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    Clinical Trial Results:
    A Phase 4, Single-Arm, Open-Label Study Describing The Safety And Immunogenicity of Bexsero in Healthy Subjects Aged 12 Years to Less Than (<) 19 Years

    Summary
    EudraCT number
    2014-003822-42
    Trial protocol
    DK  
    Global end of trial date
    20 Jan 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    13 Aug 2016
    First version publication date
    13 Aug 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    B1971048
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Pfizer ClinicalTrials.gov Call Center
    Sponsor organisation address
    235 E 42nd Street, New York, United States, NY 10017
    Public contact
    Pfizer, Inc., Pfizer ClinicalTrials.gov Call Center, 001 800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com
    Scientific contact
    Pfizer, Inc., Pfizer ClinicalTrials.gov Call Center, 001 800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com
    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
    27 Apr 2016
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    20 Jan 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To describe the immune response, relative to baseline status, following receipt of Bexsero as measured by serum bactericidal assay using human complement (hSBA) performed with a panel of Neisseria meningitidis serogroup B (MnB) test strains assessed 1 month after the second vaccination with Bexsero vaccine.
    Protection of trial subjects
    This study was conducted in compliance with the ethical principles originating in or derived from the Declaration of Helsinki and in compliance with all International Council on Harmonization (ICH) Good Clinical Practice (GCP) Guidelines. In addition, all local regulatory requirements were followed, in particular, those affording greater protection to the safety of trial subjects.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    11 Mar 2015
    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: 71
    Worldwide total number of subjects
    71
    EEA total number of subjects
    71
    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)
    62
    Adults (18-64 years)
    9
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 71 subjects were enrolled in this study. Of these, 68 subjects received study vaccination.

    Period 1
    Period 1 title
    Overall study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Bexsero
    Arm description
    Subjects received at least 1 vaccination of Bexsero at Month 0,-2 visits.
    Arm type
    Experimental

    Investigational medicinal product name
    Bexsero
    Investigational medicinal product code
    Other name
    Neisseria meningitidis serogroup B bivalent recombinant lipoprotein 2086 vaccine (rLP2086)
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Bexsero was administered intramuscularly by injecting 0.5 milliliter (mL) into the upper deltoid muscle at Visit 1 (Month 0) and Visit 2 (Month 2).

    Number of subjects in period 1
    Bexsero
    Started
    71
    Completed
    65
    Not completed
    6
         Consent withdrawn by subject
    1
         Did not meet entrance criteria
    1
         Adverse event
    3
         Lost to follow-up
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Bexsero
    Reporting group description
    Subjects received at least 1 vaccination of Bexsero at Month 0,-2 visits.

    Reporting group values
    Bexsero Total
    Number of subjects
    71 71
    Age Categorical
    Units: Subjects
        12- <15 years
    34 34
        15 - <19 years
    37 37
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    14.8 ( 1.93 ) -
    Gender Categorical
    Units: Subjects
        Female
    34 34
        Male
    37 37

    End points

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    End points reporting groups
    Reporting group title
    Bexsero
    Reporting group description
    Subjects received at least 1 vaccination of Bexsero at Month 0,-2 visits.

    Primary: Percentage of Subjects With 4-Fold Rise in Serum Bactericidal Assay Using Human Complement (hSBA) Titer Level

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    End point title
    Percentage of Subjects With 4-Fold Rise in Serum Bactericidal Assay Using Human Complement (hSBA) Titer Level [1]
    End point description
    Immunogenicity was assessed in terms of percentage of subjects achieving 4-fold rise on the serotype-specific antibody titer from pre vaccination (Day 1) to 1 month post Vaccination 2, for each of the 4 primary MnB test strains. Evaluable immunogenicity population included eligible subjects who received scheduled investigational product, had pre and post Vaccination 2 blood drawn at pre-specified time points, had valid and determinate assay results for the proposed analysis, received no prohibited vaccines and had no other major protocol deviations. Here, 'n' signifies evaluable subjects included in analysis for the given strain.
    End point type
    Primary
    End point timeframe
    1 month after Vaccination 2
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be reported for this endpoint.
    End point values
    Bexsero
    Number of subjects analysed
    63
    Units: Percentage of subjects
    number (confidence interval 95%)
        Strain 1 (n =61)
    91.8 (81.9 to 97.3)
        Strain 2 (n =63)
    73 (60.3 to 83.4)
        Strain 3 (n =59)
    37.3 (25 to 50.9)
        Strain 4 (n =56)
    37.5 (24.9 to 51.5)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Local Reactions Within 7 Days After Vaccination 1

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    End point title
    Percentage of Subjects With Local Reactions Within 7 Days After Vaccination 1 [2]
    End point description
    Local reactions were reported using an electronic diary. Pain was scaled as any (any pain at injection site); mild (did not interfere with activity); moderate (interfered with activity); severe (prevented daily activity). Redness and swelling were scaled as any (greater than or equal to [>=] 2.5 centimeters [cm]); mild (2.5 cm to 5.0 cm); moderate (5.5 cm to 10.0 cm); severe (greater than [>] 10.0 cm). Vaccination 1 safety population included all subjects who received at least 1 dose of Bexsero vaccine and had safety information available from Vaccination 1 until prior to Vaccination 2.
    End point type
    Primary
    End point timeframe
    Within 7 days after Vaccination 1
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be reported for this endpoint.
    End point values
    Bexsero
    Number of subjects analysed
    68
    Units: Percentage of subjects
    number (confidence interval 95%)
        Pain at injection site: Any
    94.1 (85.6 to 98.4)
        Pain at injection site: Mild
    26.5 (16.5 to 38.6)
        Pain at injection site: Moderate
    58.8 (46.2 to 70.6)
        Pain at injection site: Severe
    8.8 (3.3 to 18.2)
        Redness: Any
    11.8 (5.2 to 21.9)
        Redness: Mild
    7.4 (2.4 to 16.3)
        Redness: Moderate
    4.4 (0.9 to 12.4)
        Redness: Severe
    0 (0 to 5.3)
        Swelling: Any
    14.7 (7.3 to 25.4)
        Swelling: Mild
    7.4 (2.4 to 16.3)
        Swelling: Moderate
    7.4 (2.4 to 16.3)
        Swelling: Severe
    0 (0 to 5.3)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Local Reactions Within 7 Days After Vaccination 2

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    End point title
    Percentage of Subjects With Local Reactions Within 7 Days After Vaccination 2 [3]
    End point description
    Local reactions were reported using an electronic diary. Pain was scaled as any (any pain at injection site); mild (did not interfere with activity); moderate (interfered with activity); severe (prevented daily activity). Redness and swelling were scaled as any (>=2.5 cm); mild (2.5 cm to 5.0 cm); moderate (5.5 cm to 10.0 cm); severe (>10.0 cm). Vaccination 2 safety population included all subjects who received at least 1 dose of Bexsero vaccine and had safety information available from Vaccination 2 to post Vaccination 2 blood drawn.
    End point type
    Primary
    End point timeframe
    Within 7 days after Vaccination 2
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be reported for this endpoint.
    End point values
    Bexsero
    Number of subjects analysed
    66
    Units: Percentage of subjects
    number (confidence interval 95%)
        Pain at injection site: Any
    87.9 (77.5 to 94.6)
        Pain at injection site: Mild
    34.8 (23.5 to 47.6)
        Pain at injection site: Moderate
    47 (34.6 to 59.7)
        Pain at injection site: Severe
    6.1 (1.7 to 14.8)
        Redness: Any
    25.8 (15.8 to 38)
        Redness: Mild
    6.1 (1.7 to 14.8)
        Redness: Moderate
    18.2 (9.8 to 29.6)
        Redness: Severe
    1.5 (0 to 8.2)
        Swelling: Any
    19.7 (10.9 to 31.3)
        Swelling: Mild
    13.6 (6.4 to 24.3)
        Swelling: Moderate
    6.1 (1.7 to 14.8)
        Swelling: Severe
    0 (0 to 5.4)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Systemic Events Within 7 Days After Vaccination 1

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    End point title
    Percentage of Subjects With Systemic Events Within 7 Days After Vaccination 1 [4]
    End point description
    Systemic events (fever [oral temperature >=38 degrees Celsius {C}], vomiting, diarrhea, headache, fatigue, chills, muscle pain other than muscle pain at the injection site, and joint pain), were reported using an electronic diary. Vaccination 1 safety population included all subjects who received at least 1 dose of Bexsero vaccine and had safety information available from Vaccination 1 until prior to Vaccination 2.
    End point type
    Primary
    End point timeframe
    Within 7 days after Vaccination 1
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be reported for this endpoint.
    End point values
    Bexsero
    Number of subjects analysed
    68
    Units: Percentage of subjects
    number (confidence interval 95%)
        Fever >=38 degrees C
    1.5 (0 to 7.9)
        Fever 38 to <38.5 degrees C
    1.5 (0 to 7.9)
        Fever 38.5 to <39 degrees C
    0 (0 to 5.3)
        Fever 39 to 40 degrees C
    0 (0 to 5.3)
        Fever >40 degrees C
    0 (0 to 5.3)
        Vomiting: Any
    1.5 (0 to 7.9)
        Vomiting: Mild
    1.5 (0 to 7.9)
        Vomiting: Moderate
    0 (0 to 5.3)
        Vomiting: Severe
    0 (0 to 5.3)
        Diarrhea: Any
    16.2 (8.4 to 27.1)
        Diarrhea: Mild
    13.2 (6.2 to 23.6)
        Diarrhea: Moderate
    2.9 (0.4 to 10.2)
        Diarrhea: Severe
    0 (0 to 5.3)
        Headache: Any
    45.6 (33.5 to 58.1)
        Headache: Mild
    26.5 (16.5 to 38.6)
        Headache: Moderate
    17.6 (9.5 to 28.8)
        Headache: Severe
    1.5 (0 to 7.9)
        Fatigue: Any
    55.9 (43.3 to 67.9)
        Fatigue: Mild
    29.4 (19 to 41.7)
        Fatigue: Moderate
    25 (15.3 to 37)
        Fatigue: Severe
    1.5 (0 to 7.9)
        Chills: Any
    26.5 (16.5 to 38.6)
        Chills: Mild
    23.5 (14.1 to 35.4)
        Chills: Moderate
    2.9 (0.4 to 10.2)
        Chills: Severe
    0 (0 to 5.3)
        Muscle pain: Any
    16.2 (8.4 to 27.1)
        Muscle pain: Mild
    7.4 (2.4 to 16.3)
        Muscle pain: Moderate
    7.4 (2.4 to 16.3)
        Muscle pain: Severe
    1.5 (0 to 7.9)
        Joint pain: Any
    17.6 (9.5 to 28.8)
        Joint pain: Mild
    11.8 (5.2 to 21.9)
        Joint pain: Moderate
    5.9 (1.6 to 14.4)
        Joint pain: Severe
    0 (0 to 5.3)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Systemic Events Within 7 Days After Vaccination 2

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    End point title
    Percentage of Subjects With Systemic Events Within 7 Days After Vaccination 2 [5]
    End point description
    Systemic events (fever [oral temperature >=38 degrees C], vomiting, diarrhea, headache, fatigue, chills, muscle pain other than muscle pain at the injection site, and joint pain), were reported using an electronic diary. Vaccination 2 safety population included all subjects who received at least 1 dose of Bexsero vaccine and had safety information available from Vaccination 2 to post Vaccination 2 blood drawn.
    End point type
    Primary
    End point timeframe
    Within 7 days after Vaccination 2
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be reported for this endpoint.
    End point values
    Bexsero
    Number of subjects analysed
    66
    Units: Percentage of subjects
    number (confidence interval 95%)
        Fever >=38 degrees C
    3 (0.4 to 10.5)
        Fever 38 to <38.5 degrees C
    1.5 (0 to 8.2)
        Fever 38.5 to <39 degrees C
    0 (0 to 5.4)
        Fever 39 to 40 degrees C
    1.5 (0 to 8.2)
        Fever >40 degrees C
    0 (0 to 5.4)
        Vomiting: Any
    3 (0.4 to 10.5)
        Vomiting: Mild
    3 (0.4 to 10.5)
        Vomiting: Moderate
    0 (0 to 5.4)
        Vomiting: Severe
    0 (0 to 5.4)
        Diarrhea: Any
    4.5 (0.9 to 12.7)
        Diarrhea: Mild
    4.5 (0.9 to 12.7)
        Diarrhea: Moderate
    0 (0 to 5.4)
        Diarrhea: Severe
    0 (0 to 5.4)
        Headache: Any
    37.9 (26.2 to 50.7)
        Headache: Mild
    21.2 (12.1 to 33)
        Headache: Moderate
    16.7 (8.6 to 27.9)
        Headache: Severe
    0 (0 to 5.4)
        Fatigue: Any
    57.6 (44.8 to 69.7)
        Fatigue: Mild
    33.3 (22.2 to 46)
        Fatigue: Moderate
    18.2 (9.8 to 29.6)
        Fatigue: Severe
    6.1 (1.7 to 14.8)
        Chills: Any
    18.2 (9.8 to 29.6)
        Chills: Mild
    16.7 (8.6 to 27.9)
        Chills: Moderate
    0 (0 to 5.4)
        Chills: Severe
    1.5 (0 to 8.2)
        Muscle pain: Any
    16.7 (8.6 to 27.9)
        Muscle pain: Mild
    9.1 (3.4 to 18.7)
        Muscle pain: Moderate
    7.6 (2.5 to 16.8)
        Muscle pain: Severe
    0 (0 to 5.4)
        Joint pain: Any
    10.6 (4.4 to 20.6)
        Joint pain: Mild
    3 (0.4 to 10.5)
        Joint pain: Moderate
    7.6 (2.5 to 16.8)
        Joint pain: Severe
    0 (0 to 5.4)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Use of Antipyretic Medication Within 7 Days After Vaccination 1

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    End point title
    Percentage of Subjects With Use of Antipyretic Medication Within 7 Days After Vaccination 1 [6]
    End point description
    Vaccination 1 safety population included all subjects who received at least 1 dose of Bexsero vaccine and had safety information available from Vaccination 1 until prior to Vaccination 2.
    End point type
    Primary
    End point timeframe
    Within 7 days after Vaccination 1
    Notes
    [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be reported for this endpoint.
    End point values
    Bexsero
    Number of subjects analysed
    68
    Units: Percentage of subjects
    number (confidence interval 95%)
        Antipyretic medication use in presence of fever
    0 (0 to 6.8)
        Antipyretic medication use in absence of fever
    17.6 (8.3 to 31.8)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Use of Antipyretic Medication Within 7 Days After Vaccination 2

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    End point title
    Percentage of Subjects With Use of Antipyretic Medication Within 7 Days After Vaccination 2 [7]
    End point description
    Vaccination 2 safety population included all subjects who received at least 1 dose of Bexsero vaccine and had safety information available from Vaccination 2 to post Vaccination 2 blood drawn.
    End point type
    Primary
    End point timeframe
    Within 7 days after Vaccination 2
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be reported for this endpoint.
    End point values
    Bexsero
    Number of subjects analysed
    66
    Units: Percentage of subjects
    number (confidence interval 95%)
        Antipyretic medication use in presence of fever
    3 (0.3 to 12.5)
        Antipyretic medication use in absence of fever
    7.6 (2.1 to 19)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Vaccination 1 (Day 1) to 5 months after last administration of Bexsero
    Adverse event reporting additional description
    Same event may appear as both an adverse event (AE) and serious AE (SAE). An event may be categorized as SAE in 1 subject and as nonserious in other subject, or 1 subject may have experienced both SAE and nonserious during the study. Safety population included all subjects who received at least 1 dose of Bexsero vaccine, had safety data available.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.1
    Reporting groups
    Reporting group title
    Bexsero
    Reporting group description
    Subjects received at least 1 vaccination of Bexsero at Month 0,-2 visits.

    Serious adverse events
    Bexsero
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 68 (2.94%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Nervous system disorders
    Meningism
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Abdominal pain upper
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Bexsero
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    30 / 68 (44.12%)
    Injury, poisoning and procedural complications
    Laceration
         subjects affected / exposed
    4 / 68 (5.88%)
         occurrences all number
    4
    Clavicle fracture
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Concussion
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Hand fracture
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Road traffic accident
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Upper limb fracture
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    3 / 68 (4.41%)
         occurrences all number
    3
    Sensory loss
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    General disorders and administration site conditions
    Peripheral swelling
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Gastrointestinal disorders
    Abdominal pain upper
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Diarrhea
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Chondropathy
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    5 / 68 (7.35%)
         occurrences all number
    6
    Otitis media
         subjects affected / exposed
    4 / 68 (5.88%)
         occurrences all number
    4
    Pharyngitis
         subjects affected / exposed
    4 / 68 (5.88%)
         occurrences all number
    7
    Gastrointestinal infection
         subjects affected / exposed
    2 / 68 (2.94%)
         occurrences all number
    2
    Conjunctivitis
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Cystitis
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Ear infection
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Gastroenteritis
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Influenza
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Infectious mononucleosis
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Skin infection
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Tinea pedis
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1
    Wound infection
         subjects affected / exposed
    1 / 68 (1.47%)
         occurrences all number
    1

    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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