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    Summary
    EudraCT Number:2017-000373-36
    Sponsor's Protocol Code Number:997HA402
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2021-01-22
    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 ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2017-000373-36
    A.3Full title of the trial
    A Non-controlled, Open-Label, Multicenter, Study of Efficacy of rFVIIIFc for Immune Tolerance Induction (ITI) in Severe Hemophilia A Subjects with Inhibitors Undergoing the First ITI Treatment
    Studio multicentrico, in aperto, non controllato sull'efficacia di rFVIIIFc per l'induzione della tolleranza immunologica (ITI) in soggetti affetti da emofilia A grave con inibitori, che si sottopongono al Primo trattamento ITI.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A clinical study exploring the use of rFVIIIFc in patients with severe Haemophilia A who are undergoing Immune Tolerance Induction (ITI) for the first time
    Uno studio clinico che esplora l¿uso di rFVIIIFc in pazienti con grave emofilia A, che vengono sottoposti per la prima volta a induzione della tolleranza immunologica (ITI)
    A.3.2Name or abbreviated title of the trial where available
    A clinical study exploring the use of rFVIIIFc in patients with severe Haemophilia A who are undergo
    Uno studio clinico che esplora l¿uso di un fattore, chiamato rFVIIIFc, in pazienti con grave emofili
    A.4.1Sponsor's protocol code number997HA402
    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 SponsorBIOVERATIV THERAPEUTICS 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 supportBioverativ Therapeutics Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationBioverativ Therapeutics Inc
    B.5.2Functional name of contact pointna
    B.5.3 Address:
    B.5.3.1Street Address225 Second Avenue
    B.5.3.2Town/ cityWaltham, MA
    B.5.3.3Post code02451
    B.5.3.4CountryUnited States
    B.5.4Telephone number0000000
    B.5.5Fax number00000000
    B.5.6E-mailclinicaltrials@bioverativ.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 ELOCTA
    D.2.1.1.2Name of the Marketing Authorisation holderSwedish Orphan Biovitrum AB (publ)
    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 namerecombinant Factor VIII Fc
    D.3.2Product code rFVIIIFc
    D.3.4Pharmaceutical form Powder and solvent for 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 INNna
    D.3.9.2Current sponsor codeBIIB031
    D.3.9.3Other descriptive namerFVIIIFc, recombinant Factor FVIII Fc
    D.3.9.4EV Substance CodeSUB168409
    D.3.10 Strength
    D.3.10.1Concentration unit IU international unit(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    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 Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    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
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Hemophilia A
    Emofilia A
    E.1.1.1Medical condition in easily understood language
    Hemophilia A is a genetic disorder that impairs the body's ability to control blood clotting or coagulation, which is used to stop bleeding.
    L¿emofilia A ¿ un disturbo genetico che riduce la capacit¿ dell¿organismo di
    controllare la coagulazione del sangue, che a sua volta viene utilizzata per bloccare le emorragie
    E.1.1.2Therapeutic area Diseases [C] - Blood and lymphatic diseases [C15]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10060613
    E.1.2Term Hemophilia A (Factor VIII)
    E.1.2System Organ Class 100000004850
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10053751
    E.1.2Term Hemophilia A with anti factor VIII
    E.1.2System Organ Class 100000004850
    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 the study is to describe the time to tolerance (i.e., ITI succes) with rFVIIIFc in subjects within a maximum of 48 weeks (12 months) of ITI treatment.
    L¿obiettivo principale dello studio ¿ quello di descrivere il tempo richiesto all¿insorgenza della tolleranza (per es il trattamento ITI) con rFVIIIFc in soggetti che hanno ricevuto un periodo massimo di 48 settimane (12 mesi) di trattamento ITI.
    E.2.2Secondary objectives of the trial
    ¿To describe the outcome of ITI treatment
    ¿To describe the relapse rate over the 48-week (12 mesi) period following successful ITI performed with rFVIIIFc
    ¿To describe the intercurrent bleeding during ITI and during the 48-week (12 months) period after successful ITI performed with rFVIIIFc
    ¿To describe the safety and tolerability of rFVIIIFc when used for ITI
    ¿To evaluate the impact of ITI treatment with rFVIIIFc on health economics and adherence
    ¿ Descrivere l¿esito del trattamento ITI
    ¿ Descrivere il tasso di ricaduta nel periodo di 48 settimane (12 mesi) successivo
    a una ITI eseguita con rFVIIIFc con esito positivo
    ¿ Descrivere l¿emorragia intercorrente durante l¿ITI e durante il periodo di 48 settimane (12 mesi) successivo a una ITI eseguita con rFVIIIFc con esito positivo
    ¿ Descrivere la sicurezza e la tollerabilit¿ di rFVIIIFc quando usato per ITI
    ¿ Valutare l¿impatto del trattamento ITI con rFVIIIFc sull¿economia e la compliance sanitaria
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1.Ability of the subject or his legally authorized representative (e.g., parent or legal guardian) to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use protected health information in accordance with national and local subject privacy regulations.
    2.Male subjects of any age diagnosed with severe hemophilia A (as confirmed from the medical record).
    3.Currently diagnosed with high titer inhibitors (historical peak =5 BU/mL, according to medical records)
    4.Previously treated with any plasma-derived or recombinant conventional or Extended Half-Life FVIII.
    1.Abilità del soggetto o o del suo rappresentante legalmente autorizzato (ad esempio genitore o tutore legale) per comprendere lo scopo ei rischi dello studio e fornire consenso informato firmato e datato e l’autorizzazione per utilizzare le informazioni sanitarie protette in conformità alle normative nazionali e locali in materia di privacy.
    2. Soggetti di sesso maschile di qualsiasi età con diagnosi di emofilia A grave (come
    confermato dalle cartelle cliniche).
    3. Pazienti attualmente diagnosticati con inibitori ad alta titolazione (picco storico =5 BU/ml,
    secondo le cartelle cliniche)
    4. Pazienti precedentemente trattati con FVIII derivati dal plasma o ricombinanti
    convenzionali o con emivita estesa.
    E.4Principal exclusion criteria
    1. Other coagulation disorder(s) in addition to hemophilia A.
    2. Previous ITI
    3. History of hypersensitivity or anaphylaxis associated with any rFVIIIFc administration.
    4. Planned major surgery scheduled during the study unless deferred until after study completion (minor surgery such as tooth extraction or insertion/replacement of central venous access device is allowed)
    5. Abnormal renal function (serum creatinine > 1.5 mg/dl or 2x upper limit of normal (ULN) for subject age based on local laboratory range) as assessed by local laboratory.
    6. Serum alanine aminotransferase or aspartate aminotransferase >5 × upper limit of normal (ULN) as assessed by local laboratory.
    7. Serum total bilirubin >3 × ULN as assessed by local laboratory
    8. Current enrollment or a plan to enroll in any interventional clinical study in which an investigational treatment or approved therapy, other than rFVIIIFc, for investigational use is administered within 30 days (or 5 half-lives of the agent, whichever is longer) prior to the Baseline Visit.
    9. Inability to comply with study requirements.
    10. Presence of any medical or psychological condition or laboratory result that in the opinion of the Investigator can interfere with the subject’s ability to comply with the protocol requirements or makes the subject not appropriate for inclusion to the study and treatment with Elocta/Eloctate (rFVIIIFc).
    11. Other unspecified reasons that, in the opinion of the Investigator or Bioverativ, make the subject unsuitable for enrollment.
    12. Unwillingness or inability to comply with the requirements of the protocol, including the presence of any condition (physical, mental, or social) that prevents the subject from participating in visits as scheduled or entering required information into the EDP in a timely manner
    13. Concurrent systemic treatment with immunosuppressive drugs within 12 weeks (3 mesi) prior to Screening. Exceptions to this include: ribavirin for treatment of hepatitis C virus (HCV), and/or systemic steroids (a total of 2 courses of pulse treatments lasting no more than 7 days within 12 weeks (3 mesi) prior to Day 1) and/or inhaled steroids
    14. High risk of cardiovascular, cerebrovascular, or other thromboembolic events, as judged by the Investigator. The following criteria refer to tests performed within 26 weeks (6.5 months) prior to Screening. If not available, a new test will be drawn at the Screening visit.
    15. Cluster of differentiation 4 (CD4) lymphocytes < 200 mm3 at Screening, if known as human immunodeficiency virus (HIV) antibody positive based on medical history or HIV testing
    16. Viral load of >400 copies/mL at Screening, if known HIV antibody positive, based on medical history.
    1. Altro(i) disturbo(i) di coagulazione in aggiunta all’emofilia A.
    2. Precedente ITI
    3. Anamnesi con reazioni di ipersensibilità associate alla somministrazione
    di rFVIIIFc
    4. Interventi chirurgici importanti programmati durante lo studio a meno che dovranno essere posticipati a dopo il completamento dello studio (sono consentiti interventi minori come l’estrazione di un dente o l’inserimento/sostituzione di cateteri venosi centrali)
    5. Funzione renale anomala (creatinina serica >1,5 mg/dl o 2x limite superiore del normale (ULN) per soggetto in base al range di laboratorio locale) valutata da un laboratorio locale
    6. Alanina aminotransferasi (ALT) o aspartato aminotransferasi (AST) nel siero >5 volte superiore al limite della norma (ULN), valutato da un laboratorio locale
    7. Bilirubina totale nel siero >3 volte l’ULN, valutata da laboratorio locale
    8. Partecipazione o intenzione di partecipare a uno studio clinico interventistico in cui un trattamento sperimentale o una terapia approvata, diverse rispetto a rFVIIIFc, per l'impiego della sperimentazione viene somministrato entro 30 giorni (o 5 mesi di vita dell'agente, a seconda di quale è più lungo) prima della visita di base.
    9. Incapacità di rispettare i requisiti di studio.
    10. Presenza di condizioni mediche o psicologiche o esami di laboratorio che, a giudizio dello sperimentatore, possono interferire con la
    capacità del paziente di rispettare i requisiti del protocollo o che rendono il paziente non adatto per l’inclusione nello studio e nel trattamento con r Elocta/Eloctate (rFVIIIFc)
    11. Altre ragioni non specificate che, a giudizio dell'Investigatore o di Bioverativ, rendono il soggetto inadatto all’arruolamento
    12. Rifiuto o incapacità di conformarsi ai requisiti del protocollo, inclusa la presenza di qualsiasi condizione (fisica, mentale o sociale) che impedisce al soggetto di partecipare alle visite come previsto o di inserire in tempi ragionevoli le informazioni richieste nell’EPD
    13. Contemporaneo trattamento sistemico con farmaci immunosoppressori nelle 12 settimane (3 mesi) prima dello screening. Le eccezioni includono: ribavirina per
    il trattamento del virus dell’epatite C (HCV) e/o steroidi sistemici (un totale di 2 cicli di trattamenti del battito cardiaco che non durino più di 7 giorni entro le 12 settimane (3 mesi) precedenti il giorno 1) e/o steroidi per inalazione
    14. Elevato rischio di eventi cardiovascolari, cerebrovascolari o altri eventi tromboembolitici, come stabilito dal medico di studio.
    I seguenti criteri si riferiscono a test effettuati entro 26 settimane (6,5 mesi) prima dello screening. Se non disponibili, un nuovo test deve essere effettuato alla visita di screening.
    15 Cluster di differenziazione 4 (CD4) nei linfociti < 200 mm3, se noto come
    anticorpo del virus dell'immunodeficienza umana (HIV) positivo sulla base della storia medica o del test HIV
    16. Carica virale di > 400 copie/ml allo screening, se un anticorpo noto dell’HIV risulta positivo sulla base della storia medica


    E.5 End points
    E.5.1Primary end point(s)
    The primary endpoint of this study is time to tolerization with a
    maximum of 48 weeks (12 months) ITI treatment offered in the study.
    (Tolerization defined as inhibitor titer <0.6BU/ml, rFVIIIFc incremental
    recovery [IR] = 66% of the expected IR, and t1/2 of =7hrs)
    L'endpoint primario di questo studio è il tempo alla tolleranza con un trattamento ITI di massimo di 48 settimane (12 mesi) offerto nello studio. (Tolleranza definita come titolazione dellì inibitore <0.6BU / ml, recupero rFVIIIFc recupero incrementale (IR) > 66% dell’IR atteso e t1 / 2 di =7hrs)
    E.5.1.1Timepoint(s) of evaluation of this end point
    The primary endpoint of time to tolerization with a maximum of 12
    months (48 weeks) of ITI treatment, will be summarized descriptively using minimum, mean, standard deviation, median, 25th and 75th
    quartiles, and maximum. A Kaplan-Meier plot showing percentage of
    subjects who are tolerized against time from the first ITI infusion will
    also be generated. Subjects not achieving ITI success during the 12
    month (48-week) ITI period will be censored at the last observed time
    for this analysis. The ITIFAS will be used for this analysis
    Verrà fornito un riepilogo dell’endpoint primario del tempo alla tolleranza con un massimo di 12 mesi (48 settimane) di trattamento ITI in maniera descrittiva usando la deviazione minima, media e standard, i quartili mediano, 25º e 75° e il massimo. Verrà anche generato un tracciato di Kaplan-Meier con la percentuale di soggetti tolleranti rispetto al tempo dalla prima infusione dell’ITI. I soggetti che non avranno ottenuto esito positivo nella ITI durante i 12 mesi (48 settimane) del periodo di ITI saranno censurati all’ultima osservazione per questa analisi. Per questa analisi verrà utilizzato l’insieme di analisi ITIFAS
    E.5.2Secondary end point(s)
    ¿ITI success
    oConfirmed negative titers consisting of 2 consecutive negative inhibitor
    assessments within 2 weeks (+/-3 days) based on local laboratory
    results <0.6 BU/mL by the Nijmegen-modified Bethesda assay;
    determination of negative titer based on the Bethesda assay is
    acceptable at sites that have not yet adopted the Nijmegen-modified
    Bethesda assay oIR) =1.32 IU/dL per IU/kg in 2 consecutive
    assessments representing =66% of the expected IR 2 IU/dL per IU/kg
    (SmPC;USPI).
    o t1/2 =7 hours
    ¿Occurrence of relapse( defined as confirmed positive inhibitor titer =
    0.6 BU/mL),
    abnormal recovery after tolerance is achieved, and t¿ <7 hours) during
    the Tapering or Follow-Up Periods
    ¿Number of bleeding episodes during ITI and during the 48-week (12-
    month)period after successful ITI performed with rFVIIIFc
    ¿Adverse events (AEs) and serious adverse events (SAEs)
    ¿Number of days away from work or school
    ¿Number of hospitalization days
    ¿Adherence (defined as percentage of administered doses versus
    planned doses)
    ¿Consumption of rFVIIIFc (measured in total rFVIIIFc use)
    ITI con esito positivo o Titolazione negativa consistente di due valutazioni negative per l¿inibitore entro 2 settimane (+/- 3 giorni) in base ai risultati del laboratorio locale (<0,6 BU/ml con il test di Bethesda modificato di Nijmegen); la determinazione del titolo negativo basato sul dosaggio Bethesda ¿ accettabile nei siti che non hanno ancora adottato il test di Nijmegen- Bethesda modificato o IR) = 1,32 UI / dL per UI / kg in 2 determinazioni consecutive rappresentanti il 66% dell¿RI atteso di 2 UI/dl per UI/kg (Smpc;USPI)
    t1/2 di FVIII =7 ore
    Evento di ricaduta (definito come titolazione positiva dell¿inibitore >0,6 BU/ml); recupero anomalo dopo il raggiungimento della tolleranza e t1/2 < 7 ore durante i periodi di tapering o di follow-up
    Numero di episodi di sanguinamento durante l¿ITI e durante il periodo di 48 settimane (12 mesi) successivo alla ITI con rFVIIIFc eseguita con esito positivo
    Eventi avversi emergenti dal trattamento (TEAE) ed eventi avversi gravi emergenti dal trattamento (TESAE)
    Numero di giorni persi di lavoro o scuola
    Numero di giorni di ricovero
    Compliance (definita come percentuale di dosi somministrate rispetto alle dosi programmate)
    Consumo di rFVIIIFc (misurato come uso totale di rFVIIIFc)
    E.5.2.1Timepoint(s) of evaluation of this end point
    After Baseline Visit which is the start of ITI treatment, subjects will be
    seen at Week 2 and every fourth week until subjects acheive a negative
    inhibitor titer (<0.6 BU/mL). Starting at time of first negative inhibitor
    titer until ITI success OR 48 weeks (12 months) of treatment, subjects
    will be seen every 2nd week. With ITI success (3 success criteria met)
    and continuing for 16 weeks (Tapering period), subjects will have
    assessment visits after 2 weeks, 4 weeks and then every 4th week
    thereafter. Follow-up Period constitutes the time period in which subject
    returns to prophylactic dosing regimen and will be approximately 32
    weeks (8 months) in duration.
    Dopo la visita basale, che l inizio del trattamento ITI, i soggetti saranno visti alla settimana 2 e ad ogni quarta settimana fino a quando i soggetti raggiungeranno una titolazione negativa dell¿inibitore (<0,6 BU/ml). A partire dalla prima titolazione negativa dell¿inibitore fino a ITI con esito positivo O alle 48 sett (12 mesi) di trattamento, i soggetti saranno vistati a sett alterne. In caso di ITI con esito positivo (i 3 criteri per l¿esito positivo sono stati soddisfatti) e continuando per 16 sett (periodo di riduzione graduale), i soggetti effettueranno visite di valutazione dopo 2 sett, 4 sett e successivamente ogni 4 set. Il periodo di f-up costituisce il periodo di tempo in cui il soggetto ritorna alla posologia profilattica, che avr¿ una durata di circa 32 settimane (8 mesi).
    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 No
    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) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised No
    E.8.1.2Open No
    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.8.2.4Number of treatment arms in the trial1
    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 EEA22
    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 Information not present in EudraCT
    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
    Japan
    United States
    Belgium
    Bulgaria
    France
    Germany
    Italy
    Spain
    United Kingdom
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    The end of study is last subject, last visit for final collection of data.
    La fine dello studio ¿ l'ultima visita dell'ultimo soggetto per la raccolta finale dei dati.
    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 months8
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months8
    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 Yes
    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) Yes
    F.1.1.4.1Number of subjects for this age range: 8
    F.1.1.5Children (2-11years) Yes
    F.1.1.5.1Number of subjects for this age range: 8
    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: 17
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female No
    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 No
    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
    Parents/legal guardians of subjects must be provided with the informed consent information prior to the Screening Visit to allow adequate time for review and an opportunity to discuss the study with the Investigator/designee.
    I genitori / tutori legali dei soggetti devono essere forniti delle informazioni contenute nel consenso informato prima della visita di screening per consentire un adeguato tempo di revisione e con l¿opportunit¿ di discutere lo studio con l'investiga
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state6
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 8
    F.4.2.2In the whole clinical trial 17
    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)
    NONE
    nessuno
    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 Decision2018-01-02
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2017-10-10
    P. End of Trial
    P.End of Trial StatusCompleted
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