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    Summary
    EudraCT Number:2018-004243-23
    Sponsor's Protocol Code Number:J1S-MC-JV02
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2020-01-17
    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 number2018-004243-23
    A.3Full title of the trial
    A Randomized, Open-Label Phase I/II Study Evaluating Ramucirumab in Pediatric Patients and Young Adults with relapsed, Recurrent, or Refractory Synovial Sarcoma.
    Estudio de fase 1/2, aleatorizado, sin enmascaramiento, en el que se evalúa ramucirumab en pacientes menores de edad y en adultos jóvenes con sarcoma sinovial recidivante, recurrente o resistente al tratamiento
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Study Evaluating Ramucirumab in Children and Young Adults with Synovial Sarcoma.
    Estudio en el que se evalúa ramucirumab en niños y adultos jóvenes con sarcoma sinovial.
    A.4.1Sponsor's protocol code numberJ1S-MC-JV02
    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 SponsorLilly 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 supportEli Lilly and Company
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationEli Lilly Cork Ltd
    B.5.2Functional name of contact pointClinical Trial Registry Office
    B.5.3 Address:
    B.5.3.1Street Address• Clinical Trial Registry Office
    B.5.3.2Town/ cityCo. Cork
    B.5.3.3Post codeT45 KD39
    B.5.3.4CountryIsle of Man
    B.5.4Telephone number3491836 29 58
    B.5.6E-mailensayosclinicos@lilly.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 Cyramza 10 mg/ml concentrate for solution for infusion
    D.2.1.1.2Name of the Marketing Authorisation holderEli Lilly Nederland B.V.
    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 nameRamucirumab
    D.3.2Product code LY3009806
    D.3.4Pharmaceutical form Concentrate for 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 INNRAMUCIRUMAB
    D.3.9.1CAS number 947687-13-0
    D.3.9.3Other descriptive nameRAMUCIRUMAB
    D.3.9.4EV Substance CodeSUB32795
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    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 Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.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 Gemzar
    D.2.1.1.2Name of the Marketing Authorisation holderLilly France S.A.S.
    D.2.1.2Country which granted the Marketing AuthorisationFrance
    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 nameGemcitabine
    D.3.4Pharmaceutical form Powder for 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 INNGEMCITABINE
    D.3.9.1CAS number 95058-81-4
    D.3.9.4EV Substance CodeSUB07892MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1000
    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: 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 Docetaxel Accord 20 mg/ml concentrate
    D.2.1.1.2Name of the Marketing Authorisation holderAccord Healthcare Limited
    D.2.1.2Country which granted the Marketing AuthorisationUnited Kingdom
    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 nameDocetaxel
    D.3.4Pharmaceutical form Concentrate for 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 INNDOCETAXEL
    D.3.9.3Other descriptive nameDOCETAXEL
    D.3.9.4EV Substance CodeSUB12492MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin 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: 4
    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 Docetaxel-ratiopharm 20 mg/ml Concentrate for Solution for Infusion
    D.2.1.1.2Name of the Marketing Authorisation holderratiopharm GmbH
    D.2.1.2Country which granted the Marketing AuthorisationGermany
    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 nameDocetaxel
    D.3.4Pharmaceutical form Concentrate for 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 INNDOCETAXEL
    D.3.9.3Other descriptive nameDOCETAXEL
    D.3.9.4EV Substance CodeSUB12492MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin 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
    Synovial Sarcoma
    Sarcoma sinovial
    E.1.1.1Medical condition in easily understood language
    Synovial Sarcoma
    Sarcoma sinovial
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10042863
    E.1.2Term Synovial sarcoma
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate the efficacy of ramucirumab in combination with gemcitabine and docetaxel compared with gemcitabine and docetaxel in pediatric and young adult patients with SS (SS = synovial sarcoma).
    Comparar la eficacia de ramucirumab en combinación con gemcitabina y docetaxel con la de gemcitabina y docetaxel en el tratamiento de pacientes menores de edad y adultos jóvenes con SS (sarcoma sinovial).
    E.2.2Secondary objectives of the trial
    - To evaluate the safety and tolerability of ramucirumab in combination with gemcitabine and docetaxel compared with gemcitabine and docetaxel in pediatric and young adult patients with SS.
    - To characterize the PK of ramucirumab when co-administered with gemcitabine and docetaxel in pediatric and young adult patients with SS.
    - To assess the immunogenicity of ramucirumab when co-administered with gemcitabine and docetaxel in pediatric and young adult patients with SS.
    Comparar la seguridad y la tolerabilidad de ramucirumab en combinación con gemcitabina y docetaxel con la de gemcitabina y docetaxel en el tratamiento de pacientes menores de edad y adultos jóvenes con SS.
    - Caracterizar la FC de ramucirumab cuando se administra de forma concomitante con gemcitabina y docetaxel a pacientes menores de edad y adultos jóvenes con SS.
    - Evaluar la inmunogenia de ramucirumab cuando se administra de forma concomitante con gemcitabina y docetaxel a pacientes menores de edad y adultos jóvenes con SS.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    - Patients with either relapsed, recurrent, or refractory SS.
    - Patients must be >11 kg at the time of study enrollment.
    - The patient has a Lansky (<16 years of age; Lansky et al. 1987) or Karnofsky (≥16 years of age; Karnofsky et al. 1948) performance score of at least 50.
    - Patients must be 36 months to ≤29 years of age at the time of study enrolment.
    - Patients must
    •have measurable disease by RECIST 1.1
    •have received at least one prior line of systemic treatment (including neoadjuvant and adjuvant chemotherapy) that contains ifosfamide and/or doxorubicin, and any approved therapies for which they are eligible, unless the patient is not a suitable candidate for the approved therapy.
    •not be eligible for surgical resection at time of enrollment
    - Patients must not have received prior exposure to ramucirumab.
    - Patient with adequate laboratory values and hematologic, coagulation, liver, cardiac, renal and bladder function, and adequate blood pressure (BP) control as per protocol.
    - Sufrir SS recidivante, recurrente o resistente al tratamiento.
    - Los pacientes deben pesar más de 11 kg en el momento del reclutamiento en el estudio.
    - Tener una puntuación del estado funcional de al menos 50 en la escala de Lansky (<16 años; Lansky et al. 1987) o en la de Karnofsky (≥16 años; Karnofsky et al. 1948).
    - Tener entre 36 meses y ≤29 años de edad en el momento del reclutamiento en el estudio.
    - Los pacientes deben:
    • presentar enfermedad mensurable de acuerdo con los criterios RECIST 1.1.
    • haber recibido al menos una línea previa de tratamiento sistémico (se contabiliza también la quimioterapia neoadyuvante y adyuvante) que incluyera ifosfamida y/o doxorubicina, así como cualquier terapia aprobada para la que el paciente sea tributario, a menos que este no sea un candidato idóneo para la terapia aprobada.
    • no ser tributario de una intervención de resección quirúrgica en el momento del reclutamiento.
    - Los pacientes no deben haber recibido anteriormente ramucirumab.
    - Tener una función hematológica, hepática, cardiaca y renal suficientes, así como una coagulación y un control de la tensión arterial (TA) aceptables, de acuerdo con el protocolo.
    E.4Principal exclusion criteria
    - Patients who have had allogeneic bone marrow or solid organ transplant are excluded.
    - Patients who have active infections requiring therapy.
    - Patients who have a history of fistula, gastrointestinal (GI) ulcer or perforation, or intra-abdominal abscess within 3 months of study enrolment are not eligible.
    - Patients with a bowel obstruction, extensive intestinal resection or history or presence of inflammatory enteropathy or other GI pathology as per protocol.
    - Patients with a history of hepatorenal syndrome.
    - Patients with a known hypersensitivity to ramucirumab , gemcitabine,
    docetaxel or agents formulated with Polysorbate 80.
    - Patients with evidence of active bleeding or a history of significant (≥
    Grade 3) bleeding event, deep vein thrombosis requiring medical
    intervention (including pulmonary embolism), hemoptysis or other signs
    of pulmonary haemorrhage, or esophageal varices within 3 months of
    enrollment are not eligible.
    - Patients with a bleeding diathesis or vasculitis are not eligible.
    - Patients with a history of central nervous system (CNS) arterial/venous thromboembolic events (VTEs) including transient ischemic attack (TIA) or cerebrovascular accident (CVA) within 6 months of study enrolment are not eligible.
    - Patients with myocardial infarction or unstable angina within the prior 6 months.
    - Patients with significant vascular disease or peripheral vascular disease.
    - Patients with a history of hypertensive crisis or hypertensive encephalopathy within 6 months of study enrolment are not eligible.
    - Patients who have non-healing wound, unhealed or incompletely healed fracture, or a compound (open) bone fracture at the time of enrolment are not eligible.
    - Patients previously treated and progressed on combination gemcitabine or docetaxel. (Patients who received combination as maintenance therapy, without progression, would be eligible.)
    - Patients who have previously received any exposure to ramucirumab are not eligible.
    - Patients with clinical or radiologic findings consistent with interstitial pneumonia or pulmonary fibrosis.
    - Patients with CNS involvement are ineligible.
    Se excluirá a los pacientes que hayan recibido un alotrasplante de médula ósea o un trasplante de víscera maciza.
    - Pacientes que presenten infecciones activas que requieran tratamiento.
    - No se considerarán idóneos los pacientes con antecedentes de fístulas, úlceras o perforaciones gastrointestinales (GI) o abscesos intraabdominales en el transcurso de los 3 meses anteriores al reclutamiento en el estudio.
    - Pacientes con obstrucción intestinal, amplia resección intestinal o antecedentes o presencia de enteropatía inflamatoria u otras patologías gastrointestinales, de conformidad con el protocolo.
    - Pacientes con antecedentes de síndrome hepatorrenal.
    - Pacientes con hipersensibilidad a gemcitabina, docetaxel o a medicamentos que incluyan polisorbato 80.

    - No se considerarán idóneos los pacientes con signos de hemorragia activa o antecedentes de episodios hemorrágicos importantes (grado ≥3), trombosis venosa profunda que requiera una intervención médica (incluidos los casos de embolia pulmonar), hemoptisis u otros signos de hemorragia pulmonar o varices esofágicas en el transcurso de los 3 meses anteriores al reclutamiento.
    - No se considerarán idóneos los pacientes con diátesis hemorrágica o vasculitis.
    - No se considerarán idóneos los pacientes con antecedentes de episodios tromboembólicos venosos/arteriales (ETV/ETA) en el sistema nervioso central, incluidos los casos de accidente isquémico transitorio (AIT) o de accidente cerebrovascular (ACV) en el transcurso de los 6 meses anteriores al reclutamiento en el estudio.
    - Pacientes que hayan sufrido un infarto de miocardio o angina de pecho inestable en el transcurso de los 6 meses anteriores.
    - Pacientes con vasculopatía o vasculopatía periférica importante.
    - No se considerarán idóneos los pacientes con antecedentes de crisis hipertensiva o encefalopatía hipertensiva en el transcurso de los 6 meses anteriores al reclutamiento en el estudio.
    - No se considerarán idóneos los pacientes que en el momento del reclutamiento presenten heridas tórpidas, fracturas sin consolidar o consolidadas parcialmente, o fracturas óseas abiertas.
    - Pacientes que anteriormente hayan recibido tratamiento politerápico con gemcitabina o doctaxel y hayan sufrido progresión de la enfermedad durante este tratamiento (se considerarán idóneos para participar los pacientes que hayan recibido esta politerapia como tratamiento de mantenimiento y no hayan presentado progresión de la enfermedad).
    - No se considerarán idóneos los pacientes que anteriormente hayan recibido ramucirumab.
    - Pacientes con manifestaciones clínicas o resultados en las pruebas radiográficas compatibles con neumonía intersticial o fibrosis pulmonar.
    - Los pacientes que presenten afectación en el SNC no se considerarán idóneos.
    E.5 End points
    E.5.1Primary end point(s)
    progression-free survival (PFS)
    Supervivencia sin progresión (SSP)
    E.5.1.1Timepoint(s) of evaluation of this end point
    The primary analysis will be triggered when PFS events have occurred for approximately 80% of the enrolled patients.
    El análisis principal se realizará cuando se hayan observado eventos de SSP aproximadamente en el 80 % de los pacientes reclutados.
    E.5.2Secondary end point(s)
    Serious adverse event, Adverse event, Safety laboratory assessments, Vital signs, overall response rate, Duration of response, Complete response, Cmax (maximum concentration), Cmin (minimum concentration) and Incidence of immunogenicity
    Acontecimientos adversos graves, acontecimientos adversos, parámetros analíticos de seguridad, constantes vitales, tasa global de respuesta, duración de la respuesta, respuesta completa, Cmáx (concentración máxima) y Cmín (concentración mínima) e incidencia de casos de inmunogenia.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Throughout study.
    A lo largo del 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 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
    Therapeutic exploratory
    Exploratorio terapeutico
    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 Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    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) Yes
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned5
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA21
    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
    Australia
    Belgium
    France
    Germany
    Italy
    Japan
    Netherlands
    Spain
    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
    LVLS - Last visit or last scheduled procedure for the last patient.
    UVUP: última visita o último procedimiento programado del último paciente.
    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 months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1Number of subjects for this age range: 5
    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) Yes
    F.1.1.5.1Number of subjects for this age range: 2
    F.1.1.6Adolescents (12-17 years) Yes
    F.1.1.6.1Number of subjects for this age range: 3
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 25
    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 Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    The patient's parent/guardian, has given written informed consent (and assent, as applicable) and authorization for release of health/information for research prior to any study specific procedures being performed.
    El padre o tutor del paciente ha dado su consentimiento informado por escrito (y el asentimiento, si procede) y ha autorizado la divulgación de información médica o para investigación antes de realizar ninguno de los procedimientos del estudio.
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state5
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 17
    F.4.2.2In the whole clinical trial 34
    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
    Ninguno
    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 The Experimental Cancer Medicine Centres
    G.4.3.4Network Country United Kingdom
    G.4 Investigator Network to be involved in the Trial: 2
    G.4.1Name of Organisation Children's Oncology Group Operations Center
    G.4.3.4Network Country United States
    G.4 Investigator Network to be involved in the Trial: 3
    G.4.1Name of Organisation The ECMC Network aims to act as an efficient and effective network that will assist in the delivery of early phase cance
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2019-12-11
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2019-11-22
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
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