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    Summary
    EudraCT Number:2019-000800-14
    Sponsor's Protocol Code Number:FIS-TAR-01-2019
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2019-11-11
    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 ConcernedSpain - AEMPS
    A.2EudraCT number2019-000800-14
    A.3Full title of the trial
    Effectiveness of a dual therapy based on dolutegravir plus lamivudine on reduction of the viral reservoir, immune recovery and immune activation compared with a triple antiretroviral therapy based on dolutegravir plus tenofovir alafenamide/emtricitabine in patients with HIV infection without prior treatment.
    Ensayo clínico fase 4, aleatorizado, para evaluar el efecto en la recuperación inmunológica, en la reducción del reservorio viral y en la activación inmune de una terapia antirretroviral triple basada en dolutegravir más tenofovir alafenamida/emtricitabina versus una biterapia con dolutegravir más lamivudina en pacientes con infección por el VIH sin tratamiento previo.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Effectiveness of a dual therapy based on dolutegravir plus lamivudine on reduction of the viral reservoir, immune recovery and immune activation compared with a triple antiretroviral therapy based on dolutegravir plus tenofovir alafenamide/emtricitabine in patients with HIV infection without prior treatment.
    Ensayo clínico fase 4, aleatorizado, para evaluar el efecto en la recuperación inmunológica, en la reducción del reservorio viral y en la activación inmune de una terapia antirretroviral triple basada en dolutegravir más tenofovir alafenamida/emtricitabina versus una biterapia con dolutegravir más lamivudina en pacientes con infección por el VIH sin tratamiento previo
    A.3.2Name or abbreviated title of the trial where available
    Triple versus double therapy in naives patients
    Triple versus doble terapia en pacientes naïves
    A.4.1Sponsor's protocol code numberFIS-TAR-01-2019
    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 SponsorFundación Pública Andaluza para la Gestión en Salud de Sevilla (FISEVI)
    B.1.3.4CountrySpain
    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 supportOwn funding
    B.4.2CountrySpain
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationUnidad de Investigación Clínica y ensayos Clínicos
    B.5.2Functional name of contact pointUICEC-HUVR
    B.5.3 Address:
    B.5.3.1Street AddressAvenida Manuel Siurot s/n
    B.5.3.2Town/ citysevilla
    B.5.3.3Post code41013
    B.5.3.4CountrySpain
    B.5.4Telephone number0034955013414
    B.5.5Fax number0034955095338
    B.5.6E-mailclaram.rosso.sspa@juntadeandalucia.es
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleComparator
    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 Tivicay
    D.2.1.1.2Name of the Marketing Authorisation holderViiV Healthcare
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    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 nameDolutegravir
    D.3.2Product code EMEA/H/C/002753
    D.3.4Pharmaceutical form Pastille
    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 INNDOLUTEGRAVIR SODIUM
    D.3.9.1CAS number 1051375-16-6
    D.3.9.2Current sponsor codeEU/1/13/892/001 or EU/1/13/892/002
    D.3.9.4EV Substance CodeSUB130591
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.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 Lamivudine Teva
    D.2.1.1.2Name of the Marketing Authorisation holderViiV Healthcare
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    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 nameDolutegravir
    D.3.2Product code EMEA/H/C/002753
    D.3.4Pharmaceutical form Pastille
    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 INNLAMIVUDINE
    D.3.9.1CAS number 134678-17-4
    D.3.9.2Current sponsor codeEMEA/H/C/001113
    D.3.9.3Other descriptive name3TC
    D.3.9.4EV Substance CodeSUB08392MIG
    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 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 RoleComparator
    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 Descovy
    D.2.1.1.2Name of the Marketing Authorisation holderGilead Science S.L.
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    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 nameTenofovir alafenamida and Emtricitabina
    D.3.4Pharmaceutical form
    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 INNEMTRICITABINE
    D.3.9.1CAS number 143491-57-0
    D.3.9.2Current sponsor codeEU/1/16/1099/003
    D.3.9.3Other descriptive nameFTC
    D.3.9.4EV Substance CodeSUB01882MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNTENOFOVIR ALAFENAMIDE
    D.3.9.1CAS number 379270-37-8
    D.3.9.2Current sponsor codeEU/1/16/1099/003
    D.3.9.3Other descriptive nameTAF
    D.3.9.4EV Substance CodeSUB121761
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.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
    Adult patients with HIV infection without previous treatment
    Pacientes adultos con infección por VIH sin tratamiento previo.
    E.1.1.1Medical condition in easily understood language
    Adult patients with HIV infection without previous treatment
    Pacientes adultos con infección por VIH sin tratamiento previo.
    E.1.1.2Therapeutic area Diseases [C] - Virus Diseases [C02]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.1
    E.1.2Level PT
    E.1.2Classification code 10020161
    E.1.2Term HIV infection
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.1
    E.1.2Level LLT
    E.1.2Classification code 10020160
    E.1.2Term HIV disease
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate if a dual therapy based on dolutegravir plus lamivudine (DTG/3TC) will provide a comparable reduction in viral reservoir size than a triple therapy based on dolutegravir plus tenofovir alafenamide / emtricitabine (DTG/F/TAF) after 48 and 96 weeks in treatment-naïve HIV-infected patients.
    Evaluar el efecto en la reducción del reservorio viral, de una terapia antirretroviral triple con dolutegravir más tenofoviralafenamida/emtricitabina (D/TAF/F), frente a una biterapia con dolutegravir más lamivudina (D/3TC) en pacientes con infección por el VIH sin tratamiento previo tras los 12 y 24 meses de tratamiento.
    E.2.2Secondary objectives of the trial
    • To evaluate the effect on the immune recovery of triple antiretroviral therapy based on DTG / TAF / F, versus a dual therapy based on dolutegravir plus lamivudine DTG/3TC after 48 and 96 weeks in treatment-naïve HIV-infected patients.
    • To evaluate if a dual therapy based on DTG/3TC will provide a comparable reduction in immune activation and inflammation than a triple therapy based on DTG/F/TAF after 48 and 96 weeks in treatment-naïve HIV-infected patients.
    • Evaluate the reduction of the viral load in semen (this objective will be carried out only in a subgroup of patients belonging to the Hospital Virgen Rocío University, which will consist of a minimum of 15 patients per arm).
    • Evaluate the reduction of the viral reservoir in gut-associated lymphoid tissue (GALT) (this objective will be carried out only in a subgroup of patients belonging to the Hospital Universitario Virgen del Rocío University, which will consist of minimum of, 10 patients per arm).
    • Evaluar la recuperación inmune deuna triple terapia basada en D/TAF/F, comparada con una biterapia con D/3TC, en pacientes con infección por el VIH sin tratamiento previo tras 12 y 24 meses de tratamiento.
    • Evaluar la activación inmunológica y la inflamación de una triple terapia basada en D/TAF/F, comparada con una biterapia con D/3TC, en pacientes con infección por el VIH sin tratamiento previo tras 12 y 24 meses de tratamiento.
    • Evaluar la reducción de la carga viral en semen (este objetivo se llevará a cabo solo en un subgrupo de pacientes pertenecientes al Hospital Universitario Virgen Rocío, que constará de un mínimo de 15 pacientes por rama de tratamiento).
    • Evaluar la reducción del reservorio viral en tejido linfoide asociado al intestino (GALT) (este objetivo se llevará a cabo solo en un subgrupo de pacientes pertenecientes al Hospital Universitario Virgen del Rocío, que constará de un mínimo de 10 pacientes por rama de tratamiento).
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives
    To evaluate the reduction of viral load in semen and GALT
    Evaluar la reducción de la carga viral en semen y en GALT
    E.3Principal inclusion criteria
     Treatment-naïve HIV-1-infected patients ≥ 18 years of age.
     Plasma HIV-1 RNA >5000 and <500.000 copies/ml.
     T lymphocyte CD4+ count in peripheral blood >200/μl.
     Patients of childbearing age should consent to use a highly effective contraceptive method from 15 days before the time of inclusion of the study until 30 days after the end of it. It is considered a highly effective method:
    o Complete abstinence from penile-vaginal intercourse from 2 weeks prior to administration of Investigational Product, throughout the study, and for at least 2 weeks after discontinuation of all study medications;
    o Any intrauterine device with published data showing that the expected failure rate is <1% per year (not all intrauterine devices meet this criterion)
    o Male partner sterilization confirmed prior to the female subject’s entry into the study, and this male is the sole partner for that subject.
    o Approved hormonal contraception.
    o Any other method with published data showing that the expected failure rate is <1% per year.
     Signed written informed consent prior to inclusion.
     Pacientes ≥ 18 años, infectados con VIH-1 sin tratamiento previo
     Viremia VIH >5000 y<500.000 copias/ml.
     Recuento de linfocitos T CD4+ en sangre periférica>200/µl
     Las pacientes en edad fértil deben consentir utilizar un método contraceptivo altamente efectivo desde 15días antes del momento de la inclusión del estudio hasta 30 días después de la finalización del mismo. Considerándose métodos altamente efectivos los siguientes:
    o Abstinencia completa de las relaciones sexuales 2 semanas antes de la administración del Producto en investigación, durante todo el estudio, y durante al menos 2 semanas después de la interrupción de todos los medicamentos del estudio.
    o Cualquier dispositivo intrauterino con datos publicados que demuestren que la tasa de fallo esperada sea<1% por año (no todos los dispositivos intrauterinos cumplen con este criterio)
    o Esterilización de la pareja masculina confirmada antes de la entrada del sujeto femenino en el estudio, siendo ese hombre la única pareja.
    o Anticoncepción hormonal aprobada.
    o Cualquier otro método con datos publicados que muestren que la tasa de fallos esperada es <1% por año.
     Consentimiento informado por escrito.
    E.4Principal exclusion criteria
     Acute HIV infection
     T lymphocyte CD4+ count in peripheral blood ≤ 200/µl
     Active opportunistic infection.
     Pregnancy at inclusion or during the follow-up
     Active hepatitis C and/or B virus co-infection.
     ALT ≥ 5 times the ULN, or ALT ≥ 3xULN and bilirubin ≥ 1.5xULN (with >35% direct bilirubin).
     Unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice), cirrhosis, known biliary abnormalities (apart from hyperbilirubinemia or jaundice due to Gilbert's syndrome or asymptomatic gallstones).
     Subjects with severe hepatic impairment (Class C) as determined by Child-Pugh classification.
     Current or past disease that requires the use subsidiary of treatment with corticosteroids, immunomodulatory agents, interferon or chemotherapeutic agents.
     Any laboratory abnormality grade 3 or 4 according to the U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Allergy and Infectious Diseases, Division of AIDS (Annex 3)
     Concomitant use of drugs with potential major interactions with the prescribed drugs according the respective full prescribing information.
     Estimated creatinine clearance <50ml/min.
     History or presence of allergy to the study drugs or their components
     Infección aguda por VIH
     Embarazo en el momento de la inclusión o durante el periodo de seguimiento.
     Co-infección activa por virus B o C de la hepatitis.
     ALT ≥ 5 veces el ULN, o ALT ≥ 3xULN y bilirrubina ≥ 1.5xULN (con> 35% de bilirrubina directa).
     Enfermedad hepática inestable (definida por la presencia de ascitis, encefalopatía, coagulopatía, hipoalbuminemia, varices esofágicas o gástricas, o ictericia persistente), cirrosis, anomalías biliares conocidas,hiperbilirrubinemia o ictericia debido al síndrome de Gilbert o cálculos biliares asintomáticos.
     Sujetos con insuficiencia hepática grave (Clase C) según la clasificación de Child-Pugh.
     Neoplasias pasadas o actuales subsidiarias de tratamiento con corticosteroides, inmunomoduladores, interferón o quimioterapia.
     Anomalías de laboratorio grado 3 o 4 en las determinaciones analíticas habituales durante el seguimiento de estos pacientes (anexo 3).
     Uso concomitante de medicamentos con posibles interacciones importantes con los fármacos del estudio según la información de la ficha técnica de los productos.
     Aclaramiento estimado de creatinina <50ml/min.
     Antecedentes o presencia de alergia a los fármacos del estudio o sus componentes.
    E.5 End points
    E.5.1Primary end point(s)
    Mean changes in proviral HIV-DNA and HIV-RNA in PBMCs after 48 and 96 weeks of treatment
    Cambios en el ADN y ARN-VIH tras 48 y 96 semanas de tratamiento. .
    E.5.1.1Timepoint(s) of evaluation of this end point
    Changes after 24, 48 and 96 moths of treatment according to variable.
    Tras 24, 48 y 96 semanas de tratamiento.
    E.5.2Secondary end point(s)
     Immune recovery measured as the CD4 + / CD8 + ratio
     Viral reservoir size, evaluated by proviral HIV-DNA in PBMCs.
     Immune activation assessed by the expression of HLA-DR and CD38 in both of CD4+ and CD8+ T.
     Expression of markers for recent thymic emigrants (CD31), proliferation (Ki67), dysfunction (PD-1), senescence (CD57), and apoptosis (annexin V) in both CD4+ and CD8+ T cells.
     Pro-inflammatory soluble mediator in plasma expression (TNF-α, IL-1β, IL-6, IP-10, IFN- γ, MIP-1α , MIP-1β, hs-CRP and D-dimers) determined by ELISA.
     Changes in proviral DNA (DNA-HIV) and HIV transcripts (RNA-HIV) in PBMCs and purified CD4 + lymphocytes.
     Monocytes activation (plasma sCD14 and sCD163)
     Decrease of RNA-HIV in seminal plasma.
     Recuperación inmunológica medida como el cociente CD4+/CD8+
     Inmuno-activación medida como expresión de HLA-DR y CD38 en linfocitos T CD4+ y CD8+.
     Activación monocítica en los niveles plasmáticos de sCD14 y sCD163.
     Expresión de los siguientes marcadores en linfocitos T CD4+ y CD8+: Ki67 (proliferación), PD-1 (disfunción), CD57 (senescencia), Anexina V (apoptosis) y CD31 (recién emigrado del timo).
     Concentraciones de los siguientes mediadores pro-inflamatorios: TNF-α, IL-1β, IL-6, IP-10, IFN- γ, MIP-1α, MIP-1β, hsPCR y D-dímeros.
     Cambios en ADN proviral (ADN-VIH) y transcritos del VIH (RNA-VIH) en PBMCs y linfocitos CD4+ purificados.
     Disminución del ARN-VIH en plasma seminal.
     Cambios del reservorio viral en GALT, medido como ADN y ARN del VIH.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Changes after 3, 6, 12 and 24 moths of treatment according to variable.
    Tras 3, 6, 12 y 24 meses de tratamiento.
    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 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) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    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 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 Yes
    E.8.2.3.1Comparator description
    Triple terapia (Dolutegravir, Tenofovir, Emtricitabine)
    Triple Therapy (Dolutegravir, Tenofovir, Emtricitabine)
    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 concerned6
    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 No
    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
    Six months after the final visit of the last patient included to analyze the data and write the final report.
    Seis meses después de la visita final del último paciente incluido para analizar los datos y escribir el informe final.
    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 months0
    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 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 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: 55
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 15
    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 state70
    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)
    Treatment after study as per investigators juice according to GCP
    A juicio del investigador, de acuerdo con las BPC
    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 UICEC-HUVR
    G.4.3.4Network Country Spain
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2020-02-07
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2020-02-03
    P. End of Trial
    P.End of Trial StatusOngoing
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