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    Summary
    EudraCT Number:2017-001642-10
    Sponsor's Protocol Code Number:SMT19969/C005
    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:2019-07-05
    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 number2017-001642-10
    A.3Full title of the trial
    A Phase 3, randomized, double-blind, active controlled study to compare the efficacy and safety of ridinilazole (200 mg, bid) for 10 days with vancomycin (125 mg, qid) for 10 days in the treatment of Clostridium difficile infection (CDI).
    Estudio de fase III, aleatorizado, con doble enmascaramiento y comparador activo de comparación de la eficacia y la seguridad entre ridinilazol (200 mg, 2 veces/día) durante 10 días y vancomicina (125 mg, 4 veces/día) durante 10 días para el tratamiento de la infección por Clostridium difficile (ICD)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Comparison of ridinilazole versus vancomycin treatment for Clostridium difficile infection
    Comparación entre el ridinilazol y la vancomicina en el tratamiento de la
    ICD
    A.4.1Sponsor's protocol code numberSMT19969/C005
    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 SponsorSummit (Oxford) Limited
    B.1.3.4CountryUnited Kingdom
    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 supportBARDA
    B.4.2CountryUnited States
    B.4.1Name of organisation providing supportSummit (Oxford) Limited
    B.4.2CountryUnited Kingdom
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationSummit (Oxford) Limited
    B.5.2Functional name of contact pointClinical Operations
    B.5.3 Address:
    B.5.3.1Street Address136A Eastern Avenue, Milton Park
    B.5.3.2Town/ cityAbingdon
    B.5.3.3Post codeOX14 4SB
    B.5.3.4CountryUnited Kingdom
    B.5.4Telephone number00441235443939
    B.5.6E-mailridinilazolephase3studies@summitplc.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRidinilazole
    D.3.2Product code SMT19969
    D.3.4Pharmaceutical form Coated tablet
    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 INNRidinilazole
    D.3.9.1CAS number 308362-25-6
    D.3.9.2Current sponsor codeSMT19969
    D.3.9.3Other descriptive nameSMT19969
    D.3.9.4EV Substance CodeSUB85907
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(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 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 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.2.1.2Country which granted the Marketing AuthorisationUnited States
    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 nameVancomycin
    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 INNvancomycin
    D.3.9.3Other descriptive nameVANCOMYCIN HYDROCHLORIDE
    D.3.9.4EV Substance CodeSUB05077MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number125
    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 Yes
    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 placeboCoated tablet
    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
    Clostridium difficile infection (CDI)
    infección por Clostridium difficile (ICD)
    E.1.1.1Medical condition in easily understood language
    Infection of the gut by the bacterium Clostridium difficile
    infección del colon por la bacteria Clostridium difficile
    E.1.1.2Therapeutic area Diseases [C] - Bacterial Infections and Mycoses [C01]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10054236
    E.1.2Term Clostridium difficile infection
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To compare the efficacy of 10 days dosing with ridinilazole (200 mg bid) with vancomycin (125 mg qid) in the treatment of patients with CDI
    Comparar la eficacia de 10 días de administración de ridinilazol (200 mg,
    2 v/d) con vancomicina (125 mg, 4 v/d) en el tratamiento de pacientes
    con ICD.
    E.2.2Secondary objectives of the trial
    • To compare the safety and tolerability of 10 days dosing with ridinilazole (200 mg bid) with vancomycin (125 mg qid) in the treatment of patients with CDI
    • To characterize the systemic exposure of ridinilazole in a subset of patients treated with ridinilazole (200 mg bid) tablets
    • Comparar la seguridad y tolerabilidad de 10 días de administración de ridinilazol (200 mg, 2 v/d) con vancomicina (125 mg, 4 v/d) en el tratamiento de pacientes con ICD.
    • Describir la exposición sistémica del ridinilazol en un subconjunto de pacientes tratados con comprimidos de ridinilazol (200 mg, 2 v/d).
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Patients are eligible to be included in the study only if all the following criteria apply:
    1. Patient must be at least 18 years of age, at the time of signing the informed consent.
    2. Have signs and symptoms of CDI including diarrhea such that in the Investigator’s opinion CDI antimicrobial therapy is required. Diarrhea is defined as a change in bowel habits, with ≥3 UBMs (5, 6 or 7 on the Bristol Stool Chart) in the 24 h prior to randomization.
    3. Have the presence of either toxin A and/or B of C. difficile in the stool determined by a positive free toxin test (using a Sponsor agreed test). The stool sample must have been produced within 72 hours prior to randomization.
    4. Male or Female
    Male patients:
    • A male patient must agree to use contraception as detailed in Appendix 4 of this protocol during the treatment period and for at least 30 days after the last dose of study treatment and refrain from donating sperm during this period.
    Female patients:
    • A female patient is eligible to participate if she is not pregnant (see Appendix 4), not breastfeeding, and at least one of the following conditions applies:
    i. Not a woman of childbearing potential (WOCBP) as defined in Appendix 4
    OR
    ii. A WOCBP who agrees to follow the contraceptive guidance in Appendix 4 during the treatment period and for at least 30 days after the last dose of study treatment.
    5. Has provided documented signed informed consent and any authorizations required by local law (e.g. Protected Health Information [PHI]).
    1. Los pacientes Deben tener al menos 18 años.
    2. tener signos y sintomas de ICD incluyendo diarrhea
    3. Tener la presencia de toxina A y / o B de C. difficile en las heces determinada por una prueba de toxina libre positiva (usando una prueba acordada por el Patrocinador). La muestra de heces debe haberse producido dentro de las 72 horas previas a la aleatorización.
    4. Hombre o mujer
    Pacientes masculinos:
    • Un paciente masculino debe aceptar el uso de anticonceptivos como se detalla en el Apéndice 4 de este protocolo durante el período de tratamiento y durante al menos 30 días después de la última dosis del tratamiento del estudio y abstenerse de donar esperma durante este período.
    Pacientes de sexo femenino:
    Una paciente femenina es elegible para participar si no está embarazada (ver Apéndice 4), no está amamantando, y al menos una de las siguientes condiciones se aplica:
    yo. No es una mujer en edad fértil (WOCBP) como se define en el Apéndice 4
    O
    ii. Un WOCBP que acepte seguir la guía de anticoncepción en el Apéndice
    4 durante el período de tratamiento y durante al menos 30 días después de la última dosis del tratamiento del estudio.
    5. Ha proporcionado el consentimiento informado firmado y
    documentado y las autorizaciones requeridas por la ley local (por ejemplo, Información de salud protegida [PHI]).
    E.4Principal exclusion criteria
    Patients are excluded from the study if any of the following criteria apply:
    1. Have had more than one prior episode of CDI in the previous 3 months or more than 3 episodes in the past 12 months
    2. Have a history of chronic diarrheal disease including inflammatory bowel disease (Crohn’s disease or ulcerative colitis).
    3. Have had a positive diagnostic test for other GI pathogens considered to be clinically relevant, within 2 weeks of randomization.
    4. Have had major gastrointestinal (GI) surgery (e.g. significant bowel resection) within 3 months of randomization (this does not include appendectomy) The presence of a colostomy or ileostomy or likely requirement of an ostomy during the study.
    5. Have life threatening or fulminant CDI with evidence of hypotension, septic shock, peritoneal signs or absence of bowel sounds, or toxic megacolon.
    6. Have a known current history of significantly compromised immune system e.g.
    a. HIV positive with a CD4<200 cells/mm3 within 6 months of randomization.
    b. Severe neutropenia with neutrophil count < 500 cells/mL.
    c. Are on concurrent immunosuppressive therapy for recent (within previous 6 months) or anticipated solid organ transplant or bone marrow transplant.
    d. Are on a concurrent chemotherapy, radiotherapy, or biologic treatment for active malignancy. Or active malignancy with ablative chemotherapy within the past 3 months or anticipated during the study.
    7. Have had more than 24 hours of dosing, or equivalent (i.e. four doses of oral vancomycin, two doses of fidaxomicin or three doses of metronidazole) of antimicrobial treatment active against the current episode of CDI prior to randomization.
    8. Prior or current use of anti-toxin antibodies including bezlotoxumab
    9. Are unable to discontinue products used to affect bowel movement or disease progression (see 6.5.1 for a list of potentially confounding medications).
    10. Has been involved in a clinical trial and received an investigational medicinal product for indications other than CDI within 1 month or five half-lives (whichever is longer) or within 3 months if the investigational medical product was for CDI.
    11. Have received an investigational vaccine against C. difficile.
    12. Patients that the Investigator feels are inappropriate for the study this would include those;
    a. with any other condition that, in the Investigator's judgment, would make the patient unsuitable for inclusion in the study.
    b. who, in the opinion of the Investigator, are not likely to complete the study for whatever reason. E.g. short life expectancy.
    c. with known hypersensitivity or intolerance to ridinilazole, vancomycin, and/or their excipients
    d. who are unwilling or unable to comply with protocol requirements, e.g. complete the full course of study treatment per schedule, attend study visits, complete an electronic diary (or have a caregiver able to complete this on the patient’s behalf), provide stool samples, ingest capsules, blood draws.
    Los pacientes se excluyen del estudio si se aplica alguno de los
    siguientes criterios:
    1. Haber tenido más de un episodio previo de CDI en los últimos 3 meses o más de 3 episodios en los últimos 12 meses
    2. Tiene antecedentes de enfermedad diarreica crónica, incluida la enfermedad inflamatoria intestinal (enfermedad de Crohn o colitis ulcerosa).
    3. Haber tenido una prueba diagnóstica positiva para otros patógenos GI considerados clínicamente relevantes, dentro de las 2 semanas posteriores a la aleatorización.
    4. Ha tenido una cirugía gastrointestinal (GI) mayor (por ejemplo, resección intestinal significativa) dentro de los 3 meses posteriores a la aleatorización (esto no incluye la apendicectomía) La presencia de una colostomía o ileostomía o un posible requisito de una ostomía durante el estudio.
    5. Tener un CDI potencialmente mortal o fulminante con evidencia de hipotensión, shock séptico, signos peritoneales o ausencia de ruidos intestinales o megacolon tóxico.
    6. Tener un historial actual de sistemas inmunológicos
    significativamente comprometidos, p. Ej.
    a. VIH positivo con un CD4 <200 células / mm3 dentro de los 6 meses posteriores a la aleatorización.
    segundo. Neutropenia grave con recuento de neutrófilos <500 células / ml.
    Se encuentra en terapia inmunosupresora concurrente para un
    trasplante de órgano sólido o trasplante de médula ósea reciente (dentro
    de los 6 meses anteriores) o anticipado.
    re. Reciben quimioterapia, radioterapia o tratamiento biológico
    concurrente para la enfermedad maligna activa. O malignidad activa con
    quimioterapia ablativa en los últimos 3 meses o prevista durante el
    estudio.
    7. Haber recibido más de 24 horas de dosificación o equivalente (es decir, cuatro dosis de vancomicina oral, dos dosis de fidaxomicina o tres dosis de metronidazol) de tratamiento antimicrobiano activo contra el episodio actual de CDI antes de la aleatorización.
    8. Uso anterior o actual de anticuerpos anti-toxina, incluyendo
    bezlotoxumab.
    9. No puede descontinuar los productos utilizados para afectar el movimiento intestinal o la progresión de la enfermedad (consulte la sección 6.5.1 para obtener una lista de medicamentos potencialmente confusos).
    10. Ha participado en un ensayo clínico y ha recibido un medicamento en investigación para indicaciones que no son CDI dentro de 1 mes o cinco vidas medias (lo que sea más largo) o dentro de 3 meses si el product médico en investigación era para CDI.
    11. Haber recibido una vacuna en investigación contra C. difficile.
    12. Los pacientes que el investigador considere inapropiados para el estudio, esto incluiría a aquellos;
    a. con cualquier otra condición que, a juicio del investigador, haga que el paciente no sea adecuado para su inclusión en el estudio.
    b. quién, en opinión del investigador, no es probable que complete el estudio por cualquier motivo. P.ej. corta esperanza de vida.
    c. Conocido con hipersensibilidad o intolerancia conocida al ridinilazol, vancomicina y / o sus excipientes
    d. que no están dispuestos o no pueden cumplir con los requisitos del protocolo, por ejemplo, complete el curso completo de tratamiento del estudio según el horario, asista a las visitas del estudio, complete un diario electrónico (o haga que un cuidador pueda completar esto en nombre del paciente), proporcione muestras de heces, ingiera cápsulas,
    extraiga sangre.
    E
    E.5 End points
    E.5.1Primary end point(s)
    Sustained clinical response defined as clinical cure at the Assessment Of Cure (AOC) visit and no recurrence of CDI within 30 days post End Of Treatment (EOT).
    Respuesta clínica sostenida definida como cura clínica en la visita de Evaluación de la curación (AOC) y sin recurrencia de CDI dentro de los 30 días posteriores al final del tratamiento (EOT).
    E.5.1.1Timepoint(s) of evaluation of this end point
    Day 40
    Día 40
    E.5.2Secondary end point(s)
    Clinical cure at the AOC visit.

    Sustained clinical response over 60 days – defined as clinical cure at the AOC visit and no recurrence of CDI within 60 days post EOT

    Sustained clinical response over 90 days – defined as clinical cure at the AOC visit and no recurrence of CDI within 90 days post EOT
    Curación clínica en la visita de AOC.
    Respuesta clínica sostenida durante 60 días: definida como cura clínica en la visita de AOC y sin recurrencia de CDI dentro de los 60 días posteriores a la EOT
    Respuesta clínica sostenida durante 90 días, definida como cura clínica en la visita de AOC y sin recurrencia de CDI dentro de los 90 días posteriores a la EOT).
    E.5.2.1Timepoint(s) of evaluation of this end point
    • Clinical cure at the AOC visit: Day 12 (AOC)

    • Sustained clinical response over 60 days – defined as clinical cure at the AOC visit and no recurrence of CDI within 60 days post EOT: Day 70

    • Sustained clinical response over 90 days – defined as clinical cure at the AOC visit and no recurrence of CDI within 90 days post EOT: day 100
    • Curación clínica en la visita AOC: día 12 (AOC)
    • Respuesta clínica sostenida durante 60 días: definida como cura clínica en la visita de AOC y sin recurrencia de CDI dentro de los 60 días posteriores al EOT: día 70
    • Respuesta clínica sostenida durante 90 días: definida como cura clínica en la visita de AOC y sin recurrencia de CDI dentro de los 90 días posteriores al EOT: día 100
    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 No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic Yes
    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) Yes
    E.8.2.2Placebo No
    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 concerned10
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA57
    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
    Belarus
    Belgium
    Brazil
    Canada
    Chile
    Czech Republic
    Estonia
    France
    Georgia
    Germany
    Israel
    Italy
    Latvia
    Lithuania
    Mexico
    Peru
    Romania
    Spain
    United States
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    The end of the study is defined as the date of the last study assessment of the last patient in the study.
    El final del estudio se define como la fecha de la última evaluación del
    estudio del último paciente en el studio.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months4
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months4
    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: 340
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 340
    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 Yes
    F.3.3.7.1Details of other specific vulnerable populations
    persons in nursing homes
    F.4 Planned number of subjects to be included
    F.4.1In the member state17
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 162
    F.4.2.2In the whole clinical trial 680
    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
    No
    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 Decision2019-09-24
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2019-09-06
    P. End of Trial
    P.End of Trial StatusOngoing
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