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    Summary
    EudraCT Number:2015-004033-28
    Sponsor's Protocol Code Number:IPI-145-22
    National Competent Authority:Portugal - INFARMED
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2016-04-11
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedPortugal - INFARMED
    A.2EudraCT number2015-004033-28
    A.3Full title of the trial
    A Phase 3, Randomized, Double-blind Study of Duvelisib Administered in Combination with Rituximab and Bendamustine vs Placebo Administered in Combination with Rituximab and Bendamustine in Subjects with Previously-Treated Indolent Non-Hodgkin Lymphoma
    Estudo de fase 3, aleatorizado, em dupla ocultação, de duvelisib administrado em combinação com rituximab e bendamustina vs. placebo administrado em combinação com rituximab e bendamustina em doentes com linfoma não-Hodgkin indolente previamente tratado
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A clinical trial which compares the safety and efficacy of chemotherapy (Rituximab and Bendamustine ) combined with Duvelisib, the study treatment, or a placebo in patients who have previously treated Indolent Non-Hodgkin Lymphoma.
    Um ensaio clínico que compara a segurança e eficácia de quimioterapia (Rituximab e Bendamustina) combinada com o tratamento do estudo, Duvelisib, ou um placebo em doentes com Linfoma Não Hodgkin Indolente anteriormente tratado.
    A.4.1Sponsor's protocol code numberIPI-145-22
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT02576275
    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 SponsorInfinity 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 supportInfinity Pharmaceuticals, Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationInfinity Pharmaceuticals, Inc.
    B.5.2Functional name of contact pointMary Kuskin
    B.5.3 Address:
    B.5.3.1Street Address784 Memorial Drive
    B.5.3.2Town/ cityCambridge, MA
    B.5.3.3Post code02139
    B.5.3.4CountryUnited States
    B.5.4Telephone number1617-453-1394
    B.5.6E-mailmary.kuskin@infi.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 Yes
    D.2.5.1Orphan drug designation numberEMA/OD/047/13
    D.3 Description of the IMP
    D.3.1Product nameDuvelisib
    D.3.2Product code IPI-145
    D.3.4Pharmaceutical form Capsule, hard
    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 INNDuvelisib
    D.3.9.1CAS number 1386861-48-9
    D.3.9.2Current sponsor codeIPI-145
    D.3.9.3Other descriptive nameIPI-145
    D.3.9.4EV Substance CodeSUB62340
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEMA/OD/047/13
    D.3 Description of the IMP
    D.3.1Product nameDuvelisib
    D.3.2Product code IPI-145
    D.3.4Pharmaceutical form Capsule, hard
    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 INNDuvelisib
    D.3.9.1CAS number 1386861-48-9
    D.3.9.2Current sponsor codeIPI-145
    D.3.9.3Other descriptive nameIPI-145
    D.3.9.4EV Substance CodeSUB62340
    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 RoleComparator
    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 MabThera
    D.2.1.1.2Name of the Marketing Authorisation holderRoche Registration Limited
    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 nameMabThera
    D.3.4Pharmaceutical form Concentrate for solution for infusion
    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 INNRITUXIMAB
    D.3.9.1CAS number 174722-31-7
    D.3.9.4EV Substance CodeSUB12570MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    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.IMP: 4
    D.1.2 and D.1.3IMP RoleComparator
    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 Levact
    D.2.1.1.2Name of the Marketing Authorisation holderAstellas Pharma GmbH
    D.2.1.2Country which granted the Marketing AuthorisationGermany
    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 nameLevact
    D.3.4Pharmaceutical form Powder for concentrate for solution for infusion
    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 INNBENDAMUSTINE HYDROCHLORIDE
    D.3.9.1CAS number 3543-75-7
    D.3.9.4EV Substance CodeSUB00696MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number2.5
    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.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboCapsule, hard
    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 placeboCapsule, hard
    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
    Indolent Non-Hodgkin Lymphoma
    Linfoma não-Hodgkin indolente
    E.1.1.1Medical condition in easily understood language
    Indolent Non-Hodgkin Lymphoma
    Linfoma não-Hodgkin indolente
    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 HLT
    E.1.2Classification code 10029621
    E.1.2Term Non-Hodgkin's lymphomas unspecified histology indolent
    E.1.2System Organ Class 100000004851
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Evaluate the efficacy of DBR vs PBR in subjects with previously-treated iNHL
    Avaliar a eficácia de DBR vs. PBR em doentes com linfoma não-Hodgkin indolente previamente tratado
    E.2.2Secondary objectives of the trial
    • Evaluate the safety of DBR and PBR in subjects with previously-treated iNHL
    • Characterize the pharmacokinetics (PK) of duvelisib when administered with bendamustine and rituximab (BR) in subjects with previously-treated iNHL
    Exploratory Objectives:
    • Evaluate if biomarkers can predict clinical efficacy and/or safety of DBR vs PBR in subjects with previously-treated iNHL
    • Evaluate Quality of Life (QoL) outcomes in subjects with previously-treated iNHL
    • Avaliar a eficácia de DBR e PBR em doentes com linfoma não-Hodgkin indolente previamente tratado
    • Caracterizar a farmacocinética (FC) do duvelisib quando administrado com bendamustina e rituximab (BR) em doentes com linfoma não-Hodgkin indolente previamente tratado
    Objetivos exploratórios:
    • Avaliar se os biomarcadores podem prever a eficácia clínica e/ou segurança de DBR vs. PBR em doentes com linfoma não-Hodgkin indolente previamente tratado
    • Avaliar os resultados da Qualidade de vida (QoL) em doentes com linfoma não-Hodgkin indolente previamente tratado
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    • ≥ 18 years of age
    • Diagnosis of iNHL with one of the following histologic sub-types and grade:
    - Follicular lymphoma (FL)Grade 1, 2, or 3a
    - Small lymphocytic lymphoma (SLL)
    - Marginal zone lymphoma (MZL)( splenic, nodal, or extranodal)
    • Have received the following systemic treatments for iNHL:
    - an anti-CD20 antibody; and
    - chemotherapy
    • At least 1 measurable disease lesion > 1.5 cm in at least one dimension by computed tomography (CT)/CT-PET or magnetic resonance imaging (MRI)
    • Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2 (corresponds to Karnofsky Performance Status [(KPS) ≥60%])
    For full inclusion criteria list, refer to protocol.
    • ≥ 18 anos de idade
    • Diagnóstico de linfoma não-Hodgkin indolente previamente tratado com um dos seguintes subtipos histológicos e grau:
    - Linfoma Folicular: Grau 1, 2 ou 3a
    - Linfoma linfocítico de pequenas células: Incluindo contagem absoluta de linfócitos (CAL) < 5.000 por mm3 no momento de diagnóstico ou seleção e sem antecedentes de leucemia linfocítica crónica (LLC)
    - Linfoma da zona marginal (LZM): Esplénico, nodal ou extranodal
    • Ter recebido os seguintes tratamentos sistémicos para linfoma não-Hodgkin indolente previamente tratado (iNHL):
    - Um anticorpo anti-CD20; e
    - Quimioterapia
    • Pelo menos 1 lesão da doença mensurável > 1,5 cm em pelo menos uma dimensão medido por tomografia computorizada (TC)/TC-PET ou ressonância magnética (RM)
    • Capacidade de desempenho ≤ 2 de acordo com a classificação do Eastern Cooperative Oncology Group (ECOG) (corresponde à Capacidade de Desempenho Karnofsky [(KPS) ≥ 60%])
    Para a lista completa de critérios de inclusão, refira-se ao protocolo.
    E.4Principal exclusion criteria
    • Clinical evidence of transformation to a more aggressive subtype of lymphoma or grade 3B FL
    • Refractory to BR, defined as:
    − Progression of disease while receiving or within 6 months of completing bendamustine + rituximab therapy
    • Severe allergic or anaphylactic reaction to any monoclonal antibody therapy, murine protein, or known hypersensitivity to any of the study drugs
    • Received prior allogeneic transplant
    • Received prior treatment with a phosphoinositide-3-kinase (PI3K) inhibitor
    • Infection with hepatitis B, hepatitis C, or human immunodeficiency virus (HIV).
    • History of tuberculosis treatment within the two years prior to randomization
    • History of chronic liver disease, veno-occlusive disease, or alcohol abuse
    • Ongoing treatment with chronic immunosuppressants (e.g., cyclosporine) or systemic steroids > 20 mg of prednisone (or equivalent) daily (QD)
    • Ongoing treatment for systemic bacterial, fungal, or viral infection at screening
    • Unable to receive prophylactic treatment for pneumocystis, herpes simplex virus (HSV), or herpes zoster (VZV) at screening
    • Concurrent active malignancy other than adequately treated non-melanoma skin cancer or lentigo maligna without evidence of invasive disease or adequately treated carcinoma in situ without evidence of disease
    • History of stroke, unstable angina, myocardial infarction, or ventricular arrhythmia requiring medication or a pacemaker within the last 6 months prior to screening
    For full exclusion criteria list, refer to protocol.
    • Evidência clínica de transformação num subtipo mais agressivo de linfoma ou LF de grau 3B
    • Refratário a BR, definido como:
    - DP enquanto recebem terapia com bendamustina + rituximab ou nos 6 meses seguintes à conclusão dessa terapia
    • Reação alérgica grave ou anafilática a qualquer terapia com anticorpos monoclonais, proteína murina ou hipersensibilidade conhecida a qualquer um dos medicamentos do estudo
    • Receção anterior de transplante alogénico
    • Receção de tratamento anterior com um inibidor de fosfoinositídeo-3-cinase (PI3K)
    • Infeção por hepatite B, hepatite C ou vírus de imunodeficiência humana (VIH)
    • Historial de tratamento para a tuberculose nos dois anos antes da aleatorização
    • Historial de doença hepática crónica, doença veno-oclusiva ou abuso de substâncias alcoólicas
    • Tratamento em curso com imunossupressores crónicos (por exemplo, ciclosporina) ou esteroides sistémicos > 20 mg de prednisona (ou o equivalente) diariamente (uma vez ao dia)
    • Tratamento em curso para infeção bacteriana sistémica, fúngica ou viral no momento da seleção
    • A impossibilidade de receber tratamento profilático para pneumocistose, vírus herpes simplex (VHS) ou herpes zoster (VZV) no momento da seleção
    • Doença oncológica ativa concomitante que não o cancro da pele não melanoma adequadamente tratado, ou lentigo maligno sem evidência de doença invasiva, ou carcinoma cervical in situ adequadamente tratado sem evidência de doença.
    • Historial de acidente vascular cerebral, angina instável, enfarte do miocárdio ou arritmia ventricular que requeira medicação ou a utilização de um pacemaker nos 6 meses anterioes à seleção
    Para a lista completa de critérios de exclusão, refira-se ao protocolo.
    E.5 End points
    E.5.1Primary end point(s)
    Progression-Free Survival (PFS), defined as the time from randomization to documented progressive disease (PD) according to the revised International Working Group (IWG) criteria as assessed by the Independent Review Committee (IRC), or death due to any cause
    Sobrevivência livre de progressão (SLP), definida como o período de tempo decorrido entre a distribuição aleatória até à doença progressiva (DP) documentada de acordo com os critérios revistos do Grupo de Trabalho Internacional (GTI) em conformidade com a avaliação da Comissão de Revisão Independente (CRI), ou morte devido a qualquer causa
    E.5.1.1Timepoint(s) of evaluation of this end point
    From date of enrollment until the date of first documentation of progression or date of death from any cause, whatever came first, assessed up to 78 months
    Desde a data de inclusão até à data da primeira documentação de progressão ou à data de morte por qualquer causa, o que acontecer primeiro, avaliado até 78 meses.
    E.5.2Secondary end point(s)
    -Complete Response (CRR): Time Frame is every 3-6 Cycles (each cycle is 28 days) from date of randomization, until date of first documented progression. Subjects will be evaluated for progression through the primary analysis of the study or 5 years from randomization, whichever is later.
    -Overall Response Rate (ORR) : Time Frame is every 3-6 Cycles (each cycle is 28 days) from date of randomization, until date of first documented progression. Subjects will be evaluated for progression through the primary analysis of the study or 5 years from randomization, whichever is later.
    -Overall Survival (OS): Time Frame is every 6 months for up to 5 years from date of randomization.
    -Duration of Response (DOR): Time Frame is every 3-6 Cycles (each cycle is 28 days) from date of randomization, until date of first documented progression. Subjects will be evaluated for progression through the primary analysis of the study or 5 years from randomization, whichever is later.
    -Safety (Treatment- emergent adverse events (TEAEs) and changes in safety laboratory values) :Time Frame is Continuous from informed consent until 30 days from last dose
    -Pharmacokinetics (PK): Time Frame is Cycle 1 and Cycle 2 (each cycle is 28 days)] to evaluate the Duvelisib concentration in plasma sample.
    -Pharmacokinetics (PK): Time Frame is Cycle 1 and Cycle 2 (each cycle is 28 days)] to evaluate IPI-656 (metabolite) concentration in plasma sample.
    -Resposta Completa (RC): A cada 3-6 ciclos (cada ciclo tem 28 dias) desde a data de aleatorização, até à data da primeira progressão documentada. Os doentes serão avaliados para progressão pela análise primária do estudo ou 5 anos após a aleatorização, o que ocorrer em último lugar.
    - Taxa de Resposta Global (TRG): A cada 3-6 ciclos (cada ciclo tem 28 dias) desde a data de aleatorização, até à data da primeira progressão documentada. Os doentes serão avaliados para progressão pela análise primária do estudo ou 5 anos após a aleatorização, o que ocorrer em último lugar.
    - Sobrevivência Global (SG): A cada 6 meses até 5 anos após a data de aleatorização.
    - Duração da Resposta (DR): A cada 3-6 ciclos (cada ciclo tem 28 dias) desde a data de aleatorização, até à data da primeira progressão documentada. Os doentes serão avaliados para progressão pela análise primária do estudo ou 5 anos após a aleatorização, o que ocorrer em último lugar.
    - Segurança (acontecimentos adversos emergentes do tratamento (AAET) e alterações nos valores laboratoriais de segurança): Continuamente, desde o consentimento informado até 30 dias após a última dose.
    - Farmacocinética (PK): No ciclo 1 e ciclo 2 (cada ciclo tem 28 dias) para avaliar a concentração de Duvelisib na amostra de plasma.
    - Farmacocinética (PK): No ciclo 1 e ciclo 2 (cada ciclo tem 28 dias) para avaliar a concentração de IPI-656 (metabolito) na amostra de plasma.
    E.5.2.1Timepoint(s) of evaluation of this end point
    All timeframe are described in section E.5.2
    -Complete Response (CRR)
    -Overall Response Rate (ORR)
    -Overall Survival (OS)
    -Duration of Response (DOR)
    -Safety (Treatment- emergent adverse events (TEAEs) and changes in safety laboratory values)
    -Pharmacokinetics (PK)
    Todos os tempos estão descritos na secção E.5.2
    - Resposta Completa (RC)
    - Taxa de Resposta Global (TRG)
    - Sobrevivência Global (SG)
    - Duração da Resposta (DR)
    - Segurança (acontecimentos adversos emergentes do tratamento (AAET) e alterações nos valores laboratoriais de segurança)
    - Farmacocinética (PK)
    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 No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic Yes
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) 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 Yes
    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 Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned3
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA80
    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
    Argentina
    Australia
    Austria
    Belarus
    Belgium
    Brazil
    Bulgaria
    Canada
    China
    Colombia
    Czech Republic
    Denmark
    Ecuador
    Egypt
    Estonia
    Finland
    France
    Georgia
    Germany
    Greece
    Guatemala
    Hong Kong
    Hungary
    Israel
    Italy
    Japan
    Korea, Republic of
    Latvia
    Lebanon
    Lithuania
    Malaysia
    Mexico
    New Zealand
    Panama
    Peru
    Philippines
    Poland
    Portugal
    Romania
    Russian Federation
    Serbia
    Singapore
    Slovenia
    South Africa
    Spain
    Taiwan
    Thailand
    Turkey
    Ukraine
    United Kingdom
    United States
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    Última Visita do Último Doente (LPLV)
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years8
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years8
    E.8.9.2In all countries concerned by the trial months5
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 420
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 180
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state23
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 230
    F.4.2.2In the whole clinical trial 600
    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)
    normal treatment - standard of care
    tratamento normal – prática clínica
    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 Decision2016-04-28
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2016-05-30
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
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