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    Summary
    EudraCT Number:2015-002478-19
    Sponsor's Protocol Code Number:SHP616-300
    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:2016-01-13
    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 number2015-002478-19
    A.3Full title of the trial
    A Phase 3, Randomized, Double-blind, Placebo-controlled, Two-period, Three-sequence, Partial Crossover Study to Evaluate the Efficacy and Safety of Subcutaneous Administration of 2000 U of C1 Esterase Inhibitor [Human] Liquid for Injection for the Prevention of Angioedema Attacks in Adolescents and Adults with Hereditary Angioedema
    Estudio de fase 3, aleatorizado, doble ciego, controlado con placebo, cruzado parcialmente, de dos períodos y tres secuencias para evaluar la eficacia y la seguridad de la administración subcutánea de 2000 U de un inhibidor de la esterasa C1 (humana) en líquido inyectable para la prevención de las crisis de angioedema en adolescentes y adultos con angioedema hereditario
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Study to determine the efficacy and safety of C1 Esterase Inhibitor liquid for injection compared to placebo in the prevention of Angioedema attacks in adolescents and adults with hereditary angioedema.
    Estudio para evaluar la eficacia y la seguridad de la administración subcutánea de un inhibidor de la esterasa C1 (humana) en líquido inyectable en comparación con placebo para la prevención de las crisis de angioedema en adolescentes y adultos con angioedema hereditario
    A.4.1Sponsor's protocol code numberSHP616-300
    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 SponsorShire ViroPharma, 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 supportShire ViroPharma, Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationShire ViroPharma, Inc.
    B.5.2Functional name of contact pointHoward Mayer
    B.5.3 Address:
    B.5.3.1Street Address300 Shire Way
    B.5.3.2Town/ cityLexington
    B.5.3.3Post codeMA 02421
    B.5.3.4CountryUnited States
    B.5.4Telephone number+34900834223
    B.5.6E-mailRegistroEspanolDeEstudiosClinicos@druginfo.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 nameC1 esterase inhibitor liquid for injection
    D.3.2Product code SHP616
    D.3.4Pharmaceutical form Solution for injection
    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 INNC1 Esterase Inhibitor (human)
    D.3.9.3Other descriptive nameCOMPLEMENT C1 ESTERASE INHIBITOR
    D.3.9.4EV Substance CodeSUB22696
    D.3.10 Strength
    D.3.10.1Concentration unit IU/ml international unit(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number500
    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 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 Yes
    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 Firazyr
    D.2.1.1.2Name of the Marketing Authorisation holderShire Orphan Therapies GmbH
    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 Yes
    D.2.5.1Orphan drug designation numberEU/3/03/133
    D.3 Description of the IMP
    D.3.4Pharmaceutical form Solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNICATIBANT
    D.3.9.1CAS number 130308-48-4
    D.3.9.4EV Substance CodeSUB08104MIG
    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 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 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 placeboSolution for injection
    D.8.4Route of administration of the placeboSubcutaneous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    hereditary angioedema
    Angiodema hereditario
    E.1.1.1Medical condition in easily understood language
    Swelling and/or painful attacks in teenagers and adults with Hereditary Angioedema (HAE).
    Inflamación y/o ataques dolorosos en adolescentes y adultos con angioedema hereditario (AEH).
    E.1.1.2Therapeutic area Diseases [C] - Cardiovascular Diseases [C14]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 18.1
    E.1.2Level PT
    E.1.2Classification code 10019860
    E.1.2Term Hereditary angioedema
    E.1.2System Organ Class 10010331 - Congenital, familial and genetic disorders
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objective of this study is to demonstrate superior efficacy of SC administration of 2000 U C1 esterase inhibitor [human] liquid for injection for the prevention of angioedema attacks relative to placebo based on the normalized number of attacks (NNA) during a treatment period.
    El primer objetivo del ensayo es demostrar la eficacia superior de la administración SC de 2000 U de un inhibidor de la esterasa C1 (humana) en líquido inyectable para la prevención de las crisis de angioedema en comparación con placebo basándose en el número normalizado de crisis (NNC) durante un período de tratamiento
    E.2.2Secondary objectives of the trial
    The key secondary objective is to demonstrate the superior efficacy of SC administration of 2000 U C1 esterase inhibitor [human] liquid for injection for the prevention of angioedema attacks relative to placebo as measured by the proportion of subjects meeting the criterion of at least 50% reduction in the NNA during the 2000 U C1 esterase inhibitor [human] liquid for injection treatment period relative to the placebo period.
    El objetivo secundario fundamental consiste en demostrar la eficacia superior de la administración SC de 2000 U de un inhibidor de la esterasa C1 (humana) en líquido inyectable para la prevención de las crisis de angioedema en comparación con placebo, determinada mediante la proporción de sujetos que cumplan el criterio de una reducción del 50%, como mínimo, del NNC durante el período del tratamiento con 2000 U del inhibidor de la esterasa C1 (humana) en líquido inyectable en relación con el período de tratamiento con placebo.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Be ?12 years of age.
    2. Have a diagnosis of HAE (Type I or II) and a functional C1 INH level less than 50% of normal.
    3. Meet one of the following criteria (attack rate may be based on subject recall in conjunction with the subject's medical records):
    a. If subject is adult (>18 years of age) and currently receiving prophylactic therapy with C1 INH, have a history of ?2.0 angioedema attacks per month (average) during the 3 consecutive months prior to starting prevention therapy.
    OR
    b. If subject is adolescent (>12 and <18 years of age) or adult and not receiving
    prophylactic therapy with C1 INH, have a history of ?2.0 angioedema attacks
    per month (average) during the 3 consecutive months prior to the screening
    visit.
    OR
    c. If subject is adult (>18 years of age) and currently receiving a stable dose of
    attenuated androgens, have a history of ?2.0 angioedema attacks per month
    (average) during the 3 consecutive months prior to the screening visit.
    4. For subjects ?18 years of age, be willing to receive treatment with icatibant for any angioedema attacks that occur during the study that, in the opinion of the healthcare care provider, require medical intervention. Note: For subjects >12 to <18 years of age, standard of care therapy per local protocols should be provided.
    5. Agree to adhere to the protocol-defined schedule of assessments.
    6. If female, must have a negative serum beta human chorionic gonadotrophin (ß-hCG) pregnancy test at the screening visit and must have a negative urine pregnancy test prior to the first dose of investigational product (Visit 1a), and agree to comply with any applicable contraceptive requirements of the protocol.
    7. If male, be surgically sterile or agree to follow an acceptable method of birth control (eg, abstinence, barrier control) from the screening visit through 2 months after the last dose of investigational product.
    8. If an adult (?18 years of age), be informed of the nature of the study and provide written informed consent before any study-specific procedures.
    OR
    If a child (<18 years of age), have a parent(s)/legal guardian who is informed of the nature of the study provide written informed consent for the child to participate in the study before any study-specific procedures are performed (with assent from the child when appropriate). Alternatively, certain sites/Independent Reviewing Authorities may permit adolescents who are <18 years of age to be informed of the nature of the study and provide written informed consent without consent from a parent(s)/legal guardian.
    1. Edad ? 12 años.
    2. Diagnóstico de AEH (tipo I o II) y concentración de INH C1 funcional < 50% de la normal.
    3. Cumplimiento de uno de los criterios siguientes (la frecuencia de crisis puede basarse en el recuerdo del sujeto además de en el historial clínico):
    a. En caso de que el paciente sea adulto (>18 años de edad), esté recibiendo tratamiento profiláctico con INH C1 y tenga antecedentes de ?2,0 crisis de angioedema al mes (promedio) durante los 3 meses consecutivos antes de comenzar el tratamiento preventivo.
    O
    b. En caso de que el paciente sea adolescente (de entre 12 y 18 años de edad) o adulto, no esté recibiendo tratamiento profiláctico con INH C1 y tenga antecedentes de ? 2,0 crisis de angioedema al mes (promedio)1 durante los 3 meses consecutivos antes de la visita de selección.
    O
    c. En caso de que el paciente sea adulto, esté recibiendo una dosis estable de andrógenos atenuados y tenga antecedentes de ? 2,0 crisis de angioedema al mes (promedio)1 durante los 3 meses consecutivos antes de la visita de selección.
    4. En los sujetos mayores de 18 años, disposición a recibir tratamiento con icatibant ante cualquier crisis de angioedema que se produzca durante el estudio que, en opinión del profesional sanitario, requiera intervención médica. Nota: A los sujetos de entre 12 y menos 18 años de edad se les proporcionará el tratamiento de referencia conforme a los protocolos locales.
    5. Compromiso de cumplir el calendario de evaluaciones definido en el protocolo.
    6. En caso de ser mujer, resultado negativo en una prueba de embarazo (determinación de subunidad beta de la gonadotropina coriónica humana, ß-hCG) en suero en la visita de selección y resultado negativo en una prueba de embarazo en orina antes de la primera dosis del producto en investigación (visita 1a) y compromiso de cumplir los requisitos anticonceptivos aplicables del protocolo.
    7. En caso de ser varón, esterilización quirúrgica o compromiso de utilizar un método anticonceptivo aceptable (por ejemplo, abstinencia o método de barrera) desde la visita de selección hasta dos meses después de la última dosis del producto en investigación.
    8. En caso de ser adulto (?18 años), recepción de información sobre la naturaleza del estudio y otorgamiento del consentimiento informado por escrito antes de realizar ningún procedimiento específico del estudio.
    O
    En caso de ser niño (< 18 años), otorgamiento del consentimiento informado por escrito por parte de un progenitor o tutor legal que esté informado de la naturaleza del estudio para que el niño participe en el estudio antes realizar ningún procedimiento específico del estudio (con el asentimiento del niño cuando proceda). Por otro lado, algunos centros u organismos de revisión independientes (ORI) pueden permitir que se informe a adolescentes menores de 18 años de la naturaleza del estudio y otorguen su consentimiento informado por escrito sin el consentimiento de un progenitor o tutor legal.
    E.4Principal exclusion criteria
    1. Adults (>18 years of age) receiving prophylactic IV CINRYZE that exceeds the approved dosing regimen of 1000 U every 3 or 4 days (receiving a weekly dose >2000 U).
    2. Adolescents (>12 and <18 years of age) currently receiving prophylactic therapy with C1 INH.
    3. Have had signs or symptoms of an angioedema attack within 2 days prior to the first dose of the investigational product in Treatment Period 1.
    4. Have received any C1 INH therapy or any blood product for the treatment or prevention of angioedema attacks within 3 calendar days prior to the first dose of investigational product in Treatment Period 1.
    5. If female, have started or changed the dose of any hormonal contraceptive regimen or hormone replacement therapy (ie, estrogen/progestin containing products) within 2 months prior to the screening visit.
    6. Have a history of hypercoagulability (abnormal blood clotting) or other predisposition for thromboembolism.
    7. Have a diagnosis of acquired angioedema or known presence of anti-C1 INH
    antibodies.
    8. Have a history of allergic reaction to C1 INH products, including CINRYZE (or any components of CINRYZE), or other blood products.
    9. Be pregnant or breastfeeding.
    10. Have received an investigational drug within 30 days prior to the first dose of
    investigational product in Treatment Period 1.
    11. Have, as determined by the investigator and/or the sponsor?s medical monitor, any surgical or medical condition that could interfere with the administration of investigational product or interpretation of study results.
    1. Adultos (>18 años de edad) que reciben CINRYZE IV profiláctico en cantidad superior a la pauta posológica aprobada de 1000 U cada 3 o 4 días (dosis semanal > 2000 U).
    2. Adolescentes (de entre 12 y 18 años de edad) que reciben actualmente tratamiento profiláctico con INH C1.
    3. Signos o síntomas de una crisis de angioedema en los 2 días previos a la primera dosis del producto en investigación en el primer período de tratamiento.
    4. Recepción de cualquier tratamiento con INH C1 o cualquier hemoderivado para el tratamiento o la prevención de las crisis de angioedema en los 3 días naturales previos a la primera dosis del producto en investigación en el primer período de tratamiento.
    5. En mujeres, si ha comenzado o modificado la dosis de algún tratamiento anticonceptivo u hormonal sustitutivo (es decir, medicamentos que contienen estógenos o progesterona) en los 2 meses anteriores a la visita de selección
    6. Antecedentes de hipercoagulabilidad (coagulación anormal de la sangre) u otro tipo de predisposición a sufrir tromboembolias.
    7. Diagnóstico de angioedema adquirido o presencia conocida de anticuerpos anti-INH C1.
    8. Antecedentes de reacción alérgica a productos con INH C1, incluido CINRYZE (o a cualquier componente de Cinryze), o a otros hemoderivados.
    9. Embarazo o lactancia materna.
    10. Recepción de un fármaco experimental en los 30 días previos a la primera dosis del producto en investigación en el primer período de tratamiento.
    11. Presencia, según lo determinado por el investigador o el monitor médico del promotor, de cualquier proceso quirúrgico o médico que pueda interferir en la administración del producto en investigación o la interpretación de los resultados del estudio.
    E.5 End points
    E.5.1Primary end point(s)
    The normalized number of attacks (NNA) recorded during each treatment period. The NNA is computed as the number of attacks per month (ie, 30.4 days) of exposure (NNA = 30.4 x [number of attacks during treatment period]/[days of treatment period]). If a subject discontinues during the treatment period, the denominator of the NNA will be the days on treatment for that subject; this is equivalent to the last observation carried forward imputation method to impute the missing information following the subject's discontinuation
    NNC registrado durante cada período de tratamiento. El NNC se calcula como el número de crisis por mes (es decir, 30,4 días) de exposición (NNC = 30,4 x [número de crisis durante el período de tratamiento]/[días del período de tratamiento]). Cuando un sujeto se retire durante el período de tratamiento, el denominador del NNC serán los días de tratamiento de ese sujeto; esto equivale al método de extrapolación de la última observación para imputar la información omitida tras la retirada del sujeto.
    E.5.1.1Timepoint(s) of evaluation of this end point
    14 weeks
    14 semanas
    E.5.2Secondary end point(s)
    The clinical response to treatment relative to placebo. This is defined as achieving a ? 50% reduction in the NNA (PR) during the 2000 U C1 esterase inhibitor [human] liquid for injection treatment period relative to the placebo period.
    Respuesta clínica al tratamiento en comparación con placebo. Se define como la consecución de una reducción ? 50% del NNC (PR) durante el período de tratamiento con 2000 U del inhibidor de la esterasa C1 (humana) en líquido inyectable en comparación con el período de placebo.
    E.5.2.1Timepoint(s) of evaluation of this end point
    14 weeks
    14 semanas
    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 Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    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) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group No
    E.8.1.6Cross over Yes
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial3
    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 EEA10
    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
    Canada
    Germany
    Hungary
    Israel
    Romania
    Spain
    United States
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    Last patient last visit
    Último paciente última visita
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years
    E.8.9.1In the Member State concerned months15
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial months15
    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: 16
    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) Yes
    F.1.1.6.1Number of subjects for this age range: 16
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 33
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 17
    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
    Children below the age of 18 years (Only provide assent)
    Niños menores de 18 años (Se aportará su Asentimiento)
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state14
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 30
    F.4.2.2In the whole clinical trial 66
    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)
    Subjects completing the study will resume standard of care therapy available
    Los pacientes que completen el estudio reanudarán el tratamiento de terapia habitual disponible
    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 Decision2016-02-15
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2016-01-12
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2017-07-24
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