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    Summary
    EudraCT Number:2019-003733-41
    Sponsor's Protocol Code Number:ISG-MCS
    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:2021-06-04
    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 number2019-003733-41
    A.3Full title of the trial
    Phase II study on Trabectedin in advanced rearranged Mesenchymal chondrosarcoma (MCS)
    Studio di fase II con trabectedina per il trattamento di giovani adulti e adulti affetti da condrosarcoma mesenchimale (HEY1-NOCOA2 riarrangiato) scheletrico ed extra-scheletrico con malattia avanzata
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Study on advanced rearranged Mesenchymal chondrosarcoma
    Studio per il trattamento dia condrosarcoma mesenchimale (HEY1-NOCOA2 riarrangiato) scheletrico ed extra-scheletrico con malattia avanzata
    A.3.2Name or abbreviated title of the trial where available
    ISG-MCS
    ISG-MCS
    A.4.1Sponsor's protocol code numberISG-MCS
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT04305548
    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 SponsorITALIAN SARCOMA GROUP
    B.1.3.4CountryItaly
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportPharma Mar S.A
    B.4.2CountrySpain
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationI.S.G. Italian Sarcoma Group
    B.5.2Functional name of contact pointEmanuela Marchesi
    B.5.3 Address:
    B.5.3.1Street AddressVia Ca Ricchi 33
    B.5.3.2Town/ citySan Lazzaro di Savena (BO)
    B.5.3.3Post code40068
    B.5.3.4CountryItaly
    B.5.4Telephone number3335359192
    B.5.5Fax number0145970
    B.5.6E-mailemanuela.marchesi@italiansarcomagroup.org
    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 Yondelis
    D.2.1.1.2Name of the Marketing Authorisation holderPharma mar S.A
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/01/39
    D.3 Description of the IMP
    D.3.1Product nametrabectedina
    D.3.2Product code [trabectedina]
    D.3.4Pharmaceutical form Powder 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 INNTRABECTEDINA
    D.3.9.1CAS number 114899-77-3
    D.3.9.2Current sponsor codetrabectedina utilizzata in soggetti minorenni
    D.3.10 Strength
    D.3.10.1Concentration unit g gram(s)
    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: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Yondelis
    D.2.1.1.2Name of the Marketing Authorisation holderPharma mar S.A
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/01/39
    D.3 Description of the IMP
    D.3.1Product nametrabectedina
    D.3.2Product code [trabectedina]
    D.3.4Pharmaceutical form Powder 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 INNTRABECTEDINA
    D.3.9.1CAS number 114899-77-3
    D.3.9.2Current sponsor codeTrabectedina usata secondo la sua AIC in pazienti adutili
    D.3.10 Strength
    D.3.10.1Concentration unit g gram(s)
    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.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
    Patients with advanced, histological and molecularly (presence of the HEY1-NCOA2 fusion) centrally confirmed diagnosis of MCS, with an evidence of RECIST progression within the 6 months prior to starting the study treatment and pre-treated with anthracycline-based chemotherapy
    Pazienti giovani adulti o adulti affetti da condrosarcoma mesenchimale HEY1-NCOA2 riarrangiato a partenza scheletrica o extra-scheletrica avanzato e in progressione
    E.1.1.1Medical condition in easily understood language
    Advanced Mesenchimal Condrosarcoma
    Condrosarcoma mesenchimale in fase avanzata
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level HLT
    E.1.2Classification code 10041298
    E.1.2Term Soft tissue sarcomas histology unspecified
    E.1.2System Organ Class 100000004864
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objective of this study is to explore the activity of trabectedin from 2nd to 4th line, in patients aged ¿ 16 years with advanced HEY1-NOCA2 positive MCS pre-treated with anthracycline-based chemotherapy. Therefore, with reference to a study population of patients with progressive by RECIST v1.1, locally advanced or metastatic, HEY1-NCOA2 positive MCS pre- treated with one, two or three lines of medical treatment, the primary end-point of the study will be to assess:
    Tasso di risposta tumorale (Overall Tumour Response Rate) secondo RECIST v1.1
    E.2.2Secondary objectives of the trial
    1. Choi Response Rate
    2. Overall Survival (OS)
    3. Progression Free Survival (PFS)
    4. Clinical Benefit Rate
    5. Duration of response
    6. Safety

    - Tasso di risposta tumorale secondo i criteri Choi
    - Sopravvivenza globale (OS)
    - Sopravvivenza libera da progressione (PFS)
    - Tasso di beneficio clinico (Clinical Benefit Rate)
    - Durata della risposta
    - Sicurezza del trattamento
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives

    Pharmacogenetics
    Version: 1.0
    Date: 16/09/2019
    Title: Translational Optional study
    Objectives: To gain insights on MCS biology and to investigate molecular basis underlining MCS response to trabectedin, pre-treatment samples (FFPE and/or frozen samples with tumor cellularity greater than 70%) will be molecularly profiled. Moreover, in vitro models will be generated to identify HEY1-NCOA2-specific transcriptional targets involved in the response to trabectedin.

    Farmacogenetica
    Versione: 1.0
    Data: 16/09/2019
    Titolo: Studio translazionale opzionale
    Obiettivi: I campioni tumorali raccolti pre-trattamento, necessari per la revisione centralizzata della diagnosi, verranno profilati anche dal punto di vista molecolare per identificare eventuali prodotti trascrizionali del riarrangiamento HEY1-NCAO2 coinvolti nella risposta a trabectedina.
    E.3Principal inclusion criteria
    1. Age = 16 years old
    2. Histological centrally confirmed diagnosis of skeletal or extra-skeletal MCS with the documented presence of HEY1-NCOA2 fusion (a paraffin embedded tumour block is required for centralized review)
    3. Locally advanced disease (i.e. surgical resection of local disease unfeasible radically or unaccepted by the patient or amenable to become less demolitive or feasible or easier after cytoreduction) and/or metastatic disease
    4. Measurable or evaluable disease with RECIST v1.1
    5. Evidence of progression by RECIST v1.1 during the 6 months before study entry
    6. Patients must be pre-treated with at least one prior chemotherapy treatment containing anthracyclines for the advanced phase of disease and with a maximum of 3 lines
    7. Eastern Cooperative Oncology Group (ECOG) Performance Status = 2
    8. Adequate bone marrow function
    9. Adequate organ function
    10. Female patients of childbearing potential must have negative pregnancy test within 7 days before initiation each cycle of chemotherapy. Post-menopausal women must be amenorrhoeic for at least 12 months to be considered of non-childbearing potential. Male and female patients of reproductive potential must agree to employ an effective method of birth control throughout the study
    11. Cardiac ejection fraction >=50% as measured by echocardiogram
    12. No history of arterial and/or venous thromboembolic event within the previous 12 months
    13. The patient or legal representative must be able to read and understand the informed consent form and must have been willing to give written informed consent and any locally required authorisation before any study-specific procedures, including screening evaluations, sampling, and analyses.
    14. Any other factors, that, at judgment of investigator, could affect the safety of the patients according to the available trabectedin safety data
    1) Età >= 16 anni
    2) Diagnosi istologica e molecolare centralmente confermata di condrosarcoma mesenchimale HEY1-NCAO2 riarrangiato. Per l’arruolamento nello studio è necessario avere a disposizione l’inclusione in paraffina di materiale tumorale derivato da eventuale biopsia pre-trattamento (se effettuata per pratica clinica) o del materiale tumorale di archivio più recente disponibile
    3) Malattia localmente avanzata e/o metastatica
    4) Malattia misurabile secondo RECIST v1.1
    5) Evidenza di progressione secondo RECIST v1.1 nei 6 mesi precedenti l’ingresso in studio
    6) I pazienti devono essere stati pre-trattati con almeno un trattamento antitumorale contenente antraciclina per la malattia avanzata fino ad un massimo di 3 linee precedenti
    7) ECOG PS <= 2
    8) Adeguata funzionalità midollare
    9) Adeguata funzionalità d’organo
    10) Le pazienti di sesso femminile in età fertile devono avere un test di gravidanza negativo entro 7 giorni prima dell’inizio di ogni ciclo di chemioterapia.
    Le donne in post-menopausa devono essere amenorroiche da almeno 12 mesi per essere considerate potenzialmente non fertili.
    I pazienti maschi e femmine potenzialmente fertili devono accettare di utilizzare un metodo efficace di controllo delle nascite durante lo studio.
    11) Frazione di eiezione cardiaca = 50% misurata mediante ecocardiogramma
    12) Anamnesi negativa per eventi trombo-embolici arteriosi e/o venosi negli ultimi 12 mesi
    13) Il paziente (o il suo rappresentante legale) deve essere in grado di leggere e comprendere il modulo di consenso informato e deve fornire il proprio consenso informato scritto prima di avviare qualsiasi procedura specifica per lo studio
    E.4Principal exclusion criteria
    1. Other primary malignancy with <5 years clinically assessed disease free interval, except basal cell skin cancer, cervical carcinoma in situ or other neoplasm judged to entail a low risk of relapse
    2. Previous treatment with radiation therapy within 14 days of first day of study drug dosing, or patients who have not recovered from adverse events due to agents previously administered
    3. Previous radiotherapy to 25% of the bone marrow
    4. Major surgery within 2 weeks prior to study entry
    5. Participation in another clinical study with an investigational product, which last dose was taken less than 4 weeks prior to the start of the treatment.
    6. Persistent toxicities (= NCI CTCAE v5.0 grade 2) with the exception of alopecia, caused by previous anticancer therapies.
    7. Pregnancy or breast feeding
    8. Grade III/IV cardiac problems as defined by the New York Heart Association Criteria (i.e. congestive heart failure, myocardial infarction within 6 months of study)
    9. Medical history of arterial thrombotic or embolic events such as cerebrovascular accident (including transient ischemic attacks), or pulmonary embolism within 6 months prior to the initiation of study treatment
    10. Known brain metastasis
    11. Known chronic liver disease (i.e. chronic active hepatitis and cirrhosis)
    12. Known diagnosis of human deficiency virus (HIV) infection
    13. Active or chronic hepatitis B or C requiring treatment with antiviral therapy
    14. Medical history of hemorrhage or a bleeding event = Grade 3 (NCI-CTCAE v 5.0) within 4 weeks prior to the initiation of study treatment
    15. Evidence of any other serious or unstable illness, or medical, psychological, or social condition, that could jeopardize the safety of the subject and/or his/her compliance with study procedures, or may interfere with the subject’s participation in the study or evaluation of the study results
    16. Known hypersensitivity to any of the study drugs, study drug classes, or excipients in the formulation of the study drugs
    17. Expected non-compliance to medical regimens
    1) Pazienti mai trattati con chemioterapia contenente antracicline, a meno di controindicazioni maggiori
    2) Più di 3 precedenti linee di trattamento antitumorale per la malattia avanzata
    3) Anamnesi positiva per altre neoplasie maligne (eccetto carcinoma basocellulare della cute o carcinoma cervicale in situ, adeguatamente trattati), salvo che non siano in remissione da almeno 5 anni e giudicate a potenziale trascurabile di ricaduta
    4) Trattamento radioterapico nei 14 giorni precedenti al primo giorno di assunzione di trabectedina; trattamento con qualsiasi agente antitumorale sperimentale nelle 4 settimane precedenti il primo giorno di assunzione di trabectedina. Sono inoltre esclusi i pazienti per i quali la tossicità dei precedenti trattamenti non sia risolta (NCI CTCAE v5.0 grado 2), eccetto l’alopecia
    5) Precedente radioterapia che ha coinvolto il midollo osseo per il 25% o oltre
    6) Chirurgia maggiore nelle 2 settimane precedenti l’ingresso in studio
    7) Donne in gravidanza o in allattamento
    8) Malattia cardiovascolare in atto con NYHA grado III/IV. Storia di insufficienza cardiaca o infarto miocardico meno di 6 mesi dall’inizio del trattamento. Sono esclusi pazienti con angina instabile e con aritmia severa a rischio di morte imminente
    9) Anamnesi positiva per eventi trombo-embolici arteriosi come infarto cerebro-vascolare (compreso l’attacco ischemico transitorio – TIA) o embolia polmonare nei 6 mesi precedenti l’inizio del trattamento in studio
    10) Pazienti con metastasi al sistema nervoso centrale note
    11) Pazienti con malattie croniche del fegato (epatite cronica in fase attiva e/o cirrosi epatica)
    12) Diagnosi nota di infezione da virus dell’immunodeficienza umana (HIV)
    13) Diagnosi di epatite cronica o in fase attiva B o C che richiede una terapia antivirale
    14) Anamnesi positiva per emorragia o sanguinamenti di grado ¿ 3 (secondo NCI CTCAE v5.0) nelle 4 settimane antecedenti l’inizio del trattamento in studio
    15) Ipersensibilità nota al farmaco in studio o alla classe di appartenenza o ad eccipienti presenti nella formulazione del farmaco in studio
    16) Ogni situazione che possa pregiudicare la compliance al trattamento
    17) Evidenza di ogni malattia o condizione medica, psicologica o sociale grave o instabile che possa compromettere la sicurezza del paziente e/o la sua compliance alla partecipazione allo studio o alla valutazione dei risultati
    E.5 End points
    E.5.1Primary end point(s)
    Response rate according Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
    Tasso di risposta secondo RECIS versione 1.1
    E.5.1.1Timepoint(s) of evaluation of this end point
    Every 6 weeks up to week 18, then every 12 weeks
    Ogni 6 settimane fino a 18 settimane poi ogni 12 settimane
    E.5.2Secondary end point(s)
    Overall Survival; Progression Free Survival; Duration of response; Adverse events related to the treatment; Choi criteria response rate
    Sopravvivenza Globale; Progressione libera da sopravvivenza; Durata della risposta; Tossicità del trattamento; Tasso di risposta secondo Choi criteria
    E.5.2.1Timepoint(s) of evaluation of this end point
    Overall Survival: At 3 and 5 years; Progression Free Survival (PFS) At 3 and 5 years; Duration of response At weeks 6, 12,18, 30, 42; Adverse events related to the treatment : at each cycle; Choi criteria response rate At weeks 6, 12,18, 30, 42
    Sopravvivenza Globale a 3 e 5 anni; Progressione libera da sopravvivenza a 3 e 5 anni; Durata della risposta a settimane 6, 12,18, 30, 42; Tossicità del trattamento: ad ogni ciclo; Tasso di risposta secondo Choi criteria, a settimane 6, 12,18, 30, 42
    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 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) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised No
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial1
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned6
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years6
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years6
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1.1In 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) Yes
    F.1.1.6.1Number of subjects for this age range: 4
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 16
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception For clinical trials recorded in the database before the 10th March 2011 this question read: "Women of childbearing potential" and did not include the words "not using contraception". An answer of yes could have included women of child bearing potential whether or not they would be using contraception. The answer should therefore be understood in that context. This trial was recorded in the database on 2021-06-04. Yes
    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
    Minors form 16 to 16 yrs
    Minori di età compresa tra i 16 e 17 anni (consenso richiesto ai genitori o al tutore/rappresentante legale)
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state20
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 20
    F.4.2.2In the whole clinical trial 20
    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)
    According AIOM disease guideline
    Al termine della sperimentazione i pazienti saranno seguiti e trattati in accordo alle linee guida AIOM per il trattamento della patologia
    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 Decision2021-02-23
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2021-02-23
    P. End of Trial
    P.End of Trial StatusOngoing
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