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    Summary
    EudraCT Number:2021-004315-76
    Sponsor's Protocol Code Number:EFC16973
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2021-11-17
    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 number2021-004315-76
    A.3Full title of the trial
    Master protocol of two randomized, double blind, placebo-controlled, multicenter, parallel group studies to evaluate the efficacy and safety of dupilumab in adult patients with chronic pruritus of unknown origin (CPUO)
    Protocollo principale di due studi randomizzati, in doppio cieco, controllati con placebo, multicentrici, a gruppi paralleli per valutare l’efficacia e la sicurezza di dupilumab in pazienti adulti con prurito cronico di origine sconosciuta (CPUO)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Efficacy and safety of subcutaneous dupilumab for the treatment of adult participants with chronic pruritus of unknown origin (CPUO)
    Efficacia e sicurezza di dupilumab per via sottocutanea per il trattamento di partecipanti adulti con prurito cronico di origine sconosciuta (CPUO)
    A.3.2Name or abbreviated title of the trial where available
    LIBERTY-CPUO-CHIC
    LIBERTY-CPUO-CHIC
    A.4.1Sponsor's protocol code numberEFC16973
    A.5.3WHO Universal Trial Reference Number (UTRN)U1111-1253-9888
    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 SponsorSANOFI-AVENTIS RECHERCHE E DEVELOPPEMENT
    B.1.3.4CountryFrance
    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 supportSanofi-aventis Recherche & Développement
    B.4.2CountryFrance
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationSANOFI S.r.l
    B.5.2Functional name of contact pointCONTACT POINT
    B.5.3 Address:
    B.5.3.1Street AddressVIALE LUIGI BODIO 37/B
    B.5.3.2Town/ cityMILANO
    B.5.3.3Post code20158
    B.5.3.4CountryItaly
    B.5.4Telephone number800536389
    B.5.5Fax number000000000
    B.5.6E-mailinformazioni.medicoscientifiche@sanofi.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 Yes
    D.2.1.1.1Trade name FEXOFENADINA
    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 nameFEXOFENADINA
    D.3.2Product code [NA]
    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 INNFEXOFENADINA CLORIDRATO
    D.3.9.2Current sponsor codena
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number180
    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 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 nameDupilumab
    D.3.2Product code [SAR231893]
    D.3.4Pharmaceutical form Solution for injection in pre-filled syringe
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNdupilumab
    D.3.9.2Current sponsor codeSAR231893
    D.3.9.3Other descriptive nameREGN668
    D.3.9.4EV Substance CodeSUB88511
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number150
    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 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.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 in pre-filled syringe
    D.8.4Route of administration of the placeboSubcutaneous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Chronic pruritus of unknown origin (CPUO)
    Prurito cronico di origine sconosciuta (CPUO)
    E.1.1.1Medical condition in easily understood language
    Chronic pruritus of unknown origin (CPUO)
    Prurito cronico di origine sconosciuta (CPUO)
    E.1.1.2Therapeutic area Diseases [C] - Immune System Diseases [C20]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 24.1
    E.1.2Level PT
    E.1.2Classification code 10037087
    E.1.2Term Pruritus
    E.1.2System Organ Class 10040785 - Skin and subcutaneous tissue disorders
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Study A and B:
    • To demonstrate the efficacy of dupilumab on itch response in participants with CPUO
    Studio A e B:
    • Dimostrare l’efficacia di dupilumab sulla risposta al prurito nei/nelle partecipanti affetti/e da CPUO
    E.2.2Secondary objectives of the trial
    Study A and B:
    • To demonstrate the efficacy of dupilumab on additional itch endpoints in participants with CPUO
    • To demonstrate the improvement in sleep, anxiety and depression, and health-related quality of life (HRQoL)
    • To evaluate safety outcome measures
    • To evaluate immunogenicity of dupilumab
    Studio A e B:
    • Dimostrare l’efficacia di dupilumab su endpoint aggiuntivi di prurito nei/nelle partecipanti affetti/e da CPUO
    • Dimostrare il miglioramento del sonno, dell’ansia e della depressione e della qualità della vita correlata alla salute (HRQoL)
    • Valutare le misure di esito della sicurezza
    • Valutare l’immunogenicità di dupilumab
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    - Participant must be 18 (or the legal age of consent in the jurisdiction in which the study is taking place) to 90 years of age inclusive, at the time of signing the informed consent.
    - Participants with chronic pruritus for at least 6 months before the screening visit.
    - Chronic pruritus considered of unknown origin as assessed by the investigator at baseline (excluding chronic pruritus secondary to dermatological or systemic conditions, of neuropathic or psychogenic origin or secondary to drugs).
    - Chronic pruritus must affect at least 2 of the following body areas: legs, arms, or trunk.
    - History of insufficient control of the chronic pruritus with prior treatment.
    - Participants should receive optimal treatment for concomitant conditions that could impact pruritus (eg, diabetes, iron deficiency).
    - Participants must have a history of severe itch and a worst itch score of >/=7 at screening on the WI-NRS (score scale ranges from 0 to 10; higher score indicates worse itch) and Patient global impression of severity (PGIS) of pruritus scored "severe" at screening.
    - Participants must have an average worst itch score of >/=7 in the 7 days prior to run-in visit and in the 7 days prior to Day 1 on the WI-NRS.
    - Participants scored "severe" in the PGIS of pruritus on Day 1.
    - Il/La partecipante deve avere da 18 (o l’età legale del consenso nella giurisdizione in cui si svolge lo studio) a 90 anni di età compresi al momento della firma del consenso informato.
    - Partecipanti con prurito cronico da almeno 6 mesi prima della visita di screening.
    - Prurito cronico considerato di origine ignota secondo la valutazione dello sperimentatore al basale (escluso prurito cronico secondario a condizioni dermatologiche o sistemiche, di origine neuropatica o psicogena o secondario a farmaci).
    - Il prurito cronico deve interessare almeno 2 delle seguenti aree del corpo: gambe, braccia o tronco.
    - Anamnesi di controllo insufficiente del prurito cronico con il trattamento precedente.
    - I/Le partecipanti devono ricevere un trattamento ottimale per condizioni concomitanti che potrebbero influire sul prurito (per es., diabete, carenza di ferro).
    - I/Le partecipanti devono presentare un’anamnesi di prurito grave e un punteggio di prurito peggiore >/= 7 allo screening sulla scala WI-NRS (scala di punteggio da 0 a 10; un punteggio più alto indica un prurito peggiore) e nell’Impressione globale del paziente in merito alla gravità (PGIS) del prurito, un punteggio del prurito "grave" allo screening.
    - I/Le partecipanti devono avere un punteggio medio del prurito peggiore >/= 7 nei 7 giorni precedenti la visita preliminare e nei 7 giorni precedenti il Giorno 1 sulla scala WI-NRS.
    - I/Le partecipanti hanno ottenuto un punteggio “grave” nel PGIS del prurito il Giorno 1.
    E.4Principal exclusion criteria
    - Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the patient's participation in the study.
    - Patients with active tuberculosis or non-tuberculous mycobacterial infection, or a history of incompletely treated tuberculosis, unless it is well documented by a specialist that the participant has been adequately treated and can now start treatment with a biologic agent.
    - Diagnosed with, suspected of, or at high risk of endoparasitic infection, and/or use of antiparasitic drug within 2 weeks before the screening visit.
    - HIV infection.
    - Severe renal failure (dialysis).
    - Active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, or antifungals within 2 weeks before the run-in visit.
    - Known or suspected immunodeficiency.
    - Active malignancy or history of malignancy within 5 years before the baseline visit, except completely treated in situ carcinoma of the cervix and completely treated and resolved non metastatic squamous or basal cell carcinoma of the skin.
    - History of hypersensitivity or intolerance to non-sedative antihistamines.
    - Participation in prior dupilumab clinical study or have been treated with commercially available dupilumab.
    - Grave/i malattia/e concomitante/i che, a giudizio dello sperimentatore, possa/possano influire negativamente sulla partecipazione del/della paziente allo studio.
    - I/Le pazienti con tubercolosi attiva o con infezione da micobatteri non tubercolari, o anamnesi di tubercolosi trattata in maniera incompleta, a meno che non sia ben documentato da uno specialista che il/la partecipante è stato/a adeguatamente trattato/a e può ora iniziare il trattamento con un agente biologico.
    - Diagnosi, sospetta o ad alto rischio di infezione endoparassitaria e/o uso di farmaci antiparassitari nelle 2 settimane precedenti la visita di screening.
    - Infezione da HIV.
    - Grave insufficienza renale (dialisi).
    - Infezione cronica in fase attiva o acuta che richieda un trattamento con antibiotici sistemici, antivirali o antimicotici nelle 2 settimane precedenti la visita preliminare.
    - Nota o sospetta immunodeficienza.
    - Malignità attiva o anamnesi di malignità nei 5 anni precedenti la visita basale a eccezione del carcinoma della cervice in situ completamente trattato e del carcinoma squamoso o basocellulare della pelle, non metastatico, completamente trattato e risolto.
    - Anamnesi di ipersensibilità o intolleranza agli antistaminici non sedativi.
    - Partecipazione a precedenti studi clinici con dupilumab o a trattamenti con dupilumab disponibile in commercio.
    E.5 End points
    E.5.1Primary end point(s)
    1 - Study A: Proportion of participants with improvement (reduction) in weekly average of daily worst-itch numerical rating scale (WI-NRS) by >/= 4 from baseline to Week 12; WI-NRS is a patient reported outcome (PRO) comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
    2 - Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by >/= 4 from baseline to Week 12; WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
    1 – Studio A: Percentuale di partecipanti con miglioramento (riduzione) nella media settimanale della scala di valutazione numerica giornaliera del peggior prurito (WI-NRS) >/= 4 dal basale alla Settimana 12; WI-NRS è un esito riferito dal paziente (PRO) composto da un singolo elemento valutato su una scala da 0 (“Nessun prurito”) a 10 (“Peggior prurito immaginabile”).
    2 – Studio B: Percentuale di partecipanti con miglioramento (riduzione) nella media settimanale della scala giornaliera WI-NRS da >/= 4 dal basale alla Settimana 12; WI-NRS è un PRO composto da un singolo elemento valutato su una scala da 0 (“Nessun prurito”) a 10 (“Peggior prurito immaginabile”).
    E.5.1.1Timepoint(s) of evaluation of this end point
    1,2: Baseline to Week 12
    1,2: dalla Basale alla settimana 12
    E.5.2Secondary end point(s)
    1 - Study A: Proportion of participants who scored "none" or "mild" in Patient Global Impression of Severity (PGIS) of pruritus at Week 12.
    2 - Study A: Absolute change from baseline in weekly average of daily WI-NRS at Week 12.
    3 - Study A: Percent change from baseline in weekly average of daily WI-NRS at Week 12.
    4 - Study A: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by >/= 4 from baseline to Week 24.
    5 - Study A: Proportion of participants who scored "none" or "mild" in PGIS of pruritus at Week 24.
    6 - Study A: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by >/=4 from baseline over time until Week 24.
    7 - Study A: Time to first response of WI-NRS >/= 4 points reduction from baseline by Week 24.
    8 - Study A: Absolute change from baseline in weekly average of daily WI-NRS at Week 24.
    9 - Study A: Percent change from baseline in weekly average of daily WI-NRS at Week 24.
    10 - Study A: Absolute change from baseline in weekly average of daily sleep disturbances numerical rating scale (NRS) at Week 12.
    11 - Study A: Percent change from baseline in weekly average of daily sleep disturbances NRS at Week 12.
    12 - Study A: Change from baseline in Dermatology Life Quality Index (DLQI) score at Week 12.
    13 - Study A: Change from baseline in the Itchy quality of life (ItchyQoL) score at Week 12.
    14 - Study A: Change from baseline in Hospital Anxiety and Depression Scale (HADS) total score at Week 12.
    15 - Study A: Absolute change from baseline in weekly average of daily sleep disturbances NRS at Week 24.
    16 - Study A: Percent change from baseline in weekly average of daily sleep disturbances NRS at Week 24.
    17 - Study A: Change from baseline in DLQI score at Week 24.
    18 - Study A: Change from baseline in the ItchyQoL score at Week 24.
    19 - Study A: Change from baseline in HADS total score at Week 24.
    20 - Study A: Percentage of participants experiencing treatment-emergent adverse events (TEAEs) or serious adverse events (SAEs) from baseline through end of study (EOS).
    21 - Study A: Incidence of treatment-emergent antidrug antibodies (ADA) against dupilumab.
    22 - Study B: Proportion of participants who scored "none" or "mild" in PGIS of pruritus at Week 12.
    23 - Study B: Absolute change from baseline in weekly average of daily WI-NRS at Week 12.
    24 - Study B: Percent change from baseline in weekly average of daily WI-NRS at Week 12.
    25 - Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by >/= 4 from baseline over time until Week 12.
    26 - Study B: Time to first response of WI-NRS >/= 4 points reduction from baseline by Week 12.
    27 - Study B: Absolute change from baseline in weekly average of daily sleep disturbances NRS at Week 12.
    28 - Study B: Percent change from baseline in weekly average of daily sleep disturbances NRS at Week 12.
    29 - Study B: Change from baseline in DLQI score at Week 12.
    30 - Study B: Change from baseline in the ItchyQoL score at Week 12.
    31 - Study B: Change from baseline in HADS total score at Week 12.
    32 - Study B: Percentage of participants experiencing TEAEs or SAEs from baseline through EOS.
    33 - Study B: Incidence of treatment-emergent ADA against dupilumab.
    Studio A
    1 - Percentuale di partecipanti che hanno ottenuto un punteggio “nessuno” o “lieve” nell’Impressione globale del/la paziente sulla gravità (PGIS) del prurito alla Settimana 12.
    2 - Variazione assoluta rispetto al basale nella media settimanale della WI-NRS giornaliera alla Settimana 12.
    3 - Variazione percentuale rispetto al basale nella media settimanale della WI-NRS giornaliera alla Settimana 12.
    4 - Percentuale di partecipanti con miglioramento (riduzione) nella media settimanale della WI-NRS giornaliera da >/= 4 dal basale alla Settimana 24.
    5 - Percentuale di partecipanti che hanno ottenuto un punteggio “nessuno” o “lieve” nella PGIS del prurito alla Settimana 24.
    6 - Percentuale di partecipanti con miglioramento (riduzione) della media settimanale della WI-NRS giornaliera >/= 4 rispetto al basale per tutto il tempo fino alla Settimana 24.
    7 - Tempo alla prima risposta di riduzione >/= 4 punti della WI-NRS rispetto al basale entro la Settimana 24.
    8 - Variazione assoluta rispetto al basale nella media settimanale della WI-NRS giornaliera alla Settimana 24.
    9 - Variazione percentuale rispetto al basale nella media settimanale della WI-NRS giornaliera alla Settimana 24.
    10 - Variazione assoluta rispetto al basale nella media settimanale della scala di valutazione numerica (NRS) dei disturbi del sonno giornalieri alla Settimana 12.
    11 - Variazione percentuale rispetto al basale nella media settimanale dei disturbi del sonno giornalieri NRS alla Settimana 12.
    12 - Variazione rispetto al basale alla Settimana 12 nel punteggio dell’indice dermatologico della qualità di vita (DLQI).
    13 - Variazione rispetto al basale nel punteggio della Qualità della vita pruriginosa (ItchyQoL) alla Settimana 12.
    14 - Variazione rispetto al basale nel punteggio totale della Scala della depressione e dell’ansia da ospedale (HADS) alla Settimana 12.
    15 - Variazione assoluta rispetto al basale nella media settimanale dei disturbi del sonno giornalieri NRS alla Settimana 24.
    16 - Variazione percentuale rispetto al basale nella media settimanale dei disturbi del sonno giornalieri NRS alla Settimana 24.
    17 - Variazione rispetto al basale del punteggio DLQI alla Settimana 24.
    18 - Variazione rispetto al basale nel punteggio ItchyQoL alla Settimana 24.
    19 - Variazione rispetto al basale del punteggio HADS totale alla Settimana 24.
    20 - Percentuale di partecipanti che manifestano eventi avversi emergenti dal trattamento (TEAE) o eventi avversi seri (SAE) dal basale fino alla fine dello studio (EOS).
    21 - Incidenza di anticorpi antifarmaco (ADA) emergenti dal trattamento contro dupilumab.
    Studio B
    22 - Percentuale di partecipanti che hanno ottenuto un punteggio “nessuno” o “lieve” nella PGIS del prurito alla Settimana 12.
    23 - Variazione assoluta rispetto al basale nella media settimanale della WI-NRS giornaliera alla Settimana 12.
    24 - Variazione percentuale rispetto al basale nella media settimanale della WI-NRS giornaliera alla Settimana 12.
    25 - Percentuale di partecipanti con miglioramento (riduzione) della media settimanale della WI-NRS giornaliera da >/= 4 rispetto al basale per tutto il tempo fino alla Settimana 12.
    26 - Tempo alla prima risposta di riduzione >/= 4 punti della WI-NRS rispetto al basale entro la Settimana 12.
    27 - Variazione assoluta rispetto al basale nella media settimanale dei disturbi del sonno giornalieri NRS alla Settimana 12.
    28 - Variazione percentuale rispetto al basale nella media settimanale dei disturbi del sonno giornalieri NRS alla Settimana 12.
    29 - Variazione rispetto al basale nel punteggio DLQI alla Settimana 12.
    30 - Variazione rispetto al basale nel punteggio ItchyQoL alla Settimana 12.
    31 - Variazione rispetto al basale nel punteggio totale HADS alla Settimana 12.
    32 - Percentuale di partecipanti che manifestano TEAE o SAE dal basale fino alla EOS.
    33 - Incidenza di anticorpi antifarmaco (ADA) emergenti dal trattamento contro dupilumab.
    E.5.2.1Timepoint(s) of evaluation of this end point
    1, 22 : Week 12
    2, 3, 10, 11, 12, 13, 14, 23, 24, 25, 26, 27, 28, 29, 30, 31 : Baseline to Week 12
    4, 6, 7, 8, 9, 15, 16, 17, 18, 19, 32, 33 : Baseline to Week 24
    5 : Week 24
    20, 21 : Baseline to Week 36
    1, 22 : Settimana 12
    2, 3, 10, 11, 12, 13, 14, 23, 24, 25, 26, 27, 28, 29, 30, 31 : Dal basale alla settimana 12
    4, 6, 7, 8, 9, 15, 16, 17, 18, 19, 32, 33 : Dal basale alla settimana 24
    5 : Settimana 24
    20, 21 : Dal basale alla settimana 36
    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 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 trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned5
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA27
    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
    China
    Japan
    Korea, Republic of
    United States
    France
    Germany
    Hungary
    Italy
    Poland
    Spain
    Argentina
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    LVLS
    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 months37
    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 months40
    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: 227
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 226
    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 state35
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 213
    F.4.2.2In the whole clinical trial 453
    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 Decision2022-01-13
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2021-12-02
    P. End of Trial
    P.End of Trial StatusOngoing
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