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    Summary
    EudraCT Number:2019-002946-19
    Sponsor's Protocol Code Number:1245-0204
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2021-06-15
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2019-002946-19
    A.3Full title of the trial
    A multicentre, randomised, double-blind, 90-day superiority trial to evaluate the effect on clinical benefit, safety and tolerability of once daily oral EMPagliflozin 10 mg compared to placebo, initiated in patients hospitalised for acUte heart faiLure (de novo or decompensated chronic HF) who have been StabilisEd (EMPULSE)
    Studio clinico di superiorità multicentrico, randomizzato, in doppio cieco, della durata di 90 giorni volto a valutare l’effetto in termini di benefici clinici, sicurezza e tollerabilità, di EMPagliflozin 10 mg una volta al giorno per via orale rispetto al placebo, iniziato nei pazienti ricoverati per insufficienza cardiaca acuta (acUte heart faiLure) (de novo o insufficienza cardiaca cronica scompensata) che sono stati stabilizzati (StabilisEd) (EMPULSE)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A study to test the effect of empagliflozin in patients who are in hospital for acute heart failure
    Studio volto a valutare l’effetto di empagliflozin in pazienti ricoverati per insufficienza cardiaca acuta
    A.3.2Name or abbreviated title of the trial where available
    EMPULSE
    EMPULSE
    A.4.1Sponsor's protocol code number1245-0204
    A.5.4Other Identifiers
    Name:-Number:-
    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 ITALIA S.P.A.
    B.1.3.4CountryItaly
    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 ITALIA S.P.A.
    B.4.2CountryItaly
    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 and 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 number0018002430127
    B.5.5Fax number0018008217119
    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 Yes
    D.2.1.1.1Trade name JARDIANCE
    D.2.1.1.2Name of the Marketing Authorisation holderBoehringer Ingelheim International GmbH
    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 nameEmpagliflozin
    D.3.2Product code [-]
    D.3.4Pharmaceutical form Film-coated tablet
    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 INNEMPAGLIFLOZIN
    D.3.9.1CAS number 864070-44-0
    D.3.9.2Current sponsor code-
    D.3.9.4EV Substance CodeSUB35915
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    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 Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboFilm-coated tablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Heart Failure
    insufficienza cardiaca acuta
    E.1.1.1Medical condition in easily understood language
    Heart Failure
    insufficienza cardiaca acuta
    E.1.1.2Therapeutic area Diseases [C] - Cardiovascular Diseases [C14]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10019279
    E.1.2Term Heart failure
    E.1.2System Organ Class 100000004849
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To assess whether in-hospital administration of empagliflozin results
    in improvements in HF-related clinical events and patient-reported
    outcomes (death, HFE and KCCQ-TSS as a measure of health status
    (symptoms)) in patients hospitalised for acute heart failure (de novo or
    decompensated chronic HF) and after initial stabilisation.
    L’obiettivo principale di questo studio è pertanto valutare se la somministrazione di empagliflozin durante il ricovero determini un miglioramento degli outcome correlati all’insufficienza cardiaca: benefici clinici in termini anche di morte, eventi di insufficienza cardiaca (HFE) e impatto dei sintomi in base al punteggio del Kansas City Cardiomyopathy Questionnaire – Total Symptom Score (KCCQ-TSS) nei pazienti ricoverati per insufficienza cardiaca acuta (de novo o insufficienza cardiaca cronica scompensata) e dopo una stabilizzazione iniziale
    E.2.2Secondary objectives of the trial
    To further assess whether it is safe to start empagliflozin in patients
    admitted to hospital in this setting
    Gli obiettivi secondati sono un’ulteriore valutazione dell’opportunità di iniziare una terapia a base di empagliflozin nei pazienti ricoverati con questo quadro clinico.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Currently hospitalised for the primary diagnosis of acute heart failure
    (de novo or decompensated chronic HF), regardless of ejection fraction
    (EF). Patients with a diagnosis of hospitalized heart failure must have HF
    symptoms at the time of hospital admission
    2. Evidence of left ventricular ejection fraction (LVEF, either reduced or
    preserved EF) as per local reading preferably measured during current
    hospitalisation or in the 12 months prior to randomisation
    3. Patients must be randomised after at least 24 hours and no later than
    5 days after admission, as early as possible after stabilization and while
    still in hospital
    4. Patients must fulfil the following stabilisation criteria (while in the
    hospital):
    - SBP =100mm Hg and no symptoms of hypotension in the preceding 6
    hours,
    - no increase in i.v. diuretic dose for 6 hours prior to randomisation,
    - no i.v. vasodilators including nitrates within the last 6 hours prior to
    randomisation
    - no i.v. inotropic drugs for 24 hours prior to randomisation.
    5. Elevated NT-proBNP = 1600pg/mL or BNP =400 pg/mL according to
    the local lab, for patients without atrial fibrillation (AF); or elevated NT
    proBNP = 2400pg/mL or BNP =600 pg/mL for patients with AF,
    measured during the current hospitalization or in the 72 hours prior to
    hospital admission,. For patients treated with an angiotensin receptor
    neprilysin inhibitor (ARNI) in the previous 4 weeks prior to
    randomisation, only NT-proBNP values should be used
    6. HF episode leading to hospitalisation must have been treated with a
    minimum dose of 40 mg of i.v. furosemide (or equivalent i.v. loop
    diuretic defined as 20 mg of torasemide or 1 mg of bumetanide)
    7. Further Inclusion Criteria Apply
    1 Pazienti di età >=18 anni allo screening che hanno firmato e datato il consenso informato in accordo alle ICH-GCP e alle normative vigenti
    2 Pazienti ricoverati per diagnosi primaria di insufficienza cardiaca acuta (de novo o cronica scompensata), indipendentemente dalla frazione di eiezione (EF). I pazienti con diagnosi di insufficienza cardiaca da ricovero in ospedale devono avere i sintomi dell’HF al momento del ricovero.
    3 Pazienti con frazione di eiezione ventricolare sinistra (LVEF, EF preservata o ridotta) in base ai risultati del laboratorio locale ottenuti tramite misurazioni condotte preferibilmente durante il ricovero attuale o nei 12 mesi precedenti la randomizzazione.
    4 I pazienti devono essere randomizzati dopo almeno 24 ore e non oltre 5 giorni dopo il ricovero, non appena possibile dopo la stabilizzazione e mentre sono ancora in ospedale.
    5 I pazienti devono soddisfare i seguenti criteri di stabilizzazione (mentre sono in ospedale):
    - SBP >=100 mmHg e nessun sintomo di ipotensione nelle 6 ore precedenti,
    - nessun aumento della dose di diuretico ev per 6 ore prima della randomizzazione,
    - nessun vasodilatatore ev inclusi i nitrati nelle ultime 6 ore prima della randomizzazione,
    - nessun farmaco inotropo ev per 24 ore prima della randomizzazione.
    6 Pazienti con livello elevato di NT-proBNP >=1600 pg/mL o BNP >= 400 pg/mL in base al laboratorio locale, per i pazienti senza fibrillazione atriale (AF); o livello elevato di NT-proBNP >= 2400 pg/mL o BNP >= 600 pg/mL per i pazienti con AF, misurata durante il ricovero attuale o nelle 72 ore precedenti il ricovero. Per i pazienti trattati con un inibitore del recettore dell’angiotensina e della neprilisina (ARNI) nelle 4 settimane precedenti la randomizzazione, devono essere utilizzati solo i valori NT-proBNP
    7 I pazienti con un episodio di HF che ha portato al ricovero ospedaliero devono essere stati trattati con una dose minima di 40 mg di furosemide ev (o diuretico dell’ansa ev equivalente consistente in 20 mg di torasemide o 1 mg di bumetanide).
    E.4Principal exclusion criteria
    1. Cardiogenic shock
    2. Current hospitalisation for acute heart failure primarily triggered by
    pulmonary embolism, cerebrovascular accident, or acute myocardial
    infarction (AMI)
    3.Current hospitalisation for acute heart failure not caused primarily by
    intravascular volume overload;
    4. Below interventions in the past 30 days prior to randomisation or
    planned during the study:
    - Major cardiac surgery, or TAVI (Transcatheter Aortic Valve
    Implantation), or PCI, or Mitraclip
    - All other surgeries that are considered major according to investigator
    judgement
    - Implantation of cardiac resynchronisation therapy (CRT) device
    - cardiac mechanical support implantation
    - Carotid artery disease revascularisation (stent or surgery)
    5. Acute coronary syndrome / myocardial infarction, stroke or transient
    ischemic attack (TIA) in the past 90 days prior to randomisation
    6. Heart transplant recipient, or listed for heart transplant with
    expectation to receive a transplant during the course of this trial
    (according to investigator judgement), or planned for palliative care for
    HF, or currently using left ventricular assist device (LVAD) or intra-aortic
    balloon pump (IABP) or any other type of mechanical circulatory
    support, or patients on mechanical ventilation, or patients with planned
    inotropic support in an outpatient setting
    7. Haemodynamically significant (severe) uncorrected primary cardiac
    valvular disease planned for surgery or intervention during the course of
    the study (note: secondary mitral regurgitation or tricuspid regurgitation
    due to dilated cardiomyopathy is not excluded unless planned for
    surgery or intervention during the course of the study)
    8. Impaired renal function, defined as eGFR < 20 mL/min/1.73 m2 as
    measured during hospitalization (latest local lab measurement before
    randomisation) or requiring dialysis
    9. Type 1 Diabetes Mellitus (T1DM)
    10. History of ketoacidosis, including diabetic ketoacidosis (DKA)
    11. Further Exclusion Criteria Apply
    1 Pazienti con shock cardiogeno
    2 Pazienti attualmente ricoverati per insufficienza cardiaca acuta avente come causa scatenante primaria un’embolia polmonare, un accidente cerebrovascolare o un infarto miocardico acuto (AMI)
    3 Pazienti attualmente ricoverati per insufficienza cardiaca acuta non avente come causa scatenante primaria un sovraccarico di volume intravascolare;
    4 Pazienti sottoposti ad interventi nei 30 giorni precedenti la randomizzazione o per i quali si prevede un intervento durante lo studio:
    - Intervento di cardiochirurgia maggiore o TAVI (impianto valvolare aortico transcatetere), o PCI, o Mitraclip
    - Tutti gli altri interventi chirurgici considerati maggiori a giudizio dello sperimentatore
    - Impianto di un dispositivo per la terapia di resincronizzazione cardiaca (CRT)
    - Impianto di un supporto cardiaco meccanico
    - Rivascolarizzazione dell’arteria carotide (posizionamento di stent o intervento chirurgico)
    5 Pazienti con sindrome coronarica acuta/infarto miocardico, ictus o attacco ischemico transitorio (TIA) nei 90 giorni precedenti la randomizzazione.
    6 Pazienti che hanno ricevuto un trapianto cardiaco o che siano in lista per riceverlo, con la probabilità che l’intervento si svolga durante lo studio (in base al giudizio dello sperimentatore) o per i quali siano programmate cure palliative per l’HF, o che attualmente utilizzano un dispositivo di assistenza ventricolare sinistra (LVAD) o una pompa intra-aortica a palloncino (IABP) o qualsiasi altro tipo di supporto circolatorio meccanico, oppure i pazienti in ventilazione meccanica o per i quali sia prevista una terapia di supporto con un farmaco inotropo in un contesto ambulatoriale.
    7 Pazienti con valvulopatia cardiaca primaria significativa (grave) dal punto di vista emodinamico e non corretta per la quale sia programmato un intervento chirurgico durante lo studio (nota: un rigurgito mitralico o un rigurgito tricuspidale secondari dovuti a cardiomiopatia dilatativa non costituiscono fattori di esclusione, salvo il caso in cui sia programmato un intervento chirurgico nel corso dello studio).
    8 Pazienti con compromissione della funzionalità renale, consistente in eGFR <20 mL/min/1.73 m2 secondo le misurazioni condotte durante il ricovero (ultima misurazione del laboratorio locale prima della randomizzazione) o che necessitino di dialisi.
    9 Pazienti con diabete mellito di tipo 1 (T1DM).
    10 Pazienti con anamnesi di chetoacidosi, inclusa chetoacidosi diabetica (DKA).
    E.5 End points
    E.5.1Primary end point(s)
    1. Clinical benefit, a composite of death, number of heart failure events
    (HFE) (including hospitalisations for heart failure (HHFs), urgent heart
    failure visits and unplanned outpatient visits), time to first HFE and
    change from baseline in KCCQ-TSS after 90 days of Treatment assessed
    by the win ratio.
    1) L’endpoint primario è dato dal beneficio clinico, un parametro composito di morte, numero di eventi di insufficienza cardiaca (HFE) (inclusi i ricoveri per insufficienza cardiaca (HHF), visite mediche per insufficienza cardiaca urgenti e visite ambulatoriali non programmate), tempo al primo HFE e variazione rispetto al basale nel Kansas City Cardiomyopathy Questionnaire - Total Symptom Score (KCCQ-TSS) dopo 90 giorni di trattamento valutato con il win ratio.
    E.5.1.1Timepoint(s) of evaluation of this end point
    1. Baseline and after 90 days of treatment
    1) basale e dopo 90 giorni di trattamento.
    E.5.2Secondary end point(s)
    1. Improvement in KCCQ-TSS of = 10 points
    2. Change from baseline in KCCQ-TSS after 90 days of treatment.
    3. Change from baseline in log-transformed N-Terminal Pro-Brain
    Natriuretic Peptide (NTproBNP) level over 30 days of treatment (area
    under the curve (AUC)).
    4. Days alive and out of hospital from study drug initiation until 30 days
    after initial hospital discharge.
    5. Days alive and out of hospital from study drug initiation until 90 days
    after randomisation.
    6. Time to first occurrence of CV death or HFE until end of trial visit.
    7. Occurrence of HHF until 30 days after initial hospital discharge.
    8. Occurrence of chronic dialysis or renal transplant or sustained
    reduction of =40% eGFR Chronic Kidney Disease Epidemiology
    Collaboration Equation ((CKD-EPI)cr), or
    -sustained eGFR (CKD-EPI)cr <15 mL/min/1.73 m2 for patients with
    baseline eGFR =30 mL/min/1.73 m2
    -sustained eGFR (CKD-EPI)cr <10 mL/min/1.73 m2 for patients with
    baseline eGFR <30 mL/min/1.73 m2
    9. Diuretic effect as assessed by weight loss per mean daily loop diuretic
    dose after 15 days of treatment.
    10. Diuretic effect as assessed by weight loss per mean daily loop
    diuretic dose after 30 days of treatment.
    1)Miglioramento nel KCCQ-TSS, pari a >10 punti, dopo 90 giorni di trattamento
    2)Variazione rispetto al basale nel KCCQ-TSS dopo 90 giorni di trattamento
    3) Variazione rispetto al basale del livello pro-BNP N-terminale trasformato in log su 30 giorni di trattamento (area sotto la curva (AUC)).
    4) Giorni in vita e fuori dall’ospedale dall’inizio della terapia fino a 30 giorni dopo la dimissione dall’ospedale
    5) Giorni in vita e fuori dall’ospedale dall’inizio della terapia fino a 90 giorni dopo la randomizzazione
    6) Tempo alla prima occorrenza di morte cardiovascolare (CV) o HFE fino alla visita di fine dello studio
    7) Verificarsi di HHF fino a 30 giorni dopo la dimissione dall’ospedale
    8) Verificarsi di dialisi cronica o di trapianto renale o riduzione prolungata nel tempo di >40% del tasso stimato di filtrazione glomerulare (eGFR) secondo la Chronic Kidney Disease Epidemiology Collaboration Equation ((CKD-EPI)cr), oppure eGFR (CKD-EPI)cr prolungata nel tempo <15 mL/min/1.73 m2 per i pazienti con eGFR basale >30 mL/min/1.73 m2 o eGFR (CKD-EPI)cr prolungata nel tempo <10 mL/min/1.73 m2 per i pazienti con eGFR basale <30 mL/min/1.73 m2
    9) Effetti diuretici valutati in base al calo di peso per dose giornaliera media di diuretico dell’ansa dopo 15 giorni di trattamento
    10 )Effetti diuretici valutati in base al calo di peso per dose giornaliera media di diuretico dell’ansa dopo 30 giorni di trattamento
    E.5.2.1Timepoint(s) of evaluation of this end point
    1. After 90 days of treatment
    2. Baseline and after 90 days of treatment
    3. Baseline and after 30 days of treatment
    4. 30 days after initial hospital discharge
    5. 90 days after randomisation
    6. End of Trial Visit (day 90 or 97 after randomisation)
    7. 30 days after initial hospital discharge
    8. End of Trial Visit (day 90 or 97 after randomisation)
    9. After 15 days of treatment
    10. After 30 days of treatment
    1) dopo 90 giorni di trattamento
    2) al basale e dopo 90 giorni di trattamento
    3) Variazione rispetto al basale 30 giorni.
    4) 30 giorni dopo la dimissione dall’ospedale
    5) 90 giorni dopo la randomizzazione
    6) fino alla visita di fine dello studio
    7) 30 giorni dopo la dimissione dall’ospedale
    8) Visita di fine studio
    9) 15 giorni di trattamento
    10) 30 giorni di trattamento
    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) Yes
    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 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 concerned10
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA90
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Canada
    China
    Japan
    United States
    Belgium
    Denmark
    Germany
    Hungary
    Italy
    Netherlands
    Norway
    Poland
    Spain
    Sweden
    Czechia
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months3
    E.8.9.1In the Member State concerned days14
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months4
    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: 300
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 200
    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 state57
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 415
    F.4.2.2In the whole clinical trial 500
    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)
    Patients will continue with standard medical care. Patients receive SOC
    during study and will continue. Study medicaiton is on top
    I pazienti continueranno la loro terapia standard
    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 Decision2020-03-05
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2020-03-24
    P. End of Trial
    P.End of Trial StatusCompleted
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