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    Summary
    EudraCT Number:2019-003616-31
    Sponsor's Protocol Code Number:MK-7339-013
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2021-06-14
    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 ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2019-003616-31
    A.3Full title of the trial
    A Randomized, Double-blind, Placebo-controlled Phase 3 Study of Pembrolizumab (MK-3475) in Combination with Concurrent Chemoradiation Therapy Followed by Pembrolizumab with or without Olaparib (MK-7339), Compared to Concurrent Chemoradiation Therapy Alone in Participants with Newly Diagnosed Treatment Naïve Limited-Stage Small Cell Lung Cancer (LS-SCLC)
    Studio clinico di fase 3, randomizzato, in doppio cieco, controllato con placebo, con Pembrolizumab (MK-3475) in associazione a chemioradioterapia concomitante seguito da Pembrolizumab con o senza Olaparib (MK-7339), rispetto a chemioradioterapia concomitante da sola in pazienti non trattati con nuova diagnosi di carcinoma polmonare a piccole cellule in stadio limitato (LS-SCLC)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Phase 3 Study of Pembrolizumab (MK-3475) in Combination with Concurrent Chemoradiation Therapy Followed by Pembrolizumab with or without Olaparib (MK-7339), Compared to Concurrent Chemoradiation Therapy in Participants with Newly Diagnosed Treatment-Naïve Limited-Stage Small Cell Lung Cancer (LS-SCLC)
    Studio clinico di fase 3 con Pembrolizumab (MK-3475) in associazione a chemioradioterapia concomitante seguito da Pembrolizumab con o senza Olaparib (MK-7339), rispetto a chemioradioterapia concomitante in pazienti non trattati con nuova diagnosi di carcinoma polmonare a piccole cellule in stadio limitato (LS-SCLC)
    A.3.2Name or abbreviated title of the trial where available
    -
    -
    A.4.1Sponsor's protocol code numberMK-7339-013
    A.5.4Other Identifiers
    Name:INDNumber:142,532
    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 SponsorMERCK SHARP & DOHME CORP. UNA SUSSIDIARIA DI MERCK & CO. INC.
    B.1.3.4CountryUnited States
    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 supportMerck Sharp & Dohme Corp., a subsidiary of Merck & Co.,Inc
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationMSD Italia Srl
    B.5.2Functional name of contact pointDivisione Ricerca Clinica
    B.5.3 Address:
    B.5.3.1Street AddressVia Vitorchiano, 151
    B.5.3.2Town/ cityRoma
    B.5.3.3Post code00189
    B.5.3.4CountryItaly
    B.5.4Telephone number+39090636191371
    B.5.5Fax number+390636380371
    B.5.6E-mailgcto.italy@merck.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 nameOlaparib
    D.3.2Product code [MK-7339]
    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 INNOLAPARIB
    D.3.9.1CAS number 763113-22-0
    D.3.9.2Current sponsor codeMK-7339
    D.3.9.4EV Substance CodeSUB32234
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number150
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin 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.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 nameOlaparib
    D.3.2Product code [MK-7339]
    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 INNOLAPARIB
    D.3.9.1CAS number 763113-22-0
    D.3.9.2Current sponsor codeMK-7339
    D.3.9.4EV Substance CodeSUB32234
    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 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.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 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 namePEMBROLIZUMAB
    D.3.2Product code [MK-3475]
    D.3.4Pharmaceutical form Solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNPembrolizumab
    D.3.9.1CAS number 1374853-91-4
    D.3.9.2Current sponsor codeMK-3475
    D.3.9.4EV Substance CodeSUB167136
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    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 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 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) Yes
    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: 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 KEYTRUDA (pembrolizumab, MK-3475)
    D.2.1.1.2Name of the Marketing Authorisation holderMerck Sharp & Dohme B.V. - n.AIC: EU/1/15/1024/002
    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 name-
    D.3.2Product code [-]
    D.3.4Pharmaceutical form Solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNPembrolizumab
    D.3.9.1CAS number 1374853-91-4
    D.3.9.2Current sponsor codeMK-3475
    D.3.9.4EV Substance CodeSUB167136
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    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 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 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) Yes
    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: 5
    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.2.5The 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 nameETOPOSIDE
    D.3.2Product code [-]
    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 INNETOPOSIDE
    D.3.9.1CAS number 33419-42-0
    D.3.9.2Current sponsor code-
    D.3.9.4EV Substance CodeSUB07337MIG
    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 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.IMP: 6
    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.2.5The 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 nameCisplatino
    D.3.2Product code [-]
    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 INNCISPLATINO
    D.3.9.1CAS number 15663-27-1
    D.3.9.2Current sponsor code-
    D.3.9.4EV Substance CodeSUB07483MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1
    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.IMP: 7
    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.2.5The 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 nameCarboplatino
    D.3.2Product code [-]
    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 INNCARBOPLATINO
    D.3.9.1CAS number 41575-94-4
    D.3.9.2Current sponsor code-
    D.3.9.4EV Substance CodeSUB06614MIG
    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 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
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for infusion
    D.8.4Route of administration of the placeboIntravenous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Limited-Stage Small Cell Lung Cancer (LS-SCLC)
    Cancro polmonare a piccole cellule in stadio limitato (LS-SCLC)
    E.1.1.1Medical condition in easily understood language
    Limited-Stage Small Cell Lung Cancer (LS-SCLC)
    Cancro polmonare a piccole cellule in stadio limitato (LS-SCLC)
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.1
    E.1.2Level LLT
    E.1.2Classification code 10041071
    E.1.2Term Small cell lung cancer stage unspecified
    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
    1. To compare progression free survival (PFS) per RECIST 1.1 as assessed by BICR
    2. To compare overall survival (OS)

    1. Confrontare la sopravvivenza libera da progressione (PFS) secondo i criteri RECIST 1.1, come valutata mediante BICR
    2. Confrontare la sopravvivenza complessiva (OS)
    E.2.2Secondary objectives of the trial
    1.To evaluate the safety and tolerability (ST) of concurrent chemoradiation therapy (CCT) with pembrolizumab (pembro) followed by pembro plus olaparib (Gp B) compared to CCT alone (Gp C)
    2.To evaluate ST of CCT with pembro followed by pembro (Gp A) compared to Gp C
    3.To compare Gp B to Gp C with respect to objective response rate (ORR) as assessed by BICR per RECIST 1.1
    4.To compare Gp A to Gp C with respect to ORR as assessed by BICR per RECIST 1.1
    5.To compare Gp B to Gp C with respect to duration of response (DOR) as assessed by BICR per RECIST 1.1
    6.To compare Gp A to Gp C with respect to DOR as assessed by BICR per RECIST 1.1
    7.To evaluate change from baseline (CFB) (at Cycle 1) and time to true deterioration
    (TTD) in global health status/quality of life (QoL) in Gp B compared to Gp C
    8.To evaluate CFB (at Cycle 1) and the TTD in QoL in Gp A compared to Group C
    9. To evaluate the effect of programmed cell death ligand 1 (PD-L1) expression levels on OR, DOR, PFS, and OS.
    1. Valutare sicurezza/tollerabilità (ST) della chemioradioterapia (CrT) concomitante con pembrolizumab (pembro) seguito da pembro più olaparib (GrB) rispetto alla sola CrT concomitante (GrC)
    2. Valutare la ST della CrT concomitante con pembro seguito da pembro (GrA) rispetto al GrC
    3. Confrontare GrB con GrC rispetto a ORR, come valutato mediante BICR secondo i criteri RECIST 1.1
    4. Confrontare GrA con GrC rispetto a ORR, come valutato mediante BICR secondo i criteri RECIST 1.1
    5. Confrontare GrB con GrC rispetto a DOR, come valutato mediante BICR secondo i criteri RECIST 1.1
    6. Confrontare GrA con GrC rispetto a DOR, come valutato mediante BICR secondo i criteri RECIST 1.1
    7. Valutare la variazione dal basale (CFB) (al Ciclo 1) e TTD nello stato di salute globale/QoL nel GrB rispetto a GrC
    8. Valutare la CFB (al Ciclo 1) e TTD nel QoL nel GrA rispetto a GrC
    9. Valutare l’effetto dei livelli di espressione di PD-L1 su OR, DOR, PFS e OS
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1.Has pathologically (histologically or cytologically) confirmed SCLC.
    2.Has LS-SCLC (Stage I-III, by AJCC 8th Edition Cancer Staging), and can be safely treated with definitive radiation doses.
    3.Has no evidence of metastatic disease by whole body PET/CT scan, CT or MRI scans of diagnostic quality of chest, abdomen, pelvis and brain. The process for image collection and transmission to the central imaging vendor can be found in the Site Imaging Manual.
    4.Has at least 1 lesion that meets the criteria for being measurable, as defined by RECIST 1.1, and is appropriate for selection as a target lesion, as determined by local site investigator/radiology review.
    5.Has not received prior treatment (chemotherapy or radiotherapy or surgery resection) of LS-SCLC.
    6.Is not expected to require tumor resection during the course of the study.
    7.Must submit a pretreatment tumor tissue sample. Any available tumor tissue sample can be submitted: histologic (ie, core, incisional, or excisional biopsy) or cytologic sample (if tissue sample unavailable). The sample should be submitted before or within 4 weeks after randomization; however, participants may be enrolled into the study before the pretreatment tissue sample is submitted.
    8.Has ECOG Performance score 0 or 1 assessed within 7 days prior to the first administration of study intervention.
    9.Has a life expectancy of at least 6 months.
    10.Has adequate PFT defined as an FEV1 >50% of predicted normal volume and a DLCO >40% of predicted normal value. Participants for whom DLCO measurements are not available will be deemed to have adequate oxygen transfer if pulse oximetry (O2 saturation) >=90% room air.
    11.Has adequate organ function; all screening laboratory tests should be performed within 10 days prior to initiation of study intervention.
    12.Male participants are eligible to participate if they agree to the following during the intervention period and for at least 180 days after the last dose of study intervention:
    -Refrain from donating sperm
    PLUS either:
    -Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent
    OR
    -Must agree to use contraception unless confirmed to be azoospermic (vasectomized or secondary to medical cause) as detailed below:
    o Agree to use a male condom plus partner use of an additional contraceptive method when having penile-vaginal intercourse with a WOCBP who is not currently pregnant.
    o Contraceptive use by men should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.If the contraception requirements in the local label for any of the study interventions are more stringent than the requirements above, the local label requirements are to be followed

    For remaining criteria refer to Protocol
    1.Presenta un SCLC patologicamente (istologicamente o citologicamente) confermato.
    2.Presenta LS-SCLC (stadio I-III, secondo la AJCC 8a edizione Stadiazione tumorale) e può essere trattato/a in modo sicuro con dosi di radiazioni definitive.
    3.Non presenta evidenza di malattia metastatica mediante scansione PET/TC globale corporea, scansioni TC o RM di qualità diagnostica di torace, addome, pelvi e cervello. Il processo per la raccolta e la trasmissione delle immagini al fornitore centrale di servizi di imaging è disponibile nel Manuale di imaging del centro.
    4.Presenta almeno 1 lesione che soddisfi i criteri per essere misurabile, come definito in base ai criteri RECIST 1.1, ed è appropriata per la selezione come lesione bersaglio, come determinato dallo Sperimentatore del centro locale/dalla revisione radiologica.
    5.Non ha ricevuto un trattamento precedente (chemioterapia o radioterapia o resezione chirurgica) di LS-SCLC.
    6.Non si prevede che richieda la resezione del tumore nel corso dello studio.
    7.Deve presentare un campione di tessuto tumorale pretrattamento. Può essere presentato qualsiasi campione di tessuto tumorale disponibile: istologico (ovvero core biopsy, biopsia incisionale o escissionale) o citologico (se il campione di tessuto non è disponibile). Il campione deve essere presentato prima o entro 4 settimane dalla randomizzazione; tuttavia, i/le partecipanti possono essere arruolati/e nello studio prima dell'invio del campione di tessuto pretrattamento.
    8.Ha un punteggio di performance ECOG di 0 o 1 valutato nei 7 giorni precedenti la prima somministrazione dell'intervento dello studio.
    9.Ha un'aspettativa di vita prevista di almeno 6 mesi.
    10.Presenta una PFT adeguata definita come un FEV1 >50% del volume normale previsto e un DLCO >40% del valore normale previsto. I/Le partecipanti per i quali non sono disponibili misurazioni della DLCO saranno ritenuti/e in possesso di un adeguato trasferimento di ossigeno se la pulsossimetria (saturazione di O2) >=90% dell'aria ambiente.
    11.Ha una funzione d'organo adeguata; tutte le analisi di laboratorio di screening devono essere eseguite nei 10 giorni precedenti l'inizio dell'intervento dello studio.
    12.I partecipanti di sesso maschile sono idonei alla partecipazione se durante il periodo di intervento e per almeno 180 giorni dopo l'ultima dose dell'intervento dello studio accettano di:
    • Astenersi dalla donazione di sperma
    E INOLTRE a:
    • Praticare l'astinenza dai rapporti eterosessuali come propria scelta di stile di vita (astinenza continuativa e a lungo termine) e acconsentire a rimanere astinenti
    OPPURE
    • Acconsentire tassativamente a usare la contraccezione a eccezione degli individui con azoospermia confermata (ottenuta tramite vasectomia o secondaria a causa medica) come indicato di seguito:
    o Acconsentire a usare preservativi maschili in aggiunta a un altro metodo contraccettivo della partner durante i rapporti con penetrazione pene-vagina con donne in età fertile che non sono attualmente gravide.
    o L'uso del contraccettivo da parte degli uomini dovrebbe essere coerente con le normative locali relative ai metodi contraccettivi per coloro che partecipano agli studi clinici. Se i requisiti di contraccezione nella normativa locale per uno qualsiasi degli interventi in studio sono più rigorosi dei requisiti di cui sopra, devono essere seguiti i requisiti della normativa locale

    Per i restanti criteri fare riferimento al Protocollo
    E.4Principal exclusion criteria
    1.Has extensive stage disease, defined as stage IV (T any, N any M1a/b), or T3-4 due to multiple lung nodules that are too extensive or have tumor/nodal volume that is too large to be encompassed in a tolerable radiation plan.
    2.Has history, current diagnosis, or features suggestive of MDS/AML.
    3.Has had documented weight loss >10% (from baseline) in the preceding 3 months.
    4.Is likely to have a radiation treatment plan that the volume of the (Total Lung-GTV) receiving at least 20 Gy is more than 34% of the (Total Lung-GTV) for the once-daily regimen and is more than 27% for the twice-daily regimen.
    5.Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor.
    6.Has received prior therapy with olaparib or with any other PARP inhibitor.
    7.Had major surgery <4 weeks prior to the first dose of study intervention (except for placement of vascular access).
    8.Is expected to require any other form of antineoplastic therapy, while on study.
    9.Has received a live or live attenuated vaccine within 30 days prior to the first dose of study intervention.
    10.Has received colony-stimulating factors within 28 days prior to the first dose of study intervention.
    11.Is currently receiving either strong (phenobarbital, enzalutamide, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine and St John’s Wort) or moderate inducers of CYP3A4 that cannot be discontinued for the duration of the study. The required washout period prior to starting olaparib is 5 weeks for pentobarbital and 3 weeks for other agents.
    12.Is currently receiving either strong or moderate inhibitors of cytochrome P450 (CYP)3A4 that cannot be discontinued for the duration of the study. The required washout period prior to starting olaparib is 2 weeks.
    13.Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study intervention.
    14.Has uncontrolled, potentially reversible cardiac conditions, as judged by the investigator (eg, unstable ischemia, uncontrolled symptomatic arrhythmia, congestive heart failure, QTcF prolongation >500 ms, electrolyte disturbances, etc.), or participants with congenital long QT syndrome.
    15.Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study intervention.
    16.Has a known additional malignancy that is progressing or has required active treatment within the past 5 years.
    17.Has severe hypersensitivity (>= Grade 3) to study intervention and/or any of its excipients.
    18.Has an active autoimmune disease that has required systemic treatment in past 2 years (ie, with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed.
    19.Has a known history of, or active, neurologic paraneoplastic syndrome.
    20.Has a history of (non-infectious) pneumonitis/interstitial lung disease that requires steroids or has current pneumonitis/interstitial lung disease. Lymphangitic spread of the LS-SCLC is not exclusionary.

    For remaining criteria refer to Protocol
    1.Presenta una malattia allo stadio esteso, definita come stadio IV(T qualsiasi, N qualsiasi M1a/b)o T3-4 a causa di noduli polmonari multipli che sono troppo estesi o hanno un volume tumorale/nodale troppo grande per essere racchiuso in un piano di radiazione tollerabile
    2.Presenta anamnesi, diagnosi attuale o caratteristiche suggestive di MDS/LMA
    3.Presenta una perdita di peso documentata >10% (rispetto al basale) nei 3 mesi precedenti
    4.È probabile che presenti un piano di radioterapia in base al quale il volume del polmone totale-GTVche riceve almeno 20Gy è superiore al34%del polmone totale-GTVper il regime di una volta al giorno e superiore al27%per il regime di due volte al giorno
    5.Ha ricevuto una terapia precedente con un agente anti PD-1, anti PD-L1 o anti PD-L2 o con un agente diretto a un altro stimolante o del recettore co-inibitorio delle cellule T(es. CTLA-4, OX-40, CD137)
    6.Ha ricevuto una precedente terapia con olaparib o con qualsiasi altro inibitore di PARP
    7.Ha subito un intervento chirurgico importante <4 settimane prima della prima dose di intervento dello studio(a eccezione del posizionamento dell'accesso vascolare)
    8.Si prevede che abbia bisogno di qualsiasi altra forma di terapia antineoplastica durante lo studio
    9.Ha ricevuto un vaccino vivo o vivo attenuato nei 30 giorni prima della prima dose dell'intervento dello studio. Nota: i vaccini uccisi sono consentiti.
    10.Ha ricevuto fattori stimolanti le colonie (ad es. G-CSF, GM-CSF o eritropoietina ricombinante) nei 28 giorni precedenti la prima dose dell'intervento dello studio
    11.Sta attualmente ricevendo induttori forti (fenobarbitale, enzalutamide, fenitoina, rifampicina, rifabutina, rifapentina, carbamazepina, nevirapina e iperico)o moderati(es. bosentan, efavirenz, modafinil)del CYP3A4 che non possono essere interrotti per la durata dello studio. Il periodo di washout richiesto prima di iniziare olaparib è di 5 settimane per pentobarbital e 3 settimane per altri agenti
    12.Sta attualmente ricevendo inibitori forti del citocromo P450 (CYP)3A4 che non possono essere interrotti per la durata dello studio. Il periodo di washout richiesto prima di iniziare olaparib è di 2 settimane
    13.Sta partecipando o ha partecipato a uno studio con un agente sperimentale o ha usato un dispositivo sperimentale nelle 4 settimane precedenti alla prima dose dell'intervento dello studio
    14.Presenta condizioni cardiache incontrollate, potenzialmente reversibili, come giudicato dallo Sperimentatore (ad es. ischemia instabile, aritmia sintomatica non controllata, insufficienza cardiaca congestizia, prolungamento del QTcF >500 ms, alterazione elettrolitica, ecc.) o partecipanti con sindrome del QT lungo congenita
    15.Ha una diagnosi di immunodeficienza o sta ricevendo una terapia steroidea sistemica cronica (in dosi superiori a 10 mg al giorno di prednisone equivalente) o qualsiasi altra forma di terapia immunosoppressiva nei 7 giorni prima della prima dose dell'intervento dello studio
    16.Ha un'ulteriore neoplasia nota che sta progredendo o che ha richiesto trattamento attivo negli ultimi 5 anni
    17.Presenta grave ipersensibilità (>= Grado 3) all'intervento dello studio e/o a uno qualsiasi degli eccipienti
    18.Ha una malattia autoimmune attiva che ha richiesto un trattamento sistemico negli ultimi 2 anni (cioè con l'uso di agenti modificanti la malattia, corticosteroidi o farmaci immunosoppressori). La terapia sostitutiva (ad es. tiroxina, insulina o terapia sostitutiva con corticosteroidi fisiologici per insufficienza surrenalica o ipofisaria) non è considerata una forma di trattamento sistemico ed è consentita
    19.Presenta un'anamnesi nota di sindrome paraneoplastica neurologica o attiva
    20.Presenta un'anamnesi di polmonite(non infettiva)/malattia polmonare interstiziale che richiede steroidi o presenta polmonite/malattia polmonare interstiziale in corso. La diffusione linfangitica dell'LS-SCLC non è un fattore di esclusione
    Per i restanti criteri fare riferimento al Protocollo
    E.5 End points
    E.5.1Primary end point(s)
    1. Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1): the time from randomization to progression or death due to any cause, whichever occurs first
    2. Overall Survival (OS): the time from randomization to death due to any cause
    1. Sopravvivenza libera da progressione (PFS) in base ai Criteri di valutazione della risposta nei tumori solidi Versione 1.1: tempo intercorso dalla randomizzazione alla progressione o alla morte per qualsiasi causa, a seconda di quale evento si verifica per primo
    2. Sopravvivenza complessiva (OS): tempo intercorso dalla randomizzazione alla morte per qualsiasi causa
    E.5.1.1Timepoint(s) of evaluation of this end point
    1. Up to approximately 59 months
    2. Up to approximately 82 months
    1. Fino a circa 59 mesi
    2. Fino a circa 82 mesi
    E.5.2Secondary end point(s)
    1. Number of Participants Experiencing an Adverse Events (AEs)
    2. Number of Participants Discontinuing Study Treatment Due to Adverse Events (AEs)
    3. Objective Response (OR): complete response (CR) or partial response (PR)
    4. Duration of Response (DOR): the time from the earliest date of first documented evidence of confirmed CR or PR until the earliest date of disease progression or death from any cause, whichever comes first
    5. Change from Baseline at Cycle 1 in European Organization for Research and Treatment (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status / Quality of Life (Items 29 & 30) Scale Score
    6. Change from Baseline at Cycle 1 in EORTC Quality of Life Questionnaire Lung Cancer Module 13 (QLQ-LC13) Cough (Item 1) Scale Score
    7. Change from Baseline at Cycle 1 in EORTC QLQ-LC13 Chest Pain (Item 10) Scale Score
    8. Change from Baseline at Cycle 1 in EORTC QLQ-C30 Dyspnea (Item 8) Scale Score
    9. Change from Baseline at Cycle 1 in EORTC QLQ-C30 Physical Functioning (Items 1 to 5) Scale Score
    10. Time to True Deterioration (TTD) in EORTC QLQ-C30 Global Health Status / Quality of Life (Items 29 & 30) Scale Score
    11. Time to True Deterioration (TTD) in Cough (LC13/Item 1) Scale Score
    12. Time to True Deterioration (TTD) in Chest Pain (LC13/Item 10) Scale Score
    13. Time to True Deterioration (TTD) in EORTC QLQ-C30 Dyspnea (Item 8) Scale Score
    14. Time to True Deterioration (TTD) in EORTC QLQ-C30 Physical Functioning (Items 1 to 5) Scale Score
    15. Objective Response (OR, according to RECIST 1.1 by BICR) assessed by programmed cell death ligand 1 (PD-L1) expression levels
    16. Duration of Response (DOR, according to RECIST 1.1 by BICR) assessed by programmed cell death ligand 1 (PD-L1) expression levels
    17. Progression-free Survival (PFS, according to RECIST 1.1 by BICR) assessed by programmed cell death ligand 1 (PD-L1) expression levels
    18. Overall Survival (OS) assessed by programmed cell death ligand 1 (PD-L1) expression levels; 1. Numero di partecipanti che hanno manifestato eventi avversi (EA)
    2. Numero di partecipanti che hanno interrotto il trattamento di studio a causa di eventi avversi (EA)
    3. Risposta obiettiva (OR): risposta completa (CR) o risposta parziale (PR)
    4. Durata della risposta (DOR): il tempo dalla prima data della prima prova documentata di CR o PR confermata fino alla prima data di progressione della malattia o morte per qualsiasi causa, a seconda di quale si verifica per prima
    5. Variazione dal Basale al Ciclo 1 del punteggio degli items Stato di salute Globale/Qualità della vita (Items 29 & 30) nella scala European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30)
    6. Variazione dal Basale al Ciclo 1 del punteggio di Tosse (item 1) nel Modulo 13 sul cancro al polmone in EORTC (QLQ-LC13)
    7. Variazione dal Basale al Ciclo 1 del punteggio di Dolore Toracico (item 10) in EORTC QLQ-LC13
    8. Variazione dal Basale al Ciclo 1 del punteggio di Dispnea (item 8) in EORTC QLQ-C30
    9. Variazione dal Basale al Ciclo 1 del punteggio di Funzionalità Fisica (item da 1 a 5) in EORTC QLQ-C30
    10. Tempo al deterioramento (TTD) in EORTC QLQ-C30 del punteggio di status globale di vita/qualità della vita (Items 29 e 30)
    11. Tempo al deterioramento (TTD) in EORTC QLQ-C30 del punteggio di Tosse (LC13/Item 1)
    12. Tempo al deterioramento (TTD) in EORTC QLQ-C30 del punteggio di Dolore Toracico (LC13/Item 10)
    13. Tempo al deterioramento (TTD) in EORTC QLQ-C30 del punteggio di Dispnea (Item 8)
    14. Tempo al deterioramento (TTD) in EORTC QLQ-C30 del punteggio Funzionalità Fisica (Items da 1 a 5)
    15. Risposta obiettiva (OR, secondo RECIST 1.1 by BICR) valutata in base ai livelli di espressione del ligando di morte cellulare programmata 1 (PD-L1)
    16. Durata della risposta (DOR, secondo RECIST 1.1 by BICR) valutata in base ai livelli di espressione del ligando di morte cellulare programmata 1 (PD-L1)
    17. Sopravvivenza libera da progressione (PFS, secondo RECIST 1.1 da BICR) valutata in base ai livelli di espressione programmata del ligando 1 di morte cellulare (PD-L1)
    18. Sopravvivenza globale (OS) valutata in base ai livelli di espressione del ligando 1 di morte cellulare programmata (PD-L1)
    E.5.2.1Timepoint(s) of evaluation of this end point
    1. Up to approximately 82 months
    2. Up to approximately 82 months
    3. Up to approximately 82 months
    4. Up to approximately 82 months
    5. Baseline and 82 months post randomization
    6. Baseline and 82 months post randomization
    7. Baseline and 82 months post randomization
    8. Baseline and 82 months post randomization
    9. Baseline and 82 months post randomization
    10. Up to 82 months post randomization
    11. Up to 82 months post randomization
    12. Up to 82 months post randomization
    13. Up to 82 months post randomization
    14. Up to 82 months post randomization
    15. Up to approximately 82 months
    16. Up to approximately 82 months
    17. Up to approximately 59 months
    18. Up to approximately 82 months
    1. Fino a circa 82 mesi
    2. Fino a circa 82 mesi
    3. Fino a circa 82 mesi
    4. Fino a circa 82 mesi
    5. Basale e 82 mesi dopo la randomizzazione
    6. Basale e 82 mesi dopo la randomizzazione
    7. Basale e 82 mesi dopo la randomizzazione
    8. Basale e 82 mesi dopo la randomizzazione
    9. Basale e 82 mesi dopo la randomizzazione
    10. Fino a 82 mesi dopo la randomizzazione
    11. Fino a 82 mesi dopo la randomizzazione
    12. Fino a 82 mesi dopo la randomizzazione
    13. Fino a 82 mesi dopo la randomizzazione
    14. Fino a 82 mesi dopo la randomizzazione
    15. Fino a circa 82 mesi
    16. Fino a circa 82 mesi
    17. Fino a circa 59 mesi
    18. Fino a circa 82 mesi
    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 Yes
    E.6.11Pharmacogenomic Yes
    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 trial3
    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 concerned8
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA55
    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
    Australia
    Canada
    China
    Japan
    Korea, Republic of
    Mexico
    Russian Federation
    Turkey
    Ukraine
    United States
    Belgium
    Estonia
    France
    Greece
    Hungary
    Italy
    Lithuania
    Portugal
    Spain
    United Kingdom
    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 years0
    E.8.9.1In the Member State concerned months82
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months82
    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: 350
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 322
    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 state30
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 250
    F.4.2.2In the whole clinical trial 672
    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
    Nessuno
    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 Decision2020-11-12
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2020-09-16
    P. End of Trial
    P.End of Trial StatusOngoing
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