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    Summary
    EudraCT Number:2016-001099-31
    Sponsor's Protocol Code Number:I5B-MC-JGDP
    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:2017-05-08
    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 number2016-001099-31
    A.3Full title of the trial
    A Phase 1b (Open-Label) / Phase 2 (Randomized, Double-Blinded) Study Evaluating Nab-Paclitaxel and Gemcitabine With or Without Olaratumab in the Treatment of First-Line Metastatic Pancreatic Cancer
    Estudio de fase 1b (abierto) / fase 2 (aleatorizado, con doble enmascaramiento), en el que se evalúan nab-paclitaxel y gemcitabina, con o sin olaratumab, como tratamiento de primera línea del cáncer de páncreas metastásico
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A study of nab-paclitaxel and gemcitabine with or without olaratumab for treatment of pancreatic cancer that has spread to other parts of the body.
    Estudio en el que se evalúan nab-paclitaxel y gemcitabina, con o sin olaratumab, como tratamiento del cáncer de páncreas que se ha extendido a otras partes del cuerpo.
    A.4.1Sponsor's protocol code numberI5B-MC-JGDP
    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 SponsorLilly S.A.
    B.1.3.4CountrySpain
    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 supportEli Lilly and Company
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationLilly S.A.
    B.5.2Functional name of contact pointAna Isabel Almansa
    B.5.3 Address:
    B.5.3.1Street AddressAvenida de la Industria 30
    B.5.3.2Town/ cityAlcobendas/Madrid
    B.5.3.3Post code28108
    B.5.3.4CountrySpain
    B.5.4Telephone number+34916633455
    B.5.5Fax number+34916633481
    B.5.6E-mailalmansa_ana_isabel@lilly.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 Yes
    D.2.1.1.1Trade name Lartruvo
    D.2.1.1.2Name of the Marketing Authorisation holderEli Lilly Nederland B.V
    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 nameolaratumab
    D.3.2Product code LY3012207
    D.3.4Pharmaceutical form 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 INNolaratumab
    D.3.9.1CAS number 1024603-93-7
    D.3.9.3Other descriptive nameOLARATUMAB
    D.3.9.4EV Substance CodeSUB67904
    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 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
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for infusion
    D.8.4Route of administration of the placeboIntravenous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    First-Line Metastatic Pancreatic Cancer
    Cáncer de páncreas metastásico en primera línea de tratamiento
    E.1.1.1Medical condition in easily understood language
    Pancreatic cancer that has spread to other areas of the body.
    Cáncer de páncreas que se ha extendido a otras partes del cuerpo.
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10073364
    E.1.2Term Ductal adenocarcinoma of pancreas
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Phase Ib: To determine a recommended Phase 2 dose of olaratumab in combination with nab-paclitaxel and gemcitabine

    Phase II: To compare the efficacy of olaratumab plus nab-paclitaxel and gemcitabine with placebo plus gemcitabine and nab-paclitaxel
    Fase Ib: Determinar la dosis recomendada de olaratumab para la fase 2, en combinación con nab-paclitaxel y gemcitabina
    Fase 2: Comparar la eficacia de olaratumab junto con nab-paclitaxel y gemcitabina con la del placebo administrado con nab-paclitaxel y gemcitabina
    E.2.2Secondary objectives of the trial
    Phase 1b
     to characterize the safety and toxicity profile of
    olaratumab plus nab-paclitaxel and gemcitabine
     to evaluate the PK and immunogenicity of olaratumab
    plus nab-paclitaxel and gemcitabine
     to document the antitumor activity observed with
    olaratumab plus nab-paclitaxel and gemcitabine
    Phase 2
     to assess time-to-event variables
     to document the antitumor activity observed with
    olaratumab plus nab-paclitaxel and gemcitabine
     to assess PROs: pain, HRQoL, and health status
     to determine safety and tolerability of olaratumab in
    combination with nab-paclitaxel and gemcitabine
     to assess the PK and immunogenicity
    Fase Ib
    • Caracterizar el perfil de seguridad y toxicidad de olaratumab cuando se administra con nab-paclitaxel y gemcitabina
    • Evaluar la FC y la inmunogenicidad de olaratumab cuando se administra con nab-paclitaxel y gemcitabina
    • Documentar la actividad antineoplásica que se observa cuando se administra olaratumab junto con nab-paclitaxel y gemcitabina
    Fase 2
    • Evaluar las variables del “tiempo transcurrido hasta el evento”
    • Documentar la actividad antineoplásica que se observa cuando se administra olaratumab junto con nab-paclitaxel y gemcitabina
    • Evaluar los RPP: dolor, CdVRS y el estado de salud
    • Determinar la seguridad y la tolerabilidad de olaratumab cuando se administra en combinación con nab-paclitaxel y gemcitabina
    • Evaluar la FC y la inmunogenicidad
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    [1] have histological or cytological diagnosis of adenocarcinoma of the exocrine
    pancreas that is metastatic (Stage IV) and not amenable to resection with
    curative intent and be patients for whom nab-paclitaxel-gemcitabine therapy is
    considered by the investigator to be an appropriate treatment. Patients with
    previous radical surgery for pancreatic cancer are eligible after progression is
    documented.
    [2] if present, clinically significant or symptomatic amounts of ascites should be
    drained prior to Day 1
    [3] have sufficient available material from an archived formalin-fixed paraffinembedded
    (FFPE) tumor tissue for biomarker-related studies. If such tissue is
    not available, a newly obtained core or excisional biopsy of a tumor lesion
    must be performed in the Phase 2 portion of the study.
    [4] The patient has measurable or nonmeasurable but evaluable disease as defined
    by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1,
    Eisenhauer et al. 2009). Tumors within a previously irradiated field will be
    designated as “nontarget” lesions unless progression is documented or a
    biopsy is obtained to confirm persistence at least 90 days following
    completion of radiotherapy.
    [5] have had no prior systemic treatment for metastatic disease. Prior adjuvant or
    neo-adjuvant chemotherapy or radiochemotherapy use of gemcitabine
    monotherapy is allowed if completed ≥ 3 months prior to enrollment. Prior
    treatment with 5-Fluorouracil (5-FU) administered as a radiation sensitizer in
    the adjuvant setting is allowed, if completed ≥3 months prior to enrollment
    and no lingering toxicities are present.
    [6] prior radiation therapy for treatment of cancer is allowed to <25% of the bone
    marrow (Cristy and Eckerman 1987). Patients must have recovered from the
    acute toxic effects of their treatment prior to study enrollment. Prior
    radiotherapy must be completed ≥3 months prior to study entry.
    [7] have a performance status (PS) of 0 to 1 on the Eastern Cooperative Oncology
    Group (ECOG) scale (Oken et al. 1982)
    [8] have discontinued all previous treatments for cancer and recovered from the
    acute effects of therapy. Patients must have discontinued from previous
    treatments (radiotherapy/
    [9] have adequate organ function
    [10] are at least 18 years old at the time of screening/randomization
    [11] If male, the patient is sterile (including vasectomy) or agrees to use an
    effective method of birth control. Refer to Appendix 1 for definitions of
    effective method
    [12] If female:
    o is not of childbearing potential due to surgical sterilization confirmed by
    medical history (at least 6 weeks post-surgical bilateral oophorectomy with or
    without hysterectomy or tubal ligation) or menopause
    o is of childbearing potential, has a negative serum or urine pregnancy test
    within 72 hours prior to the first dose of study treatment, agrees to use a
    highly effective method of birth control during the study and for up to
    120 days following the last dose of the study treatment, and is not
    breastfeeding. If the urine test is positive or cannot be confirmed as negative,
    a serum pregnancy test will be required. Refer to Appendix 1 for definitions
    of effective method of contraception and highly effective method of
    contraception.
    [13] have given written informed consent/assent prior to any study-specific
    procedures
    [14] has a life expectancy of at least 3 months in the opinion of the investigators
    [1] Diagnóstico histológico o citológico de adenocarcinoma del páncreas exocrino, metastásico (estadio IV) y no tributario de tratamiento curativo mediante resección. Por otra parte, que el investigador considere que el tratamiento con nab-paclitaxel y gemcitabina es adecuado.
    Los pacientes que se hayan sometido anteriormente a cirugía radical para el cáncer de páncreas podrán considerarse idóneos una vez que se haya documentado la progresión de la enfermedad.
    [2] En caso de que el paciente presente una cantidad clínicamente importante o sintomática de ascitis, debe drenarse antes del día 1.
    [3] Contar con muestra suficiente de tejido tumoral conservado (fijado en formol e incluido en parafina [FFIP]) para analizar los biomarcadores. Si no se dispone de tejido, en la parte del estudio de fase 2 deberá realizarse una nueva biopsia con aguja gruesa o por escisión de una lesión tumoral.
    [4] Enfermedad mensurable, o no mensurable pero evaluable, de acuerdo con los Criterios de evaluación de la respuesta en los tumores sólidos, (RECIST 1.1, Eisenhauer et al. 2009). Los tumores que se encuentren en una zona a la que se hubiera irradiado anteriormente se denominarán lesiones “no diana”, a menos que se documente la progresión de la enfermedad o se realice una biopsia para confirmar la persistencia de la enfermedad, al menos 90 días después de haber completado la radioterapia.
    [5] No haber recibido anteriormente tratamiento sistémico para el cáncer metastásico. Se permite que el paciente haya recibido quimioterapia o radioquimioterapia adyuvante o neoadyuvante con gemcitabina en monoterapia, siempre que el tratamiento haya finalizado ≥ 3 meses antes del reclutamiento. Se permite que el paciente haya recibido tratamiento adyuvante con 5-fluorouracilo (5-FU) como sensibilizante a la radiación, si el tratamiento ha finalizado ≥ 3 meses antes del reclutamiento y el paciente no presenta toxicidad asociada.
    [6] Se permite que el paciente haya recibido tratamiento radioterápico antineoplásico, siempre que hubiera afectado a menos del 25 % de la médula ósea (Cristy y Eckerman, 1987). Para que se les pueda reclutar en el estudio, los pacientes deben haberse recuperado de los efectos tóxicos inmediatos del tratamiento. La radioterapia previa debe haber finalizado ≥ 3 meses antes de la inclusión en el estudio.
    [7] Categoría funcional (CF) de 0 o 1 en la escala del Eastern Cooperative Oncology Group (ECOG) (Oken et al. 1982).
    [8] Haber dejado de recibir definitivamente todos los tratamientos antineoplásicos anteriores y haberse recuperado de los efectos inmediatos del tratamiento. Los pacientes deberán haber dejado de recibir definitivamente todos los tratamientos anteriores (radioterapia/
    [9] Función orgánica aceptable.
    [10] Tener al menos 18 años en el momento de la selección/aleatorización
    [11] Los varones deben ser estériles (lo que incluye haberse sometido a una vasectomía) o estar de acuerdo en utilizar un método anticonceptivo eficaz. En el anexo 1 se define qué se entiende por “método eficaz”.
    [12] Las mujeres:
    • no son fértiles, al estar esterilizadas quirúrgicamente (desde hace al menos 6 semanas, mediante ovariectomía bilateral, con o sin histerectomía, o ligadura de trompas) y siempre que se haya confirmado en los antecedentes médicos o por la presencia de menopausia;
    • son fértiles, pero presentan resultados negativos en una prueba de embarazo en suero u orina, en el transcurso de las 72 horas anteriores a la primera dosis del tratamiento del estudio, están de acuerdo en utilizar un método anticonceptivo muy eficaz durante el estudio y hasta 120 días después de la última dosis del tratamiento del estudio, y no se encuentran en período de lactancia. Si los resultados de la prueba en orina son positivos o no se puede confirmar que sean negativos, deberá realizarse una prueba de embarazo en suero. En el anexo 1 se indica qué se entiende por un método anticonceptivo eficaz o muy eficaz.
    [13] Haber proporcionado el consentimiento/asentimiento informado por escrito antes de la realización de cualquier procedimiento específico del estudio.
    [14] Esperanza de vida de al menos 3 meses, de acuerdo con el criterio del investigador
    E.4Principal exclusion criteria
    [15] have received first line treatment for metastatic pancreatic cancer.
    [16] have received prior treatment with FOLFOX or FOLFIRINOX.
    [17] have a serious concomitant systemic disorder (for example, active infection
    including human immunodeficiency virus, or cardiac disease) or other
    condition that, in the opinion of the investigator, would compromise the
    patient’s ability to adhere to the protocol
    [18] have known central nervous system (CNS) malignancy or metastasis
    (screening not required)
    [19] have current hematologic malignancies, acute or chronic leukemia
    [20] have participated within the last 30 days in a clinical trial involving an
    investigational product. If the previous investigational product has a long
    half-life, 3 months or 5 half-lives (whichever is longer) should have passed.
    [21] are women with a positive pregnancy test or who are lactating
    [22] have endocrine pancreatic tumors or ampullary cancer
    [23] are currently enrolled in a clinical trial involving an investigational product or
    any other type of medical research judged not to be scientifically or medically
    compatible with this study
    [24] have a history of any other cancer (except non-melanoma skin cancer or
    carcinoma in-situ), unless in complete remission and off all therapy for that
    disease for a minimum of 1 year
    [25] have known allergy to nab-paclitaxel, gemcitabine, or any ingredient of
    olaratumab, nab-paclitaxel, or gemcitabine formulations
    [15] Haber recibido tratamiento de primera línea para el cáncer de páncreas metastásico.
    [16] Haber recibido anteriormente tratamiento con FOLFOX o FOLFIRINOX.
    [17] Presentar un trastorno sistémico concomitante grave (por ejemplo, una infección activa, incluido el virus de la inmunodeficiencia humana, o una cardiopatía) u otra enfermedad que, en opinión del investigador, podría afectar su capacidad para cumplir el protocolo.
    [18] Presentar neoplasias malignas o metástasis en el sistema nervioso central (SNC) (no se necesitan pruebas de detección).
    [19] Presentar en la actualidad neoplasias hematológicas malignas o leucemia crónica o aguda.
    [20] Haber participado en el transcurso de los 30 últimos días en un ensayo clínico en el que se administrara un producto en fase de investigación. En caso de que el producto en fase de investigación que se hubiera administrado tenga una semivida prolongada, deberán haber transcurrido 3 meses o 5 semividas (lo que sea mayor).
    [21] Mujeres con resultado positivo en una prueba de embarazo o que se encuentren en período de lactancia.
    [22] Presentar tumores endocrinos del páncreas o cáncer ampular.
    [23] Participar en la actualidad en un ensayo clínico en el que se administre un producto en fase de investigación o en cualquier otro tipo de investigación médica que se considere incompatible con el estudio desde un punto de vista científico o médico.
    [24] Presentar antecedentes de cualquier otro cáncer (excepto cáncer de piel no melanomatoso o carcinoma localizado), salvo si se encuentra en remisión completa desde hace al menos 1 año, sin ningún tipo de tratamiento.
    [25] Presentar alergia a nab-paclitaxel, gemcitabina o a cualquier ingrediente de las formas farmacéuticas de olaratumab, nab-paclitaxel o gemcitabina.
    E.5 End points
    E.5.1Primary end point(s)
    Phase 1b
     DLTs
     Safety (including but not limited to) TEAEs, SAEs,
    and clinical laboratory abnormalities
    Phase 2
     OS
    Fase 1b
    • TLD
    • Seguridad (entre otros parámetros): AAST, AAG y resultados anómalos en los análisis clínicos
    Fase 2
    • SG
    E.5.1.1Timepoint(s) of evaluation of this end point
    DLT-evaluable Population: The DLT-evaluable population will include all enrolled patients
    who complete Cycle 1 or discontinue due to a DLT prior to completing Cycle 1 treatment.
    Safety population: All enrolled patients who receive any quantity of study treatment, regardless
    of their eligibility for the study, will be included in the safety analysis. Safety evaluation will be
    performed based on the actual initial therapy a patient has received, regardless of any other
    cohort to which he or she was assigned.

    The primary analysis of OS will be performed when a
    minimum of 113 OS events have been observed.
    Población evaluable para determinar las TLD: incluirá a todos los pacientes reclutados que completen el ciclo 1 o que dejen de recibir definitivamente el tratamiento antes de completar el ciclo 1 a causa de una TLD.

    Población para el análisis de la seguridad: incluirá a todos los pacientes reclutados que reciban cualquier cantidad del tratamiento del estudio, independientemente de su idoneidad para participar en el estudio.
    La evaluación de la seguridad se realizará en función del tratamiento inicial que el paciente haya recibido realmente, independientemente de la cohorte a la que se le hubiera asignado.
    El análisis principal de la SG se llevará a cabo cuando se hayan observado al menos 113 eventos de SG.
    E.5.2Secondary end point(s)
    Phase 1b
     Safety monitoring, including TEAEs, SAE, and deaths
     Minimum serum/plasma concentration of olaratumab
    plus nab-paclitaxel and gemcitabine
     OS, PFS, ORR, and DoR
    Phase 2
     PFS, DoR
     ORR
     mBPI-sf, EORTC-QLQ-C30, and EQ-5D-5L
     TEAEs, AESI, SAEs, clinical laboratory tests, vital
    signs, physical examinations, hospitalization, and
    deaths
     Minimum serum/plasma concentration of olaratumab
    plus nab-paclitaxel and gemcitabine
    Fase 1b
    • Seguimiento de la seguridad, entre otros parámetros, los AAST, los AAG y las muertes
    • Concentración plasmática/sérica mínima de olaratumab cuando se administra con nab-paclitaxel y gemcitabina
    • SG, SSP, TRO y DdR
    Fase 2
    • SSP, DdR
    • TRO
    • mBPI-sf, EORTC-QLQ-C30 y EQ-5D-5L
    • AAST, AAIE, AAG, análisis clínicos, constantes vitales, exploraciones físicas, hospitalizaciones y muertes
    • Concentración plasmática/sérica mínima de olaratumab cuando se administra con nab-paclitaxel y gemcitabine
    E.5.2.1Timepoint(s) of evaluation of this end point
    An interim analysis that includes both safety and efficacy will be conducted. The analysis will
    occur after at least 70 OS events have been observed among Phase 2 patients. The interim
    analysis will not be used for purposes of formally testing any efficacy hypotheses, but
    descriptive efficacy results will be considered in order to decide whether or not a separate
    Phase 3 trial evaluating olaratumab in combination with nab-paclitaxel and gemcitabine should
    be initiated.
    Se realizará un análisis provisional de la seguridad y la eficacia. El análisis se realizará una vez que se hayan observado 70 eventos de SSP en los pacientes de la fase 2. El análisis provisional no se utilizará para contrastar formalmente ninguna de las hipótesis relativas a la eficacia, sino que se considerarán los resultados descriptivos de la eficacia a la hora de decidir si debe comenzarse otro ensayo de fase 3 para evaluar la administración de olaratumab en combinación con nab-paclitaxel y gemcitabina.
    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 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) Yes
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other Yes
    E.7.1.3.1Other trial type description
    Phase 1b
    Fase 1b
    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 Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    Phase 1b of the study is open label. Phase 2 is double-blind
    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 Yes
    E.8.4 The trial involves multiple sites in the Member State concerned No
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA3
    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
    Germany
    Italy
    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
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months7
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months7
    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: 74
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 112
    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 state7
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 13
    F.4.2.2In the whole clinical trial 186
    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)
    Patients without disease progression may continue to receive treatment until the development of unacceptable toxicity, death, or other discontinuation criteria are met . There are no study specific treatment plans for patients that discontinue from the study,
    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 Decision2017-07-12
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2017-06-23
    P. End of Trial
    P.End of Trial StatusCompleted
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