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    Summary
    EudraCT Number:2021-003037-11
    Sponsor's Protocol Code Number:21839
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Trial now transitioned
    Date on which this record was first entered in the EudraCT database:2022-03-15
    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 number2021-003037-11
    A.3Full title of the trial
    A parallel-group treatment, Phase 2, double-blind, three-arm study to assess efficacy and safety of finerenone plus empagliflozin compared with either finerenone or empagliflozin in participants with chronic kidney disease and type 2 diabetes.
    Studio di fase 2, in doppio cieco, a gruppi paralleli a tre bracci di trattamento, per valutare l’efficacia e la sicurezza di finerenone più empagliflozin rispetto a finerenone o empagliflozin in partecipanti con malattia renale cronica e diabete di tipo 2.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A study to learn how well the treatment combination of finerenone and empagliflozin works and how safe it is compared to each treatment alone in adult participants with long-term kidney disease (chronic kidney disease) and type 2 diabetes.
    Uno studio volto a capire quanto il trattamento combinato di finerenone ed empagliflozin funzioni e quanto sicuro sia comparato a ciascun trattamento in monoterapia nei partecipanti adulti con malattia renale a lungo termine (malattia renale cronica) e diabete tipo 2.
    A.3.2Name or abbreviated title of the trial where available
    CONFIDENCE
    CONFIDENCE
    A.4.1Sponsor's protocol code number21839
    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 SponsorBAYER AG
    B.1.3.4CountryGermany
    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 supportBayer AG
    B.4.2CountryGermany
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationBayer AG
    B.5.2Functional name of contact pointBayer Clinical Trials Contact
    B.5.3 Address:
    B.5.3.1Street AddressMüllerstraße 178
    B.5.3.2Town/ cityBerlin
    B.5.3.3Post code13353
    B.5.3.4CountryGermany
    B.5.4Telephone number004930300139005
    B.5.6E-mailclinical-trials-contact@bayer.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 nameFinerenone
    D.3.2Product code [BAY 94-8862 IR tablet 10 mg]
    D.3.4Pharmaceutical form Coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNFinerenone
    D.3.9.1CAS number 1050477-31-0
    D.3.9.2Current sponsor codeBAY 94-8862
    D.3.9.4EV Substance CodeSUB183743
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.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 Empagliflozin coated tablet 10 mg (Jardiance)
    D.2.1.1.2Name of the Marketing Authorisation holderBoehringer Ingelheim International GmbH - EU/1/14/930
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameEmpagliflozin
    D.3.2Product code [BI 10773]
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNEmpagliflozin
    D.3.9.1CAS number 864070-44-0
    D.3.9.2Current sponsor codeBI 10773
    D.3.9.4EV Substance CodeSUB35915
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameFinerenone
    D.3.2Product code [BAY 94-8862 IR tablet 20 mg]
    D.3.4Pharmaceutical form Coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNFinerenone
    D.3.9.1CAS number 1050477-31-0
    D.3.9.2Current sponsor codeBAY 94-8862
    D.3.9.4EV Substance CodeSUB183743
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboCoated tablet
    D.8.4Route of administration of the placeboOral use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboCoated tablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Chronic kidney disease in type 2 diabetes mellitus
    Malattia renale cronica nel diabete mellito tipo 2
    E.1.1.1Medical condition in easily understood language
    Chronic kidney disease, a long-term progressive decrease in the kidneys' ability to work properly, and type 2 diabetes, a condition characterized by high blood sugar levels.
    Malattia renale cronica,una riduzione progressiva a lungo termine della capacità renale di funzionare correttamente,e diabete tipo 2,condizione caratterizzata da alti livelli di zucchero nel sangue.
    E.1.1.2Therapeutic area Diseases [C] - Cardiovascular Diseases [C14]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.1
    E.1.2Level LLT
    E.1.2Classification code 10045250
    E.1.2Term Type II diabetes mellitus with renal manifestations
    E.1.2System Organ Class 100000004857
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objective is to demonstrate that combination therapy using finerenone and empagliflozin is superior in reducing UACR that either empagliflozin or finerenone alone.
    L'obiettivo primario è dimostrare che la terapia combinata di finerenone ed empagliflozin è superiore nel ridurre l' UACR rispetto a empagliflozin o finerenone in monoterapia.
    E.2.2Secondary objectives of the trial
    The secondary outcomes are:
    - to further investigate the efficacy of combination therapy using finerenone and empagliflozin versus either finerenone or empagliflozin alone
    - to evaluate the safety of combination therapy using finerenone and empagliflozin versus either finerenone or empagliflozin alone
    Gli obiettivi secondari sono:
    - studiare ulterioremente l'efficacia della terapia combinata con finerenone ed empagliflozin rispetto a finerenone o empagliflozin in monoterapia
    - valutare la sicurezza della terapia combinata con finerenone ed empagliflozin rispetto a finerenone o empagliflozin in monoterapia
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Participant with a clinical diagnosis of chronic kidney disease (CKD) and the following:
    a. In Part A: eGFR 40-90 ml/min/1.73m^2 (with no more than 20% having an eGFR >75 ml/min/1.73m^2) using Chronic Kidney Disease
    Epidemiology Collaboration (CKD EPI) formula at screening visit and at least one historical value of eGFR <60 mL/min/1.73 m^2 within 3 months or have a registered diagnosis of CKD.
    b. In Part B: eGFR 30-90 ml/min/1.73m^2 (with no more than 20% having an eGFR >75 ml/min/1.73m^2) using CKD-EPI formula at screening visit and at least one historical value of eGFR <60 mL/min/1.73 m^2 within 3 months or have a registered diagnostic of CKD.
    - 300 <=UACR <5000 mg/g at screening visit (mean value from 3 morning void samples) and documentation of albuminuria/proteinuria (quantitative or semi-quantitative measurement) in the participant's medical records at least 3 months prior to screening
    2. Participant with type 2 diabetes (T2D) as defined by the American Diabetes Association (ADA 2021), with glycated hemoglobin (HbA1c) at screening <11%.
    3. Participant treated with the clinically maximum tolerated dose, as per investigator judgment, of angiotensin-converting enzyme inhibitor
    (ACEi) or angiotensin receptor blocker (ARB), but not both, for more than 1 month at screening visit.
    1. Partecipante con diagnosi clinica di malattia renale cronica (MRC) e i seguenti:
    a. Nella Parte A: tasso di filtrazione glomerulare stimato (eGFR) 40-90 ml/min/1,73 m2 (con non più del 20% con eGFR > 75 ml/min/1,73 m2) utilizzando la formula Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) alla visita di screening e almeno un valore storico di eGFR < 60 ml/min/1,73 m2 entro 3 mesi o diagnosi registrata di MRC.
    b. Nella Parte B: eGFR 30-90 ml/min/1,73 m2 (con non più del 20% con eGFR > 75 ml/min/1,73 m2) utilizzando la formula CKD-EPI alla visita di screening e almeno un valore storico di eGFR < 60 ml/min/1,73 m2 entro 3 mesi o diagnosi registrata di MRC.
    - 300 <= rapporto albumina/creatinina nelle urine (UACR) < 5000 mg/g alla visita di screening (valore medio da 3 campioni di urine del mattino) e documentazione di albuminuria/proteinuria (misurazione quantitativa o semi-quantitativa) presente nelle cartelle cliniche del partecipante almeno 3 mesi prima dello screening
    2. Partecipante con diabete di tipo 2 (DT2) come definito American Diabetes Association (ADA 2021), con emoglobina glicata (HbA1c) allo screening < 11%.
    3. Il partecipante è stato trattato con la dose massima clinicamente tollerata, a giudizio dello sperimentatore, dell’inibitore dell’enzima di conversione dell’angiotensina (ACEi) o del bloccante del recettore dell’angiotensina (ARB), ma non con entrambi, per più di 1 mese alla visita di screening
    E.4Principal exclusion criteria
    1. Participants with type 1 diabetes (T1D).
    2. Participant with hepatic insufficiency classified as Child-Pugh C.
    3. Participant with blood pressure at Day 1 visit higher than 160/100 or systolic blood pressure lower than 90 mmHg.
    4. Participant currently treated with a sodium/glucose cotransporter-2 inhibitor (SGLT2i) or SGLT-1/2i or who received a SGLT2i or SGLT-1/2i which cannot be discontinued at least 8 weeks prior to the screening visit and during study intervention treatment.
    5. Participant treated with another mineralocorticoid receptor antagonist (MRA) (e.g., eplerenone, esaxerenone, spironolactone, canrenone), a renin inhibitor, potassium supplements, a potassium sparing diuretic (e.g., amiloride, triamterene), a potassium binder agent, or angiotensin receptor-neprilysin inhibitor (ARNI) which cannot be discontinued at least 8 weeks prior to the screening visit and during study intervention treatment.
    6. Participants currently treated or who were treated with Finerenone (Kerendia©) within 8 weeks prior to the screening visit.
    7. Participant with serum/plasma potassium (K+) above 4.8 mmol/L at screening.
    1. Partecipanti con diabete di tipo 1 (DT1).
    2. Partecipante con insufficienza epatica classificata come Child-Pugh C.
    3. Partecipante con pressione sanguigna superiore a 160/100 o pressione arteriosa sistolica inferiore a 90 mmHg alla visita del Giorno 1.
    4. Partecipante attualmente trattato con un SGLT2i o un inibitore combinato di SGLT-1 e 2 (SGLT-1/2i) o che ha ricevuto un SGLT2i o SGLT-1/2i che non può essere interrotto almeno 8 settimane prima della visita di screening e durante il trattamento dello studio.
    5. Partecipante trattato con un altro MRA (ad es., eplerenone, esaxerenone, spironolattone, canrenone), un inibitore della renina, integratori K+, un diuretico risparmiatore di K+ (ad es., amiloride, triamterene), un agente legante di K+ o un inibitore del recettore dell’angiotensina-neprilisina (ARNI) che non possono essere discontinuati almeno nelle 8 settimane precedenti la visita di screening e durante il trattamento dello studio.
    6. Partecipanti attualmente trattati o che sono stati trattati con finerenone (Kerendia©) nelle 8 settimane precedenti la visita di screening.
    7. Partecipante con K+ siero/plasma superiore a 4,8 mmol/L alla visita di screening
    E.5 End points
    E.5.1Primary end point(s)
    1. Mean ratio of change from baseline to Day 180 in Urinary albumin to creatinine ratio (UACR) for the combination therapy group, to empagliflozin alone
    2. Mean ratio of change from baseline to Day 180 in UACR for the combination therapy group, to finerenone alone.
    - rapporto medio della variazione dal basale al giorno 180 nell' UACR per il gruppo della terapia di combinazione, rispetto a empagliflozin in monoterapia
    -rapporto medio della variazione dal basale al giorno 180 nell' UACR per il gruppo della terapia di combinazione, rispetto a finerenone in monoterapia
    E.5.1.1Timepoint(s) of evaluation of this end point
    Up to 180 days
    Fino a 180 giorni
    E.5.2Secondary end point(s)
    1. Relative change in UACR between end of treatment visit and 30 days after end of treatment visit
    2. Relative change in UACR between 30 days after end of treatment visit and baseline
    3. Relative change in UACR category (>30%, >40%, >50% at 180 days) in each group
    4. Ratio of change from baseline in eGFR at 30 days
    5. eGFR decline greater than 30% at 30 days from baseline
    6. Ratio of change in eGFR at 180 days and 210 days from day 30
    7. Number of participants with of AKI events
    8. Total number of AKI events
    9. Number of participants with hyperkalemia events (moderate hyperkalemia [5.5 <K+ =6.0 mmol/L], severe hyperkalemia [K+ >6.0 mmol/L])
    10. Total number of hyperkalemia events (moderate hyperkalemia [5.5 <K+ <=6.0 mmol/L], severe hyperkalemia [K+ >6.0 mmol/L])
    11. Change from baseline in K+
    12. Number of participants with severe hypoglycemia events
    13. Total number of events of severe hypoglycemia events
    14. Number of participants with symptomatic hypotension events
    15. Total number of symptomatic hypotension events
    16. Number of participants with genital mycotic events
    17. Total number of genital mycotic events
    18. Number of participants with ketoacidosis events
    19. Total number of ketoacidosis events
    20. Number of participants with necrotizing fasciitis of the perineum events
    21. Total number of necrotizing fasciitis of the perineum events
    22. Number of participants with urosepsis and pyelonephritis events
    23. Total number of urosepsis and pyelonephritis events
    1. Variazione relativa nell’UACR tra la visita di fine trattamento e 30 giorni dopo la visita di fine trattamento
    2. Variazione relativa nell’UACR tra 30 giorni dopo la visita di fine trattamento e il basale
    3. Variazione relativa nella categoria UACR (>30%, >40%, >50% a 180 giorni) in ogni gruppo
    4. Rapporto di variazione rispetto al basale nell' eGFR a 30 giorni
    5. Riduzione dell’eGFR superiore al 30% a 30 giorni dal basale
    6. Rapporto di variazione nell’eGFR a 180 giorni e a 210 giorni dal Giorno 30
    7. Numero di partecipanti con eventi AKI
    8. Numero totale di eventi AKI
    9. Numero di partecipanti con eventi di iperkaliemia (iperkaliemia moderata [5,5 <K+ =6,0 mmol/l], iperkaliemia grave [K+ >6,0 mmol/l])
    10. Numero totale di eventi di iperkaliemia (iperkaliemia moderata [5,5 <K+ =6,0 mmol/l], iperkaliemia grave [K+ >6,0 mmol/l])
    11. Variazione rispetto al basale nei livelli di K+
    12. Numero di partecipanti con eventi ipoglicemici gravi
    13. Numero totale di eventi ipoglicemici gravi
    14. Numero di partecipanti con eventi ipotensivi sintomatici
    15. Numero totale di eventi ipotensivi sintomatici
    16. Numero di partecipanti con eventi micotici genitali
    17. Numero totale di eventi micotici genitali
    18. Numero di partecipanti con eventi di chetoacidosi
    19. Numero totale di eventi di chetoacidosi
    20. Numero di partecipanti con eventi di fascite necrotizzante del perineo
    21. Numero totale con eventi di fascite necrotizzante del perineo
    22. Numero di partecipanti con eventi di urosepsi e pielonefrite
    23. Numero totale di eventi di urosepsi e pielonefrite
    E.5.2.1Timepoint(s) of evaluation of this end point
    1. Up to 210 days
    2. Up to 210 days
    3. Up to 180 days
    4. Up t0 30 days
    5. Up to 30 days
    6. Up to 210 days
    7. to 23. Up to 180 days
    1. Fino a 210 giorni
    2. Fino a 210 giorni
    3. Fino a 180 giorni
    4. Fino a 30 giorni
    5. Fino a 30 giorni
    6. Fino a 210 giorni
    7. to 23. Fino a 180 giorni
    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 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) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    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) 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 concerned8
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA50
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Canada
    Israel
    Japan
    Korea, Republic of
    Taiwan
    United States
    Belgium
    Denmark
    France
    Germany
    Italy
    Netherlands
    Spain
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months1
    E.8.9.1In the Member State concerned days23
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months6
    E.8.9.2In all countries concerned by the trial days18
    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: 207
    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 Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    Subjects who can not consent themselves, but with a legal guardian
    Soggetti che non sono in grado di fornire il proprio consenso, ma con un tutore legale
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state90
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 400
    F.4.2.2In the whole clinical trial 807
    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 Decision2022-04-12
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2022-03-09
    P. End of Trial
    P.End of Trial StatusTrial now transitioned
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