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    Summary
    EudraCT Number:2019-003761-17
    Sponsor's Protocol Code Number:RADAR-1CRPC
    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:2021-05-24
    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 number2019-003761-17
    A.3Full title of the trial
    A RAndomized, open label, multicenter study of Docetaxel versus an Androgen Receptor-targeted agent (abiraterone or enzalutamide) as first-line of therapy in mCRPC patients with adverse prognostic factors (RADAR-1 CRPC)
    Studio clinico randomizzato in aperto di docetaxel verso inibitore del recettore androgenico (abiraterone o enzalutamide) come prima linea di terapia nei pazienti con carcinoma prostatico metastatico resistente alla castrazione e fattori prognostici negativi (RADAR-1 CRPC)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A RAndomized, open label, multicenter study of Docetaxel versus an Androgen Receptor-targeted agent (abiraterone or enzalutamide) as first-line of therapy in mCRPC patients with adverse prognostic factors (RADAR-1 CRPC)
    Studio clinico randomizzato in aperto di docetaxel verso inibitore del recettore androgenico (abiraterone o enzalutamide) come prima linea di terapia nei pazienti con carcinoma prostatico metastatico resistente alla castrazione e fattori prognostici negativi (RADAR-1 CRPC)
    A.3.2Name or abbreviated title of the trial where available
    RADAR-1 CRPC
    RADAR-1 CRPC
    A.4.1Sponsor's protocol code numberRADAR-1CRPC
    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 SponsorFONDAZIONE POLICLINICO UNIVERSITARIO AGOSTINO GEMELLI IRCCS UNIVERSITA' CATTOLICA DEL SACRO CUORE
    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 support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationDirezione scientifica Fondazione Policlinico A.Gemelli IRCCS
    B.5.2Functional name of contact pointDirezione Scientifica Fondazione Po
    B.5.3 Address:
    B.5.3.1Street AddressLargo Agostino Gemelli 8
    B.5.3.2Town/ cityRoma
    B.5.3.3Post code00168
    B.5.3.4CountryItaly
    B.5.4Telephone number0630155701
    B.5.5Fax number0630155701
    B.5.6E-maildirezione.scientifica@policlinicogemelli.it
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name XTANDI
    D.2.1.1.2Name of the Marketing Authorisation holderAstellas Pharma Europe B.V.
    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 nameXTANDI
    D.3.2Product code [L02BB04]
    D.3.4Pharmaceutical form Capsule, soft
    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 INN00329400
    D.3.9.1CAS number 915087-33-1
    D.3.9.2Current sponsor codeRADAR-1 CRPC
    D.3.9.3Other descriptive nameRADAR-1 CRPC
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number40
    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 RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name ZYTIGA
    D.2.1.1.2Name of the Marketing Authorisation holderJanssen-Cilag International NV
    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 nameZYTIGA
    D.3.2Product code [L02BX03]
    D.3.4Pharmaceutical form 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 INN00323801
    D.3.9.1CAS number 154229-18-2
    D.3.9.2Current sponsor codeRADAR-1 CRPC
    D.3.9.3Other descriptive nameRADAR-1 CRPC
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number500
    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 Yes
    D.2.1.1.1Trade name Docetaxel
    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 nameDocetaxel
    D.3.2Product code [L01CD02]
    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 INN00105000
    D.3.9.1CAS number 114977-28-5
    D.3.9.2Current sponsor codeRADAR-1 CRPC
    D.3.9.3Other descriptive nameRADAR-1 CRPC
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number19
    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
    Castration resistant prostate cancer docetaxel and androgen receptor-targeted agent (abiraterone or enzalutamide) naïve.
    Carcinoma prostatico resistente alla castrazione e naive al docetaxel e ai trattamenti con agenti inibitori del recettore degli androgeni (abiraterone o enzalutamide).
    E.1.1.1Medical condition in easily understood language
    Castration resistant prostate cancer docetaxel and androgen receptor-targeted agent (abiraterone or enzalutamide) naïve.
    Carcinoma prostatico resistente alla castrazione e naive al docetaxel e ai trattamenti con agenti inibitoi del recettore degli androgeni (abiraterone o enzalutamide).
    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 10076506
    E.1.2Term Castration-resistant prostate cancer
    E.1.2System Organ Class 100000004864
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To investigate if docetaxel is superior to Androgen Receptor-targeted agent (abiraterone or enzalutamide) for treatment of patients with mCRPC and negative prognostic factors in terms of PFS.
    Indagare se il docetaxel è superiore all'agente mirato per il recettore degli androgeni (abiraterone o enzalutamide) nel trattamento di pazienti con mCRPC e fattori prognostici negativi in termini di PFS.
    E.2.2Secondary objectives of the trial
    To investigate if docetaxel is superior to Androgen Receptor-targeted agent (abiraterone or enzalutamide) for treatment of patients with mCRPC and negative prognostic factors in terms of biochemical response, radiographic progression, overall survival and quality of life.
    Indagare se il docetaxel è superiore all'agente mirato ai recettori degli androgeni (abiraterone o enzalutamide) per il trattamento di pazienti con mCRPC e fattori prognostici negativi in termini di risposta biochimica, progressione radiografica, sopravvivenza globale e qualità della vita.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Willing and able to provide written informed consent
    2. Male aged 18 years and above
    3. Histologically or cytological confirmed adenocarcinoma of the prostate
    4. Metastatic disease documented by positive bone scan or metastatic lesions other than liver or visceral metastasis on CT, MRI. If lymph node metastasis is the only evidence of metastasis, it must be = 2 cm in diameter. Alternatively, metastatic disease can be diagnosed by PET-Choline.
    5. Prostate cancer progression documented by PSA according to PCWG2 or radiographic progression according to modified RECIST criteria
    6. At least one negative prognostic features between:
    I. Mildly symptomatic prostate cancer defined as per BPI Question #3 (worst pain in last 24 hours) value 2 or 3 or
    II. Asymptomatic prostate cancer defined as per BPI Question #3 (worst pain in last 24 hours) value 0 or 1 and at least one between
    • PSA=80 ng/dl
    • Gleason Score = 8
    • PSA doubling time = 3 months
    • Time from start ADT to CRPC less < 1 year
    7. Surgically or medically castrated, with testosterone levels of < 50 ng/dL (< 2.0 nM).
    8. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 2
    9. Adequate bone marrow and chemistry values defined as:
    a. Hemoglobin = 10.0 g/dL independent of transfusion
    b. Platelet count =100,000/µL
    c. Serum albumin = 3.5 g/dL
    d. Serum creatinine < 1.5 x ULN or a calculated creatinine clearance = 60 mL/min
    e. Serum potassium = 3.5 mmol/L
    f. Liver function:
    • Serum bilirubin < 1.5 x ULN (except for patients with documented Gilbert’s disease)
    • AST or ALT < 2.5 x ULN
    10. Able to swallow the study drug whole as a tablet
    11. Life expectancy of at least 6 months
    12. Patients who have partners of childbearing potential must be willing to use a method of birth control with adequate barrier protection as determined to be acceptable by the principal investigator and sponsor during the study and for 13 weeks after last study drug administration.
    1. Pazienti in grado di fornire il consenso informato scritto
    2. Età di 18 anni e oltre
    3. Adenocarcinoma della prostata istologicamente o citologicamente confermato
    4. Malattia metastatica documentata radiologicamente.
    5. Progressione del cancro alla prostata documentata dal PSA secondo PCWG2 o progressione radiografica secondo i criteri RECIST modificati
    6. Almeno una caratteristica prognostica negativa tra:
    a. Cancro alla prostata lievemente sintomatico definito come BPI Domanda n. 3 (peggiore dolore nelle ultime 24 ore) valore 2 o 3 o
    b. Carcinoma prostatico asintomatico definito come BPI Domanda n. 3 (peggiore dolore nelle ultime 24 ore) valore 0 o 1 e almeno uno tra
    - PSA=80 ng / dl
    - Punteggio di Gleason = 8
    - Tempo di raddoppiamento del PSA = 3 mesi
    - Tempo dall'inizio da ADT a CRPC <1 anno
    7. Castrato chirurgicamente o medicalmente, con livelli di testosterone <50 ng / dL (<2.0 nM).
    8. Stato di prestazione del gruppo di oncologia cooperativa orientale (ECOG) di 0 o 2
    9. Valori adeguati del midollo osseo e della chimica definiti come:
    a. Emoglobina = 10,0 g / dL indipendente dalla trasfusione
    b. Conta piastrinica =100.000 / µL
    c. Albumina sierica = 3,5 g / dl
    d. Creatinina sierica <1,5 x ULN o clearance della creatinina calcolata = 60 ml / min
    e. Potassio sierico = 3,5 mmol / L
    f. Funzione epatica:
    - Bilirubina sierica <1,5 x ULN (ad eccezione dei pazienti con malattia di Gilbert documentata)
    - AST o ALT <2,5 x ULN
    10. In grado di deglutire il farmaco di studio
    11. Aspettativa di vita di almeno 6 mesi
    12. I pazienti che hanno partner in età fertile devono essere disposti a utilizzare un metodo di controllo delle nascite con un'adeguata protezione barriera durante lo studio e per 13 settimane dopo l’ultima somministrazione del farmaco in studio.
    E.4Principal exclusion criteria
    1. Active infection or other medical condition that would make prednisone/prednisolone (corticosteroid) use contraindicated
    2. Pathological finding consistent with small cell carcinoma of the prostate greater than 10%
    3. Known brain metastasis
    4. Use of major opiate analgesics for cancer-related pain (codeine and tramadol are allowed)
    5. Prior cytotoxic chemotherapy, Androgen Receptor-targeted agent or biologic therapy for the treatment of CRPC or CSPC (previous bicalutamide is allowed)
    6. Radiation therapy for treatment of the primary tumour within 6 weeks of Cycle 1, Day 1
    7. Radiation or radionuclide therapy for treatment of metastatic CRPC and CSPC
    8. Bicalutamide, nilutamide within 6 weeks of Cycle 1 Day 1
    9. Uncontrolled hypertension (systolic BP = 160 mmHg or diastolic BP = 95 mmHg). Patients with a history of hypertension are allowed provided blood pressure is controlled by anti-hypertensive treatment
    10. Active or symptomatic viral hepatitis or chronic liver disease
    11. Clinically significant heart disease as evidenced by myocardial infarction, or arterial thrombotic events in the past 6 months, severe or unstable angina, or New York Heart Association (NYHA) Class II-IV heart disease or cardiac ejection fraction measurement of < 50% at baseline
    12. Atrial Fibrillation, or other cardiac arrhythmia requiring therapy
    13. Other malignancy with a previous diagnosis within 5 years (with the exclusions of NMIBC, CIN)
    1. L'infezione attiva o altre condizioni mediche che controindichino l’uso del prednisone / prednisolone (corticosteroide)
    2. Una componente patologica coerente con carcinoma a piccole cellule della prostata superiore al 10%
    3. Metastasi cerebrali note
    4. Uso di analgesici oppiacei maggiori (Graziono III WHO) per il dolore correlato al cancro (sono ammessi codeina e tramadolo)
    5. Precedente chemioterapia citotossica o precedente agente ormonale di nuova generazione o terapia biologica per il trattamento di CRPC o CSPC (è consentita la precedente bicalutamide)
    6. Radioterapia per il trattamento del tumore primario entro 6 settimane dal ciclo 1, giorno 1
    7. Terapia con radiazioni o radionuclidi per il trattamento di CRPC metastatico e CSPC
    8. Bicalutamide, nilutamide entro 6 settimane dal ciclo 1 giorno 1
    9. Ipertensione non controllata (pressione sistolica = 160 mmHg o pressione diastolica = 95 mmHg). I pazienti con una storia di ipertensione sono consentiti purché la pressione arteriosa sia controllata da un trattamento antipertensivo
    10. Epatite virale attiva o sintomatica o epatopatia cronica
    11. Cardiopatia clinicamente significativa come evidenziato da infarto miocardico, o eventi trombotici arteriosi negli ultimi 6 mesi, angina grave o instabile, o cardiopatia di classe II-IV di New York Heart Association (NYHA) o misurazione della frazione di eiezione cardiaca <50%.
    12. Fibrillazione atriale o altre aritmie cardiache che richiedono terapia
    13. Altri tumori maligni con una precedente diagnosi entro 5 anni (con le esclusioni di NMIBC).
    E.5 End points
    E.5.1Primary end point(s)
    To compare the radiographic Progression-Free Survival (rPFS) rate at 9 months of chemotherapy (Arm A, docetaxel plus prednisone) versus androgen receptor targeted therapy (Arm B, enzalutamide or abiraterone acetate plus prednisone) in mCRPC patients with adverse prognostic factors.
    Confrontare il tasso di sopravvivenza libera da progressione radiografica (rPFS) a 9 mesi per il docetaxel (braccio A) rispetto a una terapia mirata al recettore androgenico (braccio B, enzalutamide o abiraterone acetato più prednisone) nei pazienti mCRPC con fattori prognostici sfavorevoli.
    E.5.1.1Timepoint(s) of evaluation of this end point
    nine months
    nove mesi
    E.5.2Secondary end point(s)
    To compare efficacy of docetaxel plus prednisone to enzalutamide or abiraterone acetate plus prednisone in terms of PSA response; To compare efficacy of docetaxel plus prednisone to enzalutamide or abiraterone acetate plus prednisone in terms of radiographic progression-free survival (rPFS); To compare efficacy of docetaxel plus prednisone to enzalutamide or abiraterone acetate plus prednisone in terms of overall survival (OS).
    Confrontare l'efficacia di docetaxel più prednisone con enzalutamide o abiraterone acetato più prednisone in termini di risposta del PSA; Confrontare l'efficacia di docetaxel più prednisone con enzalutamide o abiraterone acetato più prednisone in termini di sopravvivenza libera da progressione radiografica (rPFS); Confrontare l'efficacia di docetaxel più prednisone con enzalutamide o abiraterone acetato più prednisone in termini di sopravvivenza complessiva (OS).
    E.5.2.1Timepoint(s) of evaluation of this end point
    nine months; 18 months; 18 months
    nove mesi; 18 mesi; 18 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 No
    E.6.4Safety No
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group 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) Yes
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned29
    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
    End of trial will occur 30 days after the last patient last cycle.
    La fine della sperimentazione avverrà 30 giorni dopo l'ultimo ciclo dell'ultimo paziente in studio.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 80
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 120
    F.2 Gender
    F.2.1Female No
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations No
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception No
    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 state200
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 200
    F.4.2.2In the whole clinical trial 200
    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)
    If a patient at the end of treatment will have progression of the disease and still eligible for a treatment he will receive further lines of therapy as per clinical practice.
    Pazienti al termine del trattamento se in progressione di malattia ed ancora eleggibili per un trattamento riceveranno ulteriori trattamenti come da pratica clinica.
    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 Decision2020-03-27
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2020-04-02
    P. End of Trial
    P.End of Trial StatusOngoing
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