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    Summary
    EudraCT Number:2014-004693-42
    Sponsor's Protocol Code Number:747-206
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2022-07-11
    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 number2014-004693-42
    A.3Full title of the trial
    A Multicenter, Open-Label, Single- and Multiple-Dose, Dose-Finding Study, with an Optional Open-Label Extension to Assess the Safety, Tolerability, and Pharmacokinetics of Obeticholic Acid in Pediatric Subjects with Biliary Atresia
    Estudio multicéntrico, abierto, de búsqueda de dosis, de dosis única y múltiples, con una extensión abierta opcional para evaluar la seguridad, tolerabilidad y farmacocinética del ácido obeticólico en sujetos pediátricos con atresia biliar
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A study to look at how the study drug Obeticholic Acid (OCA), when given as a single dose and multiple doses, is tolerated in children who have biliary atresia and to look at the effects that the study drug has on the body including an optional long-term extension.
    Un estudio para observar cómo se tolera el fármaco del estudio ácido obeticólico, cuando se administra en dosis única y en dosis múltiples, en niños que tienen atresia biliar y para observar los efectos que el fármaco del estudio tiene en el cuerpo, incluida una opción de extensión a largo plazo.
    A.3.2Name or abbreviated title of the trial where available
    ObetiCholic Acid in Pediatric Subjects with BiliaRy AtrEsia (CARE)
    ácido obeticólico en sujetos pediátricos con atresia biliar
    A.4.1Sponsor's protocol code number747-206
    A.7Trial is part of a Paediatric Investigation Plan Yes
    A.8EMA Decision number of Paediatric Investigation PlanP/041/2021
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorIntercept Pharmaceuticals, 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 supportIntercept Pharmaceuticals, Inc
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationSyneos Health UK Limited
    B.5.2Functional name of contact pointProject Management
    B.5.3 Address:
    B.5.3.1Street AddressFarnborough Business Park, 1 Pinehurst Road
    B.5.3.2Town/ cityFarnborough
    B.5.3.3Post codeGU14 7BF
    B.5.3.4CountryUnited Kingdom
    B.5.4Telephone number390296199248
    B.5.6E-mailSimona.Ripamonti@syneoshealth.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 nameOCA 1.5mg
    D.3.2Product code OCA
    D.3.4Pharmaceutical form 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 INNobeticholic acid
    D.3.9.1CAS number 459789-99-2
    D.3.9.2Current sponsor codeOCA
    D.3.9.4EV Substance CodeSUB91981
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1.5
    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 Yes
    D.2.1.1.1Trade name Ocaliva
    D.2.1.1.2Name of the Marketing Authorisation holderIntercept Pharma Ltd
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    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 nameOCA 5mg
    D.3.2Product code OCA
    D.3.4Pharmaceutical form 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 INNobeticholic acid
    D.3.9.1CAS number 459789-99-2
    D.3.9.2Current sponsor codeOCA
    D.3.9.4EV Substance CodeSUB91981
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    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 No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameOCA 0.1 mg
    D.3.2Product code OCA
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation Yes
    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 INNobeticholic acid
    D.3.9.1CAS number 459789-99-2
    D.3.9.2Current sponsor codeOCA
    D.3.9.3Other descriptive nameOBETICHOLIC ACID
    D.3.9.4EV Substance CodeSUB91981
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number0.1
    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
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboTablet
    D.8.4Route of administration of the placeboOral use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboTablet
    D.8.4Route of administration of the placeboOral use
    D.8 Placebo: 3
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboTablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Biliary atresia
    Atresia biliar
    E.1.1.1Medical condition in easily understood language
    A rare disease of the liver and bile ducts that causes the bile to be trapped inside the liver
    Una enfermedad rara del hígado y las vías biliares que hace que la bilis quede atrapada dentro del hígado.
    E.1.1.2Therapeutic area Diseases [C] - Digestive System Diseases [C06]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10004653
    E.1.2Term Biliary atresia
    E.1.2System Organ Class 100000004850
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.1
    E.1.2Level LLT
    E.1.2Classification code 10004654
    E.1.2Term Biliary atresia, congenital
    E.1.2System Organ Class 100000004850
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    - Safety and tolerability
    - Pharmacokinetics (PK) of OCA and its conjugates
    o Single dose (SD) PK Phase: To assess the PK of OCA and its conjugates after a single low dose of OCA on Day1 and determine subject eligibility for the Multiple-Dose (MD) Phase
    o Multiple dose (MD) Phase: To assess the steady-state PK of OCA and its conjugates for a range of OCA doses
    - Seguridad y tolerabilidad
    - FC del AOC y sus conjugados
    o Fase para FC de DU: evaluar la FC del AOC y sus conjugados después de una única dosis baja de AOC el día 1 y determinar la idoneidad del sujeto para la fase de DM.
    o Fase de DM: evaluar la farmacocinética en estado de equilibrio del AOC y sus conjugados para un rango de dosis de AOC.
    E.2.2Secondary objectives of the trial
    - Pharmacodynamics (PD) of OCA as measured by markers of farnesoid X receptor (FXR) activation and biomarkers of hepatobiliary function
    - Farmacodinámica (FD) del AOC determinada por los marcadores de activación del receptor X farnesoide (farnesoid X receptor, FXR) y los biomarcadores de la función hepatobiliar.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Male or female pediatric subjects, aged ≥2 to <18 years old
    2. Diagnosis of biliary atresia
    3. Demonstrated successful HPE (also known as a Kasai portoenterostomy) as defined by total bilirubin <2 mg/dL (34.2 μmol/L) at least 3 months post-HPE procedure.
    4. Able to swallow tablets (ie, tablet or mini-tablet formulation)

    Please refer to the protocol for the entire list of inclusion criteria.
    1. Sujetos pediátricos de sexo masculino o femenino de ≥ 2 a < 18 años.
    2. Diagnóstico de la atresia biliar.
    3. HPE satisfactoria demostrada (también conocida como portoenterostomía de Kasai) definida por una bilirrubina total < 2 mg/dl (34,2 μmol/l) al menos 3 meses después del procedimiento de HPE.
    4.Capacidad para tragar comprimidos (es decir, formulaciones de comprimidos o minicomprimidos).

    Véase lista completa de los criterios de inclusión en el protocolo del estudio.
    E.4Principal exclusion criteria
    1.Prior liver transplant or active status on transplant list
    2.Conjugated (direct) bilirubin ≥ULN of site specific reference range
    3.If conjugated bilirubin is not available: total bilirubin ≥2 mg/dL (34.2 μmol/L)
    4.Platelets <150,000/μL
    5.INR ≥1.5
    6.Current or history of complications of decompensated chronic liver disease including:
    a)High-risk gastroesophageal varices and/or varcieal bleeding
    b)Clinically evident ascites related to portal hypertension
    c)Hepatic encephalopathy
    d)Prior placement of portosystemic shunt
    e)Hepatopulmonary syndrome or portopulmonary hypertension
    f)Hepatorenal syndrome
    7.Current intractable pruritus or those requires systemic treatment for pruritus within 3 months of Screening (eg, with bile acid sequestrants or rifampicin)
    8.Height and weight Z-score <-2 per site specific reference ranges
    9.Acholic (pale) stools
    10.AST >4x ULN
    11.ALT > 4X ULN
    12.GGT > 500 U/L
    13.Anticoagulation therapy
    14.Albumin < 3.5 g/Dl
    15.Ongoing current cholangitis
    16.Choledochal cystic disease
    17.Renal disease defined as serum creatinine >ULN for subject's age, prior to enrollment

    Please refer to the protocol for the entire list of exclusion criteria.
    1. Trasplante hepático previo o estado activo en lista de trasplantes.
    2. Bilirrubina conjugada (directa) ≥ LSN del rango de referencia específico del centro.
    3. Si la bilirrubina conjugada no está disponible: bilirrubina total ≥ 2 mg/dl (34,2 μmol/l).
    4. Plaquetas < 150 000/µl.
    5. INR > 1,5.
    6. Complicaciones actuales o antecedentes de enfermedad hepática crónica descompensada, que incluyen:
    a)varices gastroesofágicas de alto riesgo y/o hemorragia varicosa
    b)ascitis clínicamente evidente relacionada con hipertensión portal
    c)encefalopatía hepática
    d)colocación previa de derivación portosistémica
    e)síndrome hepatopulmonar o hipertensión portopulmonar
    f)síndrome hepatorrenal
    7)Prurito intratable actual o que requiera tratamiento sistémico para el prurito en los 3 meses anteriores a la selección (por ejemplo, con secuestrantes de ácidos biliares o rifampicina).
    8. Puntuación Z de la altura y el peso ≤2 según los rangos de referencia específicos del centro.
    9. Heces acólicas (pálidas)
    10. AST > 4 veces el LSN
    11. ALT > 4 veces el LSN
    12. Gammaglutamiltransferasa (GGT) > 500 U/l
    13. Terapia anticoagulante
    14. Albúmina < 3,5 g/dl

    Véase lista completa de los criterios de exclusión en el protocolo del estudio.
    E.5 End points
    E.5.1Primary end point(s)
    Safety and tolerability
    - Treatment-emergent adverse events (TEAEs) including serious AEs (SAEs), electrocardiogram (ECG), physical exam, clinical laboratory results, vital signs.

    PK
    - Plasma concentrations of unconjugated OCA, its conjugates (glycine conjugate of OCA [glyco-OCA] and taurine conjugate of OCA [tauro-OCA]) and total OCA in the SD and MD Phases.
    Seguridad y tolerabilidad
    - AA aparecidos durante el tratamiento (AADT), incluidos AA graves (AAG), electrocardiograma (ECG), exploración física, resultados analíticos, constantes vitales

    FC
    - Concentraciones plasmáticas de AOC no conjugado, sus conjugados (conjugado de glicina de AOC [gluco-AOC] y conjugado de taurina de AOC [tauro-AOC]), y AOC total en las fases de DU y DM
    E.5.1.1Timepoint(s) of evaluation of this end point
    Safety and tolerability
    - TEAEs taken in all visits, from Screening to end of study
    - ECG taken at screening, day 57, week 4 of follow up (F/U) period, and ET visit.
    - Physical exam taken at screening, day -1, 7, 21, 28, 42, 56, week 4 of F/U period, and ET visit
    - Clinical laboratory results at screening, day 1, 2, 7, 21, 35, 42, 56, week 4 of F/U period, and ET visit
    - Vital signs performed in all visits, from Screening to End of study
    PK
    PK sampling on days 1, 2 and 7 in SD phase; day 42, 56 and 57 in MD phase.
    Seguridad y tolerabilidad
    - AADT realizados en visita de selección, día 57, semana 4 del periodo de seguimiento, y visita de terminación anticipada.
    - ECG realizados en visita de selección, día 57, semana 4 del periodo de seguimiento, y visita de terminación anticipada.
    - Examen físico realizado en visita de selección, día -1, 7, 21, 28, 42, 56, semana 4 del periodo de seguimiento, y visita de terminación anticipada.
    - Resultados de laboratorio clínico en visita de selección, día 1, 2, 7, 21, 35, 42, 56, semana 4 del periodo de seguimiento, y visita de terminación anticipada.
    - Signos vitales realizados en todas las visitas desde la de selección hasta la de fin de estudio.
    FC
    Muestras de FC en los días 1, 2 y 7 en la fase DU; día 42, 56 y 57 en la fase DM.
    E.5.2Secondary end point(s)
    PD: Biomarkers of hepatobiliary function
    -Alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyl transferase (GGT), total and direct (conjugated) bilirubin, prothrombin time, INR, albumin, platelet count.

    PD: Markers of FXR activation
    -Fibroblast growth factor (FGF-19), 7-hydroxy-4-cholesten-3-one (C4), and endogenous bile acids.
    FD: Biomarcadores de función hepatobiliar
    - Fosfatasa alcalina (FA), AST, ALT, GGT, bilirrubina total y directa (conjugada), tiempo de protrombina, INR, albúmina, cifra de plaquetas.

    FD: Marcadores de activación de FXR
    -Factor de crecimiento de fibroblastos-19 (FGF-19), 7-hidroxi-4-colesten-3-ona (C4) y ácidos biliares endógenos.
    E.5.2.1Timepoint(s) of evaluation of this end point
    PD: Biomarkers of hepatobiliary function indices
    -ALP, AST, ALT, GGT, total and direct (conjugated) bilirubin, prothrombin time, INR, albumin, platelet count, taken at screening, day 1, 2, 7, 21, 35, 42, 56, week 4 of F/U period, and ET visit.

    PD: Markers of FXR activation
    -FGF-19, C4, and endogenous bile acids taken at day 1, 56, and ET visit.
    PD: Biomarkers of hepatobiliary function indices
    -ALP, AST, ALT, GGT, total and direct (conjugated) bilirubin, prothrombin time, INR, albumin, platelet count, taken at screening, day 1, 2, 7, 21, 35, 42, 56, semana 4 del periodo de seguimiento, y visita de terminación anticipada.

    FD: Marcadores de activación de FXR
    -FGF-19, C4 y ácidos biliares endógenos realizados el día 1, 56, y visita de terminación anticipada.
    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 Yes
    E.6.10Pharmacogenetic No
    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) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    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 concerned2
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA15
    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
    Israel
    France
    Poland
    Netherlands
    Spain
    Germany
    Italy
    Belgium
    United Kingdom
    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
    LVLS
    Última Visita del último paciente
    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 months3
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years8
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1Number of subjects for this age range: 32
    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) Yes
    F.1.1.5.1Number of subjects for this age range: 24
    F.1.1.6Adolescents (12-17 years) Yes
    F.1.1.6.1Number of subjects for this age range: 8
    F.1.2Adults (18-64 years) No
    F.1.3Elderly (>=65 years) No
    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 Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    All of the patients in this trial are children younger than 18 years.
    Todos los pacientes de este ensayo son niños menores de 18 años.
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state2
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 29
    F.4.2.2In the whole clinical trial 32
    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)
    Standard care for biliary atresia
    tratamiento habitual para la atresia biliar
    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 Decision2022-10-06
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2022-07-27
    P. End of Trial
    P.End of Trial StatusOngoing
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