKPT-330
    D.3.9.4EV Substance CodeSUB168135
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    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: 3
    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 Yes
    D.2.5.1Orphan drug designation numberEU/3/14/1317
    D.3 Description of the IMP
    D.3.1Product nameSelinexor 20mg coated tablets
    D.3.2Product code KPT-330
    D.3.4Pharmaceutical form 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 INNSelinexor
    D.3.9.1CAS number 1393477-72-9
    D.3.9.2Current sponsor codeKPT-330
    D.3.9.4EV Substance CodeSUB168135
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    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
    Relapsed/Refractory DLBCL
    Linfoma diffuso a grandi cellule B (DLBCL) recidivante/refrattario
    E.1.1.1Medical condition in easily understood language
    Relapsed/Refractory DLBCL
    Linfoma diffuso a grandi cellule B (DLBCL) recidivante/refrattario
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 18.0
    E.1.2Level HLT
    E.1.2Classification code 10012819
    E.1.2Term Diffuse large B-cell lymphomas
    E.1.2System Organ Class 100000004851
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate the efficacy of selinexor 100 mg (High-Sel) and selinexor 60 mg (Low-Sel) in comparison to a minimally effective lower threshold level of overall response rate (ORR) of 20% and to compare ORR between High-Sel and Low-Sel in patients with relapsed/refractory DLBCL.
    Valutare l’efficacia di selinexor 100 mg (High-Sel) e selinexor 60 mg (Low-Sel) a confronto con un livello di soglia inferiore minimamente efficace di tasso di risposta obiettiva (ORR) del 20% e confrontare l’ORR tra High-Sel e Low-Sel nei pazienti con DLBCL recidivante/refrattario.
    E.2.2Secondary objectives of the trial
    •To determine duration of response (DOR) for each dose level
    •To assess the safety profiles of the High-Sel and Low-Sel regimens
    •To compare the disease control rate (DCR) of patients with relapsed/ refractory DLBCL, treated with High-Sel versus Low-Sel
    •Determinare la durata della risposta (DOR) per ogni livello di dosaggio
    •Valutare i profili di sicurezza dei regimi High-Sel e Low-Sel
    •Confrontare il tasso di controllo della patologia (DCR)= nei pazienti con DLBCL recidivante/refrattario, trattati con High-Sel vs. Low-Sel
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Patients, age ≥ 18 years, with pathologically confirmed DLBCL whose disease is relapsed and/or refractory, with documented evidence of disease progression after the most recently administered chemotherapy regimen (according to International Working Group (IWG) criteria for progression of lymphoma, Cheson 2007), and who in the opinion of the investigator are not candidates for high-dose chemotherapy with autologous stem cell rescue, may be considered for enrollment. Patients must have received at least 2 but no more than 4 previous systemic regimens for the treatment of their DLBCL including at least one course of anthracycline-based chemotherapy (unless absolutely contraindicated due to cardiac dysfunction, in which case other active agents such as etoposide, bendamustine or gemcitabine must have been given) and at least one course of anti-CD20 immunotherapy (e.g., rituximab), unless contraindicated due to severe toxicity. Patients who were considered ineligible for standard multi-agent immunochemotherapy must have received at least two (and no more than four) prior treatment regimens including at least one course of anti-CD20 antibodies and must be approved by the Medical Monitor. Prior stem cell transplantation is allowed; induction, consolidation, stem cell collection, preparative regimen and transplantation ± maintenance are considered a single line of therapy. Patients should have an estimated life expectancy of more than 3 months at study entry. DLBCL histology, DLBCL subtype (GCB or non-GCB) as well as DH-DLBCL status will be confirmed/determined in all patients.
    L'arruolamento prende in considerazione pazienti, con età ≥ 18 anni, con DLBCL confermato patologicamente la cui malattia è recidivante e/o refrattaria, con prova documentata di progressione della malattia dopo il regime di chemioterapia somministrato più recentemente (secondo i criteri dell'International Working Group (IWG) per la progressione del linfoma, Cheson 2007), che, a giudizio dello sperimentatore, non sono candidati a una chemioterapia ad alto dosaggio con salvataggio autologo di cellule staminali. I pazienti devono aver ricevuto almeno 2 ma non più di 4 precedenti regimi sistemici per il trattamento del loro DLBCL, includendo almeno una sessione di chemioterapia a base di antracicline (a meno che ciò non sia assolutamente controindicato a causa di disfunzione cardiaca; in tal caso devono essere somministrati altri agenti attivi come etoposide, bendamustina o gemcitabina) e almeno una seduta di immunoterapia con anti-CD20 (cioè rituximab), a meno che ciò non sia controindicato a causa di tossicità grave. I pazienti considerati non eleggibili all’immuno-chemioterapia multi-agente standard devono aver ricevuto almeno due (e non più di quattro) regimi di trattamento precedenti, includendo almeno un ciclo di anticorpi anti-CD20 e devono essere approvati dal medico che si occupa del monitoraggio dello studio. Il precedente trapianto di staminali è consentito; induzione, consolidamento, raccolta di cellule staminali, regime di preparazione e trapianto ± mantenimento sono considerati una singola linea di trattamento.
    All'inizio dello studio i pazienti non devono avere un'aspettativa di vita stimata superiore ai 3 mesi. L'istologia del DLBLC, il sottotipo di DLBCL (GCB o non GCB) e nonché lo stato DH-DLBCL saranno confermati/determinati in tutti i pazienti.
    E.4Principal exclusion criteria
    Patients with histologies other than de novo DLBCL, (i.e., patients with DLBCL transformed from indolent lymphomas, primary mediastinal (thymic) large B-cell lymphoma (PMBL), or active central nervous system (CNS) lymphoma, will be excluded from this study. Patients with CD20 negative DLBCL are also excluded. Patients must not be eligible for high-dose chemotherapy with autologous stem cell transplantation and documentation for ineligibility must be provided.
    I pazienti con istologia diversa rispetto a DLBCL de novo, (ovvero pazienti con DLBCL trasformato da linfomi indolenti, linfoma primitivo a cellule B del mediastino [timico] (PMBL), o linfoma attivo del sistema nervoso centrale (SNC) saranno esclusi da questo studio. Sono anche esclusi i pazienti con DLBCL che presentano CD20 negativa. I pazienti non devono essere eleggibili per una chemioterapia a dosaggio alto con trapianto autologo di cellule staminali e deve essere fornita la documentazione di tale ineleggibilità.
    E.5 End points
    E.5.1Primary end point(s)
    Objective disease response assessment will be made according to the revised response criteria based on the Guidelines of the IWG reported by Cheson et al. (Cheson 2007). Responses will be adjudicated by an independent review committee, including complete review of all imaging material, laboratory, and clinical data. The data used for primary statistical analysis will be from a central review of the radiological disease assessments.
    The primary endpoint is ORR, defined as the proportion of patients who achieve occurrence of either CR or PR according to the revised response criteria based on the Guidelines of the International Working Group (IWG) reported by Cheson et al., and will be assessed as follows:
    •ORR to selinexor (High-Sel + Low-Sel) compared to a minimally effective lower threshold level of ORR at 20%.
    •ORR to High-Sel compared to Low-Sel

    Progression is defined as the first occurrence of progressive disease (PD) per the revised response criteria. Clinical disease progression in the absence of formal criteria for PD must be documented by a physician.
    La valutazione della risposta obiettiva alla malattia sarà realizzata secondo i criteri di risposta revisionati sulla base delle Linee Guida dell'IWG riportate da Cheson et al. (Cheson 2007). Le risposte saranno valutate da un comitato di revisione indipendente, includendo la revisione completa di tutti i dati materiali di imaging, di laboratorio e clinici. I dati utilizzati per l'analisi statistica primaria proverranno da una revisione centrale delle valutazioni radiologiche delle patologie.
    Il primo end point è L´ORR sarò definito come proporzione di pazienti nei quali si verificano sia CR che PR secondo i criteri di risposta
    revisionati sulla base delle Linee Guida dell'IWG riportate da Cheson et al. è sarà valutato come segue:
    • ORR per selinexor (High-Sell + Low-Sel), rispetto a un minimo efficace livello di soglia inferiore ORR del 20%.
    • ORR per High-Sel rispetto a Low-Sel

    La progressione è definita come la prima manifestazione della malattia progressiva (PD) in conformità ai criteri di risposta revisionati. La progressione clinica della malattia in assenza di criteri formali per la PD deve essere documentata da un medico.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Disease response will be assessed by the Revised IWG Response Criteria for NHL (Cheson 2007; Appendix 1) in patients on Cycle 3 Day 1 and every 2 months of therapy thereafter until disease progression. There is no maximum treatment duration.
    La risposta della malattia sarà valutata dai criteri di risposta modificati IWG per NHL (Cheson 2007; Appendice 1) nei pazienti in ciclo 3 giorno 1 e ogni 2 mesi di terapia in seguito fino a progressione della malattia. Non esiste una durata massima di trattamento
























    .
    E.5.2Secondary end point(s)
    •DOR, defined as the duration of time from first occurrence of CR or PR until the first date that recurrence of disease progression is objectively documented, for each dose level
    •Safety endpoints include AE reports, ECOG performance status, vital signs, physical examinations, ECGs, ophthalmic examinations, concomitant medications and laboratory safety evaluations.
    •DCR, defined as the proportion of patients who achieve CR, PR, or SD for a minimum of 4 weeks following start of therapy, compared for High-Sel and Low-Sel regimens
    •La DOR è definita come l’arco di tempo dalla prima manifestazione di CR o PR fino alla prima data in cui la recidiva della progressione della malattia è oggettivamente documentata, per ciascun livello di dose.
    •La sicurezza sarà valutata attraverso riscontri di eventi avversi,
    performance status [stato di validità] ECOG, esami fisici, elettrocardiogrammi, esami oftalmici, farmaci concomitanti, segni vitali e valutazioni di sicurezza di laboratorio.
    •La DCR è definita come la proporzione di pazienti che raggiungono CR, PR o SD per un minimo di 4 settimane dopo l’inizio della terapia, rispetto a High-Sel e regimi bassi-Sel.
    E.5.2.1Timepoint(s) of evaluation of this end point
    End of study
    Fine dello studio
    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 Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    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) 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 Yes
    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) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned6
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA52
    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
    Belgium
    Canada
    France
    Germany
    Israel
    Italy
    Spain
    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
    LPLV
    Ultimo Paziente dell´Ultima Visita (UPUV)
    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 months9
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months9
    E.8.9.2In all countries concerned by the trial days0
    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: 100
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 100
    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 state30
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 104
    F.4.2.2In the whole clinical trial 200
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    After a patient has ceased his/her participation in the study, his/her medical doctor will offer the most appropriate treatment currently available.
    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 Decision2015-07-05
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2016-04-04
    P. End of Trial
    P.End of Trial StatusOngoing
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