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    Summary
    EudraCT Number:2017-003507-22
    Sponsor's Protocol Code Number:FPA144-004
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2021-01-29
    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 number2017-003507-22
    A.3Full title of the trial
    A Phase 3 Randomized, Double-Blind, Controlled Study Evaluating FPA144
    and Modified FOLFOX6 in Patients with Previously Untreated Advanced
    Gastric and Gastroesophageal Cancer: Phase 3 Preceded by Dose-Finding
    in Phase 1
    FIGHT: Studio di Fase 3 randomizzato, in doppio cieco, controllato per la valutazione di FPA144 e FOLFOX6 modificati in pazienti affetti da tumore gastrico e gastroesofageo avanzato non trattato in precedenza: Fase 3 preceduta da Dose Finding nella Fase 1
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Phase 3 Study Evaluating FPA144 and Modified FOLFOX6 in Patients with Previously Untreated Advanced Gastric and Gastroesophageal Cancer: Phase I to be conducted prior to Phase 3
    Studio di Fase 3 per la valutazione di FPA144 e FOLFOX6 modificati in pazienti affetti da tumore gastrico e gastroesofageo avanzato non trattato in precedenza: Fase I da svolgersi prima della Fase 3
    A.3.2Name or abbreviated title of the trial where available
    FIGHT
    FIGHT
    A.4.1Sponsor's protocol code numberFPA144-004
    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 SponsorFIVE PRIME 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 supportFIVE PRIME THERAPEUTICS, Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationFive Prime Therapeutics, Inc.
    B.5.2Functional name of contact pointMedical Lead
    B.5.3 Address:
    B.5.3.1Street Address111 Oyster Point Boulevard
    B.5.3.2Town/ citySouth San Francisco
    B.5.3.3Post code94080
    B.5.3.4CountryUnited States
    B.5.4Telephone number0018443335349
    B.5.5Fax number0014153655600
    B.5.6E-mailFPA144004@fiveprime.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 nameBemarituzumab
    D.3.2Product code [FPA144]
    D.3.4Pharmaceutical form Solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNBemarituzumab
    D.3.9.2Current sponsor codeFPA144
    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 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
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for infusion
    D.8.4Route of administration of the placeboIntravenous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Advanced Gastric and Gastroesophageal Cancer
    Cancro gastrico e gastroesofageo avanzato
    E.1.1.1Medical condition in easily understood language
    Advanced Gastric and Gastroesophageal Cancer
    Cancro gastrico e gastroesofageo avanzato
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.0
    E.1.2Level PT
    E.1.2Classification code 10004267
    E.1.2Term Benign gastric neoplasm
    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
    To compare OS in patients with FGFR2-selected GC treated with FPA144 + mFOLFOX6 to those treated with placebo combined with mFOLFOX6 (hereinafter referred to as [placebo +mFOLFOX6])
    Confrontare la sopravvivenza globale (OS) in pazienti affetti da cancro gastrico o gastroesofageo (GC) selezionato per il recettore del fattore di crescita dei fibroblasti di tipo 2 (FGFR2), trattati con FPA144 + mFOLFOX6, rispetto a quelli trattati con placebo combinato con mFOLFOX6 (di seguito, indicato come placebo + mFOLFOX6)
    E.2.2Secondary objectives of the trial
    To compare the following in patients with FGFR2-selected GC treated with FPA144 + mFOLFOX6 to those treated with placebo + mFOLFOX6:
    - Investigator-assessed progression-free survival (PFS)
    - Investigator-assessed objective response rate (ORR)
    - Safety and tolerability
    To characterize the following:
    - PK profile of FPA144 + mFOLFOX6 in patients with FGFR2-selected GC
    - Immunogenicity of FPA144
    Confrontare quanto segue in pazienti affetti da GC selezionato per FGFR2 trattati con FPA144 + mFOLFOX6, rispetto a quelli trattati con placebo + mFOLFOX6:
    - Sopravvivenza libera da progressione (PFS) valutata dallo Sperimentatore
    - Tasso di risposta obiettiva (ORR) valutato dallo Sperimentatore
    - Sicurezza e tollerabilità
    Caratterizzare quanto segue:
    - Profilo PK di FPA144 + mFOLFOX6 in pazienti affetti da GI selezionato per FGFR2
    - Immunogenicità di FPA144
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Phase 1 and Phase 3:
    1. Disease that is unresectable, locally advanced, or metastatic (not amenable to curative therapy)
    2. Understand and sign an Institutional Review Board
    (IRB)/Independent Ethics Committee (IEC)-approved ICF prior to any study-specific evaluation
    3. Life expectancy of at least 3 months in the opinion of the investigator
    4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
    5. Age =18 years at the time the ICF is signed
    6. In sexually active patients (women of child bearing potential [WOCBP] and males), willingness to use 2 effective methods of contraception, of which 1 must be a physical barrier method (condom, diaphragm, or cervical/vault cap) until 6 months after the last dose of FPA144. Other effective forms of contraception include:
    • Permanent sterilization (hysterectomy and/or bilateral oophorectomy, or bilateral tubal ligation with surgery, or vasectomy) at least 6 months prior to screening
    • WOCBP who are on stable oral contraceptive therapy or intrauterine or implant device for at least 90 days prior to the study, or abstain from sexual intercourse as a way of living
    7. Adequate hematological and biological function, confirmed by the following laboratory values within 96 hours prior to enrollment:
    Bone Marrow Function
    • ANC = 1.5 × 109/L
    • Platelets = 100 × 109/L
    • Hemoglobin = 9 g/dL
    Hepatic Function
    • AST and ALT < 3 × ULN; if liver metastases, then < 5 × ULN
    • Bilirubin < 1.5 × ULN except in patients with Gilbert's disease
    Renal Function
    • Calculated CrCl using Cockroft Gault formula = 50 mL/min or estimated glomerular filtrate rate (eGFR) using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula =50 mL/min
    8. INR or prothrombin time (PT) < 1.5 × the ULN except for patients receiving anticoagulation, who must be on a stable dose of warfarin for 6 weeks prior to enrollment
    9. Measurable or non-measurable, but evaluable disease using RECIST v1.1
    Please refer to protocol section 4 for the additional inclusion criteria.
    Fase 1 e Fase 3:
    1) Avere una malattia che è non resecabile, localmente avanzata o metastatica (non soggetta a terapia curativa)
    2) Comprendere e sottoscrivere un ICF approvato dal Comitato di revisione istituzionale (IRB)/Comitato etico indipendente (IEC) prima di qualsiasi valutazione specifica dello studio
    3) Avere un'aspettativa di vita prevista di almeno 3 mesi a giudizio dello Sperimentatore
    4) Avere un performance status ECOG (Eastern Cooperative Oncology Group) pari a 0-1
    5) Avere un'età = di 18 anni al momento della firma dell’ICF
    6) Nei pazienti sessualmente attivi (donne potenzialmente fertili [WOCBP] e uomini in grado di procreare), impegnarsi a usare 2 metodi contraccettivi efficaci, 1 dei quali deve essere un metodo a barriera fisica (profilattico, diaframma o coppetta/cappuccio cervicale) fino a 6 mesi dopo l'ultima dose di FPA144. Fra le altre forme di contraccezione efficace vi sono:
    • Sterilizzazione permanente (isterectomia e/o ovariectomia bilaterale o legatura bilaterale delle tube con intervento chirurgico o vasectomia) almeno 6 mesi prima dello Screening
    • Donne in età potenzialmente fertile (WOCBP) in terapia contraccettiva orale stabile o dispositivo intrauterino o impiantato per almeno 90 giorni prima dello studio, oppure che si astengono da rapporti sessuali come stile di vita
    7) Funzione ematologica e biologica adeguata, confermata dai seguenti valori di laboratorio entro 96 ore prima dell'arruolamento:
    Funzione del midollo osseo
    • ANC = 1,5 × 109/L
    • Piastrine = 100 × 109/L
    • Emoglobina = 9 g/dL
    Funzione epatica
    • AST e ALT < 3× ULN in caso di metastasi epatiche, poi < 5 × ULN
    • Bilirubina < 1,5 × ULN tranne in pazienti con malattia di Gilbert
    Funzione renale
    • CrCl calcolata utilizzando la formula di Cockcroft Gault = 50 mL/min o velocità di filtrazione glomerulare stimata (eGFR) utilizzando la formula Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) = 50 mL/min
    8) Rapporto normalizzato internazionale (INR), o tempo di protrombina (PT) < 1,5 × ULN, tranne in pazienti che ricevono terapia anticoagulante che devono aver assunto una dose stabile di warfarina da 6 settimane prima dell'arruolamento
    9) Malattia misurabile o non misurabile, ma valutabile usando RECIST v1.1
    Si prega di far riferimento alla sezione 4 del protocollo per i successivi criteri di inclusione.
    E.4Principal exclusion criteria
    Phase 1 and Phase 3:1. Untreated or symptomatic central nervous system (CNS) metastases (CNS imaging not required). Patients with asymptomatic CNS metastases are eligible provided they have been clinically stable for at least 4 weeks and do not require intervention such as surgery, radiation, or any corticosteroid therapy for management of symptoms related to CNS disease 2. Impaired cardiac function or clinically significant cardiac disease, including any of the following (Criteria a through g): a) Unstable angina pectoris = 6 months prior to enrollment b) Acute myocardial infarction = 6 months prior to enrollment c) New York Heart Association Class II-IV congestive heart failure d) Uncontrolled hypertension (as defined as = 160/90 despite optimal medical management) e) Uncontrolled cardiac arrhythmias requiring anti-arrhythmic therapy other than beta blockers or digoxin f) Active coronary artery disease g) Fridericia's correction formula (QTcF) = 480 3. Peripheral sensory neuropathy = CTCAE Grade 2 4. Active infection requiring systemic treatment or any uncontrolled infection =14 days prior to enrollment 5. Known human immunodeficiency virus (HIV) or acquired
    immunodeficiency syndrome (AIDS)-related illness, or known active or chronic hepatitis B or C infection 6. History of interstitial lung disease (eg, pneumonitis or pulmonary fibrosis) 7. Evidence or history of bleeding diathesis or coagulopathy
    8. Radiotherapy = 28 days of enrollment. Patients must be recovered from all acute radiotherapy-related toxicities. No radiopharmaceuticals (strontium, samarium) within 8 weeks of enrollment 9. Prior treatment with any selective inhibitor (eg, AZD4547, BGJ398, JNJ-42756493, BAY1179470) of the FGF-FGFR pathway
    Please refer to protocol section 4 for the additional exclusion criteria (included the changes related to the amendment).
    Fase 1 e Fase 3:1) Metastasi del sistema nervoso centrale (CNS) non trattata o sintomatica (non è necessario imaging del CNS). I pazienti con metastasi del CNS asintomatiche sono idonei a condizione che siano stati clinicamente stabili per almeno 4 settimane e non necessitino di intervento, quale ad esempio intervento chirurgico, radiazione o qualsivoglia terapia corticosteroidea per la gestione dei sintomi correlati alla malattia del CNS 2)Funzione cardiaca compromessa o malattia cardiaca clinicamente significativa, incluso uno qualsiasi dei seguenti (criteri da a fino a g): a) Angina pectoris instabile = 6 mesi prima dell'arruolamento b) Infarto miocardico acuto = 6 mesi prima dell'arruolamento c) Insufficienza cardiaca congestizia di classe II-IV della classificazione della New York Heart Association d) Ipertensione non controllata (definita come = 160/90 nonostante l'assistenza medica ottimale) e) Aritmie cardiache non controllate che richiedono terapia con anti-aritmici diversi da betabloccanti o digossina f) Coronaropatia attiva g) Formula di correzione di Fridericia (QTcF) = 480 3) Neuropatia sensoria periferica ¿ Criteri comuni di terminologia per gli eventi avversi (CTCAE) di Grado 2 4) Infezione attiva che richieda trattamento sistemico o una qualsiasi infezione non controllata = 14 giorni prima dell'arruolamento 5) Noto virus dell'immunodeficienza umana (HIV) o malattie correlate alla sindrome da immunodeficienza acquisita (AIDS), o nota infezione da epatite B o C cronica o attiva 6) Anamnesi di malattia polmonare interstiziale (ad es., polmonite o fibrosi polmonare) 7) Evidenza o anamnesi di diatesi emorragica o coagulopatia 8) Radioterapia = 28 giorni dall'arruolamento. I pazienti devono essersi ristabiliti da tutte le tossicità acute correlate alla radioterapia. Nessun radiofarmaco (stronzio, samario) entro 8 settimane dall'arruolamento 9) Precedente trattamento con un qualsiasi inibitore selettivo (ad es., AZD4547, BGJ398, JNJ-42756493, BAY1179470) della via FGF-FGFR
    Si prega di far riferimento alla sezione 4 del protocollo per i successivi criteri di esclusione (incluse le modifiche relative all'emendamento).
    E.5 End points
    E.5.1Primary end point(s)
    Overall survival (OS), defined as time from randomization until death from any cause
    Sopravvivenza globale (OS), definita come il tempo che intercorre dalla randomizzazione fino al decesso per una qualsiasi causa
    E.5.1.1Timepoint(s) of evaluation of this end point
    Every 3 months ± 28 days after the End of Treatment visit until up to 24 months after the last patient is enrolled in the study, or until death, loss to follow-up, withdrawal of consent or study termination by the Sponsor (whichever occurs first).
    Ogni 3 mesi ± 28 giorni dopo la visita di Fine del trattamento fino a un massimo di 24 mesi dopo l’arruolamento dell’ultimo paziente nello studio, o fino al decesso, perdita al follow-up, ritiro del consenso o interruzione dello studio da parte dello Sponsor (a seconda dell’evento che si verifica per primo).
    E.5.2Secondary end point(s)
    -Progression-free survival (PFS), defined as time from randomization until the date of disease progression based on investigator assessment (using RECIST v1.1) or death from any cause, whichever
    comes first
    - Objective response rate (ORR), defined as the proportion of patients with partial or complete response in all enrolled patients based on
    investigator assessment of tumor lesions per RECIST v1.1
    -Incidence of AEs, clinical laboratory abnormalities, corneal and retinal findings, and ECG abnormalities
    - Pharmacokinetic (PK) parameters, Cmax and Ctrough of FPA144 in combination with mFOLFOX6
    - Incidence of treatment-emergent anti-FPA144 antibody response
    -Sopravvivenza libera da progressione (PFS), definita come il tempo trascorso dalla randomizzazione fino alla data della progressione della malattia in base alla valutazione dello Sperimentatore (usando Criteri di valutazione della risposta nei tumori solidi versione 1.1 [RECIST v1.1]) o al decesso dovuto a una qualsiasi causa, a seconda di quale dei due eventi si verifichi per primo ;Tasso di risposta obiettiva (ORR), definito come la proporzione di pazienti con risposta parziale o completa in base alla valutazione delle lesioni tumorali da parte dello Sperimentatore secondo RECIST v1.1;Incidenza di EA, anomalie cliniche di laboratorio, esiti corneali e retinici e anomalie dell'elettrocardiogramma (ECG);Parametri farmacocinetici (PK), Cmax e Ctrough di FPA144 in combinazione con mFOLFOX6;Incidenza della risposta anticorpale anti-FPA144 emergente dal trattamento
    E.5.2.1Timepoint(s) of evaluation of this end point
    -Radiological/Tumor Assessment: Screening, every 8 weeks from C1D1 until 12 months and then every 12 weeks thereafter, EOT, follow-up (if applicable)
    -AEs: throughout the study
    -Laboratory Evaluations: screening; C1D1, C1D8, C2D1, C3D1, C4D1, EoT and as clinically indicated
    -Vital signs: screening; C1D1, C1D8, C2D1, C3D1, C4D1, EoT; follow-up and as clinically indicated
    -Ophthalmologic Examination: Screening, every 8 weeks from C1D1, EOT
    -Slit Lamp Examination: Week 16 and then every 8 weeks through EOT, as clinically indicated, including after EOT
    -ECG: screening, EoT, as clinically indicated
    -PK & Immunogenicity Blood Sample collection: Day 1 of Cycles 1, 3, 5, 9, 17 and EoT
    Where:
    C1, C2 = Cycle 1, Cycle 2 etc
    D1, D2 = Day 1, Day 2 etc
    EoT= End of Treatment
    Valutaz radiologica/tumorale: Screening ogni 8 sett dal C1G1 fino a 12 mesi e poi ogni 12 settimane, EOT, FU (se pertinente);AE: nel corso dell'intero studio;Valutazioni di laboratorio: screening; C1G1, C1G8, C2G1, C3G1, C4G1, EOT e quando indicato clinicamente;Parametri vitali: screening; C1G1, C1G8, C2G1, C3G1, C4G1, EOT, FU e quando indicato clinicamente;Esame oftalmico: Screening, ogni 8 sett da C1G1, EOT;Biomicroscopia con lampada a fessura: Sett 16 e poi ogni 8 sett fino alla EOT, quando indicato clinicamente, compreso dopo la EOT;ECG: screening, EOT, quando indicato clinicamente;Prelievo di campioni di sangue per farmacocinetica e immunogenicità: G1 dei Cicli 1, 3, 5,9, 17 e EOT.Dove:C1, C2 = Ciclo 1, Ciclo 2, ecc;G1, G2 = Giorno 1, Giorno 2, ecc;EOT = Fine del trattamento
    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 Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    immunogenicity, tolerability
    immunogenicità, tollerabilità
    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 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 concerned24
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA105
    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
    Australia
    China
    Japan
    Korea, Republic of
    Taiwan
    Thailand
    Turkey
    United States
    Belgium
    France
    Germany
    Hungary
    Italy
    Poland
    Portugal
    Romania
    Spain
    United Kingdom
    E.8.7Trial has a data monitoring committee Yes
    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
    24 months after the last patient is enrolled in the study
    24 mesi dopo che l¿ultimo paziente ¿ stato arruolato nello studio
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years5
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years5
    E.8.9.2In all countries concerned by the trial months0
    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: 502
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 46
    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 state32
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 130
    F.4.2.2In the whole clinical trial 548
    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 Decision2018-10-30
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2018-11-21
    P. End of Trial
    P.End of Trial StatusOngoing
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