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    Summary
    EudraCT Number:2018-000452-18
    Sponsor's Protocol Code Number:CETB115J2411
    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:2018-08-07
    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 number2018-000452-18
    A.3Full title of the trial
    A phase II, open-label, prospective, single-arm, study to assess ability of eltrombopag to induce sustained remission in subjects with ITP who are refractory or relapsed after first-line steroids (TAPER)
    Estudio fase II, abierto, prospectivo, con un solo brazo para evaluar la capacidad de eltrombopag de inducir remisión sostenida en sujetos con trombocitopenia inmune primaria que son refractarios o hayan recaído tras una primera línea de esteroides (TAPER)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    The study will determine if subjects are able to stop eltrombopag treatment while maintaining acceptable platelet levels after their disease has become resistant to treatment (refractory) or has a reoccurrence of symptoms after initial treatment with steroids (relapse)
    Estudio para evaluar la capacidad de eltrombopag de inducir remisión sostenida en sujetos con trombocitopenia inmune primaria.
    A.4.1Sponsor's protocol code numberCETB115J2411
    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 SponsorNovartis Farmacéutica, S.A.
    B.1.3.4CountrySpain
    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 supportNovartis Pharma AG
    B.4.2CountrySwitzerland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationNovartis Farmacéutica, S.A.
    B.5.2Functional name of contact pointTrial Monitoring Organization (TMo)
    B.5.3 Address:
    B.5.3.1Street AddressGran Vía de les Corts Catalanes, 764
    B.5.3.2Town/ cityBarcelona
    B.5.3.3Post code08013
    B.5.3.4CountrySpain
    B.5.4Telephone numberNA
    B.5.5Fax numberNA
    B.5.6E-maileecc.novartis@novartis.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 REVOLADE
    D.2.1.1.2Name of the Marketing Authorisation holderNovartis Europharm Ltd
    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 nameEltrombopag
    D.3.2Product code ETB115
    D.3.4Pharmaceutical form Film-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 INNELTROMBOPAG
    D.3.9.1CAS number 496775-62-3
    D.3.9.2Current sponsor codeETB115
    D.3.9.3Other descriptive nameELTROMBOPAG OLAMINE
    D.3.9.4EV Substance CodeSUB30141
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    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 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 REVOLADE
    D.2.1.1.2Name of the Marketing Authorisation holderNovartis Europharm Ltd
    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 nameEltrombopag
    D.3.2Product code ETB115
    D.3.4Pharmaceutical form Film-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 INNELTROMBOPAG
    D.3.9.1CAS number 496775-62-3
    D.3.9.2Current sponsor codeETB115
    D.3.9.3Other descriptive nameELTROMBOPAG OLAMINE
    D.3.9.4EV Substance CodeSUB30141
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    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
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    immune thrombocytopenia
    trombocitopenia inmune
    E.1.1.1Medical condition in easily understood language
    immune thrombocytopenia
    trombocitopenia inmune
    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 20.1
    E.1.2Level LLT
    E.1.2Classification code 10050245
    E.1.2Term Autoimmune thrombocytopenia
    E.1.2System Organ Class 100000004851
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10036735
    E.1.2Term Primary thrombocytopenia
    E.1.2System Organ Class 100000004851
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To assess ability of eltrombopag to induce sustained remission by month 12 in ITP subjects who relapsed or failed to respond to first-line steroid treatment
    Evaluar la capacidad de eltrombopag de inducir remisión sostenida en 12 meses en sujetos con PTI que hayan recaído o no hayan respondido al tratamiento de primera línea de esteroides.
    E.2.2Secondary objectives of the trial
    1. To assess the duration of sustained remission after treatment discontinuation
    2. To assess the ability of eltrombopag to induce early response by month 1
    3. To assess the ability of eltrombopag to induce a recovery response, in case of loss of response during or after tapering of eltrombopag
    4. To quantify the platelet count from baseline to 3, 6, 9, 12 months
    5. To assess the ability of eltrombopag to maintain platelet count ≥ 30×109/L within 12 months
    6. To evaluate patient-Health Related outcome measures for health-related quality
    of life (fatigue level of the subjects through FACIT) & FACT-Th6 and SF-36v2 questionnaires
    7. To explore the overall impact of side effects on treatment via the GP5 at baseline and EOS
    8. To explore treatment satisfaction with TSQM-9
    9. To evaluate the safety and tolerability of eltrombopag
    1.Evaluar la duración de remisión sostenida después de la discontinuación del tto.
    2. Evaluar la capacidad de eltrombopag de inducir una respuesta temprana en el primer mes.
    3. Evaluar la capacitad de eltrombopag de recuperar respuesta, en caso de pérdida de respuesta durante o después de disminuir el trombopag.
    4. Cuantificar el recuento de plaquetas desde la basal hasta los m 3, 6, 9 y 12.
    5. Evaluar la capacidad de eltrombopag de mantener el recuento de plaquetas </=30×109 /L durante 12 m.
    6. Evaluar las medidas de los resultados relacionadas con la salud de los pacientes para la calidad de vida relacionada con la salud mediante el uso de los cuestionarios FACIT y versión de 6 ítems del FACT-Th6 y SF-36v2.
    7. Explorar el impacto global de los efectos secundarios en la percepción del tratamiento de los sujetos mediante la evaluación GP5 en basal y al final del estudio.
    8. Explorar la satisfacción con el tratamiento con TSQM-9.
    9. Evaluar la seguridad y tolerabilidad del IMP.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Signed informed consent must be obtained prior to participation in the study
    2. Subjects ≥ 18 years old
    3. Subjects with a confirmed diagnosis of primary ITP, who are not responsive or in relapse after a first line of steroid therapy ± intravenous immunoglobulin (IVIG) (used as a rescue therapy)
    4. Platelet count < 30×109/L and assessed as needing treatment (per physician’s discretion
    1. Se deberá obtener el consentimiento informado firmado antes de la participación en el estudio.
    2. Sujetos >-= 18 años de edad.
    3. Sujetos con un diagnóstico confirmado de PTI primaria que no responden o han recaído después de una terapia de primera línea de esteroides +/- inmunoglobulina intravenosa (IGIV) (utilizada como terapia de rescate).
    Se definirá la terapia de primera línea de esteroides como. 0,5 a 1 mg/kg/día de prednisona/prednisolona durante un mínimo de dos semanas, o un mínimo de un ciclo de altas dosis de dexametasona de 20-40 mg/día durante 4 días consecutivos +/- IGIV (utilizada como terapia de rescate). La exposición máxima al tratamiento con dosis alta de esteroides (se ha excluido la disminución progresiva de esteroides) debe estar limitada a: 4 semanas de dosis altas de prednisona/prednisolona o 3 ciclos de altas dosis de dexametasona. La exposición global de esteroides no deber ser superior a 3 meses, incluyendo el periodo de disminución progresiva de la dosis.
    4. Recuento de plaquetas < 30×109/L y evaluado como con necesidad de tratamiento (según el criterio del médico).
    E.4Principal exclusion criteria
    1. ITP subjects previously treated with any ITP second-line therapies, thrombopoietin receptor (TPO-R) agonists for ITP, except steroids / IVIG
    2. Subjects who relapsed more than one year after the end of first-line full course of steroid therapy
    3. Subjects with a diagnosis of secondary thrombocytopenia
    4. Subjects who have life threatening bleeding complications per investigator discretion
    5. Subjects who had a deep vein thrombosis or arterial thrombosis in the 6 months preceding enrollment
    6. Serum creatinine ≥ 1.5 mg/dL
    7. Total bilirubin > 1.5 × upper limit of normal (ULN)
    8. Aspartate transaminase (AST) > 3.0 × ULN
    9. Alanine transaminase (ALT) > 3.0 × ULN
    10. Subjects who are human immune deficiency virus (HIV), hepatitis C virus (HCV), hepatitis B surface antigen (HBsAg) positive
    11. Subjects with hepatic impairment (Child-Pugh score > 5)
    12. Subjects who have active malignancy
    13. Subjects with any serious and/or unstable pre-existing medical, psychiatric disorder or other conditions that could interfere with subject’s safety, obtaining informed consent or compliance with the study procedures per investigator discretion
    14. History or current diagnosis of cardiac disease indicating significant risk of safety for subjects participating in the study
    15. Subjects with known active or uncontrolled infections not responding to appropriate therapy
    16. Subjects with evidence of current alcohol/drug abuse
    17. Women of child-bearing potential and sexually active males unwilling to use adequate contraception during the study
    18. Female subjects who are nursing or pregnant (positive serum or urine B-human chorionic gonadotrophin (B-hCG) pregnancy test) at screening or pre-dose on Day 1

    Other protocol-defined inclusion/exclusion criteria may apply
    1. Sujetos con PTI tratados previamente con cualquier terapia de segunda línea para PTI, agonistas del receptor de trombopoyetina (R-TPO) para PTI, excepto esteroides/IGIV,
    2. Sujetos que hayan recaído más de un año después de haber finalizado un ciclo completo de terapia con esteroides.
    3. Sujetos con un diagnóstico de trombocitopenia secundaria.
    4. Sujetos con complicaciones de sangrado amenazantes para la vida según criterio del investigador.
    5. Sujetos con trombosis venosa profunda o trombosis arterial en los 6 meses anteriores a la inclusión.
    6. Creatinina en suero ≥ 1,5 g/dl.
    7. Bilirrubina total > 1,5 x límite superior de normalidad (LSN).
    8. Aspartato transaminasa (AST) > 3,0 × LSN.
    9. Alanino transaminasa (ALT) > 3,0 × LSN.
    10. Sujetos positivos al virus de inmunodeficiencia humana (VIH), virus de hepatitis C (VHC) y antígeno de superficie de la hepatitis B (HBsAg).
    11. Sujetos con deterioro hepático (puntuación de Child-Pugh > 5).
    12. Sujetos que tienen un tumor maligno activo.
    13. Sujetos con cualquier trastorno médico o psiquiátrico preexistente grave o inestable o cualquier otra condición que pueda interferir en la seguridad del sujeto, obtención del consentimiento informado o cumplimiento con los procedimientos del estudio según el criterio del investigador.
    14. Antecedentes o diagnóstico actual de enfermedad cardíaca que indiquen un riesgo significativo en la seguridad de los sujetos que participen en el estudio.
    15. Sujetos con infecciones activas conocidas o no controladas que no responden a la terapia adecuada.
    16. Sujetos con evidencia de abuso actual de alcohol/drogas.
    17. Mujeres en edad fértil y hombres sexualmente activos que no deseen utilizar un método anticonceptivo adecuado durante el estudio.
    18. Mujeres que estén en periodo de lactancia o embarazadas (prueba de embarazo de gonadotropina coriónica humana B [B-hCG] positiva en sangre u orina) en la selección o el día 1 antes de la dosis.
    E.5 End points
    E.5.1Primary end point(s)
    Percentage of participants with sustained remission (R) by 12 months
    Proporción de sujetos con remisión sostenida a los 12 meses donde se define la remisión sostenida (R)
    E.5.1.1Timepoint(s) of evaluation of this end point
    12 months
    12 meses
    E.5.2Secondary end point(s)
    1. Median duration of sustained remission
    2. Percentage of participants with platelet count ≥ 50×109/L
    3. Percentage of participants with at least one platelet count ≥ 30×109/L after eltrombopag is re-introduced without bleeding and no rescue medication
    4. Absolute and relative change in platelet count from baseline to various time points
    5. Percentage of participants who maintain a platelet count ≥ 30×109/L without bleeding and no rescue medication
    6. Change from baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) questionaire
    7. Change from baseline in Functinal Assessment of Cancer Therapy- Thrombocytopenia (FACT-Th6) questionnaire
    8. Change from baseline in Short Form 36 Health Survey (SF-36v2) questionnaire
    9. Overall change from baseline of the overall impact of side effects on treatment via Functional Assessment of Cancer Therapy-G (GP5)
    10. Overall change of treatment satisfaction using Treatment Satisfaction Questionnaire (TSQM-9)
    1. Mediana de duración de la remisión sostenida
    2. Porcentaje de sujetos con recuento de plaquetas >/= 50×109/L
    3. Porcentaje de sujetos con al menos un recuento de plaquetas >/= 30×109/L tras haber reintroducido eltrombopag sin haber sangrado ni medicación de rescate.
    4. Cambio absoluto y relativo en el recuento de plaquetas desde basal a distintos puntos.
    5. Porcentaje de sujetos que mantienen un recuento de plaquetas >/= 30×109/L sin sangrado y sin medicación de rescate.
    6. Cambio en el cuestionario FACIT-Fatigue con respecto al basal.
    7. Cambio en el cuestionario FACT-Th6 con respecto al basal.
    8. Cambio en el cuestionaro SF-36v2 con respecto al basal.
    9. Cambio general desde el inicio del impacto general de los efectos secundarios en el tratamiento a través de la evaluación funcional de la terapia del cáncer-G (GP5).
    10. Cambio general de la satisfacción del tratamiento utilizando el Cuestionario de Satisfacción de Tratamiento (TSQM-9).
    E.5.2.1Timepoint(s) of evaluation of this end point
    1. 12 months
    2. by 1 month
    3. 12 months
    4. Baseline, 3, 6, 9, 12 months
    5. From first time of reaching the level to 3, 6, 9, 12 months
    6.Baseline to 3, 6, 9, 12 months
    7. Baseline to 3, 6, 9, 12 months
    8. Baseline to 3, 6, 9, 12 months
    9. Baseline, 12 months or end of study
    10. Baseline, 12 months or end of study
    1. 12 meses
    2. en el primer mes
    3. 12 meses
    4. basal, 3, 6, 9, 12 meses
    5. desde la primera vez alcanzado el nivel y en los meses 3, 6, 9, 12.
    6. basal a 3, 6, 9, 12 meses
    7. basal a 3, 6, 9, 12 meses
    8. basal a 3, 6, 9, 12 meses
    9. Basal, 12 meses o fin de estudio
    10. Basal, 12 meses o fin de estudio
    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 Yes
    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 No
    E.8.1.1Randomised No
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned5
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA37
    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
    Austria
    Brazil
    Chile
    France
    Germany
    Greece
    Italy
    Japan
    Mexico
    Norway
    Oman
    Russian Federation
    Saudi Arabia
    Spain
    Switzerland
    Turkey
    United Kingdom
    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
    Study completion is defined as when the last subject finishes their EOS visit, and any repeat assessments associated with this visit have been documented and followed-up appropriately by the Investigator, or in the event of an early study termination decision, the date of that decision
    Se define el fin de estudio cuando el último paciente acaba la visita de fin de estudio y cualquier prueba repetida asociada a dicha visita ha sido documentada y se ha hecho un seguimiento por el investigador o en caso de un fin de estudio prematuro la fecha de decisión.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years
    E.8.9.1In the Member State concerned months24
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial months24
    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: 66
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 35
    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 state11
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 51
    F.4.2.2In the whole clinical trial 101
    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)
    Continuing care to study participants should be provided by the investigator and/or referring physician. The treating physician can request access to eltrombopag for subjects that are continuing to benefit from treatment. Access will be dependent on the local regulatory authority approval of the product and current reimbursement options.
    El investigador y / o el médico remitente deben proporcionar atención continua a los participantes del estudio. El médico tratante puede solicitar acceso a eltrombopag para los sujetos que continúan beneficiándose del tratamiento. El acceso dependerá de la aprobación de la autoridad reguladora local del producto y de las opciones de reembolso actuales.
    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 Decision2018-09-21
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2018-09-10
    P. End of Trial
    P.End of Trial StatusOngoing
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