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    Summary
    EudraCT Number:2018-003081-14
    Sponsor's Protocol Code Number:1368-0027
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2019-12-20
    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 number2018-003081-14
    A.3Full title of the trial
    Effisayil™ 2: Multi-center, randomized, parallel group, double blind, placebo controlled, Phase IIb dose-finding study to evaluate efficacy and safety of BI 655130 (Spesolimab) compared to placebo in preventing generalized pustular psoriasis (GPP) flares in patients with history of GPP
    Effisayil™ 2: Ensayo fase IIb de búsqueda de dosis, multicéntrico, doble ciego, aleatorizado, de grupos paralelos y controlado con placebo para evaluar la eficacia y la seguridad de BI 655130 (Spesolimab) en comparación con placebo en la prevención de brotes de psoriasis pustulosa generalizada (GPP) en pacientes con antecedentes de GPP
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A study to test whether BI 655130 (Spesolimab) prevents flare-ups in patients with Generalized Pustular Psoriasis
    Estudio para evaluar si BI 655130 (Spesolimab) previene brotes en pacientes con psoriasis pustulosa generalizada
    A.4.1Sponsor's protocol code number1368-0027
    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 SponsorBoehringer Ingelheim España, 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 supportBoehringer Ingelheim España, S.A.
    B.4.2CountrySpain
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationBoehringer Ingelheim Pharma GmbH & Co. KG
    B.5.2Functional name of contact pointCT Disclosure & Data Transparency
    B.5.3 Address:
    B.5.3.1Street AddressBinger Strasse 173
    B.5.3.2Town/ cityIngelheim am Rhein
    B.5.3.3Post code55216
    B.5.3.4CountryGermany
    B.5.4Telephone number+34934045100
    B.5.5Fax number+34934045580
    B.5.6E-mailclintriage.rdg@boehringer-ingelheim.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.3.2Product code BI 655130
    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 INNSpesolimab
    D.3.9.2Current sponsor codeBI 655130
    D.3.9.3Other descriptive nameMONOCLONAL ANTIBODY ANTI-IGG1
    D.3.9.4EV Substance CodeSUB31544
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number60
    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 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 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.3.2Product code BI 655130
    D.3.4Pharmaceutical form Solution for injection in pre-filled syringe
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNSpesolimab
    D.3.9.2Current sponsor codeBI 655130
    D.3.9.3Other descriptive nameMONOCLONAL ANTIBODY ANTI-IGG1
    D.3.9.4EV Substance CodeSUB31544
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number150
    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 No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for injection in pre-filled syringe
    D.8.4Route of administration of the placeboSubcutaneous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Generalized Pustular Psoriasis
    Psoriasis pustulosa generalizada
    E.1.1.1Medical condition in easily understood language
    Generalized Pustular Psoriasis
    Psoriasis pustulosa generalizada
    E.1.1.2Therapeutic area Diseases [C] - Skin and Connective Tissue Diseases [C17]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.0
    E.1.2Level LLT
    E.1.2Classification code 10037159
    E.1.2Term Psoriasis pustular
    E.1.2System Organ Class 100000004858
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objective of the trial is to demonstrate a non-flat curve and evaluate the dose-response relationship for 3 subcutaneous dosing regimens of BI 655130 (with each regimen consisting of a single loading dose and a separate maintenance subcutaneous dosing regimen) versus placebo, on the primary endpoint, the time to the first GPP flare onset up to week 48.
    El objetivo principal del ensayo es demostrar la existencia de una curva de respuesta a la dosis no plana y evaluar la relación dosis-respuesta con 3 pautas posológicas subcutáneas de BI 655130 (cada pauta consiste en una dosis de carga única y una pauta posológica subcutánea de mantenimiento independiente) frente a placebo teniendo en cuenta el criterio principal de valoración, es decir, el tiempo transcurrido hasta el primer brote de GPP hasta la semana 48.
    E.2.2Secondary objectives of the trial
    The secondary objective is to demonstrate superiority versus placebo for each of BI 655130 regimen on the primary endpoint, the time to the first GPP flare onset up to week 48, as well as the key secondary endpoint, the occurrence of at least one GPP flare up to 48 weeks.
    El objetivo secundario es demostrar superioridad frente al placebo de cada dosis de BI 655130 respecto al criterio principal, el tiempo transcurrido hasta el primer brote de GPP hasta la semana 48, así como respecto al criterio secundario de valoración clave, la aparición de al menos un brote de PPG hasta la semana 48.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Patients with a known and documented history of GPP per ERASPEN criteria (see Section 3.3.1) regardless of IL36RN mutation status.

    2. Patients with a GPPGA score of 0 or 1 at screening and randomization.

    3. Male or female patients, aged 12 to 75 years at screening. For all patients, a minimum weight of 40 kg is required.

    4. Signed and dated written informed consent and assent in accordance with ICH-GCP and local legislation prior to admission in the trial.

    5. Women of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the CTP as well as in the patient (or patient’s legal guardian) information.

    Additional inclusion criteria will apply.
    1. Pacientes con antecedentes conocidos y documentados de GPP según los criterios ERASPEN (véase el apartado 3.3.1), independientemente del estado de mutación de IL36RN.
    2. Pacientes con una puntuación GPPGA de 0 o 1 en la selección y en la aleatorización.
    3. Pacientes de ambos sexos, de edades comprendidas entre los 12 y los 75 años de edad en la selección. Se requiere un peso mínimo de 40 kg de todos los pacientes.
    4. Consentimiento informado por escrito firmado y fechado y asentimiento, de conformidad con las normas de BPC de la ICH y la legislación local antes de la inclusión en el ensayo.
    5. Las mujeres potencialmente fértiles deben querer y poder utilizar métodos anticonceptivos muy eficaces según la directriz M3 de la ICH (R2), es decir, aquellos con una tasa de fracaso baja, inferior al 1 % por año, cuando se emplean correctamente y de forma consistente. Se proporciona una lista de métodos anticonceptivos que cumplen con estos criterios en el protocolo, así como en la información para el paciente o padre(s) (o tutores legales del paciente).

    Otros criterios de inclusión adicionales también aplicarán.
    E.4Principal exclusion criteria
    1. Patients with SAPHO (Synovitis–acne–pustulosis–hyperostosis–osteitis) syndrome.

    2. Patients with primary erythrodermic psoriasis vulgaris.

    3. Severe, progressive, or uncontrolled hepatic disease, defined as >3-fold Upper Limit of Normal (ULN) elevation in AST or ALT or alkaline phosphatase, or >2-fold ULN elevation in total bilirubin.

    4. Treatment with:
    a. Any restricted medication as specified in the CTP, or any drug considered likely to interfere with the safe conduct of the study, as assessed by the investigator.
    b. Any prior exposure to BI 655130 or another IL36R inhibitor biologic.

    5. Increased risk of infectious complications (e.g. recent pyogenic infection, any congenital or acquired immunodeficiency (e.g. HIV), past organ or stem cell transplantation), as assessed by the investigator.

    6. Relevant chronic or acute infections including active tuberculosis, human immunodeficiency virus (HIV) infection or viral hepatitis at the time of randomization. A patient can be re-screened if the patient was treated and is cured from the acute infection.

    7. Active or Latent TB:
    • Patients with active tuberculosis should be excluded
    • Patients with a positive QuantiFERON® (or if applicable, T-Spot®) TB test during screening are excluded, unless the patient had previous diagnosis of active or latent TB and has completed appropriate treatment per the discretion of the local investigator within the last 3 years and at the latest at the time of screening (i.e. 2 to 4 weeks before study drug administration); patients may be re-screened once to meet this criterion)

    8. History of allergy/hypersensitivity to the systemically administered trial medication agent or its excipients.

    9. Any documented active or suspected malignancy or history of malignancy within 5 years prior to screening, except appropriately treated basal or squamous cell carcinoma of the skin or in situ carcinoma of uterine cervix.

    10. Women who are pregnant, nursing, or who plan to become pregnant while in the trial. Women who stop nursing before the study drug administration do not need to be excluded from participating; they should refrain from breastfeeding for 16 weeks after the last study drug administration.

    11. Major surgery (major according to the investigator’s assessment) performed within 12 weeks prior to receiving first dose of study drug or planned during the study, e.g. hip replacement, aneurynsm removal, stomach ligation, as assessed by the investigator.

    12. Evidence of a current or previous disease, medical condition (including chronic alcohol or drug abuse or congestive heart disease or any condition) other than GPP, surgical procedure, psychiatric or social problems, medical examination finding (including vital signs and electrocardiogram (ECG)), or laboratory value at the screening outside the reference range that in the opinion of the investigator is clinically significant.

    Additional exclusion criteria will apply.
    1. Pacientes con síndrome SAPHO (sinovitis, acné, pustulosis, hiperostosis, osteítis).
    2. Pacientes con psoriasis eritrodérmica vulgar primaria.
    3. Enfermedad hepática grave, progresiva o no controlada, definida como un aumento de >3 veces el límite superior de la normalidad (LSN) de la cantidad de AST, ALT o fosfatasa alcalina, o de >2 veces el LSN de la cantidad de bilirrubina total.
    4. Tratamiento con:
    a. Cualquier medicación restringida tal y como se especifica en el protocolo, o cualquier medicación que considere el investigador sea posible que pueda interferir con la seguridad del estudio.
    b. Cualquier exposición previa a BI 655130 u otro inhibidor biológico de IL36R.
    5. Riesgo incrementado de infecciones (ej. infección piogénica reciente, cualquier inmunodeficiencia adquirida o congénita (ej. VIH), trasplante de órgano o célula madre), tal y como considere el investigador.
    6. Infecciones agudas o crónicas relevantes incluyendo tuberculosis activa, VIH o hepatitis vírica en el momento de la aleatorización. Se puede volver a evaluar la participación del paciente si este se trata y cura de la infección aguda.
    7. TB activa o latente:
    - Los pacientes con tuberculosis activa deben ser excluidos.
    - Los pacientes con test positivo de TB QuantiFERON® (o si aplica T-Spot®) durante la selección deben ser excluidos, excepto que el paciente haya sido diagnosticado previamente de TB activa o latente y haya finalizado el tratamiento apropiado, con criterio del investigador local, dentro de los últimos 3 años (ej. de 2 a 4 semanas antes de la administración del medicamento en investigación); los pacientes deben volver a ser evaluados para cumplir este criterio.
    8. Alergia/hipersensibilidad histórica a la administración sistémica de la medicación del ensayo o a sus excipientes.
    9. Cualquier neoplasia documentada activa o sospecha de neoplasia, o historia de neoplasia en los 5 años previos a la selección, excepto carcinoma de piel de células escamosas o basales tratados apropiadamente o carcinoma in situ del cuello uterino.
    10. Mujeres que están embarazadas o en periodo de lactancia, que tengan planeado quedarse embarazadas durante el ensayo. Las mujeres que paren la lactancia antes del ensayo no deben ser excluidas, deben esperar a seguir con la lactancia 16 semanas después de la última administración del medicamento del ensayo.
    11. Cirugía importante (importante según la evaluación del investigador) realizada en las 12 semanas previas a la primera dosis de la medicación del ensayo o planeada durante el ensayo: ej. reemplazo de cadera, eliminación de aneurisma, extracción de aneurisma, ligadura de estómago (según el investigador convenga).
    12. Evidencia de enfermedad previa o actual, o condición médica (incluyendo alcoholismo crónico o drogadicción o insuficiencia cardíaca o cualquier otra condición) diferente a GPP, procedimiento quirúrgico, problemas sociales o psiquiátricos, hallazgo durante la examinación médica (signos vitales o ECG), o valor del laboratorio que durante la selección esté fuera del rango de referencia que en opinión del investigador sea clínicamente significativo.

    Otros criterios de exclusión adicionales también aplicarán.
    E.5 End points
    E.5.1Primary end point(s)
    1) Time to first Generalized Pustular Psoriasis (GPP) flare (defined by increase in Generalized Pustular Psoriasis Physician Global Assessment (GPPGA) score by ≥ 2 from baseline and the pustular component of GPPGA ≥ 2) up to week 48.
    1) Tiempo transcurrido hasta el primer brote de GPP (definido por el aumento de la puntuación GPPGA en ≥2 respecto al periodo basal y el componente pustuloso de GPPGA ≥2) hasta la semana 48
    E.5.1.1Timepoint(s) of evaluation of this end point
    1) up to week 48
    1) hasta la semana 48
    E.5.2Secondary end point(s)
    1) The occurrence of at least one GPP flare (defined by increase in GPPGA score by ≥ 2 from baseline and the pustular component of GPPGA ≥ 2) up to week 48.
    2) Time to first worsening of Psoriasis Symptom Scale (PSS) up to week 48 defined as a 4-point increase in total score from baseline. Intake of rescue medication, or investigator-prescribed SoC, will be considered as onset of a worsening.
    3) Time to first worsening of Dermatology Quality of Life Index (DLQI) up to week 48 defined as a 4-point increase in total score from baseline. Intake of rescue medication, or investigator-prescribed SoC, will be considered as onset of a worsening.
    4) Sustained remission, defined as a patient with a GPPGA score of 0 or 1 (clear or almost clear) at all visits up to week 48, without intake of rescue medication, or investigator-prescribed SoC.
    5) The occurrence of treatment emergent adverse events (TEAEs)
    1) Aparición de al menos un brote de GPP (definido por el aumento de la puntuación GPPGA en ≥2 respecto al periodo basal y el componente pustuloso de GPPGA ≥2) hasta la semana 48.
    2) Tiempo transcurrido hasta la primera manifestación de empeoramiento de la Escala de síntomas de psoriasis (PSS) hasta la semana 48, definido como un aumento de 4 puntos en la puntuación total desde el inicio. La toma de la medicación de rescate o tratamiento de referencia prescrito por el investigador, serán considerados como empeoramiento.
    3) Tiempo transcurrido hasta la primera manifestación de empeoramiento del Índice de calidad de vida dermatológica (DLQI) hasta la semana 48 definido como un aumento de 4 puntos en la puntuación total desde el inicio. La toma de la medicación de rescate o tratamiento de referencia prescrito por el investigador, serán considerados como empeoramiento.
    4) Remisión mantenida, definida como la obtención de una puntuación de GPPGA de 0 o 1 (remisión total o casi total) en todas las visitas del paciente hasta la semana 48, sin uso de medicación de rescate o tratamiento de referencia prescrito por el investigador.
    5) Aparición de acontecimientos adversos surgidos durante el tratamiento (AAT)
    E.5.2.1Timepoint(s) of evaluation of this end point
    1) up to week 48
    2) up to week 48
    3) up to week 48
    4) up to week 48
    5) up to week 48
    1) hasta la semana 48
    2) hasta la semana 48
    3) hasta la semana 48
    4) hasta la semana 48
    5) hasta la semana 48
    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 No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    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 trial4
    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 concerned3
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA31
    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
    Argentina
    Australia
    Belgium
    Brazil
    Chile
    China
    Czech Republic
    Egypt
    France
    Germany
    Greece
    Italy
    Japan
    Korea, Republic of
    Malaysia
    Mexico
    Netherlands
    New Zealand
    Poland
    Russian Federation
    Singapore
    Spain
    Taiwan
    Thailand
    Tunisia
    Turkey
    United States
    Vietnam
    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
    The trial will be considered complete when the last patient completes the last follow-up visit.
    El ensayo se considerará finalizado cuando el último paciente haya finalizado la última visita de seguimiento.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months9
    E.8.9.1In the Member State concerned days10
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months9
    E.8.9.2In all countries concerned by the trial days10
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1Number of subjects for this age range: 20
    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) Yes
    F.1.1.6.1Number of subjects for this age range: 20
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 80
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 20
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state4
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 22
    F.4.2.2In the whole clinical trial 98
    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
    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 Decision2020-01-24
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2019-12-13
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2022-12-20
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