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    Summary
    EudraCT Number:2018-001344-57
    Sponsor's Protocol Code Number:PENTALLO
    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:2021-06-17
    Trial 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 number2018-001344-57
    A.3Full title of the trial
    Pentaglobin as early adjuvant treatment for febrile neutropenia in acute leukemia or allogeneic hematopoietic stem cell transplant patients colonized by carbapenem-resistant Enterobacteriaceae or Pseudomonas aeruginosa
    Pentaglobin come trattamento adiuvante della neutropenia febbrile in pazienti affetti da leucemia acuta o candidati a trapianto allogenico di cellule staminali emopoietiche e colonizzati da Enterobatteri resistenti ai carbapenemici o da Pseudomonas aeruginosa
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Penataglobin profilaxis in patients with acute leukemia or candidate to allogeneic transplant colonized by carbapenem-resistant Enterobacteriaceae or Pseudomonas aeruginosa
    Profilassi con Pentaglobin nelle leucemie acute o pazienti candidati a trapianto allogenico e colonizzati da Enterobatteri resistenti ai carbapenemici o da Pseudomonas aeruginosa
    A.3.2Name or abbreviated title of the trial where available
    PENTALLO
    PENTALLO
    A.4.1Sponsor's protocol code numberPENTALLO
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT03494959
    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 SponsorGITMO GRUPPO ITALIANO PER IL TRAPIANTO DI MIDOLLO OSSEO, CELLULE STAMINALI EMOPOIETICHE E TERAPIA
    B.1.3.4CountryItaly
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportBiotest AG
    B.4.2CountryGermany
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationGITMO
    B.5.2Functional name of contact pointTrial Office
    B.5.3 Address:
    B.5.3.1Street AddressC/O AOU IRCCS SAN MARTINO-IST PAD. 6 TERRA LARGO ROSANNA BENZI 10
    B.5.3.2Town/ cityGenova
    B.5.3.3Post code16132
    B.5.3.4CountryItaly
    B.5.4Telephone number0105554423
    B.5.5Fax number010515491
    B.5.6E-mailsonia.mammoliti@hsanmartino.it
    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 PENTAGLOBIN - 50 MG/ML SOLUZIONE PER INFUSIONE 1 FLACONCINO DA 10 ML
    D.2.1.1.2Name of the Marketing Authorisation holderBIOTEST PHARMA GMBH
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    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 namePentaglobin
    D.3.2Product code [Pentaglobin]
    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.3.9.2Current sponsor codePentaglobin
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    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 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 Yes
    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 PENTAGLOBIN - 50 MG/ML SOLUZIONE PER INFUSIONE 1 FLACONE DA 50 ML
    D.2.1.1.2Name of the Marketing Authorisation holderBIOTEST PHARMA GMBH
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    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 namePentaglobin
    D.3.2Product code [Pentaglobin]
    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.3.9.2Current sponsor codePentaglobin
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    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 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 Yes
    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: 3
    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 PENTAGLOBIN - 50 MG/ML SOLUZIONE PER IINFUSIONE 1 FLACONE DA 100 ML
    D.2.1.1.2Name of the Marketing Authorisation holderBIOTEST PHARMA GMBH
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    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 namePentaglobin
    D.3.2Product code [Pentaglobin]
    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.3.9.2Current sponsor codePentaglobin
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    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 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 Yes
    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
    The study will enroll consecutive adult patients suffering from acute leukemia candidate to intensive chemotherapy or patients with hematological cancers candidate to allogeneic transplant with a documented colonization sustained by Carbapenem-resistant Enterobacteriaceae or Pseudomonas aeruginosa.
    Pazienti adulti affetti da leucemia acuta e candidati a chemioterapia intensiva o pazienti con malattie ematologiche con indicazione a trapianto allogenico con documentata una colonizzazione da Enterobatteriaceae resistenti ai carbapenemi o da Pseudomonas aeruginosa.
    E.1.1.1Medical condition in easily understood language
    Patients with acute leukemia or candidate to allogeneic transplant for hematological disease with Gram-negative infection antibiotic-resistant
    Pazienti con leucemia acuta o pazienti candidati al trapianto di midollo per malattia ematologica portatori di germi Gram-negativi resistenti agli antibiotici
    E.1.1.2Therapeutic area Diseases [C] - Blood and lymphatic diseases [C15]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10013120
    E.1.2Term Diseases of blood and blood-forming organs, unspecified
    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 demonstrate that the early addition of Pentaglobin to the best available antimicrobial therapy is able to reduce mortality and improve survival in neutropenic febrile acute leukemia or allo- Hematopoietic stem cell transplantation (HSCT) patients colonized by carbapenem-resistant Enterobacteriaceae (CRE) or by any Pseudomonas aeruginosa (PA).
    Dimostrare che una terapia adiuvante precoce con Pentaglobin, all’esordio della neutropenia febbrile, in associazione alla miglior terapia antibiotica disponibile è in grado di ridurre la mortalità da sepsi sostenuta da Enterobatteri resistenti ai carbapenemici (CRE) o Pseudomonas aeruginosa (PA) e migliorare la sopravvivenza globale di pazienti affetti da leucemie acute o candidati a trapianto allogenico che risultano portatori di tali patogeni pretrattamento
    E.2.2Secondary objectives of the trial
    - To evaluate the overall impact of Pentaglobin administration in the study population concerning: adverse drug reactions, infectious complications and treatment-related mortality.
    - Incidence and severity of acute and chronic GvHD.
    - Incidence of graft failure / time to neutrophil and platelet recovery.
    - Probability of GRFS (GvHD free, relapse free survival).
    - Valutare l’impatto globale dell’impiego di Pentaglobin sulla popolazione in studio riguardo ad: eventi aversi e reazioni al farmaco, complicanze infettive e alla mortalità legata al trattamento chemioterapico/trapiantologico
    - Incidenza e severità della GVHD acuta e cronica
    - Incidenza del fallimento dell’attecchimento e tempo di ricostituzione di neutrofili e piastrine
    - Probabilità di GRFS (assenza di GvHD, sopravvivenza libera da malattia).
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    • Age > or = 18 years
    • Performance status: ECOG <3
    • Diagnosis of acute myeloid leukemia or acute lymphoblastic leukemia candidate to intensive chemotherapy or Indication to allogeneic Hematopoietic stem cell transplantation (HSCT) for hematological cancers, including severe aplastic anemia (second transplants allowed)
    • Pre-treatment colonization by Carbapenem-resistant Enterobacteriaceae (CRE) or Pseudomonas aeruginosa (PA) documented by rectal and/or pharyngeal swab or pre-treatment bloodstream infection sustained by CRE or PA
    • Written and signed informed consent
    • Patients participating in other clinical studies for allogeneic HSCT are also eligible to this study if the above-mentioned trials are using an approved investigational compound
    • Possibility of starting treatment with Pentaglobin <12 hours after development of fever
    • Treatment with other immunoglobulins (e.g. IVIG, Cytotect) should be not administered during the time of treatment with Pentaglobin.
    • Età > = 18 anni
    • Performance status: ECOG <3
    • Diagnosi di leucemia mieloide acuta o leucemia linfoblastica acuta con indicazione a chemioterapia intensive oppure indicazione a trapianto allogenico di cellule staminali emopoietiche per neoplasie ematologiche, inclusi pazienti con diagnosi di anemia aplastica severa (secondi trapianti sono consentiti)
    • Colonizzazione pre-trattamento da parte Enterobatteriaceae resistenti ai carbapenemici (CRE) o Pseudomonas aeruginosa (PA) e documentata tramite tampone rettale e/o faringeo oppure batteremia documentata pre-trattamento sostenuta da CRE or PA
    • Consenso informato firmato
    • Possono essere arruolati anche pazienti che partecipano ad altri studi clinici sottoposti a HSCT allogenico se gli studi sopra menzionati utilizzano un composto sperimentale approvato.
    • Possibilità di iniziare il trattamento con Pentaglobina <12 ore dopo lo sviluppo della febbre
    • Il trattamento con altre immunoglobuline (ad es. IVIG, Cytotect) non deve essere somministrato durante il periodo di trattamento con Pentaglobin.
    E.4Principal exclusion criteria
    • Uncontrolled systemic infection
    • -Hypersensitivity to the active substance or to any of the excipients of Pentaglobin
    • Patients with previous anaphylaxis or severe reactions to immunoglobulins preparation
    • Severe concomitant illness:
    o patients with severe renal impairment
    o patients with severe pulmonary impairment
    o patients with severe cardiac impairment
    o patients with severe hepatic impairment
    • patients who on the basis of the investigator's consideration are not able to give the informed consent.
    • Infezione sistemica non controllata
    • Pazienti con pregresse anafilassi o reazioni gravi a preparati a base di immunoglobuline
    • Allergia e/o intolleranza alle sostanze attive o agli eccipienti contenuti nel Pentaglobin
    • Comorbidità clinicamente significative in particolare:
    o Severa insufficienza renale
    o Severa insufficienza polmonare
    o Severa insufficienza cardiaca
    o Severa insufficienza epatica
    • Pazienti che a giudizio degli sperimentatori non sono in grado di fornire il consenso informato.
    E.5 End points
    E.5.1Primary end point(s)
    To demonstrate a 50% reduction in 30-day mortality for carriers developing a pre-engraftment bloodstream infection sustained by carbapenem-resistant Enterobacteriaceae (CRE) or Pseudomonas aeruginosa (PA)
    Dimostrare una riduzione della mortalità sepsi-relata del 50% al giorno +30 dall’esordio nella neutropenia febbrile nei portatori di Enterobatteriaceae resistenti ai carbapenemici (CRE) o Pseudomonas aeruginosa (PA)
    E.5.1.1Timepoint(s) of evaluation of this end point
    30 days from pre-engraftment bloodstream infection
    30 giorni dall’esordio nella neutropenia febbrile
    E.5.2Secondary end point(s)
    To increase by 20% the Overall Survival (OS) at 4 months from the start of intensive treatment in all carriers of CRE or PA compared to historical controls; Survival; Days of fever > 38.3°C; Days of hospitalization; Days of i.v. antimicrobials; Non-relapse mortality (NRM); Incidence and severity of adverse drug reactions (ADR) classified by System Organ Class (SOC) and preferred term (PT); Incidence and severity of acute GvHD; Incidence and severity of chronic GvHD; The cumulative incidence of graft failure / time to neutrophil and platelet recovery; GRFS (GvHD free, relapse free survival)
    Migliorare del 20% la sopravvivenza globale a 4 mesi dall’inizio del trattamento intensivo in tutti i pazienti colonizzati da CRE o PA; Sopravvivenza; Giorni di febbre >38.3°C; Giorni di ricovero ospedaliero; Giorni di terapia antimicrobica; Mortalità non legata alla recidiva/progressione di malattia (NRM); Incidenza e severità delle reazioni al farmaco (ADR) classificate secondo il System Organ Class (SOC) e Termini (PT); Incidenza e severità della GvHD acuta; Incidenza e severità della GvHD cronica; Incidenza cumulativa del fallimento della ricostituzione ematologica e tempi di ricostituzione di neutrofili e piastrine; Probabilità di GRFS (GvHD free, relapse free survival)
    E.5.2.1Timepoint(s) of evaluation of this end point
    4 months from the start of treatment; At 4 months from the start of intensive chemotherapy or transplant; 30 days from the day of start intensive chemotherapy or from day of transplant; 30 days from the start of intensive chemotherapy or transplant; 30 days from the start of intensive chemotherapy or transplant; 4 months from the start of intensive chemotherapy or transplant; 30 days from the start of treatment; 120 days form transplant; 1 year from transplant; at 30 and 60 days from the start of intensive chemotherapy or transplant; 1 year from the start of intensive chemotherapy or transplant
    4 mesi dall’inizio del trattamento; 4 mesi dall’inizio della chemioterapia intensiva o dal trapianto; 30 giorni successivi all’inizio della chemioterapia intensiva (primo giorno di chemioterapia) o dal giorno del trapianto; 30 giorni dall’inizio della chemioterapia intensive o trapianto; 30 giorni dall’inizio della chemioterapia intensive o trapianto; 4 mesi dall’inizio della chemioterapia intensiva o trapianto.; 30 giorni dall'inizio del trattamento; 120 giorni dal trapianto; 1 anno dal trapianto; 30 e 60 giorni dall’inizio della chemioterapia intensiva o trapianto; 1 anno dall’inizio della chemioterapia intensiva o trapianto
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis Yes
    E.6.3Therapy No
    E.6.4Safety No
    E.6.5Efficacy No
    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 No
    E.8.1.1Randomised No
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial1
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned2
    E.8.5The trial involves multiple Member States No
    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 Information not present in EudraCT
    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
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months12
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months12
    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: 110
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 10
    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 No
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception No
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state120
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 120
    F.4.2.2In the whole clinical trial 120
    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
    G.4 Investigator Network to be involved in the Trial: 1
    G.4.1Name of Organisation Fondazione GIMEMA – Franco Mandelli Onlus
    G.4.3.4Network Country Italy
    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 Opinion2019-10-10
    P. End of Trial
    P.End of Trial StatusOngoing
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