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    Summary
    EudraCT Number:2017-002258-36
    Sponsor's Protocol Code Number:RETIPC/01/17
    National Competent Authority:Belgium - FPS Health-DGM
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2017-10-02
    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 ConcernedBelgium - FPS Health-DGM
    A.2EudraCT number2017-002258-36
    A.3Full title of the trial
    A Phase II, multicentre, double-blind, randomised, placebo-controlled study of Rifaximin delayed release 400 mg tablet: clinical efficacy and safety in the prevention of post-operative endoscopic Crohn’s disease recurrence
    Een multicentrische, dubbelblinde, gerandomiseerde, placebogecontroleerde
    studie van fase II naar rifaximine 400 mg-tabletten met vertraagde afgifte: klinische doeltreffendheid en veiligheid in de preventie van postoperatief endoscopisch recidief van de ziekte van Crohn.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Phase II clinical trial, conducted in different sites, with random assignation of treatment, where neither the patient or the medical doctor know the assigned treatment, drug or placebo, to evaluate the efficacy and safety of Rifaximin delayed release 400 mg tablet in the prevention of post-operative endoscopic Crohn’s disease recurrence
    Fase II klinisch onderzoek, uitgevoerd in verschillende locaties, met willekeurige gerandomiseerde behandeling, waar noch de patiënt, noch de dokter weten tot welke behandeling, medicatie of placebo, de patiënt gerandomiseerd is, om de doeltreffendheid en veiligheid van Rifaximin 400 mg tabletten met vertraagde afgifte na te gaan ter preventie van postoperatieve endoscopisch wederkeren van de ziekte van Crohn.
    A.3.2Name or abbreviated title of the trial where available
    STOP-Postoperative Endoscopic Recurrence Study (STOP-PER)
    STOP-Studie naar postoperatief endoscopisch recidief
    A.4.1Sponsor's protocol code numberRETIPC/01/17
    A.5.4Other Identifiers
    Name:NANumber:NA
    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 SponsorALFASIGMA S.P.A.
    B.1.3.4CountryItaly
    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 supportALFASIGMA S.P.A.
    B.4.2CountryItaly
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationALFASIGMA S.P.A.
    B.5.2Functional name of contact pointCecilia Renzulli
    B.5.3 Address:
    B.5.3.1Street AddressVia Ragazzi del 99
    B.5.3.2Town/ cityBologna
    B.5.3.3Post code40133
    B.5.3.4CountryItaly
    B.5.4Telephone number0039(0)516489894
    B.5.5Fax number0039(0)516489671
    B.5.6E-mailcecilia.renzulli@alfasigma.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 nameRifaximin delayed release 400 mg film coated tablet
    D.3.2Product code Rifaximin-EIR
    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 INNRIFAXIMIN
    D.3.9.1CAS number 80621-81-4
    D.3.9.2Current sponsor codeRifaximin-EIR
    D.3.9.3Other descriptive nameRIFAXIMINA
    D.3.9.4EV Substance CodeSUB10312MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1600
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboCoated tablet
    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
    Post-operative endoscopic Crohn’s disease recurrence
    Postoperatief endoscopisch recidief van de ziekte van Crohn
    E.1.1.1Medical condition in easily understood language
    Manifestation of recurrence after surgery in patients with Crohn disease
    Terugkeren van ziekte van Crohn na chirurgische ingreep
    E.1.1.2Therapeutic area Diseases [C] - Digestive System Diseases [C06]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10013099
    E.1.2Term Disease Crohns
    E.1.2System Organ Class 100000004856
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To demonstrate the efficacy of Rifaximin –EIR 400 mg Tablet (800mg /BID, total daily dose 1600 mg) versus placebo in the prevention of endoscopic Crohn’s disease recurrence following ileocolonic resection.
    De doeltreffendheid van rifaximine-EIR versus placebo aantonen in de preventie van endoscopisch recidief van de ziekte van Crohn na ileocolische resectie
    E.2.2Secondary objectives of the trial
    To demonstrate the efficacy of Rifaximin- EIR 400 mg Tablet (800mg /BID, total daily dose 1600 mg) versus placebo in the maintenance of clinical remission.
    To evaluate the safety profile of Rifaximin-EIR 400 mg Tablet (800mg /BID, total daily dose 1600 mg)
    Assess the effects of Rifaximin-EIR treatment on biological (inflammatory) markers of disease.
    Evaluate the effects of Rifaximin -EIR treatment on quality of life
    De effectiviteit van Rifaximin-EIR 400 mg tablet (800mg/BID, totale dagelijkse dosis 1600mg) versus placebo aantonen bij de behandeling van klinische remissie.
    De veiligheid van Rifaximin-EIR 400 mg tablet (800mg/BID, totale dagelijks dosis 1600mg) evalueren.
    Het effect van Rifaximin-EIR behandeling op biologisch (inflammatoire) ziektemarkers evalueren.
    Het effect van Rifaximin-EIR behandeling op de levenskwalitiet evalueren.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
     Patients of both sexes aged between 18 and 75 years old, inclusively.
     Patients with diagnosis of CD, who had undergone curative ileocolonic resection, with ileocolonic anastomosis and for whom a randomization within 45 days from surgical intervention is feasible.
     If the patients had an end or loop ileostomy within 1 year prior to randomization, they can be included, but stoma closure should occur within 45 days prior to randomization.
     Patients have had faecal stream restoration at least 14 days prior to randomization.
     Patients must have at least one of the following risk factors for the development of early/severe post-operative endoscopic recurrence of their CD:
    1) qualifying surgery that was their second intestinal resection within 10 years
    2) third or more intestinal resections,
    3) surgery for a penetrating CD complication (e.g., abscess or fistula), or
    4) smoking 10 or more cigarettes per day for the past year.

     Patients treated with glucocorticosteroids (systemic or topical) must discontinue treatment within 6 weeks after surgery.

     Patients are capable of and willing to adhere to the study protocol requirements.

     Patients have provided signed and dated written informed consent.

     Female patients must be:

     post-menopausal (at least 2 years without spontaneous menses), or
     surgically sterile (bilateral tubal ligation, or hysterectomy, or ablation of both ovaries),
     or have a negative urine pregnancy test result at screening and at randomization and agree to use an acceptable method of contraception throughout their participation in the study. Acceptable methods of contraception include: condom and spermicide; intrauterine device (IUD), diaphragm with spermicide; hormonal methods (oral contraceptives, patches, implants, injectable or ring) with a documented failure rate of less than 1% per year,
     or commit to absolute and continuous sexual abstinence
     Mannelijke en vrouwelijke patiënten van 18 tot en met 75 jaar.
     Patiënten met een diagnose van CD (Crohn’s disease), die een curatieve ileocolische resectie met ileocolische anastomose ondergaan hebben en voor wie randomisatie binnen 45 dagen na de chirurgische ingreep haalbaar is.
     Als de patiënten eindstandig of dubbelloops ileostomie ondergingen binnen 1 jaar voorafgaand aan de randomisatie, kunnen ze in de studie opgenomen worden maar de sluiting van de stoma moet plaatsvinden binnen 45 dagen voorafgaand aan de randomisatie.
     De fecale stroom van de patiënten moet minstens 14 dagen voor de randomisatie hersteld zijn.
     De patiënten moeten minstens één van de volgende risicofactoren voor de ontwikkeling van vroeg/ernstig postoperatief endoscopisch recidief van hun CD vertonen:
    1) Voorafgaande chirurgie die hun tweede intestinale resectie binnen 10 jaar was
    2) Derde of meer intestinale resecties,
    3) Chirurgie voor een penetrerende complicatie van CD (bijv. abces of fistel), of
    4) 10 of meer sigaretten per dag gerookt hebben gedurende het voorbije jaar.

     Patiënten die worden behandeld met glucocorticosteroïden (systemisch of topisch) moeten de behandeling stopzetten binnen de 6 weken na chirurgie.

     De patiënten zijn in staat en bereid om de vereisten van het studieprotocol na te leven.
     Patiënten hebben een ondertekende en gedateerde, schriftelijke geïnformeerde toestemming gegeven.

     Vrouwelijke patiënten moeten:

     Postmenopauzaal zijn ( minstens 2 jaar zonder spontane menses), of
     Chirurgisch gesteriliseerd zijn (tweezijdige afbinding van de eileiders, of hysterectomie, of ablatie van beide eierstokken),
     Of een negatief resultaat op een urinezwangerschapstest hebben bij screening en bij randomisatie en instemmen met het gebruik van een aanvaardbare anticonceptiemethode gedurende hun volledige deelname aan de studie. Aanvaardbare anticonceptiemethoden zijn: condoom en zaaddodend middel; spiraaltje (IUD), pessarium met zaaddodend middel; hormonale methodes (orale anticonceptiemiddelen, pleisters, implantaten, injectie of ring) met een gedocumenteerd faalpercentage van minder dan 1 % per jaar.
     Of zich verbinden tot absolute en continue seksuele onthouding.
    E.4Principal exclusion criteria
     Presence of macroscopic evidence for CD proximally or distally to the site of resection (presence of frank erythema, oedema, aphthae, ulcers or wall thickening > 3 mm, or creeping fat) according to the surgeon or previous imaging
     Patients who had strictureplasties at index surgery
     Patients with an ileorectal anastomosis
     Patients with active perianal Crohn’s disease
     Patients treated with (treatment which was not discontinued at the time of surgery):
     Aminosalicylates
     Any biologicals (e.g., TNF-α inhibitor, natalizumab, or
    similar drugs)
     Azathioprine, 6-mercaptopurine
     Methotrexate,
     Cyclosporine, tacrolimus, sirolimus, mycophenolate
    mofetil, or similar drugs
     antibiotics specific for CD such as metronidazole or
    ciprofloxacin
     Patients with active infectious, ischemic, or immunological diseases with GI involvement
     Patients with symptoms attributed to Short Bowel Syndrome (more than cm 100 in total of small bowel resected);
     Patients with sepsis or other post-operative complications necessitating use of antibiotics for more than 14 days after surgery.
     Patients with colorectal stenosis precluding ileocolonoscopy.
     Patients who had qualifying ileocolonic resection for dysplasia or cancer without ongoing inflammation
     Hepatic Impairment defined as severe (Child-Pugh C) hepatic impairment or patients with MELD (Model for End-Stage Liver Disease) score > 25.
     Patients with an alanine transaminase (ALT) or aspartate transaminase (AST) > 2.5 upper limit of normal (ULN) at randomization.
     Patients with severe cardiac insufficiency (NYHA, New York Heart Association classes 3 – 4).
     Patient has a history of sensitivity to rifaximin, rifampin, rifamycin antimicrobial agents, or any of the components of Rifaximin -EIR or placebo (see list in protocol at section 10.2.1).
     Patients with kidney failure at randomization.
     Any condition or circumstance that would prevent completion of the study or interfere with analysis of study results, including a history of drug or alcohol abuse, mental illness or non-compliance with treatments or visits, with immunological (including HIV infection), haematological, or neoplastic disease.
     Pregnant or nursing woman
     Patients who have donated 250 ml or more of blood in the last 3 months.
     Patients who have used any investigational drug (except biological therapies) within 3 months prior to screening.
     Aanwezigheid van macroscopisch bewijs voor CD proximaal of distaal van de resectieplaats (aanwezigheid van duidelijk erytheem, oedeem, aften, zweren of wandverdikking > 3 mm, of buikvet) volgens de chirurg of eerdere beeldvorming.
     Patiënten die bij indexchirurgie strictuurplastiek ondergingen.
     Patiënten met een ileorectale anastomose.
     Patiënten met actieve perianale ziekte van Crohn.
     Patiënten onder behandeling met (behandeling die op het moment van de chirurgie niet stopgezet werd):
     Aminosalicylaten
     Biologische geneesmiddelen (bijv. TNF-α-inhibitor, natalizumab, of
    vergelijkbare geneesmiddelen
     Azathioprine, 6-mercaptopurine
     Methotrexaat,
     cyclosporine, tacrolimus, sirolimus, mycofenolaat
    Mofetil, of vergelijkbare geneesmiddelen
     Antibiotica specifiek voor CD, zoals metronidazol of
    ciprofloxacine
     Patiënten met actieve infectieuze, ischemische of immunologische ziekten met GI-aantasting
     Patiënten met symptomen die toegeschreven worden aan het kortedarmsyndroom (in totaal meer dan 100 cm dunne darm verwijderd);
     Patiënten met sepsis of andere postoperatieve complicaties waarvoor antibiotica gebruikt moeten worden gedurende meer dan 14 dagen na chirurgie.
     Patiënten met colorectale stenose die een ileocoloscopie uitsluiten.
     Patiënten die ileocolische resectie ondergingen voor dysplasie of kanker zonder aanhoudende ontsteking.
     Leverinsufficiëntie gedefinieerd als ernstig (Child-Pugh C) of patiënten met MELD-score (Model for End-Stage Liver Disease) > 25.
     Patiënten met een alaninetransaminase- (ALT) of aspartaattransaminasewaarde (AST) > 2,5 de bovengrens van de normaalwaarde (ULN) bij randomisatie.
     Patiënten met ernstige hartinsufficiëntie (NYHA, New York Heart Association klasse 3-4).
     Patiënten met een voorgeschiedenis van gevoeligheid voor rifaximine, rifampine, antimicrobiële middelen met rifamycine of één van de bestanddelen van rifaximine-EIR of placebo (zie lijst in het protocol bij rubriek 10.2.1).
     Patiënten met nierfalen bij randomisatie.
     Elke aandoening of omstandigheid die voltooiing van de studie zou verhinderen of zou interfereren met de analyse van de studieresultaten, inclusief een voorgeschiedenis van drugs- of alcoholmisbruik, een psychiatrische aandoening en non-compliance met behandelingen of bezoeken, met immunologische (inclusief hiv-infectie), hematologische of neoplastische ziekten.
     Zwangere vrouwen of vrouwen die borstvoeding geven.
     Patiënten die in de voorbije 3 maanden 250 ml bloed of meer hebben afgestaan.
     Patiënten die een onderzoeksgeneesmiddel hebben gebruikt (met uitzondering van biologische therapieën) in de 3 maanden voorafgaand aan de screening.
    E.5 End points
    E.5.1Primary end point(s)
    The primary end point of this trial will be the proportion of patients with endoscopic recurrence at 26 weeks after randomization defined as Rutgeerts score ≥i2.
    Het primaire eindpunt van deze studie is het aantal patiënten met endoscopisch recidief 26 weken na randomisatie, gedefinieerd met Rutgeerts score ≥i2.
    E.5.1.1Timepoint(s) of evaluation of this end point
    26 weeks
    26 weken
    E.5.2Secondary end point(s)
     Patients with endoscopic Rutgeerts score <i2a (lesions limited to the anastomosis or maximum of 5 aphthous lesions in the neo-terminal ileum with normal mucosa between the lesions) at 26 weeks after randomization.

     Clinical recurrence according to CDAI score (defined as an increase higher than 70 points in CDAI score from baseline and CDAI>220 points; CDAI will be assessed at each visit).

     Proportion of patients with clinical symptom remission according to PRO defined by (1) the total number of liquid/very soft stools for the 7 days prior to each visit being ≤ 10 (from CDAI Item 1); AND (2) an abdominal pain rating of ≤ 1(from CDAI Item 2) on each day for the 7 days prior to each visit.

     Development of a new/re-draining fistula or abscess by week 26

     Time to clinical recurrence

     Change from baseline in CRP and faecal calprotectin at each visit during the Treatment Period.

     Change from baseline in indices of health outcomes (SF-36®) at Week 26.

     Assessments of safety will be based on the following:
    - vital signs (including blood pressure, pulse, temperature and body weight);
    - routine laboratory parameters (haematology, chemistry, urinalysis);
    - adverse events;
    - withdraw due to adverse events (AEs).

    De volgende secundaire eindpunten zullen beoordeeld worden:

     Patiënten met een endoscopische Rutgeers-score <i2a (letsels beperkt tot de anastomose of maximaal 5 afteuse letsels in het neoterminale ileum met normale slijmvliezen tussen de letsels) op 26 weken na randomisatie.

     Klinisch recidief volgens de CDAI-score (gedefinieerd als een stijging van meer dan 70 punten in de CDAI-score ten opzichte van baseline en CDAI > 220 punten; CDAI wordt op elk bezoek beoordeeld).

     Aantal patiënten met remissie van klinische symptomen volgens de PRO, gedefinieerd op basis van (1) het totale aantal vloeibare/zeer zachte ontlastingen voor de 7 dagen voorafgaand aan elk bezoek ≤ 10 (van CDAI Item 1); EN (2) een abdominale pijnscore van ≤ 1(van CDAI Item 2) op elke dag voor de 7 dagen voorafgaand aan elk bezoek.

     Aanwezigheid van een nieuw(e)/opnieuw lekkend(e) fistel of abces tegen week 26.

     Tijd die verstrijkt tot klinisch recidief

     Verandering in CRP ten opzichte van baseline en fecaal calprotectine op elk bezoek tijdens de behandelingsperiode.

     Verandering ten opzichte van baseline in de scores voor gezondheidsoutcomes (SF-36®) op week 26.

     Veiligheidsbeoordelingen (vitale functies, routine laboratoriumparameters, bijwerkingen, terugtrekken als gevolg van bijwerkingen)
    E.5.2.1Timepoint(s) of evaluation of this end point
    At week26
    4-8-16-26-28 weeks
    4-8-16-26-28 weeks
    At week26
    At week26
    4-8-16-26-28 weeks
    4-8-16-26-28 weeks
    At randomization visit, week 4-8-16-26-28
    Op week26
    op week 4-8-16-26-28
    op week 4-8-16-26-28
    op week26
    op week26
    op week 4-8-16-26-28
    op week 4-8-16-26-28
    tijdens randomisatie visite, week 4-8-16-26-28
    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) 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) 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 Yes
    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 Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned5
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA27
    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
    LVLS
    laatste visite van de laatste patiënt
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years0
    E.8.9.1In the Member State concerned months20
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months20
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 160
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 20
    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 state20
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 180
    F.4.2.2In the whole clinical trial 180
    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 will be treated as per standard clinical practice
    Patiënten zullen behandeld worden zoals in standaard klinische praktijken
    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 Decision2017-10-26
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2018-02-05
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
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