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    Summary
    EudraCT Number:2015-002057-35
    Sponsor's Protocol Code Number:ZIN-130-1504
    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:2015-10-26
    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 number2015-002057-35
    A.3Full title of the trial
    A Phase 1-2 ascending dose study to assess the pharmacodynamics, pharmacokinetics, and safety of HSP 130 in subjects with non metastatic breast cancer following single dose and multiple dose administration by subcutaneous injection
    Estudio de dosis ascendentes de fase 1-2 para evaluar la farmacodinámica, farmacocinética y seguridad del HSP 130 en pacientes con cáncer de mama no metastásico tras la administración de una o varias dosis mediante inyección subcutánea.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A study of the safety and effects of one or more doses of HSP-130 injected under the skin in patients with breast cancer that has not spread to distant sites in the body
    Estudio de seguridad y eficacia de HSP-130 en pacientes diagnosticados de cancer de mama no metastásico tras la administración de una o varias inyecciones bajo la piel.
    A.4.1Sponsor's protocol code numberZIN-130-1504
    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 SponsorHospira, 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 supportHospira Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationBiorasi LLC
    B.5.2Functional name of contact pointEuropean Project Operations
    B.5.3 Address:
    B.5.3.1Street AddressNiermannsweg 11
    B.5.3.2Town/ cityErkrath
    B.5.3.3Post code40699
    B.5.3.4CountryGermany
    B.5.4Telephone number00491706392620
    B.5.5Fax number+4921125033233
    B.5.6E-mailhschmied@biorasi.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 nameHSP-130
    D.3.2Product code HSP-130
    D.3.4Pharmaceutical form Solution for injection in pre-filled syringe
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.1CAS number 208265-92-3
    D.3.9.2Current sponsor codeHSP-130
    D.3.9.3Other descriptive namePegylated filgrastim
    D.3.9.4EV Substance CodeSUB16451MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number3
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.1CAS number 208265-92-3
    D.3.9.2Current sponsor codeHSP-130
    D.3.9.3Other descriptive namePegylated filgrastim
    D.3.9.4EV Substance CodeSUB16451MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number6
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    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 Yes
    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 Yes
    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
    Indicated to decrease the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a clinically significant incidence of febrile neutropenia
    Reducción de la duración de la neutropenia y de la incidencia de neutropenia febril en pacientes adultos con tumores malignos tratados con quimioterapia citotóxica (con excepción de leucemia mieloide crónica y síndromes mielodisplásicos).
    E.1.1.1Medical condition in easily understood language
    Purpose is to lower the chance of getting fever or infection in patients with cancer who are getting a chemotherapy that can lower the number of white blood cells.
    Indicado para reducir las probabilidades de aparición de fiebre o infecciones en pacientes con cancer tratados con quimioterapia que puede provocar una disminución de los glóbulos blancos.
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 18.1
    E.1.2Level LLT
    E.1.2Classification code 10021456
    E.1.2Term Immunodeficiency secondary to oncology chemotherapy
    E.1.2System Organ Class 100000004870
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Cycle 0:
    To characterize the pharmacodynamic (PD) response of absolute neutrophil count (ANC) and CD34+ count to HSP 130 at doses of 3 mg and 6 mg when administered as a single subcutaneous (SC) dose without chemotherapy to determine whether it is appropriate to study multiple doses of 3 mg with the context of background chemotherapy.
    Cycles 1 - 4:
    To characterize the PD response of duration of severe neutropenia (DSN) in Cycle 1 to HSP 130 over a range of doses when administered as single and multiple SC doses.
    Ciclo 0:
    Caracterizar la respuesta farmacodinámica (FD) de la cifra absoluta de neutrófilos (CAN) y la cifra de CD34+ al HSP 130 a dosis de 3 mg y 6 mg administrado en una única dosis subcutánea (s.c.) sin quimioterapia para determinar si es apropiado estudiar varias dosis de 3 mg en el contexto de la quimioterapia de base.

    Ciclos 1-4:

    Caracterizar la respuesta FD del tiempo de evolución de la neutropenia grave (TENG) en el ciclo 1 al HSP 130 a diversas dosis administrado en una o varias dosis s.c.
    E.2.2Secondary objectives of the trial
    Cycle 0:
    To characterize the pharmacokinetics (PK) of HSP 130 at doses of 3 mg and 6 mg when administered as a single SC injection without background chemotherapy.
    To characterize the safety of HSP 130 at doses of 3 mg and 6 mg when administered as a single SC dose without background chemotherapy.

    Cycles 1 - 4:
    To characterize the PD response of ANC to HSP 130 in Cycles 1 and 4 over a range of doses when administered as single and multiple SC doses.
    To characterize the PK of HSP 130 in Cycles 1 and 4 over a range of doses when administered as single and multiple SC doses.
    To characterize the safety of HSP 130 over a range of doses when administered as single and multiple SC doses.
    Ciclo 0:
    ?Caracterizar la farmacocinética (FC) del HSP 130 a dosis de 3 mg y 6 mg administradas en una única inyección s.c. sin quimioterapia de base.
    ?Caracterizar la seguridad del HSP 130 a dosis de 3 mg y 6 mg administrado en una única dosis s.c. sin quimioterapia de base.

    Ciclos 1-4:
    Caracterizar la respuesta FD de la CAN al HSP 130 en los ciclos 1 y 4 y a diversas dosis administrado en una o varias dosis s.c.c.
    Caracterizar la FC del HSP 130 en los ciclos 1 y 4 a diversas dosis administrado en una o varias dosis s.c.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Is informed, has been given ample time and opportunity to read about participation in the study and has signed and dated the written informed consent form approved by an Independent Ethics Committee (IEC) prior to any study related activities
    2. Females ? 18 years
    3. Histologically confirmed and documented invasive breast cancer
    4. Breast cancer without evidence of distant metastases (Stage 4) based on staging work-up
    5. Chemotherapy naïve, who have not received chemotherapy in the neoadjuvant setting and who are candidates for chemotherapy in the adjuvant setting of taxane/cyclophosphamide based regimen, e.g., TAC or TC as background chemotherapy
    6. Zubrod performance status ? 2
    7. Adequate bone marrow, hepatic, and renal function reserve as evidenced by:
    a. Hemoglobin ? 10 mg/dL
    b. ANC ? 1.5 x 109/L
    c. Platelet count of ? 100 x 109/L
    d. Total bilirubin ? 2 mg/dL
    e. Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) ? 3 x the upper limit of normal (ULN) of the reference lab
    f. Serum creatinine of ? 1.5 x ULN for reference lab or estimated glomerular filtration rate (eGFR) of ? 60 mg/min
    8. Subjects of childbearing potential, and their partners, agree to pregnancy prevention throughout the duration of the study (through the Follow up Visit). Specific type of pregnancy prevention should be discussed with, and acceptable to, the treating oncologist in the context of the tumoral hormone receptor status.
    9. Able to understand verbal or written instructions and comply with all study requirements, to communicate effectively with study personnel and is available for the planned duration of the study
    1.Ha sido informada, se le ha dado tiempo y oportunidad suficiente para leer la información sobre la participación en el estudio y ha firmado y fechado el formulario de consentimiento informado aprobado por un comité de ética de investigación clínica (CEIC) antes de llevar a cabo ninguna actividad relacionada con el estudio
    2.Mujeres ? 18 años
    3.Cáncer de mama invasivo confirmado histológicamente y documentado
    4.Cáncer de mama sin indicios de metástasis distantes (estadio 4) según las pruebas para la determinación de la fase
    5.No ha recibido quimioterapia previamente, no ha recibido quimioterapia neoadyuvante y es candidata para recibir quimioterapia adyuvante con una pauta con taxano/ciclofosfamida, p. ej., TAC o TC como quimioterapia de base
    6.Estado funcional Zubrod ? 2
    7.Reserva funcional medular, hepática y renal adecuada demostrada por:
    a.Hemoglobina ? 10 mg/dl
    b.CAN ? 1,5 x 109/l
    c.Cifra de trombocitos ? 100 x 109/l
    d.Bilirrubina total ? 2 mg/dl
    e.Aspartato aminotransferasa (AST) y alanina aminotransferasa (ALT) ? 3 veces el límite superior de lo normal (LSN) del laboratorio de referencia
    f.Creatinina sérica ? 1,5 veces el LSN del laboratorio de referencia o índice de filtración glomerular estimado (IFGe) ? 60 mg/min
    8.Las pacientes en edad fértil y sus parejas acceden a evitar el embarazo mientras dure el estudio (hasta la visita de seguimiento). El método conceptivo concreto deberá comentarse con el oncólogo responsable y ser considerado aceptable por este en el contexto de la situación de los receptores hormonales tumorales;
    9.Es capaz de entender las instrucciones verbales o escritas, cumplir todos los requisitos del estudio y comunicarse eficazmente con el personal del estudio y está disponible durante la duración prevista del estudio
    E.4Principal exclusion criteria
    1. Previous granulocyte colony stimulating factor (G CSF) exposure, including filgrastim, lenograstim, pegfilgrastim, lipegfilgrastim, granulocyte/macrophage colony stimulating growth factor (GM CSF), or any other branded or biosimilar G CSF
    2. Prior autologous stem cell harvest of any type
    3. Drug sensitivity, allergic reaction, or known hypersensitivity or idiosyncratic reaction to Escherichia coli (E. coli) derived proteins, filgrastim, other G CSFs, or pegylated agents
    4. Known hypersensitivity to docetaxel, polysorbate 80, or doxorubicin
    5. Chemotherapy other than that included in this study (i.e., taxane/cyclophosphamide-based regimen, e.g., TAC or TC) or neoadjuvant chemotherapy; or known immunosuppressive agents including chronic oral corticosteroid use, or radiation therapy within 4 weeks of first dose of HSP 130, prior bone marrow or stem cell transplantation, or malignancy within 5 years
    6. Known HER2+ (overexpressing breast cancer)
    7. Known triple negative (estrogen receptor negative, progesterone receptor negative and HER2 negative) breast cancer
    8. Medical conditions including but not limited to: Known sickle cell disease; known severe persistent drug induced myelosuppression; severe uncontrolled cardiac disease; any malignancy other than breast with the exception of adequately treated squamous or basal cell carcinoma or the skin or cervical carcinoma in situ within 5 years; pregnancy or lactation; received live, live attenuated, or non live vaccine within 4 weeks
    9. Current or recent treatment (within 30 days before the first administration of the HSP 130) with any other Investigational Medicinal Product
    10. Patient has evidence of any other coexisting disease or medical or psychological condition, metabolic dysfunction, physical examination finding or clinical lab finding giving reasonable suspicion of a disease or condition that contraindicated the use of an HSP 130, or patient is high risk for treatment complication
    1.Exposición previa a un factor estimulante de las colonias de granulocitos (G-CAFÉ), incluidos filgrastim, lenograstim, pegfilgrastim, lipegfilgrastim, factor estimulante de las colonias de granulocitos-macrófagos (GM-CSF) u otro G-CSF de marca o biosimilar
    2.Extracción previa de células madre autólogas de cualquier tipo
    3.Sensibilidad a fármacos, reacción alérgica o hipersensibilidad conocida o reacción idiosincrática a proteínas derivadas de Escherichia (E. coli), filgrastim, otros G-CSF o fármacos pegilados
    4.Hipersensibilidad conocida al docetaxel, el polisorbato 80 o la doxorrubicina
    5.Quimioterapia distinta de la incluida en este estudio (es decir, pauta con taxano/ciclofosfamida, p. ej., TAC o TC) quimioterapia neoadyuvante; fármacos inmunodepresores conocidos, incluido el uso prolongado de corticoesteroides orales, radioterapia en las 4 semanas previas a la primera dosis de HSP 130, antes de trasplante de médula ósea o células madre, o cáncer en los 5 últimos años
    6.HER2+ conocido (que sobreexpresa cáncer de mama)
    7.Cáncer de mama triple negativo conocido (receptor de estrógenos negativo, receptor de progesterona negativo y HER2 negativo)
    8.Afecciones médicas que incluyen, entre otras: Drepanocitosis conocida, mielosupresión medicamentosa persistente grave conocida; cardiopatía no controlada grave según se define en la sección 4.3; cualquier cáncer distinto del de mama, con excepción del carcinoma escamocelular o basocelular tratado adecuadamente o el carcinoma cutáneo o cervical in situ en los 5 últimos años; embarazo o lactancia; vacuna con microorganismos vivos, atenuados o inactivos en las 4 últimas semanas
    9.ratamiento actual o reciente (en los 30 días previos a la primera administración de HSP 130) con cualquier otro medicamento en investigación
    10.La paciente presenta indicios de otra enfermedad o trastorno médico o psicológico concomitante, disfunción metabólica, hallazgo de la exploración física o prueba analítica que lleve a sospechar la presencia de una enfermedad o un trastorno que contraindique el uso de un HSP 130, o alto riesgo de complicaciones del tratamiento
    E.5 End points
    E.5.1Primary end point(s)
    Pharmacodynamic Endpoints:
    Cycle 0:
    ? Primary Variable: Area under the effect curve for ANC (AUECANC)
    ? Secondary Variables: Maximum effect for ANC (ANC_Emax), time of maximum effect for ANC (ANC Tmax), area under the effect curve for CD34+ (AUECCD34+), maximum effect for CD34+ count (CD34+_Emax), time of maximum effect for CD34+ count (CD34+ Tmax)

    Cycles 1 - 4:
    ? Primary Variable: Duration of severe neutropenia (DSN). DSN is defined as days with grade 4 neutropenia (ANC < 0.5 x 109/L) in Cycle 1
    ? Secondary Variables: DSN in Cycle 4. ANC nadir concentration, time of nadir concentration, area under the effect curve (AUEC), incidence of FN, defined as tympanic or axillary body temperature > 38°C for > 1 hour with ANC < 1.0 x 109/L, incidence of severe neutropenia (grade 4, ANC < 0.5 x 109/L) and time to ANC recovery (the first day with ANC ? 2.0 x 109/L after any day with ANC < 2.0 x 109/L) in Cycle 1 and Cycle 4
    Variables farmacofinamicas
    Ciclo 0:
    Variable principal: Área bajo la curva del efecto para la CAN (ABCECAN),
    Variables secundarias: Efecto máximo en la CAN (CAN_Emáx), momento del efecto máximo en la CAN (CAN Tmáx), área bajo la curva del efecto en los CD34+ (ABCECD34+), efecto máximo en la cifra de CD34+ (CD34+_Emáx), momento del efecto máximo en la cifra de CD34+ (CD34+ Tmáx)

    Ciclos 1-4
    Variable principal: Tiempo de evolución de la neutropenia grave (TENG). El TENG se define como los días con neutropenia de grado 4 (CAN < 0,5 x 109/l) en el ciclo 1.
    Variables secundarias: Tiempo de evolución de la neutropenia grave (TENG) en el ciclo 4. Concentración mínima de la CAN, momento de la concentración mínima, área bajo la curva del efecto (ABCE), incidencia de NF, definida como temperatura corporal timpánica o axilar > 38,5 ºC durante > 1 hora con CAN < 1,0 x 109/l, incidencia de neutropenia grave (grado 4, CAN < 0,5 x 109/l) y momento de la recuperación de la CAN (el primer día con CAN ? 2,0 x 109/l después de un día con CAN < 2,0 x 109/l) en el ciclo 1 y el ciclo 4.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Cycle 0:
    Pharmacodynamic sampling for absolute neutrophil count (ANC), CD34+ count will be collected within 1 hour prior to dose administration and at 48, 96, 144, 192, 240, and 312 hours post dose

    Cycles 1 - 4
    Pharmacodynamic sampling for absolute neutrophil count (ANC) will be collected within 1 hour prior to dose administration and at 48, 96, 144, 192, 240, and 312 hours post dose in Cycles 1&4 only
    Ciclo 0:
    Las muestras de sangre para la determinación de la CAN y la cifra de CD34+ se extraerán en la hora previa a la administración y 48, 96, 144, 192, 240 y 312 horas después de la dosis.

    Ciclos 1-4:

    Las muestras de sangre para la determinación de la CAN se extraerán en la hora previa a la administración y 48, 96, 144, 192, 240 y 312 horas después de la dosis. Este calendario de recogida de muestras se aplicará en los ciclos 1 y 4.
    E.5.2Secondary end point(s)
    Pharmacokinetic Endpoints:
    Cycle 0:
    ?Primary Variables: Area under the serum HSP 130 versus time curve from the time of dose administration to time infinity (AUC0 ?) and the maximum observed serum HSP 130 concentration (Cmax)
    ?Secondary Variables: Area under the serum HSP 130 versus time curve from the time of dose administration to the time of last measurable concentration (AUC0 t), the time of maximum serum HSP 130 concentration (Tmax), elimination half life (t1/2), elimination rate constant (?z), and apparent clearance (CL)

    Cycles 1?4:
    ?Primary Variables: AUC 0-t and Cmax
    ?Secondary Variables: AUC 0-?, Tmax, t1/2, ?z, and CL
    Variables farmacocinéticas:
    Ciclo 0:
    Variables principales: Área bajo la curva de HSP 130 sérico y tiempo desde el momento de administración de la dosis hasta el momento infinito (ABC0 ?) y la concentración de HSP 130 sérico máxima observada (Cmáx)
    Variables secundarias: Área bajo la curva de HSP 130 sérico y tiempo desde el momento de administración de la dosis hasta el momento de la última concentración mensurable (ABC0 t), el momento de la concentración de HSP 130 sérico máxima (Tmáx), la semivida de eliminación (t1/2), la constante de la tasa de eliminación (?z) y el aclaramiento aparente (ACL)

    Ciclos 1-4
    Variables principales: ABC0 t y Cmáx
    Variables secundarias: ABC0 ?, Tmáx, t1/2, ?z y ACL
    E.5.2.1Timepoint(s) of evaluation of this end point
    Cycle 0:
    Pharmacokinetic sampling will be collected within 1 hour prior to dose at Day 1, and at 6, 12, 24, 48, 96, 144, 192, 240, and 312 hours post dose

    Cycles 1 - 4
    Pharmacokinetic sampling will be collected within 1 hour prior to dose and at 6, 12, 24, 48, 96, 144, 192, 240, and 312 hours post dose in Cycles 1&4 only
    Ciclo 0:

    Las muestras de sangre se extraerán en la hora previa a la administración de la dosis del día 1 y 6, 12, 24, 48, 96, 144, 192, 240 y 312 horas después de la dosis.

    Ciclos 1 y 4

    Las muestras de sangre se extraerán en la hora previa a la administración de la dosis del día 2 y 6, 12, 24, 48, 96, 144, 192, 240 y 312 horas después de la dosis en los ciclos 1 y 4 únicamente.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis Yes
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy No
    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) Yes
    E.7.1.1First administration to humans Yes
    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 concerned7
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA9
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA No
    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 end of study is defined as the day the last subject completes the Follow up Visit, 30 days after last dose of HSP 130, in Cycle 4 or is discontinued
    El final de estudio se define como el día en que el último paciente atiende a la ultima visita de seguimiento (que se producirá 30 días después de la administración de HSP-130 en cuarto ciclo o si se decide discontinuar al paciente del estudio).
    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 months1
    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 months1
    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: 30
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 18
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male No
    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 state28
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 48
    F.4.2.2In the whole clinical trial 48
    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)
    Cycle 0:
    Sponsor will reimburse investigator for use of EU-approved Neulasta for patients who received HSP-130 in the Cycle 0 part of the study.
    Cycles 1-4:
    Following study end the patients will receive care as determined by their treating physician.
    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 Decision2015-12-15
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2015-12-11
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2017-10-05
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