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    Summary
    EudraCT Number:2019-000974-44
    Sponsor's Protocol Code Number:D910CC00001
    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:2019-08-09
    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 number2019-000974-44
    A.3Full title of the trial
    A Phase 1b/2, Open-label, Multicenter Study of Novel Oncology Therapies in Combination with Chemotherapy and Bevacizumab as First-line Therapy in Metastatic Microsatellite-stable Colorectal Cancer (COLUMBIA-1)
    Estudio en fase Ib/II, multicéntrico y abierto para evaluar tratamientos oncológicos novedosos en combinación con quimioterapia y bevacizumab como tratamiento de primera línea en el cáncer colorrectal metastásico con microsatélites estables (COLUMBIA-1)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Study of Novel Oncology Therapies in Combination with FOLFOX and Bevacizumab in Metastatic Microsatellite-Stable Colorectal Cancer
    Estudio de tratamientos oncológicos novedosos en combinación con FOLFOX y bevacizumab en cáncer colorrectal con estabilidad de microsatélites metastásico
    A.3.2Name or abbreviated title of the trial where available
    COLUMBIA-1
    COLUMBIA-1
    A.4.1Sponsor's protocol code numberD910CC00001
    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 SponsorAstraZeneca AB
    B.1.3.4CountrySweden
    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 supportAstraZeneca AB
    B.4.2CountrySweden
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationAstraZeneca AB
    B.5.2Functional name of contact pointClinical Trial Transparency
    B.5.3 Address:
    B.5.3.1Street Address..
    B.5.3.2Town/ citySödertälje
    B.5.3.3Post code151 85
    B.5.3.4CountrySweden
    B.5.6E-mailClinicalTrialTransparency@astrazeneca.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.3.1Product namedurvalumab
    D.3.2Product code MEDI4736
    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 INNdurvalumab
    D.3.9.1CAS number 1428935-60-7
    D.3.9.2Current sponsor codeMEDI4736
    D.3.9.3Other descriptive nameHuman immunoglobulin G1 (IgG1) kappa monoclonal antibody (mAb)
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product 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 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.3.1Product nameoleclumab
    D.3.2Product code MEDI9447
    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 INNoleclumab
    D.3.9.1CAS number 1803176-05-7
    D.3.9.2Current sponsor codeMEDI9447
    D.3.9.3Other descriptive nameHuman immunoglobulin G1 (IgG1) lambda monoclonal antibody (mAb)
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product 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.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
    Metastatic Microsatellite-Stable Colorectal Cancer
    Cáncer colorrectal con microsatélites estables metastásico
    E.1.1.1Medical condition in easily understood language
    Metastatic Colorectal Cancer
    Cáncer colorrectal metastásico
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.0
    E.1.2Level LLT
    E.1.2Classification code 10052362
    E.1.2Term Metastatic colorectal cancer
    E.1.2System Organ Class 100000004864
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Part 1: To evaluate the safety and tolerability profile of FOLFOX + bevacizumab + novel oncology therapy combinations

    Part 2: To compare the efficacy of FOLFOX + bevacizumab + novel oncology therapy combinations versus FOLFOX + bevacizumab
    Parte 1: Evaluar el perfil de seguridad y tolerabilidad de FOLFOX + bevacizumab + combinaciones de tratamientos oncológicos novedosos

    Parte 2: Comparar la eficacia de FOLFOX + bevacizumab + combinaciones de tratamientos oncológicos novedosos frente a FOLFOX + bevacizumab
    E.2.2Secondary objectives of the trial
    Part 1 & 2:
    To investigate the preliminary antitumor activity of FOLFOX + bevacizumab+ novel oncology therapy combinations

    To describe the PK of novel agents when used in combination with FOLFOX + bevacizumab. To describe the PK of bevacizumab when used in combination with FOLFOX + novel oncology therapy combinations

    To assess the immunogenicity of applicable novel agents when used in combination with FOLFOX + bevacizumab. To assess the immunogenicity of bevacizumab when used in combination with FOLFOX + novel oncology therapy combinations

    Part 2:
    To evaluate the safety and tolerability profile of FOLFOX + bevacizumab + novel oncology therapy combinations
    Partes 1 y 2:
    Investigar la actividad antitumoral preliminar de FOLFOX + bevacizumab + combinaciones de tratamientos oncológicos novedosos

    Describir la FC de los agentes novedosos cuando se usan en combinación con FOLFOX + bevacizumab. Describir la FC de bevacizumab cuando se usa en combinación con FOLFOX + combinaciones de tratamientos oncológicos novedosos

    Evaluar la inmunogenicidad de los agentes novedosos correspondientes cuando se usan en combinación con FOLFOX + bevacizumab. Evaluar la inmunogenicidad de bevacizumab cuando se usa en combinación con FOLFOX + combinaciones de tratamientos oncológicos novedosos

    Parte 2:
    Evaluar el perfil de seguridad y tolerabilidad de FOLFOX + bevacizumab + combinaciones de tratamientos oncológicos novedosos
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    • Written informed consent and any locally required authorization obtained from the patient/legal representative prior to performing any protocol-related procedures, including screening evaluations.
    • Age ≥ 18 years at the time of screening.
    • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
    • Patients must have histologic documentation of advanced or metastatic colorectal cancer and:
    - A documented mutation test during screening and confirmed tumor locations from disease assessment for enrollment.
    - Patients must NOT have defective DNA mismatch repair (microsatellite instability) as documented by testing.
    - Patients must not have received any prior systemic therapy for recurrent/metastatic disease (prior adjuvant chemotherapy or radio-chemotherapy is acceptable so long as progression was not within 6 months of completing the adjuvant regimen).
    • Patients must have at least one lesion that is measurable by RECIST v1.1 (Eisenhauer et al, 2009).
    • Patients must have adequate organ function.
    • Patients with medical conditions requiring systemic anticoagulation (eg, atrial fibrillation) are eligible provided that both of the following criteria are met:
    - The patient has an in-range international normalized ratio (INR) on a stable dose of oral anticoagulant or be on a stable dose of low molecular weight heparin.
    - The patient has no active bleeding or pathological condition that carries a high risk of bleeding.
    • Body weight > 35 kg.
    • Adequate method of contraception per protocol.
    •Consentimiento informado por escrito, así como cualquier autorización local requerida, obtenidos de parte del paciente/representante legal antes de la realización de todo procedimiento relacionado con el protocolo, incluidas las evaluaciones para la selección.
    •Edad ≥18 años en el momento de la selección.
    •Estado funcional del Grupo oncológico cooperativo del este (ECOG) de 0 o 1.
    •Los pacientes deben tener documentación histológica del cáncer colorrectal en estadio avanzado o metastásico y:
    -Una prueba de mutación documentada durante la selección y localizaciones tumorales confirmadas de la evaluación de la enfermedad para el reclutamiento.
    -Los pacientes NO deben tener defectos en la reparación de los errores de emparejamiento del ADN (inestabilidad de microsatélites) documentada mediante análisis.
    -Los pacientes no deben haber recibido ningún tratamiento sistémico previo para la enfermedad recurrente/metastásica (la quimioterapia adyuvante o la quimiorradioterapia son aceptables siempre que la progresión no se produjera en los 6 meses posteriores a la finalización de la pauta de tratamiento adyuvante).
    •Los pacientes deben tener al menos una lesión medible según los criterios RECIST v1.1 (Eisenhauer et al., 2009).
    •Los pacientes deben tener una función orgánica adecuada.
    •Los pacientes con afecciones médicas que requieran anticoagulación sistémica (p. ej., fibrilación auricular) son elegibles siempre que se cumplan los siguientes criterios:
    -El paciente presenta un índice internacional normalizado (INR) dentro del intervalo con una dosis estable de anticoagulante oral o recibe una dosis estable de heparina de bajo peso molecular.
    -El paciente no presenta hemorragia activa ni una afección patológica que implique un alto riesgo de hemorragia.
    •Peso corporal >35 kg.
    •Método anticonceptivo adecuado de acuerdo con el protocolo.
    E.4Principal exclusion criteria
    • History of allogeneic organ transplantation.
    • Active or prior documented autoimmune disorders within the past 5 years
    • History of venous thrombosis within the past 3 months
    • Cardiovascular criteria:
    - Presence of acute coronary syndrome including myocardial infarction or unstable angina pectoris, other arterial thrombotic event including cerebrovascular accident or transient ischemic attack or stroke within the past 6 months.
    - New York Heart Association (NYHA) class II or greater congestive heart failure, serious cardiac arrhythmia requiring medication, or uncontrolled hypertension.
    - History of hypertensive crisis/hypertensive encephalopathy within the past 6 months
    • Mean QT interval corrected for heart rate using Fridericia’s formula (QTcF) ≥ 470 ms
    • No significant history of bleeding events or gastrointestinal perforation
    • Uncontrolled intercurrent illness
    • History of another primary malignancy except for:
    - Malignancy treated with curative intent and with no known active disease ≥ 5 years of low potential risk for recurrence.
    - Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease.
    - Adequately treated carcinoma in situ without evidence of disease.
    • History of active primary immunodeficiency
    • Active infection including tuberculosis, hepatitis B, hepatitis C, or human immunodeficiency virus.
    • Known allergy or hypersensitivity to any of the study drugs or any of the study drug excipients.
    • Any unresolved toxicity NCI CTCAE Grade > 1 from previous anticancer therapy.
    • History of leptomeningeal disease or cord compression.
    • Untreated central nervous system (CNS) metastases
    • Lack of physical integrity of the upper gastrointestinal tract, malabsorption syndrome, or inability to take oral medication.
    • Known dihydropyrimidine dehydrogenase (DPD) deficiency.
    • Prior immunotherapy or anti-angiogenics.
    • Receipt of live attenuated vaccine within the past 30 days.
    • Major surgical procedure, open biopsy, or significant traumatic injury within the past 28 days.
    • Current or prior use of immunosuppressive medication within the past 14 days, with exceptions per protocol.
    •Antecedentes de alotrasplante de órganos.
    •Trastornos autoinmunitarios activos o previos documentados en los últimos 5 años.
    •Antecedentes de flebotrombosis en los últimos 3 meses.
    •Criterios cardiovasculares:
    -Presencia de síndrome coronario agudo, incluidos infarto de miocardio o angina de pecho inestable, otros acontecimientos trombóticos arteriales, incluidos accidente cerebrovascular o accidente isquémico transitorio o ictus dentro de los últimos 6 meses.
    -Insuficiencia cardíaca congestiva de clase II o superior de la New York Heart Association (NYHA), arritmia cardíaca grave que requiera medicación, o hipertensión no controlada.
    -Antecedentes de crisis hipertensivas o encefalopatía hipertensiva en los últimos 6 meses.
    •Media del intervalo QT corregido para la frecuencia cardíaca utilizando la fórmula de Fridericia (QTcF) ≥470 ms.
    •Sin antecedentes significativos de acontecimientos hemorrágicos o perforación gastrointestinal.
    •Enfermedad intercurrente no controlada.
    •Antecedentes de otra neoplasia maligna primaria, excepto:
    -Neoplasia maligna tratada con intención curativa y sin enfermedad activa conocida ≥5 años de bajo riesgo de recurrencia.
    -Cáncer de piel distinto de melanoma tratado adecuadamente o lentigo maligno sin evidencia de enfermedad.
    -Carcinoma localizado tratado adecuadamente y sin evidencia de enfermedad.
    •Antecedentes de inmunodeficiencia primaria activa.
    •Infección activa, incluidos tuberculosis, hepatitis B, hepatitis C o virus de la inmunodeficiencia humana.
    •Alergia o hipersensibilidad conocida a cualquiera de los fármacos del estudio o cualquiera de los excipientes del fármaco del estudio.
    •Cualquier toxicidad no resuelta de grado >1 según los CTCAE del NCI del anterior tratamiento antineoplásico.
    •Antecedentes de carcinomatosis leptomeníngea o compresión medular.
    •Metástasis del sistema nervioso central (SNC) no tratadas.
    •Falta de integridad física de la parte superior del tubo digestivo, síndrome de mala absorción, o incapacidad para tomar medicación oral.
    •Deficiencia conocida de dihidropirimidina deshidrogenasa (DPD).
    •Uso previo de inmunoterapia o de antiangiogénicos.
    •Recepción de una vacuna atenuada en los últimos 30 días.
    •Procedimiento quirúrgico mayor, biopsia abierta o lesión traumática significativa en los 28 días anteriores.
    •Uso actual o previo de medicación inmunodepresora en los últimos 14 días, con excepciones al protocolo.
    E.5 End points
    E.5.1Primary end point(s)
    Part 1: Incidence of adverse events (AEs), serious adverse events (SAEs), dose-limiting toxicities (DLTs), laboratory findings, and vital signs

    Part 2: Objective response (OR) per RECIST v1.1
    Parte 1: Incidencia de acontecimientos adversos (AA) y acontecimientos adversos graves (AAG), toxicidades limitantes de dosis (TLD), hallazgos de laboratorio, y constantes vitales

    Parte 2: Respuesta objetiva (RO) según RECIST v1.1.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Safety observed from informed consent through 90 days after the last dose of investigational product.

    Dose-limiting toxicities will be evaluated during the safety run-in phase (Part 1). The DLT evaluation period is defined as 28 days from the first dose of investigational product (novel therapy).

    Efficacy will be assessed every 8 weeks through 1 year then every 12 weeks.
    Evaluación de la seguridad desde el momento de la obtención del consentimiento informado hasta 90 días después de la última dosis del producto en investigación.

    Las toxicidades limitantes de la dosis se evaluarán durante la fase de preinclusión de seguridad (Parte 1). El periodo de evaluación de TLD se define como 28 días desde la primera dosis del producto en investigación (nuevo tratamiento).

    La eficacia se evaluará cada 8 semanas durante el primer año y, a continuación, cada 12 semanas.
    E.5.2Secondary end point(s)
    Part 1: Objective response (OR), best overall response (BOR), duration of response (DoR), disease control (DC), progression-free survival-12 (PFS-12), progression-free survival (PFS) per RECIST v1.1, and overall survival (OS)

    Part 1 & 2: PK (drug concentration) and incidence of antidrug antibodies (ADA)

    Part 2: Incidence of adverse events (AEs), serious adverse events (SAEs), laboratory findings, and vital signs

    Part 2: BOR, DoR, DC, PFS-12 and PFS per RECIST v1.1,and overall survival (OS)
    Parte 1: Respuesta objetiva (RO), mejor respuesta global (MRG), duración de la respuesta (DdR), control de la enfermedad (CE), supervivencia sin progresión-12 (SSP-12), supervivencia sin progresión (SSP) según los criterios RECIST v1.1, y supervivencia global (SG)

    Partes 1 y 2: FC (concentración del fármaco) e incidencia de anticuerpos antifármaco (AAF)

    Parte 2: Incidencia de acontecimientos adversos (AA), acontecimientos adversos graves (AAG), hallazgos de laboratorio y constantes vitales
    Parte 2: MRG, DdR, CE, SSP-12 y SSP según los criterios RECIST v1.1 y supervivencia global (SG)
    E.5.2.1Timepoint(s) of evaluation of this end point
    Efficacy endpoints assessed from screening until 18 months post last dose, then every 6 months.

    PK from Day 1 until Week 53.

    ADA from Day 1 until 90 days post last dose.
    Criterios de valoración de la eficacia evaluados desde la selección hasta 18 meses después de la última dosis, posteriormente, cada 6 meses.

    FC desde el día 1 hasta la semana 53.

    AAF desde el día 1 hasta 90 días después de la última dosis.
    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 No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Immunogenicity
    Inmunogenia
    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
    Phase 1b
    Fase 1b
    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 No
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    Estudio de plataforma
    Platform study
    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 EEA10
    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
    Canada
    France
    Spain
    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
    The end of the study (“study completion”) is defined as the date of the last protocol-specified visit/assessment (including telephone contact) for the last subject in the study (ie, last subject last visit). The end of the study occurs after the last subject has discontinued study treatment and completed any applicable follow-up visit per the schedule of study procedures (see Section 4.2 of the protocol), or the date the study is closed by the sponsor, whichever occurs first.
    El FdE (“finalización del estudio”) se define como la fecha de la última visita o evaluación especificada en el protocolo (incluidos contactos telefónicos) del último sujeto del estudio (es decir, LPLV). El FdE se produce después de que el LP haya interrumpido el tratamiento del estudio y completado cualquier visita de seguimiento aplicable de acuerdo con el calendario de los procedimientos del estudio (ver S. 4.2 del prot) o la fecha en que el promotor cierre el estudio, lo que ocurra primero.
    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 months8
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years4
    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: 53
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 53
    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
    Written informed consent and any locally required authorization obtained from the subject/legal representative prior to performing any protocol-related procedures, including screening evaluations.
    CI por escrito, así como cualquier autorización local requerida, obtenidos de parte del sujeto/representante legal antes de la realización de todo procedimiento relacionado con el protocolo, incluidas las evaluaciones para la selección.
    F.3.3.7Others Yes
    F.3.3.7.1Details of other specific vulnerable populations
    Nonsterilized male subjects using contraception
    Pacientes varones no esterilizados que usen anticonceptivos
    F.4 Planned number of subjects to be included
    F.4.1In the member state17
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 37
    F.4.2.2In the whole clinical trial 114
    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)
    At the conclusion of the study, subjects who continue to demonstrate clinical benefit will be eligible to receive investigational product(s) via the options listed in section 3.1.7 "Post-study Access to Investigational Product (s)" of the protocol.
    En el momento de la conclusión del estudio, los sujetos que sigan presentando beneficio clínico serán aptos para recibir el producto en investigación a través de las opciones que figuran en la sección 3.1.7 “Acceso al producto en investigación posterior al estudio” del protocolo.
    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 Decision2019-10-25
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2019-10-08
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
    P.Date of the global end of the trial2022-03-11
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