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    Summary
    EudraCT Number:2020-005532-29
    Sponsor's Protocol Code Number:A0001B
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2021-04-29
    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 number2020-005532-29
    A.3Full title of the trial
    Randomized, placebo-controlled, double-blind, multicenter, seamless adaptive phase II-III clinical trial to select the dose and evaluate safety and efficacy of MAD0004J08 monoclonal antibody in adult patients with recently diagnosed asymptomatic to moderately severe COVID-19.
    Studio clinico randomizzato, controllato verso placebo, in doppio cieco, multicentrico, di fase II-III senza soluzione di continuità per selezionare la dose e valutare la sicurezza e l'efficacia dell'anticorpo monoclonale MAD0004J08 in pazienti adulti con diagnosi recente di COVID-19 da asintomatico a moderatamente severo.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Clinical trial to select the dose and evaluate safety and efficacy of MAD0004J08 monoclonal antibody in adult patients with recently diagnosed asymptomatic to moderately severe COVID-19.
    Studio clinico per selezionare la dose e valutare la sicurezza e l'efficacia dell'anticorpo monoclonale MAD0004J08 in pazienti adulti con diagnosi recente di COVID-19 da asintomatico a moderatamente severo.
    A.3.2Name or abbreviated title of the trial where available
    -
    -
    A.4.1Sponsor's protocol code numberA0001B
    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 SponsorToscana Life Sciences Sviluppo
    B.1.3.4CountryItaly
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportToscana Life Sciences e Sviluppo S.r.l.
    B.4.2CountryItaly
    B.4.1Name of organisation providing supportAchilleS Vaccines S.r.l.
    B.4.2CountryItaly
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationToscana Life Sciences e Sviluppo S.r.l.
    B.5.2Functional name of contact pointSarah Nosari
    B.5.3 Address:
    B.5.3.1Street AddressVia di Città, 43
    B.5.3.2Town/ citySiena
    B.5.3.3Post code53100
    B.5.3.4CountryItaly
    B.5.4Telephone number05771517858
    B.5.5Fax number05771517858
    B.5.6E-mails.nosari@achillesvaccines.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 nameMAD0004J08
    D.3.2Product code [MBHX0120]
    D.3.4Pharmaceutical form Solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntramuscular use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.2Current sponsor codeMAD0004J08
    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 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) 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 nameMAD0004J08
    D.3.2Product code [MBHX0120]
    D.3.4Pharmaceutical form Solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntramuscular use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.2Current sponsor codeMAD0004J08
    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 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) 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 placeboSolution for injection/infusion
    D.8.4Route of administration of the placeboIntramuscular use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    SARS-CoV2 treatment.
    Trattamento SARS-CoV2.
    E.1.1.1Medical condition in easily understood language
    COVID-19 treatment.
    Trattamento COVID-19.
    E.1.1.2Therapeutic area Diseases [C] - Virus Diseases [C02]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 23.0
    E.1.2Level PT
    E.1.2Classification code 10084268
    E.1.2Term COVID-19
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 23.0
    E.1.2Level PT
    E.1.2Classification code 10084268
    E.1.2Term COVID-19
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 23.1
    E.1.2Level PT
    E.1.2Classification code 10084460
    E.1.2Term COVID-19 treatment
    E.1.2System Organ Class 10042613 - Surgical and medical procedures
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Safety:
    - To assess the safety and tolerability of MAD0004J08 as determined by severe and serious adverse events.

    Efficacy:
    - To demonstrate that MAD0004J08 shortens the time to clearance of SARS-CoV-2 from the URT.
    Sicurezza:
    - Valutare la sicurezza e la tollerabilità di MAD0004J08 determinate dall’insorgenza di eventi avversi severi e seri.

    Efficacia:
    - Dimostrare che MAD0004J08 riduce i tempi di clearance di SARS-CoV-2 dall'URT.
    E.2.2Secondary objectives of the trial
    Safety:
    - To assess the overall safety and tolerability, local reactogenicity, and production of anti-drug antibodies of MAD0004J08.

    Efficacy:
    - To demonstrate that MAD0004J08 reduces the proportion of participants who experience one of the clinically outcomes that are part of the composite endpoint.
    - To assess the impact of MAD0004J08 on SARS-CoV-2 virus in the URT and on the clinical course of COVID-19.
    Sicurezza:
    - Valutare la sicurezza e la tollerabilità complessive, la reattogenicità locale e la produzione di anticorpi antifarmaco MAD0004J08.

    Efficacia:
    - Dimostrare che MAD0004J08 riduce la proporzione di partecipanti che presentano uno degli esiti clinici che fanno parte dell'endpoint composito.
    - Valutare l’impatto di MAD0004J08 sul virus SARS-CoV-2 nell’URT e sul decorso clinico di COVID-19.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Signed written informed consent taken before any study procedure from any patient capable of giving consent, or, when the patient is incapable of doing so, by his or her legal/authorized representative.
    2. Age = 18 years.
    3. First nasopharyngeal swab testing positive for SARS-CoV-2 by RT-PCR taken no more than 3 days before randomization (Visit 1). Results of “rapid” semiquantitative tests are not acceptable.
    4. Asymptomatic to moderately symptomatic outpatients with no need for immediate hospitalization: grade 1, or grade 2 or grade 3 of Clinical Severity Scale.
    5. No childbearing potential (post-menopause, surgically-induced, or pharmacologicallyinduced sterility) or, if of childbearing potential, negative urinary pregnancy test (women) and commitment to use at least 2 forms of contraception for at least 168 days from administration of study drug (men and women).
    1. Consenso informato scritto ottenuto prima dell’effettuazione di qualsiasi procedura dello studio da qualsiasi paziente in grado di dare il consenso o, quando il paziente non è in grado di farlo, dal suo rappresentante legale/autorizzato.
    2. Età = 18 anni.
    3. Primo tampone nasofaringeo con esito positivo per SARS-CoV-2 da RT-PCR effettuato non più di 3 giorni prima della randomizzazione (Visita 1). I risultati dei test semiquantitativi "rapidi" non sono accettabili.
    4. Pazienti ambulatoriali asintomatici o moderatamente sintomatici senza necessità di ricovero immediato: grado 1, grado 2 o grado 3 della scala Clinical Severity Scale.
    5. Non potenzialmente fertili (fase di post-menopausa, sterilità indotta chirurgicamente o farmacologicamente) o, se potenzialmente fertili, test di gravidanza sulle urine negativo (donne) e impegno a utilizzare almeno 2 forme di contraccezione per almeno 168 giorni dalla somministrazione del farmaco in studio (uomini e donne).
    E.4Principal exclusion criteria
    1. Severe or critical COVID-19: grade 4 or grade 5 of clinical severity scale.
    2. Current hospitalization and/or hospitalization or emergency room visit in the past 14 days.
    3. Need for immediate hospitalization for any reason in the investigator’s opinion.
    4. Severe liver disease as determined by values of ALT and/or AST >5x upper limit of normal (ULN) and/or history of liver cirrhosis.
    5. Severe renal disease as determined by estimated creatinine clearance (CcCl) <30 mL/min or serum creatinine >2 mg/dL (>176.8 µmol/L) or ongoing renal dialysis.
    6. Absolute neutrophil count (ANC) < 1000/µL.
    7. Demyelinating and connective tissue disease.
    8. Active tuberculosis or suspected active bacterial, fungal, viral, or other infection (besides COVID-19).
    9. Any condition that in the Investigator’s opinion may be negatively affected by the study treatments and/or study procedures.
    10. Any condition, including psychiatric disorders, alcohol, or substance abuse, which in the Investigator’s opinion may interfere with completion of the study procedures.
    11. Any condition with life expectancy <6 months in the Investigator’s opinion.
    12. Ongoing or planned pregnancy.
    13. Ongoing breast feeding.
    14. History of life-threatening event in the 1 month before Visit 1.
    15. History of surgery in the 1 month before Visit 1.
    16. History of treatment with blood components in the 6 months before Visit 1.
    17. History of cancer treated with chemotherapy in the 6 months before Visit 1.
    18. History of solid organ transplant at any time before Visit 1.
    19. History of severe and/or serious allergic reaction to monoclonal antibodies or any component of MAD0004J08, including anaphylaxis at any time before Visit 1.
    20. Treatment with an investigational drug or vaccine within 5 half-lives or 30 days (whichever is longer) of randomization.
    21. Treatment at any time with monoclonal antibodies bamlanivimab, bamlanivimab + etesevimab combination, and casiribimab + imdevimab combination .

    Receipt of an approved vaccine vs. COVID-19 is NOT an exclusion criterion, i.e. is compatible with enrolment in the study if all inclusion and exclusion criteria are met.
    1. COVID-19 severo o critico: grado 4 o grado 5 della scala di severità clinica.
    2. Attuale ospedalizzazione e/o ospedalizzazione o visita al pronto soccorso nei 14 giorni precedenti.
    3. Necessità di ospedalizzazione immediata per qualsiasi motivo a giudizio dello sperimentatore.
    4. Patologia epatica severa determinata da valori di ALT e/o AST >5 ULN (Upper Normal Limit – limite superiore di normalità) e/o anamnesi di cirrosi epatica.
    5. Patologia renale severa determinata da clearance creatinina (Creatinine Clearance – CcCl) stimata <30 mL/min o creatinina sierica >2 mg/dL (>176.8 µmol/L) o dialisi renale in corso.
    6. Conta assoluta dei neutrofili (Absolute Neutrophil Count – ANC) < 1000/µL.
    7. Patologia demielinizzante e del tessuto connettivo.
    8. Tubercolosi attiva o sospetta infezione attiva batterica, micotica, virale o altra infezione (oltre a COVID-19).
    9. Qualsiasi condizione che, a giudizio dello sperimentatore, possa subire un impatto negativo dai trattamenti in studio e/o dalle procedure dello studio.
    10. Qualsiasi condizione, compresi disturbi psichiatrici, abuso di alcol o di sostanze che a giudizio dello sperimentatore possono interferire con il completamento delle procedure dello studio.
    11. Qualsiasi condizione con un’aspettativa di vita <6 mesi a giudizio dello sperimentatore.
    12. Gravidanza in corso o pianificata.
    13. Allattamento in corso.
    14. Anamnesi di evento potenzialmente letale nel mese precedente la Visita 1.
    15. Anamnesi di intervento chirurgico nel mese precedente la visita 1.
    16. Anamnesi di trattamento con component ematici nei 6 mesi precedenti la Visita 1.
    17. Anamnesi di cancro trattato con chemioterapia nel 6 mesi precedenti la Visita 1.
    18. Anamnesi di trapianto d’organo solido in qualsiasi momento prima della Visita 1.
    19. Anamnesi di reazione allergica severa e/o seria ad anticorpi monoclonali o a qualsiasi componente di MAD0004J08, compresa anafilassi, in qualsiasi momento prima della Visita 1.
    20. Trattamento con un farmaco o un vaccino sperimentale entro 5 emivite o 30 giorni (scegliere l’intervallo più lungo) dalla randomizzazione.
    21. Trattamento in qualsiasi momento con gli anticorpi monoclonali bamlanivimab, la combinazione bamlanivimab + etesevimab e la combinazione casiribimab + imdevimab.

    La somministrazione di un vaccino approvato per COVID-19 NON costituisce un criterio di esclusione, ovvero è compatibile con l’arruolamento nello studio se sono soddisfatti tutti i criteri di inclusione ed esclusione.
    E.5 End points
    E.5.1Primary end point(s)
    Safety:
    - Proportion of participants with severe (Grade 3) unsolicited AEs and/or serious unsolicited AEs (SAEs).

    Efficacy:
    - Time to SARS-CoV-2 clearance in the URT.
    Sicurezza:
    - Proporzione di partecipanti con eventi avversi (Adverse Event -AE) severi (Grado 3) non sollecitati e/o eventi avversi seri (Serious Adverse Event - SAE) non sollecitati.

    Efficacia:
    - Tempo alla clearance di SARS-CoV-2 dall'URT.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Safety and efficacy endpoints will be analyzed as appropriate in two target populations and three time windows:
    - Primary populations: 1) all randomized participants (ALL), and 2) seronegative randomized participants (SEROneg).
    - Time windows (defined at an individual participant level): 1) baseline (Visit 1) to end of Stage-1 or dropout (interim analysis), 2) baseline (Visit 1) to end of Stage-2 or dropout (primary analysis), 3) baseline (Visit 1) to end of study (Visit 12) or dropout (final analysis).
    Gli endpoint di sicurezza ed efficacia verranno opportunamente lizzati in due popolazioni target ed in tre finestre temporali:
    - Popolazioni primarie: 1) tutti i partecipanti randomizzati (ALL), e 2) partecipanti randomizzati sieronegativi (SEROneg).
    - Finestre temporali (definite a livello del singolo partecipante): 1) dal basale (Visita 1) fino alla fine dello Stadio 1 o all’uscita anticipata dallo studio (dropout) (analisi ad interim), 2) dal basale (Visita 1) fino alla fine dello Stadio 2 o all dropout (analisi primaria), 3) dal basale (Visita 1) alla fine dello studio (Visita 12) o al dropout (analisi finale).
    E.5.2Secondary end point(s)
    Safety:
    - Proportion of participants with unsolicited AEs, including clinically relevant laboratory and ECG abnormalities, and with solicited local AEs at the injection site; proportion of tested participants who develop ADA (ADA testing limited to the first 60 randomized participants).

    Efficacy:
    - Proportion of patients experiencing at least one of the following events: peripheral capillary oxygen saturation (SpO2) < 94%, newly established or increased dose home oxygen therapy, hospitalization, death (clinical composite endpoint);
    - Viral clearance and viral load in the URT and SpO2% by visit, COVID-19 clinical symptoms, newly established or increased dose home oxygen therapy, proportion of patients requiring hospitalization, hospital oxygen therapy, admission to intensive care unit (ICU) and deaths; duration of hospital and ICU stay and of oxygen therapy.
    Sicurezza:
    - Proporzione di partecipanti con AE non sollecitati, compresi risultati di laboratorio clinicamente rilevanti ed anomalie dell’ECG e con AE sollecitati locali in corrispondenza del sito di iniezione; proporzione di pazienti testati che sviluppano ADA (il test per ADA è limitato ai primi 60 partecipanti randomizzati).

    Efficacia:
    - Proporzione di pazienti che manifestano almeno uno dei seguenti eventi: saturazione capillare periferica dell'ossigeno (SpO2) < 94%, inizio o aumento dell’ossigenoterapia a domicilio, ospedalizzazione, decesso (endpoint composito clinico);
    - Clearance virale e carico virale nell’URT e SpO2% per visita, sintomi clinici di COVID-19, inizio o aumento dell’ossigenoterapia a domicilio, proporzione di pazienti ospedalizzati, con ossigenoterapia ospedaliera, ricoverati in terapia intensiva (Intensive Care Unit – ICU) e deceduti; durata dell’ospedalizzazione, della permanenza in ICU e dell’ ossigeno terapia.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Safety and efficacy endpoints will be analyzed as appropriate in two target populations and three time windows:
    - Primary populations: 1) all randomized participants (ALL), and 2) seronegative randomized participants (SEROneg).
    - Time windows (defined at an individual participant level): 1) baseline (Visit 1) to end of Stage-1 or dropout (interim analysis), 2) baseline (Visit 1) to end of Stage-2 or dropout (primary analysis), 3) baseline (Visit 1) to end of study (Visit 12) or dropout (final analysis).
    Gli endpoint di sicurezza ed efficacia verranno opportunamente lizzati in due popolazioni target ed in tre finestre temporali:
    - Popolazioni primarie: 1) tutti i partecipanti randomizzati (ALL), e 2) partecipanti randomizzati sieronegativi (SEROneg).
    - Finestre temporali (definite a livello del singolo partecipante): 1) dal basale (Visita 1) fino alla fine dello Stadio 1 o all’uscita anticipata dallo studio (dropout) (analisi ad interim), 2) dal basale (Visita 1) fino alla fine dello Stadio 2 o all dropout (analisi primaria), 3) dal basale (Visita 1) alla fine dello studio (Visita 12) o al dropout (analisi finale).
    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 Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    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 Yes
    E.8.1.7.1Other trial design description
    Studio stratificato e adattivo senza soluzione di continuità.
    Stratified and seamless adaptive study.
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    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 concerned14
    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 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
    The end of the study is defined as the date of last scheduled procedure shown in the Schedule of Activities for the last participant in the trial globally.
    The participation of the patient in the study regularly ends:
    - At the end of the follow-up (Visit 12)
    - In case of death.
    La fine dello studio è definita come la data dell'ultima procedura programmata indicata nello Schedule of Activities per l'ultimo partecipante alla sperimentazione a livello globale.
    La partecipazione del paziente allo studio termina regolarmente:
    - Alla fine del follow-up (Visita 12)
    - In caso di morte.
    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 months10
    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 months10
    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: 600
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 206
    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 state806
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 806
    F.4.2.2In the whole clinical trial 806
    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 Decision2021-04-27
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2021-04-26
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2022-05-26
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