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    Summary
    EudraCT Number:2021-003273-66
    Sponsor's Protocol Code Number:ENX-CL-02-002
    National Competent Authority:France - ANSM
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2022-02-25
    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 ConcernedFrance - ANSM
    A.2EudraCT number2021-003273-66
    A.3Full title of the trial
    A Phase 2, Multi-Center, Randomized, Placebo-Controlled, Dose-Finding Study Evaluating Efficacy, Safety and Tolerability of Different Doses and Regimens of Allocetra-OTS for the Treatment of Organ Failure in Adult Sepsis Patients
    Étude de phase 2, multicentrique, randomisée, contrôlée par placebo, de détermination de la dose évaluant l’efficacité, la sécurité d’emploi et la tolérance de différentes doses et schémas posologiques d’Allocetra-OTS pour le traitement de l’insuffisance organique chez des patients adultes atteints de sepsis
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Phase 2 study, conducted in few medical centers, patients will be allocated randomly to receive active drug or placebo. The study will evaluate the efficacy and safety of different doses of the drug in patients with organ failure due to sepsis condition.
    A.4.1Sponsor's protocol code numberENX-CL-02-002
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT04612413
    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 SponsorEnlivex Therapeutics R&D Ltd.
    B.1.3.4CountryIsrael
    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 supportEnlivex Therapeutics R&D Ltd.
    B.4.2CountryIsrael
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationAccelsiors CRO and Consultancy Services Ltd.
    B.5.2Functional name of contact pointRegulatory unit
    B.5.3 Address:
    B.5.3.1Street Address103 Háros Str
    B.5.3.2Town/ cityBudapest
    B.5.3.3Post code1222
    B.5.3.4CountryHungary
    B.5.4Telephone number+3612990091
    B.5.5Fax number+3812165 03 380
    B.5.6E-mailregulatory@accelsiors.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 nameAllocetra-OTS cells in Ringer's Lactate Solution
    D.3.4Pharmaceutical form 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 INNAllogeneic peripheral blood mononuclear cells induced to apoptotic state
    D.3.9.2Current sponsor codeAllocetra-OTS
    D.3.9.3Other descriptive nameAllogeneic peripheral blood mononuclear cells induced to an apoptotic state
    D.3.9.4EV Substance CodeSUB199514
    D.3.10 Strength
    D.3.10.1Concentration unit Other
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5000000000
    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) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Yes
    D.3.11.3.1Somatic cell therapy medicinal product Yes
    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: 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 nameAllocetra-OTS cells in Ringer's Lactate Solution
    D.3.4Pharmaceutical form 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 INNAllogeneic peripheral blood mononuclear cells induced to apoptotic state
    D.3.9.2Current sponsor codeAllocetra-OTS
    D.3.9.3Other descriptive nameAllogeneic peripheral blood mononuclear cells induced to apoptotic state
    D.3.9.4EV Substance CodeSUB199514
    D.3.10 Strength
    D.3.10.1Concentration unit Other
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10000000000
    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) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Yes
    D.3.11.3.1Somatic cell therapy medicinal product Yes
    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
    Sepsis
    Sepsis
    E.1.1.1Medical condition in easily understood language
    Sepsis is a life-threatening, medical emergency caused by an infection in the blood stream that can affect different organs.
    E.1.1.2Therapeutic area Diseases [C] - Bacterial Infections and Mycoses [C01]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10040047
    E.1.2Term Sepsis
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    to compare the safety and efficacy of different doses and regimens of Allocetra-OTS to that of Placebo in the treatment of organ failure in adult sepsis patients
    Comparer la sécurité d’emploi et l’efficacité de différentes doses et différents schémas posologiques d’Allocetra-OTS à celles du placebo dans le traitement de la défaillance d’organes chez des patients adultes atteints de sepsis
    E.2.2Secondary objectives of the trial
    To compare other clinical manifestations of different doses and regimens of Allocetra-OTS associated with organ failure in sepsis patients and assess long term safety follow up
    Comparer d’autres manifestations cliniques de différentes doses et différents schémas posologiques d’Allocetra-OTS associés à une insuffisance organique chez des patients atteints de sepsis et évaluer le suivi de la sécurité d’emploi à long terme
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Male or female ≥18 years and ≤90 years of age.
    2. Suspected, presumed or documented community-acquired pneumonia by imaging.
    3. Treatment with antibiotics after at least one course for the suspected infection.
    4. Meets Sepsis 3 criteria: the presence of organ dysfunction as identified by a total SOFA score ≥2 points above pre-admission SOFA.
    5. Signed written informed consent by the patient, or his/her legal guardian or delayed patient consent (based on local regulations).
    6. Women of childbearing potential and all men must agree to use 2 methods of an adequate contraception: One barrier method (e.g. diaphragm, or condom or sponge, each of which are to be combined with a spermicide) and one hormonal method (e.g. oral, transdermal patch, implanted contraceptives or intrauterine device) prior to study entry and for the duration of study participation through 4 weeks following IP administration. Subjects that are highly unlikely to conceive (e.g.
    surgically sterile, postmenopausal, or not heterosexually active) are exempt. For women, post hysterectomy, bilateral oophorectomy, bilateral salpingectomy or bilateral tubal ligation and vasectomy for men at least 6 weeks prior to screening. Documented hysterectomy or oophorectomy
    must be confirmed with medical records of the actual procedure or confirmed by ultrasound. Tubal ligation must be confirmed with medical records of the actual procedure.
    1. Hommes ou femmes âgé(e)s de ≥ 18 ans et ≤ 90 ans.
    2. Pneumonie communautaire suspectée, présumée ou documentée par imagerie.
    3. Traitement par antibiotiques après au moins un cycle pour l’infection suspectée.
    4. Répond aux critères de la sepsis 3 : présence d’un dysfonctionnement organique identifié par un score SOFA total ≥ 2 points au-dessus du score SOFA avant l’admission.
    5. Consentement éclairé écrit signé par le patient ou son tuteur légal, ou consentement différé du patient (selon les réglementations locales).
    6. Les femmes en âge de procréer et tous les hommes doivent accepter d’utiliser 2 méthodes de contraception adéquates : une méthode barrière (par ex. diaphragme, préservatif ou éponge, chacun d’entre eux devant être associé à un spermicide) et une méthode hormonale (par ex. patch transdermique oral, contraceptifs implantés ou dispositif intra-utérin) avant l’entrée dans l’étude, pendant toute la durée de la participation à l’étude et jusqu’à 4 semaines après l’administration du PE. Les patientes qui sont très peu susceptibles de concevoir (par ex.,chirurgicalement stériles, ménopausées ou non hétérosexuellement actives) sont exemptées.
    L’incapacité à avoir des enfants est définie par les critères suivants (en l’absence de raisons médicales) :
    • Âge ≥ 45 ans et absence de menstruations depuis plus de 2 ans.
    • Âge < 45 ans et aménorrhée depuis > 2 ans sans hystérectomie ni ovariectomie et taux d’hormone folliculo-stimulante (FSH) dans la plage post-ménopausique lors de l’évaluation avant l’étude (sélection).
    Pour les femmes, post-hystérectomie, ovariectomie bilatérale, salpingectomie bilatérale ou ligature bilatérale des trompes et vasectomie pour les hommes au moins 6 semaines avant la sélection. L’hystérectomie ou l’ovariectomie documentée doit être confirmée avec les dossiers médicaux de la procédure réelle ou confirmée par échographie. La ligature des trompes doit être confirmée avec les dossiers médicaux de la procédure proprement dite.
    E.4Principal exclusion criteria
    1. Sepsis due to infection other than lung infection, or sepsis patients where site of infection is unclear or unknown.
    2. On chronic dialysis.
    3. Invasive ventilated patient and PaO2/FiO2 < 100 mmHg.
    4. Weight <50 kg or >120 kg or Body Mass Index (BMI) >40 kg/m2.
    5. SOFA score ≥ 10 at screening (Day -1).
    6. Patients with Septic shock; requiring persisting hypotension treated with vasopressors to maintain MAP ≥65 mmHg AND having a serum lactate level >4 mmol/L (36 mg/dL) despite adequate volume resuscitation at screening and on Day 1 prior to IP administration.
    7. Surgical intervention within 30 days prior to diagnosis of sepsis, plan for surgical intervention (not including percutaneous procedure needed for the current treatment of the sepsis and its complications such as chest drain, Peripherally Inserted Central Catheter (PICC) line or central line insertion among others).
    8. Patients with risk of nosocomial infection due to hospitalization within 30 days prior to diagnosis of sepsis.
    9. A known malignancy that is progressing or has required active treatment within the past 3 months.
    10. Patient with end-stage disease (unrelated to sepsis) defined as patients who prior to the current hospitalization are expected to live < 6 months (as assessed by the study physician).
    11. Known active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or chronic viral infections, such as, hepatitis B virus (HBV) or hepatitis C virus (HCV), human immunodeficiency virus (HIV) or other chronic infections.
    12. Chronic respiratory disease requiring home oxygen therapy on a regular basis for > 6 h/day.
    13. Known active upper gastrointestinal (GI) tract ulceration or hepatic dysfunction including but not limited to biopsy-proven cirrhosis; Endstage cirrhosis (Child Pugh Class C); portal hypertension; episodes of past upper GI bleeding attributed to portal hypertension; or prior episodes of hepatic failure, encephalopathy, or coma.
    14. Known New York Heart Association (NYHA) class IV heart failure or unstable angina, ventricular arrhythmias, acute coronary disease, or myocardial infarction within six months prior to diagnosis of sepsis.
    15. Known immunocompromised state or medications known to be immunosuppressive as follows:
    • Hydrocortisone (for the treatment of septic shock) > 300 mg /d Prednisone or equivalent to a dose ≥10 mg/day, for more than 14 days within the last 28 days.
    • Methotrexate, cyclophosphamide, cyclosporine A (unless as ophthalmic formulation), leflunomide/teriflunomide (unless as monotherapy), tacrolimus (unless as a topical formulation), sirolimus, everolimus, temsirolimus, mycophenolate mofetil or azathioprine, in the last 60 days;
    • Chemotherapy in the last 3 months;
    • Mycophenolate mofetil (MMF) or sirolimus for solid organ transplant or bone marrow transplant with no time limitation.
    • Thalidomide within the last 72 hours.
    • Anti-tumor necrosis factor (TNF) agents, interleukin (IL)-1 receptor antagonists (IL-1-RA), CTLA-4 fusion proteins, anti-CD20, anti-CD52, anti-IL-2, anti-IL-6R, anti-IL-12/23, anti-B-cell activation factor (BAFF) or integrin inhibitor agents within the last 8 weeks.
    16. Organ allograft or previous history of stem cell transplantation.
    17. Women who are pregnant or breastfeeding. Child-bearing potential females must have a negative serum ß-hCG or hCG blood test at screening. Pregnancy testing is not required for postmenopausal or surgically sterilized women.
    18. Participation in an interventional investigational study within 30 days prior to diagnosis of sepsis.
    19. Likely to be non-compliant or uncooperative during the study (e.g. substance abuse such as drug or alcohol abuse, uncontrolled psychiatric disorder or any chronic condition that may interfere with study conduct).
    1. Sepsis due à une infection autre qu’une infection pulmonaire, ou sepsis chez les patients dont le site d’infection n’est pas clair ou inconnu.
    2. Sous dialyse chronique.
    3. Patient sous ventilation invasive et PaO2 / FiO2 < 100 mmHg.
    4. Poids < 50 kg ou > 120 kg ou indice de masse corporelle (IMC) > 40 kg/m2.
    5. Score SOFA ≥ 10 à la sélection (Jour -1).
    6. Patients présentant un choc septique ; hypotension persistante nécessitant un traitement par vasopresseurs pour maintenir une PAM ≥ 65 mmHg ET ayant un taux de lactate sérique > 4 mmol/l (36 mg/dl) malgré une réanimation volémique adéquate à la sélection et le Jour 1 avant l’administration du PE.
    7. Intervention chirurgicale dans les 30 jours avant le diagnostic de sepsis, planification d’intervention chirurgicale (à l’exclusion d’une procédure percutanée nécessaire pour le traitement actuel de la sepsis et de ses complications, telle que mise en place d’un drain thoracique, d’une ligne de cathéter central inséré par voie périphérique (CCIP) ou d’une ligne centrale, entre autres).
    8. Patients présentant un risque d’infection nosocomiale due à une hospitalisation dans les 30 jours précédant le diagnostic de sepsis.
    9. Tumeur maligne connue qui progresse ou qui a nécessité un traitement actif au cours des 3 derniers mois.
    10. Patients présentant une maladie au stade terminal (non liée à une sepsis) définie par les patients dont l’espérance de vie est < 6 mois avant l’hospitalisation actuelle (telle qu’évaluée par le médecin de l’étude).
    11. Infection active connue active par le coronavirus 2 du syndrome respiratoire aigu (severe acute respiratory syndrome coronavirus 2, SARS-CoV-2) ou infections virales chroniques, comme le virus de l’hépatite B (VHB) ou le virus de l’hépatite C (VHC), le virus de l’immunodéficience humaine (VIH) ou d’autres infections chroniques.
    12. Maladie respiratoire chronique nécessitant une oxygénothérapie à domicile de façon régulière pendant plus de 6 heures par jour.
    13. Ulcération active du tractus gastro-intestinal (GI) ou dysfonctionnement hépatique, qui inclut, mais sans s’y limiter, une cirrhose confirmée par biopsie ; une cirrhose au stade terminal (classe C de Child-Pugh) ; une hypertension portale ; des épisodes d’hémorragie GI supérieure passée attribuée à une hypertension portale ; ou des épisodes antérieurs d’insuffisance hépatique, d’encéphalopathie ou de coma.
    14. Insuffisance cardiaque de classe IV de la New York Heart Association (NYHA) ou angor instable, arythmies ventriculaires, cardiopathie ischémique ou infarctus du myocarde dans les 6 mois précédant le diagnostic de sepsis.
    15. État immunodéprimé avéré ou prise de médicaments connus pour être immunosuppresseurs comme suit :
    • Hydrocortisone (pour traiter un choc septique) > 300 mg/j Prednisone ou équivalent à une dose ≥10 mg/jour pendant plus de 14 jours au cours des 28 derniers jours ;
    • Méthotrexate, cyclophosphamide, cyclosporine A (sauf en formulation ophtalmique), léflunomide/tériflunomide (sauf en monothérapie), tacrolimus (sauf en formulation topique, sirolimus, évérolimus, temsirolimus, mycophénolate mofétil ou azathioprine au cours des 60 derniers jours ;
    • Chimiothérapie au cours des 3 derniers mois ;
    • Mycophénolate mofétil (MMF) ou sirolimus pour une transplantation d’organe solide ou transplantation de moelle osseuse sans limitation de temps ;
    • Thalidomide au cours des dernières 72 heures ;
    • Agents inhibiteurs du facteur de nécrose tumorale (TNF)), antagonistes des récepteurs de l'interleukine IL-1 (IL-1-RA), protéines de fusion CTLA-4, facteur d’activation anti-CD20, anti-CD52, anti-IL-2, anti-IL-6R, anti-IL-12/23, anti-lymphocytes B (BAFF) ou agents inhibiteurs de l’intégrine au cours des 8 dernières semaines.
    16. Antécédents d’allogreffe d’organe ou de greffe de cellules souches.
    17. Femmes enceintes ou qui allaitent. Les femmes en âge de procréer doivent présenter à la sélection un test sanguin négatif à l’hormone ß-hCG ou hCG dans le sérum. Un test de grossesse n’est pas nécessaire pour les femmes ménopausées ou les femmes stérilisées par voie chirurgicale.
    18. Participation à une étude expérimentale interventionnelle dans les 30 jours précédant le diagnostic de sepsis.
    19. Patient susceptible d’être non observant ou non coopératif pendant l’étude (par ex., abus de substances telle que toxicomanie ou alcoolisme, trouble psychiatrique non contrôlé ou toute affection chronique pouvant interférer avec la conduite de l’étude).
    E.5 End points
    E.5.1Primary end point(s)
    Efficacy: Change from baseline in SOFA score throughout 28 days.
    Safety: Number and severity of AEs and Serious Adverse Events (SAEs) throughout 28 days follow up period.
    Efficacité : Variation par rapport à la référence du score SOFA tout au long des 28 jours.
    Sécurité d’emploi : Nombre et sévérité des EI et des événements indésirables graves (EIG) pendant la période de suivi de 28 jours.
    E.5.1.1Timepoint(s) of evaluation of this end point
    28 days
    28 jours
    E.5.2Secondary end point(s)
    Ventilator-free days over 28 days
    Vasopressor-free days over 28 days
    All-cause mortality at Day 28 following first dose
    Days without renal replacement therapy (dialysis) (evaluation up to 12 months)
    Time in ICU and time in hospital (evaluation up to 12 months)
    Number of days with creatinine ≤ Baseline levels +20% (evaluation up to 12 months)
    Changes from baseline in C-reactive protein (CRP) levels (evaluation up to 12 months)
    Detection of autoimmune and human leukocyte antigen (HLA) antibodies (evaluation up to 12 months)
    Number and severity of AEs and SAEs throughout 12 months follow-up period (evaluation up to 12 months)
    • Jours sans ventilation sur 28 jours
    • Jours sans vasopresseur sur 28 jours
    • Jours sans traitement de remplacement rénal (dialyse)
    • Temps passé en USI et temps passé à l’hôpital
    • Nombre de jours avec créatinine ≤ taux de référence +20 %
    • Mortalité toutes causes confondues au Jour 28 après la première dose
    • Variations par rapport à la référence des taux de protéine C réactive (CRP)
    • Nombre et sévérité des EI et des EIG pendant la période de suivi de 12 mois
    • Détection d’anticorps auto-immuns et anti-antigènes leucocytaires humains (HLA)
    E.5.2.1Timepoint(s) of evaluation of this end point
    28 days and throughout 12 months follow-up period
    28 jours et tout au long de la période de suivi de 12 mois
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    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) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial4
    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 concerned2
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA9
    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
    France
    Greece
    Israel
    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
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months1
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months1
    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: 67
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 93
    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 Yes
    F.3.3.6Subjects incapable of giving consent personally Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    Some subjects may be in a medical condition where they cannot give consent. Legal rep. may provide consent on their behalf, or a delayed consenting will be performed, in a matter that fully complies with local competent authority requirements.
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state12
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 72
    F.4.2.2In the whole clinical trial 160
    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)
    No additional treatment or follow up is planned following study end.
    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 Decision2022-05-10
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2022-06-21
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2025-01-16
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