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    Summary
    EudraCT Number:2016-003838-24
    Sponsor's Protocol Code Number:GEMCAD-1602
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2017-07-31
    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 number2016-003838-24
    A.3Full title of the trial
    A single arm Phase I-II multicenter trial with avelumab plus autologous dendritic cell vaccine in pre-treated mismatch repair-proficient (MSS) metastatic colorectal cancer patients.
    Ensayo Clínico fase I-II multicéntrico y no controlado de Avelumab más vacunas autólogas de células dendríticas en pacientes con cáncer colorrectal con genes de reparación de emparejamiento funcionales (MSS), previamente tratados.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Avelumab Plus Autologous Dendritic Cell Vaccine for patients with Metastatic Colorectal Cancer Patients that have been previously treated.
    Avelumab en combinación vacunas autólogas de células dendríticas en pacientes con cáncer colorrectal metastásico previamente tratados.
    A.3.2Name or abbreviated title of the trial where available
    AVEVAC
    A.4.1Sponsor's protocol code numberGEMCAD-1602
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT03152565
    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 SponsorGrupo Español Multidisciplinar en Cáncer Digestivo (GEMCAD)
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportMERCK KGaA
    B.4.2CountrySpain
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationMFAR Clinical Research
    B.5.2Functional name of contact pointVerónica Roca
    B.5.3 Address:
    B.5.3.1Street AddressCalle Sinfonía 28, 2ª Planta nº1
    B.5.3.2Town/ cityMadrid
    B.5.3.3Post code28054
    B.5.3.4CountrySpain
    B.5.6E-mailinvestigacion@mfar.net
    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 Bavencio
    D.2.1.1.2Name of the Marketing Authorisation holderMerck KGaA
    D.2.1.2Country which granted the Marketing AuthorisationUnited States
    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/3/16/1798
    D.3 Description of the IMP
    D.3.1Product nameAvelumab
    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 INNAVELUMAB
    D.3.9.1CAS number 1537032-82-8
    D.3.9.2Current sponsor codeAvelumab
    D.3.9.3Other descriptive nameMSB0010718C
    D.3.9.4EV Substance CodeSUB180078
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    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) Yes
    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 No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAutologous Dendritic Cells Vaccine
    D.3.2Product code ADC
    D.3.4Pharmaceutical form Solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntradermal use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNVACUNA Dendríticas + lisado
    D.3.9.3Other descriptive nameAUTOLOGOUS DENDRITIC CELLS LOADED WITH AUTOLOGOUS TUMOR LYSATE
    D.3.9.4EV Substance CodeSUB99905
    D.3.10 Strength
    D.3.10.1Concentration unit ml millilitre(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1000000
    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) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Yes
    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 Yes
    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) Yes
    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
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    MSS colorectal adenocarcinoma
    Adenocarcinoma colorrectal MSS
    E.1.1.1Medical condition in easily understood language
    MSS colorectal adenocarcinoma
    Adenocarcinoma colorrectal MSS
    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 10052358
    E.1.2Term Colorectal cancer metastatic
    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 I: To determine the recommended phase II dose (RP2D) of avelumab in combination with ADC vaccine in previously treated MSS CRC patients who have progressed at least to 2 chemotherapy lines.
    Phase II: To increase the percentage (from 20% to 40%) of pre-treated MSS mCRC patients free of progression at 6 months.
    Fase I: Determinar la dosis recomendada para la fase II (RP2D) de Avelumab en combinación con la vacuna de ACD, en pacientes con CCR MSS previamente tratados y que han progresado al menos a 2 líneas de quimioterapia.
    Fase II: Incrementar el porcentaje de pacientes con cáncer colorrectal metastásico con genes de reparación de emparejamiento funcionales (MSS) pretratados, libres de progresión a los 6 meses del 20% a 40% .
    E.2.2Secondary objectives of the trial
    1. To evaluate the safety and tolerability of avelumab in combination with ADC vaccine.
    2. To identify a favourable phenotype for efficacy.
    3. To evaluate pharmacodynamic changes between pre-treatment and on treatment tumour biopsies.
    3.1 Modified CMS classification by NanoString.
    3.2 Immunophenotype signature by NanoString.
    1. Evaluar la seguridad y tolerabilidad de Avelumab en combinación con la vacuna de ACD.
    2. Identificar un fenotipo favorable para eficacia.
    3. Evaluar los cambios farmacodinámicos en biopsias de tumores pre-tratamiento y durante el tratamiento.
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives
    A translational sub-study will be carried in order to identify a more favourable phenotype for efficacy and to evaluate changes in the phenotype after therapy.
    Se llevará a cabo un subestudio con el fin de identificar un fenotipo más favorable para la eficacia y evaluar los cambios en el fenotipo después de la terapia.
    E.3Principal inclusion criteria
    - Written informed consent of approved by the investigator’s Institutional Review Board (IRB)/Independent Ethics Committee (IEC), prior to the performance of any trial activities.
    - Histological diagnosis of MSS colorectal adenocarcinoma.
    - Metastatic disease treated with at least two chemotherapy line, with or without targeted therapies.
    - Male or female subjects aged ≥ 18 years.
    - ECOG performance status 0 or 1.
    - Measurable disease by RECIST.1.1 criteria.
    - LDH levels <1.5 ULN (ULN=450 U/L). Maximum allowed 675 U/L.
    - Adequate hepatic function defined by a total bilirubin level ≤ 1.5 × the upper limit of normality (ULN) and AST and ALT levels ≤ 2.5 × ULN or AST and ALT levels ≤ 5 x ULN (for subjects with documented metastatic disease to the liver).
    - Negative serum pregnancy test at screening for women of childbearing potential.
    - Highly effective contraception for both male and female subjects throughout the study and for at least 30 days after last avelumab treatment administration if the risk of conception exists.
    - Adequate hematological function: Haemoglobin ≥ 9 g/dL (may have been transfused). Platelet count ≥ 100 × 109/L. Absolute neutrophil count (ANC) ≥ 1.5 × 109/L.
    - Renal: Estimated creatinine clearance ≥ 30 mL/min according to the Cockcroft-Gault formula (or local institutional standard method).
    - Firma de consentimiento informado aprobado por el CEIm, antes de la realización de cualquier actividad del ensayo.
    - Diagnóstico histológico de adenocarcinoma colorrectal MSS.
    - Enfermedad metastásica tratada con al menos dos líneas de quimioterapia, con o sin terapias dirigidas.
    - Los sujetos masculinos o femeninos de edades ≥ 18 años.
    - Estado funcional ECOG 0 o 1.
    - Enfermedad medible según los criterios de RECIST.1.1.
    - Niveles de LDH <1,5 veces el LSN (LSN= 450 U/L). Máximo permitido de 675 U/L.
    - Función hepática adecuada definida por un nivel de bilirrubina total ≤ x1,5 respecto al límite superior del rango normal (LSN), niveles de AST y ALT ≤ x2,5 LSN o niveles de AST y ALT ≤ 5 x LSN (para sujetos con enfermedad metastásica hepática documentada).
    - Prueba de embarazo negativa en suero en las mujeres en edad fértil.
    - Anticonceptivo altamente eficaz tanto para los sujetos masculinos y femeninos durante todo el estudio y durante al menos 30 días después de la última administración del tratamiento Avelumab, si existe el riesgo de concepción.
    - Función hematológica adecuada:
    Hemoglobina ≥ 9 g/dL (puede haber sido transfundido).
    Recuento de plaquetas ≥ 100 x 109/L.
    Recuento absoluto de neutrófilos (RAN) ≥ 1,5 x 109/L.
    - Renal: Aclaramiento de creatinina estimada ≥ 30 ml/min, según fórmula de Cockcroft-Gault (o método local estandarizado).
    E.4Principal exclusion criteria
    1. Subjects with brain metastases.
    2. Prior organ transplantation, including allogeneic stem-cell transplantation.
    3. Presence of clinical ascites.
    4. Modified Charlson score >2 (excluded cancer).
    5. Significant acute or chronic infections including, among others:
    a) Known history of testing positive test for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS).
    b) Positive test for HBV surface antigen and / or confirmatory HCV RNA (if anti-HCV antibody tested positive).
    6. Active autoimmune disease that might deteriorate when receiving an immunostimulatory agent:
    a) Subjects with diabetes type I, vitiligo, psoriasis, hypo- or hyperthyroid disease not requiring immunosuppressive treatment are eligible.
    b) Subjects requiring hormone replacement with corticosteroids are eligible if the steroids are administered only for the purpose of hormonal replacement and at doses ≤ 10 mg/24 h of prednisone or equivalent.
    c) Administration of steroids through a route known to result in a minimal systemic exposure (topical, intranasal, intraocular, or inhalation) are acceptable.
    7. Local positive serologic determination to: HBsAg, Anti-HBc, HBV, HCV, HCV RNA, HIV-I RNA, Agp24 IIIV + AC IIIV ½ (MLIA) serum, IgG antigen core v. hepatitis B, RPR (Ac reagínicos Lues-RPR, serum), IgG cytomegalovirus (EIA), Ac anti HTLV I/II (if patient came from endemic zone), Ac anti Trypanosoma Cruzi, Chagas, (if patient came from endemic zone), when RPR positive or doubtful for confirmation: IgG T. pallidum (ELISA) IgM T pallidum (ELISA) , when IgG T. Pallidum doubtful: Pt confirmatory IgG/IGM, T pallidum (LIA).
    8. Known severe hypersensitivity reactions to monoclonal antibodies (Grade ≥ 3 NCI-CTCAE v 4.03), any history of anaphylaxis, or uncontrolled asthma.
    9. Persisting toxicity related to prior therapy of Grade >1 NCI-CTCAE v 4.03; however, alopecia and sensory neuropathy Grade ≤ 2 is acceptable.
    10. Pregnancy or lactation.
    11. Known alcohol or drug abuse.
    12. All other significant diseases (for example, inflammatory bowel disease, uncontrolled asthma), which, in the opinion of the Investigator, might impair the subject’s tolerance of trial treatment.
    13. Any psychiatric condition that would impede the understanding of informed consent.
    14. Vaccination other than study treatment is prohibited, within 4 weeks of the first dose of avelumab and while on trial.
    15. History of other tumors in the past 5 years.
    16. Active infections.
    17. Current immunosuppressive treatment, EXCEPT for the following: a) Intranasal, inhaled, topical steroids, or local steroid injection (e.g., intra-articular injection); b) Systemic corticosteroids at physiologic doses ≤ 10 mg/day of prednisone or equivalent; c) Steroids as premedication for hypersensitivity reactions (e.g., CT scan premedication).
    18. Known hypersensitivity to avelumab, ADC vaccines or their components.
    19. Legal incapacity or limited legal capacity (patients with legal representative can be enrolled in the trial).
    20. Patients with pneumonitis and pulmonary fibrosis
    21. Patients with cardiac medical history: CARDIOVASCULAR DISEASE:
    “Clinically significant (i.e., active) cardiovascular disease: cerebral vascular accident/stroke (< 6 months prior to enrollment), myocardial infarction (< 6 months prior to enrollment), unstable angina, congestive heart failure (≥ New York Heart Association Classification Class II), or serious cardiac arrhythmia requiring medication.”
    1. Pacientes con metástasis cerebrales.
    2. Trasplantes previos, incluido el de órganos y trasplante alogénico de células madre.
    3. Presencia de ascitis clínica.
    4. Escala modificada de Charlson> 2 (cáncer excluido).
    5. Infecciones agudas o crónicas significativas incluyendo, entre otros:
    a) Historia conocida de prueba positiva para el virus de la inmunodeficiencia humana (VIH) o síndrome de inmunodeficiencia adquirida conocido (SIDA).
    b)Antígeno de superficie de Hepatitis B positivo y/o de ARN del VHC confirmatorio (si el anticuerpo anti-hepatitis C es positivo).
    6. Enfermedad autoinmune activa que podría deteriorarse cuando se administre un agente inmunoestimulador:
    a) Sujetos con diabetes tipo I, vitíligo, psoriasis, hipo o hipertiroidismo que no requieren tratamiento inmunosupresor son elegibles.
    b) Sujetos que requieren reemplazo hormonal con corticosteroides son elegibles si los estos se administran sólo con el propósito de reemplazo hormonal y en dosis ≤ 10 mg/24 horas de prednisona o equivalente.
    c) Se acepta la administración de esteroides por una vía que genere en una exposición sistémica mínima (tópica, intranasal, intraocular, o inhalación).
    7. Determinación serológica positiva local a: HBsAg, Anti-HBc, HBV, HCV, ARN de VHC, ARN de VIH-I, Agp24 IIIV + suero de AC IIIV ½ (MLIA), núcleo de antígeno de IgG contra hepatitis B, RPR (Ac reagínicos Lues -RPR, suero), IgG citomegalovirus (EIA), Ac anti HTLV I / II (si el paciente procede de zona endémica), Ac anti Trypanosoma Cruzi, Chagas, si RPR positivo o dudoso para confirmación: IgG T. pallidum (ELISA) IgM T pallidum (ELISA), cuando IgG T. Pallidum dudosa: Pt confirmatoria IgG / IGM, T pallidum (LIA).
    8. Reacciones de hipersensibilidad graves conocidas a anticuerpos monoclonales (Grado ≥ 3 NCI-CTCAE v 4.03), cualquier antecedente de anafilaxia o asma no controlada.
    9. Toxicidad persistente relacionada con el tratamiento previo de Grado> 1 NCI-CTCAE v 4.03. Sin embargo, se permite alopecia y neuropatía sensorial de grado ≤ 2.
    10. Embarazo o lactancia.
    11. Abuso conocido de alcohol o drogas.
    12. Cualquier otra enfermedad significativa que en opinión del investigador, podría alterar la tolerancia del sujeto al tratamiento del estudio (por ejemplo, enfermedad inflamatoria intestinal, asma no controlado).
    13. Cualquier condición psiquiátrica que dificulte la comprensión del consentimiento informado.
    14. El tratamiento con vacunas diferentes a las del estudio está prohibido, dentro de las 4 semanas previas de la primera dosis de Avelumab y durante el ensayo.
    15. Antecedentes de otros tumores en los últimos 5 años.
    16. Infección activa.
    17. Tratamiento inmunosupresor actual, con excepción de lo siguiente:
    a) Esteroides intranasales, tópicos inhalados, o inyección local de esteroides (por ejemplo, inyección intra-articular);
    b) Los corticosteroides sistémicos a dosis fisiológicas ≤ 10 mg/día de prednisona o equivalente;
    c) Esteroides como premedicación para las reacciones de hipersensibilidad (por ejemplo, premedicación para TC).
    18. Hipersensibilidad conocida a Avelumab, vacunas ACD o sus componentes.
    19. Incapacidad legal y la capacidad legal limitada (se pueden incluir pacientes con representante legal).
    20. Pacientes con neumonitis y fibrosis pulmonar.
    21. Pacientes con antecedentes de enfermedad cardiovascular clínicamente significativa (activa), incluyendo accidente cerebrovascular/isquemia cerebral (<6 meses antes de la inclusión), infarto de miocardio (<6 meses antes de la inclusión), angina inestable, insuficiencia cardíaca congestiva (Clasificación New York Heart Association ≥ Clase II), o arritmia cardiaca grave que requiera de tratamiento farmacológico.
    E.5 End points
    E.5.1Primary end point(s)
    Phase I: recommended phase II dose (RP2D) of avelumab in combination with ADC vaccine in previously treated MSS CRC patients who have progressed at least to 2 chemotherapy lines.

    Phase II: To increase the percentage (from 20% to 40%) of pre-treated MSS mCRC patients free of progression at 6 months.
    Fase I: Determinar la dosis recomendada para la fase II (RP2D) de Avelumab en combinación con la vacuna de ACD, en pacientes con CCR MSS previamente tratados y que han progresado al menos a 2 líneas de quimioterapia.

    Fase II: Incrementar el porcentaje de pacientes con cáncer colorrectal metastásico con genes de reparación de emparejamiento funcionales (MSS) pretratados, libres de progresión a los 6 meses del 20% a 40% .
    E.5.1.1Timepoint(s) of evaluation of this end point
    Phase I: 1rst cycle
    Phase II: 6 months
    Fase I: primer ciclo
    Fase II: 6 meses
    E.5.2Secondary end point(s)
    1. To evaluate the safety and tolerability of avelumab in combination with ADC vaccine.
    2. To identify a favourable phenotype for efficacy.
    3. To evaluate pharmacodynamic changes between pre-treatment and on treatment tumour biopsies.
    - Evaluar la seguridad y tolerabilidad de Avelumab en combinación con la vacuna de ACD.
    - Identificar un fenotipo favorable para eficacia.
    - Evaluar los cambios farmacodinámicos en biopsias de tumores pre-tratamiento y durante el tratamiento.
    E.5.2.1Timepoint(s) of evaluation of this end point
    18 months
    18 meses
    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 Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    E.6.10Pharmacogenetic Yes
    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
    Dose feasibilty in 3+3 modified phase I trial
    Factibilidad de dosis en modelo de fase I 3+3 modificado
    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 concerned9
    E.8.5The trial involves multiple Member States No
    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
    End of study has been defined as the Last Visit of the Last Patient (LVLP)
    Fin del estudio se ha definido como la última visita del último paciente (LVLP)
    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 months
    E.8.9.1In the Member State concerned days
    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: 33
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 33
    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
    Patients with legal representative can be enrolled in the trial.
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state33
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Standard treatment according patient's clinical condition.
    Tratamiento habitual previsto para la situación clínica del paciente.
    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 Decision2018-03-12
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2018-01-18
    P. End of Trial
    P.End of Trial StatusOngoing
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