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    Summary
    EudraCT Number:2018-002253-30
    Sponsor's Protocol Code Number:INCB39110-120
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2020-11-10
    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 number2018-002253-30
    A.3Full title of the trial
    An Open-Label, Single-Arm, Phase 1/2 Study Evaluating the Safety and Efficacy of Itacitinib in Combination With Corticosteroids for the Treatment of Steroid-Naive Acute Graft-Versus-Host Disease in Pediatric Subjects
    Studio in aperto, a braccio singolo, di fase 1/2 volto a valutare la sicurezza e l’efficacia di Itacitinib in combinazione con i corticosteroidi per il trattamento della malattia del trapianto contro l’ospite acuta in soggetti pediatrici naïve agli steroidi
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A study evaluating safety and efficacy of Itacitinib in combination with corticosteroids for the treatment of first-line acute graft versus-host disease in children
    Studio che valuta la sicurezza e l'efficacia di Itacitinib in combinazione con corticosteroidi per il trattamento della malattia del trapianto contro l'ospite acuta in bambini
    A.3.2Name or abbreviated title of the trial where available
    INCYTE_INCB39110-120
    INCYTE_INCB39110-120
    A.4.1Sponsor's protocol code numberINCB39110-120
    A.7Trial is part of a Paediatric Investigation Plan Yes
    A.8EMA Decision number of Paediatric Investigation PlanP/208/2018
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorINCYTE CORPORATION
    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 supportIncyte Corporation
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationIncyte Corporation
    B.5.2Functional name of contact pointClinical Trial Information
    B.5.3 Address:
    B.5.3.1Street Address1801 Augustine Cut-Off
    B.5.3.2Town/ cityWilmington
    B.5.3.3Post codeDE 19803
    B.5.3.4CountryUnited States
    B.5.6E-mailRA@incyte.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 Yes
    D.2.5.1Orphan drug designation numberEMA/OD/169/17
    D.3 Description of the IMP
    D.3.1Product nameItacitinib
    D.3.2Product code [INCB039110]
    D.3.4Pharmaceutical form Modified-release granules
    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 INNITACITINIB ADIPATE
    D.3.9.1CAS number 1334302-63-4
    D.3.9.2Current sponsor codeINCB039110 ADIPATE
    D.3.9.3Other descriptive nameITACITINIB ADIPATE
    D.3.9.4EV Substance CodeSUB184194
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    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 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 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 No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEMA/OD/169/17
    D.3 Description of the IMP
    D.3.1Product nameItacitinib
    D.3.2Product code [INCB039110]
    D.3.4Pharmaceutical form Modified-release granules
    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 INNITACITINIB ADIPATE
    D.3.9.1CAS number 1334302-63-4
    D.3.9.2Current sponsor codeINCB039110 ADIPATE
    D.3.9.3Other descriptive nameITACITINIB ADIPATE
    D.3.9.4EV Substance CodeSUB184194
    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 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 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
    Male or female, 28 days to less than 18 years of age, who have received an allogeneic hematopoietic stem cell transplant (allo-HSCT) and have developed Grade II to IV acute GVHD
    Maschio o femmina, di età compresa tra 28 giorni e 18 anni, che hanno ricevuto un trapianto di cellule staminali ematopoietiche allogeniche (allo- HSCT) e hanno sviluppato la malattia del trapianto contro l'ospite (GVHD) acuta di grado II-IV
    E.1.1.1Medical condition in easily understood language
    Acute graft versus host disease after allogeneic stem cell transplantation
    Malattia del trapianto del trapianto contro l'ospite acuta dopo un trapianto di cellule staminali ematopoietiche allogeniche
    E.1.1.2Therapeutic area Diseases [C] - Immune System Diseases [C20]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level SOC
    E.1.2Classification code 10021428
    E.1.2Term Immune system disorders
    E.1.2System Organ Class 10021428 - Immune system disorders
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Phase 1:
    - To assess the safety and tolerability of itacitinib in combination with corticosteroids in pediatric subjects with Grade II to IV steroid-naive (SN) acute graft-versus-host disease (aGVHD).
    - To evaluate the pharmacokinetics (PK) of itacitinib when administered in combination with corticosteroids.
    Phase 2:
    - To assess the efficacy of itacitinib in combination with corticosteroids in terms of overall response rate (ORR) at Day 28 in pediatric subjects with aGVHD.
    Fase 1:
    - Valutare la sicurezza e la tollerabilità di itacitinib in combinazione con corticosteroidi in soggetti pediatrici con malattia del trapianto contro l’ospite acuta (acute Graft-Versus-Host Disease, aGVHD) di grado II a IV, naïve agli steroidi (Steroid-Naïve, SN).
    - Valutare la farmacocinetica (Pharmacokinetics, PK) di itacitinib quando somministrato in combinazione con corticosteroidi.
    Fase 2:
    - Valutare l’efficacia di itacitinib in combinazione con corticosteroidi in termini di tasso di risposta complessiva (Overall Response Rate, ORR) al Giorno 28 in soggetti pediatrici con aGVHD.
    E.2.2Secondary objectives of the trial
    Phase 1:
    - To assess the efficacy of itacitinib in combination with corticosteroids in terms of ORR at Day 28 in pediatric subjects with aGVHD.
    Phase 2:
    - To evaluate the PK of itacitinib when administered in combination with corticosteroids.
    Phase 1 and 2:
    - To evaluate additional efficacy and longer-term efficacy outcomes.
    - To assess the incidence and severity of AEs and SAEs.
    - To evaluate the incidence of secondary graft failure.
    - To evaluate the use and discontinuation of corticosteroids.
    - To evaluate the use and discontinuation of immunosuppressive medications.
    - To evaluate the incidence of aGVHD flares.
    - To evaluate the incidence of cGVHD.
    Fase 1:
    - Valutare l’efficacia di itacitinib in combinazione con corticosteroidi in termini di ORR al Giorno 28 in soggetti pediatrici con aGVHD.
    Fase 2:
    - Valutare la PK di itacitinib quando somministrato in combinazione con corticosteroidi
    Fase 1 e 2:
    - Valutare l’efficacia aggiuntiva e gli esiti di efficacia a lungo termine.
    - Valutare l’incidenza e la gravità di EA e SAE.
    - Valutare l’incidenza di fallimento secondario del trapianto
    - Valutare l’uso e l’interruzione del trattamento con corticosteroidi.
    - Valutare l’uso e l’interruzione del trattamento con farmaci immunosoppressori.
    - Valutare l’incidenza di riacutizzazioni dell’aGVHD
    - Valutare l’incidenza di cGVHD.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    . Male and female subjects from 28 days to < 18 years old
    • Undergone 1 allo-HSCT from any donor HLA type (related or unrelated donor with any degree of HLA matching) using any graft source (bone marrow, peripheral blood stem cells, or cord blood). Recipients of myeloablative and reduced-intensity conditioning regimens are eligible.
    • Clinically suspected Grade II to IV aGVHD as per MAGIC criteria, occurring after allo-HSCT and any GVHD prophylactic medication. Efforts should be made to obtain biopsies to pathologically confirm aGVHD. In cases where a biopsy is negative, unable to be obtained, or clinically contraindicated, clinical suspicion of aGVHD by the treating physician is sufficient, provided that alternative diagnoses of drug effects or infection are adequately ruled out.
    • Evidence of myeloid engraftment (eg, absolute neutrophil count [ANC] = 0.5 × 109/L for 3 consecutive assessments if ablative therapy was previously used). Use of growth factor supplementation is allowed.
    • Glomerular filtration rate (GFR) >50 mL/mln/1.73 m2 as estimated using modified Schwartz formula.
    - Soggetti di sesso maschile e femminile da 28 giorni fino a < 18 anni
    - Soggetti sottoposti a 1 allo-HSCT da qualsiasi donatore e tipo HLA (correlato o no al donatore con qualunque grado di compatibilità con HLA) con utilizzo di qualsiasi fonte di trapianto (midollo osseo, cellule staminali da sangue periferico o da sangue cordonale). Sono considerati idonei i riceventi regimi di condizionamento mieloablativi e a ridotta intensità.
    - Sospetto clinico di aGVHD di grado da II a IV secondo i criteri MAGIC, insorta dopo allo-HSCT e qualsiasi trattamento farmacologico per la profilassi della GVHD. È necessario compiere ogni sforzo per ottenere biopsie finalizzate alla conferma patologica dell’aGVHD. Qualora la biopsia sia negativa, non possa essere ottenuta o sia clinicamente controindicata, è sufficiente il sospetto clinico di aGVHD da parte del medico curante, purché si escludano adeguatamente diagnosi alternative di effetti farmaco-correlati o infezione.
    - Evidenza di attecchimento mieloide (ad es. conta assoluta dei neutrofili [Absolute Neutrophil Count, ANC] =0,5 × 109/l per 3 valutazioni consecutive in caso di uso precedente di una terapia ablativa). È consentito il ricorso all’integrazione con fattore di crescita.
    - Velocità di vibrazione glomerulare (GFR) >50 mL/mln/1.73 m2 stimata tramite la formula modificata di Schwartz.
    E.4Principal exclusion criteria
    • More than 1 allo-HSCT.
    • Received more than 2 days of systemic corticosteroids for aGVHD before the first study drug administration.
    • Presence of GVHD overlap syndrome.
    • Presence of an active uncontrolled infection, defined as hemodynamic instability attributable to sepsis or new symptoms, worsening physical signs, or radiographic findings attributable to infection. Persisting fever without signs or symptoms will not be interpreted as an active uncontrolled infection.
    • Più di 1 allo-HSCT.
    • Più di 2 giorni di trattamento con corticosteroidi sistemici per aGVHD prima della prima somministrazione del farmaco dello studio.
    • Presenza di sindrome da sovrapposizione con GVHD.
    • Presenza di un’infezione attiva non controllata, definita come instabilità emodinamica attribuibile a sepsi o come insorgenza di nuovi sintomi, peggioramento dei segni fisici o risultati radiologici attribuibili a infezione. Una febbre persistente senza segni o sintomi non sarà interpretata come infezione attiva non controllata.
    E.5 End points
    E.5.1Primary end point(s)
    Phase 1:
    • Frequency, duration, and severity of adverse events (AEs) and serious adverse events (SAEs)
    • Changes in vital signs and clinical evaluations.
    • Changes in clinical laboratory blood samples.
    • Cmax, Cmin, Tmax, AUC, and Cl/F assessed at Day 1, 7, and 28.
    Phase 2:
    • ORR at Day 28, defined as the proportion of subjects demonstrating a complete response (CR), very good partial response (VGPR), or partial response (PR).
    Fase 1:
    • Frequenza, durata e gravità degli eventi avversi (EA) e degli eventi avversi seri (Serious Adverse Events, SAE).
    • Variazioni nei segni vitali e nelle valutazioni cliniche.
    • Variazioni nei campioni di sangue per gli esami clinici di laboratorio.
    • Cmax, Cmin, Tmax, AUC (Area Under the Curve [area sotto la curva]) e Cl/F valutati al Giorno 1, 7 e 28
    Fase 2:
    • ORR al Giorno 28, definito come proporzione di soggetti che presentano una risposta completa (Complete Response, CR), una risposta parziale molto buona (Very Good Partial Response, VGPR) o una risposta parziale (PR).
    E.5.1.1Timepoint(s) of evaluation of this end point
    Day1 , 7, 14, 21, 28, 35, 42, 49, 56, 100, 180, 365
    Giorno 1 , 7, 14, 21, 28, 35, 42, 49, 56, 100, 180, 365
    E.5.2Secondary end point(s)
    Phase 1:
    • ORR at Day 28, defined as the proportion of subjects demonstrating a CR, VGPR, or PR.
    Phase 2:
    • Cmax, Cmin, Tmax, AUC, and Cl/F assessed at Day 7.
    • ORR, defined as the proportion of subjects demonstrating a CR, VGPR, or PR, at Days 14, 56, and 100.
    • Nonrelapse mortality (NRM) rate, defined as the proportion of subjects who died due to causes other than underlying hematological disorders at Months 6, 9, 12, and 24.
    • Duration of response (DOR) for responders will be calculated. The DOR is defined from the time of the onset of response to either progression or death. Subjects who died or discontinued will be censored at the death date or the previous assessment.
    • Time to response, defined as the interval from treatment initiation to first response.
    • Relapse rate of malignant and non-malignant disorders, defined as the proportion of subjects whose underlying disease relapses.
    • Malignant and non-malignant disorders relapse–related mortality rate, defined as the proportion of subjects whose underlying disease relapses and has a fatal outcome.
    • Failure-free survival rate at timepoint , defined as the proportion of subjects who are still alive, have not relapsed, have not required additional therapy for aGVHD, and have not demonstrated signs or symptoms of chronic graft versus-host disease (cGVHD).
    • Overall survival, defined as the interval from treatment initiation to death due to any cause.
    • Clinical safety data (eg, AEs, infections) will be tabulated and listed.
    • Incidence rate of secondary graft failure, defined as > 95% recipient cells any time after engraftment with no signs of relapse OR retransplantation because of secondary neutropenia (< 0.5 × 109/L) and/or thrombocytopenia (< 20 × 109/L) within 2 months of transplant.
    • Average and cumulative corticosteroid dose at Days 28, 56, 100, and 180; proportion of subjects who discontinue corticosteroids at Days 56 and 100.
    • Proportion of subjects who discontinue immunosuppressive medication at Days 56 and 100.
    • Incidence rate of aGVHD flares through Day 100.
    • Incidence rate of cGVHD at Days 180 and 365.
    Fase 1:
    • ORR al Giorno 28, definito come proporzione di soggetti che presentano una CR, una VGPR o una PR.
    Fase 2:
    • Cmax, Cmin, Tmax, AUC e Cl/F valutati al Giorno 7.
    • ORR, definito come proporzione di soggetti che presentano una CR, una VGPR o una PR ai Giorni 14, 56 e 100.
    • Tasso di mortalità non correlata a recidiva (Nonrelapse Mortality, NRM), definita come proporzione di soggetti deceduti per cause diverse dai disturbi ematologici di base ai Mesi 6, 9, 12 e 24.
    • Durata della risposta (Duration Of Response, DOR) per i soggetti responsivi. La DOR è definita come intervallo di tempo dall’insorgenza della risposta alla progressione o al decesso.
    • Tempo alla risposta, definito come intervallo di tempo dall’inizio del trattamento alla prima risposta.
    • Tasso di recidiva dei disturbi ematologici maligni e non maligni, definito come proporzione di soggetti con recidiva della malattia di base.
    • Tasso di mortalità correlata a recidiva dei disturbi ematologici maligni e non maligni, definito come proporzione di soggetti la cui malattia di base recidiva e ha un esito fatale.
    • Tasso di sopravvivenza libera da fallimento ad un punto temporale, definita come proporzione di soggetti che sono ancora in vita, non hanno sviluppato recidiva, non hanno richiesto ulteriore terapia per aGVHD e non hanno manifestato segni o sintomi di malattia del trapianto contro l’ospite cronica (chronic GVHD, cGVHD).
    • Sopravvivenza complessiva, definita come intervallo di tempo dall’inizio del trattamento al decesso per qualsiasi causa.
    • I dati clinici di sicurezza (es. EA, infezioni) saranno riportati in tabelle ed elencati.
    • Tasso di incidenza di fallimento secondario del trapianto, definito come presenza di >95% delle cellule del ricevente in qualsiasi momento dopo l’attecchimento senza segni di recidiva, OPPURE ritrapianto dovuto a neutropenia (<0,5 × 109/l) e/o trombocitopenia (<20 × 109/l) secondaria entro 2 mesi dal trapianto.
    • Dose media e cumulativa di corticosteroidi ai Giorni 28, 56, 100 e 180; proporzione di soggetti che interrompono il trattamento con corticosteroidi ai Giorni 56 e 100
    • Proporzione di soggetti che interrompono il trattamento con farmaci immunosoppressori ai Giorni 56 e 100.
    • Tasso di incidenza di riacutizzazioni dell’aGVHD fino al Giorno 100.
    • Tasso di incidenza di cGVHD ai Giorni 180 e 365.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Day1 , 7, 14, 21, 28, 35, 42, 49, 56, 100, 180, 365 - Months 9 and 24.
    Giorno 1 , 7, 14, 21, 28, 35, 42, 49, 56, 100, 180, 365 - Monti 9 e 24.
    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 Yes
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) Yes
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other Yes
    E.7.1.3.1Other trial type description
    Safety and PK
    Sicurezza e PK
    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 Yes
    E.8.1.7.1Other trial design description
    studio in aperto_approccio scaglionato per coorte di età
    open study_staggered approach by age cohort
    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 concerned5
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA5
    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
    Belgium
    France
    Germany
    Italy
    Spain
    United States
    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
    The study will end once 75% of subjects have died or are lost to followup
    Lo studio avrà termine quando il 75% dei soggetti sarà deceduto oppure perso al follow-up
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years4
    E.8.9.1In the Member State concerned months5
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years4
    E.8.9.2In all countries concerned by the trial months5
    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 Yes
    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) Yes
    F.1.1.4.1Number of subjects for this age range: 60
    F.1.1.5Children (2-11years) Yes
    F.1.1.5.1Number of subjects for this age range: 60
    F.1.1.6Adolescents (12-17 years) Yes
    F.1.1.6.1Number of subjects for this age range: 30
    F.1.2Adults (18-64 years) No
    F.1.3Elderly (>=65 years) No
    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 state6
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 75
    F.4.2.2In the whole clinical trial 150
    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 Decision2019-02-26
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2019-03-07
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
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