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    Summary
    EudraCT Number:2021-000591-10
    Sponsor's Protocol Code Number:CNIS793B12301
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Temporarily Halted
    Date on which this record was first entered in the EudraCT database:2021-08-31
    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 ConcernedSpain - AEMPS
    A.2EudraCT number2021-000591-10
    A.3Full title of the trial
    A randomized, double-blind, phase III study comparing NIS793 in combination with gemcitabine and nab-paclitaxel versus placebo combined with gemcitabine and nab-paclitaxel for first line treatment of metastatic pancreatic ductal adenocarcinoma (mPDAC)
    Estudio de fase III aleatorizado y doble ciego que compara NIS793 en combinación con gemcitabina y nab-paclitaxel frente a placebo combinado con gemcitabina y nab-paclitaxel para el tratamiento de primera línea del adenocarcinoma ductal de páncreas metastásico.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Study of efficacy and safety of NIS793 in combination with standard of care (SOC) chemotherapy in first-line metastatic pancreatic ductal adenocarcinoma (mPDAC)
    Estudio de la eficacia y la seguridad de NIS793 en combinación con la quimioterapia de referencia para el adenocarcinoma ductal de páncreas metastásico en tratamiento de primera línea.
    A.4.1Sponsor's protocol code numberCNIS793B12301
    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 SponsorNovartis Farmacéutica, S.A.
    B.1.3.4CountrySpain
    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 supportNovartis Pharma AG
    B.4.2CountrySwitzerland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationNovartis Farmacéutica, S.A.
    B.5.2Functional name of contact pointTrial Monitoring Organization (TMo)
    B.5.3 Address:
    B.5.3.1Street AddressGran Via de les Corts Catalanes, 764
    B.5.3.2Town/ cityBarcelona
    B.5.3.3Post code08013
    B.5.3.4CountrySpain
    B.5.4Telephone number34 90 0353036
    B.5.6E-maileecc.novartis@novartis.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.3.2Product code NIS793
    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 INNnot yet defined
    D.3.9.2Current sponsor codeNIS793
    D.3.9.3Other descriptive nameNIS793
    D.3.9.4EV Substance CodeSUB184323
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    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 No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    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 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: 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.2.5The 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 nameAbraxane
    D.3.4Pharmaceutical form Powder for dispersion 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 INNPaclitaxel
    D.3.9.1CAS number 33069-62-4
    D.3.9.3Other descriptive namePACLITAXEL ALBUMIN-BOUND
    D.3.9.4EV Substance CodeSUB127678
    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 No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    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.2.5The 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 namegemcitabine
    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 INNGEMCITABINE
    D.3.9.1CAS number 95058-81-4
    D.3.9.3Other descriptive namegemcitabine
    D.3.9.4EV Substance CodeSUB07892MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    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 No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    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 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
    Pancreatic ductal adenocarcinoma
    adenocarcinoma ductal de páncreas
    E.1.1.1Medical condition in easily understood language
    Pancreatic cancer
    Cáncer de páncreas
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.0
    E.1.2Level LLT
    E.1.2Classification code 10033604
    E.1.2Term Pancreatic cancer
    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
    safety run in: to confirm the recommended phase 3 dose (RP3D) of NIS793 in combination with gemcitabine and nab-paclitaxel
    randomized part: to compare OS in participants with mPDAC treated as the first line treatment with the combination of NIS793, gemcitabine and nab-paclitaxel to the combination of placebo with gemcitabine and nab-paclitaxel
    Parte de preinclusión de seguridad:
    El objetivo principal de la parte de preinclusión de seguridad es confirmar la dosis recomendada para la fase 3 (RP3D) de NIS793 en combinación con gemcitabina y nab-paclitaxel (SOC).
    Parte aleatorizada:
    El objetivo principal de la parte aleatorizada es comparar la OS en participantes con ADPm tratado con la combinación de NIS793, gemcitabina y nab-paclitaxel como el tratamiento de primera línea respecto a la combinación de placebo con gemcitabina y nab-paclitaxel.
    E.2.2Secondary objectives of the trial
    safety run in:
    1. safety and tolerability of NIS793 in combination with SoC
    2. PK of NIS793 in combination with SoC
    3. preliminary anti-tumor activity of NIS793 in combination with SoC

    randomized part:
    1. efficacy (PFS, ORR, DCR; DOR, TTR) of NIS793 in combination with SoC versus placebo in combination with SoC
    2. safety and tolerability in each treatment arm
    3. health-related QoL and other PROs in each treatment arm
    Parte de preinclusión de seguridad:
    1. La seguridad y la tolerabilidad de NIS793 en combinación con gemcitabina y nab-paclitaxel.
    2. La actividad antitumoral preliminar de NIS793 en combinación con gemcitabina y nab-paclitaxel.
    3. La farmacocinética (PK) de NIS793 en combinación con gemcitabina y nab-paclitaxel.
    Parte aleatorizada:
    1. Eficacia (PFS, ORR, DCR, DOR, TTR) de NIS793 en combinación con gemcitabina y nab-paclitaxel frente a placebo más gemcitabina y nab-paclitaxel.
    2. Seguridad y la tolerabilidad en cada grupo de tratamiento.
    3. Evaluar la calidad de vida relacionada con la salud y otros resultados comunicados por el paciente en cada grupo de tratamiento.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Participants eligible must meet all of the following criteria:
    1. signed ICF prior to study treatment
    2. age >= 18 years at the time of ICF
    3. histologically or cytologically confirmed mPDAC eligible for treatment in first line setting and not amenable for potentially curative surgery
    4. presence of at least one measurable lesion assessed by CT and/or MRI according to RECIST 1.1
    5. ECOG performance status 0-1
    6. adequate organ function as defined by the following laboratory values:
    - ANC >= 1.5 x 10*9 /L
    - platelets >= 100 x 10*9/L
    - hemoglobin >= 9g /dL
    - calculated creatinine clearance >= 60 mL/min
    - albumin >= 3 g/dL
    - PT/INR and PTT <= 1.5 x ULN
    - total bilirubin <= 1.5 X ULN
    - AST and/or ALT <= 3.0 x ULN
    7. WCBP must have negative pregnancy test during screening and before starting study treatment
    8. able to adhere to study visit schedule and other protocol requirements
    9. must have recovered from treatment-related toxicities of prior anticancer therapies to grade <= 1 (CTCAE v 5.0), except alopecia
    Los pacientes elegibles deberan cumplir todos los criterios siguientes:
    1. Firmar el consentimiento informado antes del tratamiento de estudio
    2. Edad >/=18 años en el momento de la firma del consentimiento
    3. ADPm confirmado histológica o citológicamente elegibles para el tratamiento de primera línea y no susceptibles de cirugía posiblemente curativa.
    4. Al menos una lesión medible evaluada mediante tomografía computarizada (TC) o resonancia magnética (RM) según RECIST 1.1.
    5. Estado funcional del Grupo Cooperativo Oncológico del Este (ECOG) de 0-1.
    6. Función orgánica adecuada definida segun los siguientes valores de laboratorio:
    - ANC >= 1.5 x 10*9 /L
    - Plaquetas>= 100 x 10*9/L
    - hemoglobina >= 9g /dL
    - Aclaramiento de creatinina claculado >= 60 mL/min
    - albumina >= 3 g/dL
    - PT/INR y PTT <= 1.5 x ULN
    - Bilirrubina total <= 1.5 X ULN
    - AST y/o ALT <= 3.0 x ULN
    7. Las mujeres con posibilidad de quedarse embarazadas deben obtener un resultado negativo en la prueba de embarazo durante la selección y antes de comenzar el tratamiento del estudio.
    8. Capacidad de cumplir el calendario de las visitas del estudio y otros requisitos del protocolo.
    9. Los participantes deben haberse recuperado de toxicidades relacionadas con tratamientos anteriores contra el cáncer a grado </=1 (CTCAE v 5.0) en el momento de la selección, excepto la alopecia.
    E.4Principal exclusion criteria
    participants meeting any of the following criteria are not eligible for inclusion:
    1. previous systemic anti-cancer treatment for mPDAC
    2. pancreatic neuroendocrine, acinar or inslet tumors
    3. known status of MSI-H or MMR-deficient pancreatic cancer
    4. presence of symptomatic CNS metastases, or CNS metastases that requires direct therapy or increasing doses of corticosteroids 2 weeks prior to study entry
    5. known history of severe allergy or hypersensitivity to any of the study drug or their excipients
    6. currently receiving any of the prohibited medications which cannot be discontinued within >= 7 days or 5 half-lifes, whichever is longer
    7. not recovered from a major surgery or has a major surgery within 4 weeks prior to start of the study
    8. radiation therapy or brain radiotherapy <= 4 weeks prior to study start
    9. impaired cardiac function or clinically significant cardio-vascular disease, such as:
    - congestive heart failure requiring treatment (NYHA grade >= 2), or clinically significant arrhythmia
    - acute myocardial infarction, unstable angina pectoris, coronary stenting or bypass surgery < 3 months prior to study entry
    - LVEF < 50%
    - elevated cardiac enzymes (troponin I) > 2 x ULN
    - cardiac valvulopathy >= grade 2
    - uncontrolled hypertension
    10. history of positive test for HIV infection
    11. active or chronic HBV or HCV infections
    12. active untreated or uncontrolled systemic fungal, bacterial or viral infections
    13. use of hematopoietic growth factors or transfusion support <= 2 weeks prior to start the study
    14. conditions that are considered to have a high risk of clinically significant gastrointestinal track bleeding or any other condition associated with or history of significant bleeding
    15. serious, non-healing wounds
    16. pre-existing peripheral neuropathy > grade 1
    17. concurrent malignancy other than disease under treatment
    18. any significant medical condition, laboratory abnormality or psychiatric or social condition that would constitute unacceptable risk to the patients, contraindicate participation, limit patient's ability to comply with study requirements or compromise patient's compliance with the study protocol
    19. pregnant or breast-feeding woman
    20. WCBP, unless using highly effective method of contraception during and up to 90 days after the study drug treatment (NIS793)
    21. currently receiving other anti-cancer therapy or received other investigational product within 30 days or 5 half-lives prior to study treatment, whichever is longer
    Los participantes que cumplan cualquiera de los siguientes cliterios no será elegible:
    1.Tratamiento sistémico previo contra el cáncer para ADP metastásico.
    2. Tumores pancreáticos neuroendocrinos , de células acinares o de células insulares.
    3. Estado conocido de inestabilidad de microsatélites alta (IMS-A) o cáncer pancreático con deficiencia en la reparación de errores de replicación
    4. 4. Presencia de metástasis sintomáticas del SNC o metástasis del SNC que requieran tratamiento directo o aumento de las dosis de corticosteroides 2 semanas antes de entrar en el estudio.
    5. Antecedentes conocidos de alergia grave o hipersensibilidad a alguno de los fármacos del estudio o sus excipientes.
    6. Estar recibiendo actualmente algún medicamento prohibido que no se pueda discontinuar durante ≥7 días o 5 vidas medias, aquello que sea más largo.
    7. No haberse recuperado de una cirugía mayor ni haberse sometido a una cirugía mayor durante las 4 semanas anteriores al inicio del estudio.
    8. Terapia de radiación o radioterapia de cerebro ≤4 semanas antes del inicio del estudio.
    9. Deterioro de la función cardíaca o enfermedad cardiovascular clínicamente significativa, como:
    - Insuficiencia cardíaca congestiva que requiera tratamiento (grado de la NYHA ≥2), o arritmia clínicamente significativa.
    - Infarto agudo de miocardio, angina de pecho inestable, stent coronario u operación de bypass <3 meses antes de la admisión en el estudio.
    - FEVI <50 %.
    - Enzimas cardíacas elevadas (troponina I) >2 x LSN.
    - Valvulopatía cardíaca de grado ≥2.
    - Hipertensión no controlada.
    10. Antecedentes de resultado positivo en la prueba de infección por VIH.
    11. Infecciones por VHB o VHC activas o crónicas.
    12. Infecciones por hongos, bacterianas o víricas sistémicas y activas, no tratadas o incontroladas.
    13. Uso de factores de crecimiento hematopoyético o soporte transfusional ≤2 semanas antes del inicio del estudio.
    14. Enfermedades con alto riesgo de sangrado clínicamente significativo en el tracto gastrointestinal o cualquier otra enfermedad asociada a sangrado significativo o antecedentes de ello.
    15. Heridas graves no cicatrizadas.
    16. Neuropatía periférica preexistente de grado >1.
    17. Tumor maligno concurrente que no sea la enfermedad en tratamiento.
    18. Cualquier enfermedad, anomalía de laboratorio, enfermedad psiquiátrica o condición social significativas que constituyan un riesgo inaceptable para los pacientes, contraindiquen su participación, limiten la capacidad del paciente para cumplir los requisitos del estudio o comprometan el cumplimiento del paciente con el protocolo del estudio.
    19. Mujeres embarazadas o en periodo de lactancia.
    20. Mujeres con posibilidad de quedarse embarazadas, a menos que utilicen un método anticonceptivo altamente eficaz durante los 90 días posteriores al tratamiento con el fármaco del estudio (NIS793).
    21. Estar recibiendo actualmente otro tratamiento contra el cáncer o haber recibido otro producto en investigación durante los 30 días o 5 vidas medias anteriores al tratamiento del estudio, aquello que sea más largo.
    E.5 End points
    E.5.1Primary end point(s)
    safety run in: incidence of DLTs in the first cycle
    randomized part: OS
    preinclusión de seguridad: incidencia de toxicidad limitante de dosis (DLT) en el primer ciclo
    Parte aleatorizada: OS
    E.5.1.1Timepoint(s) of evaluation of this end point
    safety run in: 4 weeks of treatment
    randomized part: at participants' death
    preinclusión de seguridad: 4 semanas de tratamiento
    Parte aleatorizada: muerte del paciente
    E.5.2Secondary end point(s)
    safety run in:
    1. safety: incidence and severity of AEs
    2. tolerability: dose interruptions, dose reductions, dose intensity
    3. PK parameters for NIS793 in combination with SoC
    4. PFS, ORR, DCR, DOR, TTR

    randomized part:
    1. PFS, ORR, DCR, DOR, TTR
    2. incidence and severity of AEs and SAEs, dose interruptions, dose reductions
    3. change from baseline of individual domain scores in the PROMIS-29 profile and EQ-5D-5L at week 12
    4. time to deterioration
    Preinclusión de seguridad
    1. Seguridad: incidencia y gravedad de los AA.
    2. Tolerabilidad: interrupciones, reducciones e intensidad de las dosis.
    3. Parámetros de PK de NIS793 en combinación con el SoC.
    4. PFS, ORR, DCR, DOR y TTR.
    E.5.2.1Timepoint(s) of evaluation of this end point
    safety run in:
    1-3. first 4 weeks of treatment
    4. end of study

    randomized part
    at protocol defined timepoints (12 weeks)
    end of study
    Preinclusión de seguridad
    1-3. Primeras 4 semanas de tratamiento.
    4. Fin de estudio.
    Parte aleatorizada.
    En los momentos definidos en el protocolo (12 semanas).
    Fin de estudio.
    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 Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the 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 concerned4
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA76
    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 No
    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
    Brazil
    Canada
    China
    Israel
    Japan
    Korea, Republic of
    Russian Federation
    Singapore
    Taiwan
    Turkey
    United States
    Belgium
    Finland
    France
    Germany
    Hungary
    Italy
    Netherlands
    Norway
    Slovakia
    Spain
    Sweden
    Switzerland
    United Kingdom
    Czechia
    Argentina
    Greece
    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
    Study completion is defined when the last participant finishes their safety and follow up periods and any repeat assessments associated with this visit have been documented and followed-up appropriately by the investigator or, in the event of an early study termination decision, the date of that decision.
    la finalización del estudio se define como el momento en que el último participante finaliza los periodos de seguridad y de seguimiento y el investigador ha documentado y realizado el seguimiento debido de las evaluaciones repetidas asociadas a esta visita o en el caso de que se haya decidido finalizar el estudio prematuramente, la fecha de dicha decisión.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years4
    E.8.9.1In the Member State concerned months4
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years4
    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: 200
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 290
    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 state20
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 200
    F.4.2.2In the whole clinical trial 490
    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)
    n/a
    no aplica
    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 Decision2021-11-11
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2021-10-14
    P. End of Trial
    P.End of Trial StatusTemporarily Halted
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