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    Summary
    EudraCT Number:2022-002301-24
    Sponsor's Protocol Code Number:NMD670-02-0001
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2023-01-12
    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 number2022-002301-24
    A.3Full title of the trial
    A Phase 2, randomised, double-blind, placebo-controlled, 2-way crossover study to evaluate the efficacy, safety, and tolerability of
    NMD670 in ambulatory adults with Type 3 spinal muscular atrophy
    Estudio de fase 2, aleatorizado, en doble ciego, controlado con placebo y cruzado de dos vías, para evaluar la eficacia, seguridad y tolerabilidad de NMD670 en adultos deambulantes con atrofia espinal muscular de tipo 3
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A study to evaluate the efficacy, safety, and tolerability of oral NMD670 compared with placebo in ambulatory adults with spinal muscular atrophy
    Estudio para evaluar la eficacia, seguridad y tolerabilidad de NMD670 oral en comparación con placebo en adultos deambulantes con atrofia espinal muscular
    A.4.1Sponsor's protocol code numberNMD670-02-0001
    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 SponsorNMD Pharma A/S
    B.1.3.4CountryDenmark
    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 supportNMD Pharma A/S
    B.4.2CountryDenmark
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationParexel International
    B.5.2Functional name of contact pointClinical Trials Department
    B.5.3 Address:
    B.5.3.1Street Address70 Sir John Rogerson's Quay
    B.5.3.2Town/ cityDublin
    B.5.3.3Post code2
    B.5.3.4CountryIreland
    B.5.4Telephone number+32 10 817-132
    B.5.6E-mailclinicaltrial.enquiries@parexel.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 NMD670
    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 INNN/A
    D.3.9.1CAS number 2354321-33-6
    D.3.9.2Current sponsor codeNMD670
    D.3.9.3Other descriptive nameNMD670
    D.3.9.4EV Substance CodeSUB208279
    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: 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.3.2Product code NMD670
    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 INNN/A
    D.3.9.1CAS number 2354321-33-6
    D.3.9.2Current sponsor codeNMD670
    D.3.9.3Other descriptive nameNMD670
    D.3.9.4EV Substance CodeSUB208279
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number300
    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 placeboFilm-coated 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 placeboFilm-coated 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
    Type 3 spinal muscular atrophy
    Atrofia espinal muscular de tipo 3
    E.1.1.1Medical condition in easily understood language
    spinal muscular atrophy - an inherited condition that makes the muscles weaker and causes problems with movement.
    atrofia muscular espinal - una condición hereditaria que debilita los músculos y causa problemas con el movimiento.
    E.1.1.2Therapeutic area Diseases [C] - Musculoskeletal Diseases [C05]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10079415
    E.1.2Term Spinal muscular atrophy type III
    E.1.2System Organ Class 100000004850
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To assess changes in muscle strength and function after NMD670 400 mg bid for 21 days, compared with placebo, in participants with SMA
    Evaluar los cambios en la fuerza y función musculares tras la administración de NMD670 400 mg bid (2 veces al día) durante 21 días, en comparación con placebo, en participantes con SMA
    E.2.2Secondary objectives of the trial
    - To assess changes in muscle strength after NMD670 400 mg bid for 21 days, compared with placebo, in participants with SMA
    - To further assess changes in muscle strength and function after NMD670 400 mg bid for 21 days, compared with placebo, in participants with SMA
    - To assess changes in neuromuscular junction transmission after NDM670 400 mg bid for 21 days, compared with placebo, in participants with SMA
    - To assess the safety and tolerability of NMD670, compared with placebo, over 21-day dosing, in participants with SMA

    Exploratory objectives:
    - To assess changes in patient-reported quality of life and fatigue severity after 21-day dosing of NMD670, compared with placebo, in participants with SMA
    - To explore drug exposure after NMD670 400 mg bid for 21 days in participants with SMA
    - Evaluar cambios en la fuerza muscular tras la administración de NMD670 400 mg bid durante 21 días, en comparación con placebo, en participantes con SMA
    - Evaluar adicionalmente cambios en la fuerza y función musculares tras la administración de NMD670 400 mg bid durante 21 días, comparado con placebo, en participantes con SMA
    - Evaluar cambios en la transmisión en la unión neuromuscular tras la administración de NDM670 400 mg bid durante 21 días, comparado con placebo, en participantes con SMA
    - Evaluar la seguridad y la tolerabilidad de NMD670, en comparación con placebo, a lo largo de su administración durante 21 días, en participantes con SMA
    Objetivos exploratorios:
    - Evaluar cambios en la calidad de vida y la severidad de la fatiga comunicados por el paciente tras 21 días de tratamiento con NMD670, en comparación con placebo, en participantes con SMA
    - Explorar la exposición al fármaco tras la administración de NMD670 400 mg bid durante 21 días en participantes con SMA
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Participant must be 18 to 60 years of age inclusive, at the time of signing the informed consent.
    2. Participants who are with a clinical diagnosis of Type 3 SMA.
    3. Participants who are ambulatory, defined as being able to walk at least 50 metres without walking aids.
    4. Participant with genetic confirmation of diagnosis (i.e., homozygous deletion of survival of motor neuron 1 gene [SMN1]).
    5. Participant with 3 to 5 copies of survival of motor neuron 2 gene [SMN2].
    6. Participants with a MFM-32 dimension 1 score <80% at screening.
    7. Participants with >/=7% CMAP amplitude decrement at screening (recorded from the trapezius muscle during repeated nerve stimulation [RNS]).
    8. Participant has a body mass index (BMI) within the range 19-30 kg/m2 (inclusive).
    9. Participant is male or female.
    10. Contraceptive use by men and women must be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
    Male Participants:
    • A male participant must agree to use a highly effective contraception as detailed in Appendix 4 of this protocol during the intervention period and for at least 14 days after the last dose of study intervention (corresponding to time needed to eliminate study intervention) and refrain from donating sperm during this period.
    Female Participants:
    • A female participant is eligible to participate if she is not pregnant (see Appendix 4), not breastfeeding, and at least one of the following conditions applies:
    o Not a woman of childbearing potential (WOCBP) as defined in Appendix 4.
    OR
    o A WOCBP who agrees to follow the contraceptive guidance in Appendix 4 during the intervention period and for at least 14 days after the last dose of study intervention (corresponding to time needed to eliminate study intervention).
    11. Participant is capable of giving signed informed consent as described in Appendix 1, Section 10.1.3 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
    1. Edad entre 18 y 60 años, ambos inclusive, en el momento de firmar el consentimiento informado.
    2. Diagnóstico clínico de atrofia muscular espinal (SMA, spinal muscular atrophy) de tipo 3.
    3. Deambulación, definida como la capacidad de andar un mínimo de 50 metros sin ayuda para caminar.
    4. Confirmación genética del diagnóstico (a saber, pérdida homocigótica del gen de supervivencia de la neurona motora 1 [SMN1, survival of motor neuron 1]).
    5. De 3 a 5 copias del gen de supervivencia de la neurona motora 2 [SMN2, survival of motor neuron 2].
    6. Puntuación de la dimensión 1 en la Medida de la Función Motora (MFM-32, Motor Function Mesure) <80% en la selección.
    7. Disminución de la amplitud del potencial de acción muscular compuesto (CMAP, compound muscle action potencial) >/=7%, en la selección (registrada en el trapecio, durante la estimulación nerviosa repetida [RNS, repeated nerve stimulation]).
    8. Índice de masa muscular (BMI, body mass index) de 19-30 kg/m2 (ambos inclusive).
    9. Pacientes de ambos sexos.
    10. El uso de anticonceptivos por los varones y las mujeres debe estar de acuerdo con la legislación local en cuanto a métodos anticonceptivos en los participantes en estudios clínicos.
    Varones: • El participante debe estar de acuerdo en utilizar un anticonceptivo de alta eficacia, tal como se detalla en el Apéndice 4 de este protocolo, durante el periodo de tratamiento y durante al menos 14 días después de la última dosis del tratamiento del estudio (tiempo que corresponde a la eliminación del medicamento del estudio) y abstenerse de donar semen durante este mismo periodo.
    Mujeres: • Una mujer es elegible para participar si no está embarazada (véase el Apéndice 4), no está en fase de lactancia y cumple una o más de las siguientes condiciones:
    . No es una mujer potencialmente fértil (WOCBP, woman of childbearing potential), según la definición en el Apéndice 4.
    O BIEN
    . Es una mujer potencialmente fértil pero está de acuerdo en seguir las normas de anticoncepción del Apéndice 4, durante el periodo de tratamiento y durante al menos 14 días después de la última dosis del tratamiento del estudio (tiempo que corresponde a la eliminación del medicamento del estudio).
    11. Capacidad de otorgar y firmar el consentimiento informado, tal como se describe en el Apéndice 1, Sección 10.1.3, lo que incluye el cumplimiento de los requisitos y limitaciones que figuran en el documento de consentimiento informado (ICF, informed consent form) y en este protocolo.
    E.4Principal exclusion criteria
    1. Participants with prior surgery or fixed deformity (scoliosis, contractures) which would restrict ability to perform study-related tasks.
    2. Participants with other significant disease that may interfere with the interpretation of study data (e.g., other neuromuscular or muscular diseases).
    3. Participant with a clinical diagnosis of gout, or with serum uric acid >6.5 mg/dL at screening.
    4. Participant with clinically significant ECG abnormalities at screening including PR interval >/=220 msec, irregular rhythms (other than sinus arrhythmia or occasional, rare supraventricular or rare ventricular ectopic beats) in the judgement of the Investigator, or T-wave configurations are not of sufficient quality for assessing QT interval duration.
    5. Participant with any of the following abnormalities in QT interval corrected for heart rate using Fridericia’s correction (QTcF) at screening:
    a. QTcF >450 msec for male participants without bundle branch block.
    b. QTcF >470 msec for female participants without bundle branch block.
    c. QTcF >480 msec in participants with bundle branch block.
    6. Participant with any of the following:
    a. Abnormal liver function test defined as total bilirubin >1.5×ULN (participants with Gilbert's syndrome can be included with total bilirubin >1.5×ULN if direct bilirubin is < = 1.5×ULN and < = 35% of total bilirubin).
    b. Current or chronic history of liver disease including (but is not limited to) hepatitis virus infections, drug- or alcohol-related liver disease, non-alcoholic steatohepatitis, autoimmune hepatitis, hemochromatosis, Wilson's disease, alpha-1 antitrypsin deficiency, primary biliary cholangitis, primary sclerosing cholangitis, or any other liver disease
    considered clinically significant by the Investigator.
    c. Known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
    7. Participant with clinically significant laboratory test abnormalities at screening.
    8. Participant with breast cancer within the past 10 years or lymphoma, leukaemia, or any malignancy within the past 5 years. An exception of this 5-year requirement is basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 5 years.
    9. Participants with ongoing significant psychiatric disorder (e.g., uncontrolled depression, anxiety).
    10. Participants with positive drug screen (cocaine, heroin, ketamine [unless medically prescribed], opiates) at screening.
    11. Participants with positive human immunodeficiency virus (HIV) antibody test.
    12. Participants with presence of hepatitis B surface antigen (HBsAg) [or hepatitis B core antibody (HBcAb)] at screening or within 3 months prior to first dose of investigational intervention.
    13. Participants with positive hepatitis C antibody or ribonucleic acid (RNA) test result at screening or within 3 months prior to Day 1.
    1. Cirugía o deformidad fija (escoliosis, contracturas) previa, que pudiera limitar la capacidad para realizar las tareas relacionadas con el estudio.
    2. Otra enfermedad importante que pudiera interferir en la interpretación de los datos del estudio (por ejemplo, otras enfermedades neuromusculares o musculares).
    3. Diagnóstico clínico de gota, o ácido úrico en suero >6,5 mg/dl, en la selección.
    4. Anomalías del ECG clínicamente significativas, tales como intervalo PR >/= 220 ms, ritmos irregulares (distintos de arritmia sinusal o extrasístoles supraventriculares o ventriculares aisladas ocasionales), según criterio del Investigador, o forma de la onda T de calidad insuficiente para valorar la duración del intervalo QT, en la selección.
    5. Cualquiera de las siguientes anomalías en el intervalo QT corregido según la frecuencia cardiaca mediante corrección de Fridericia (QTcF), en la selección:
    a. QTcF >450 ms en varones sin bloqueo de rama.
    b. QTcF >470 ms en mujeres sin bloqueo de rama.
    c. QTcF >480 ms en participantes con bloqueo de rama.
    6. Presencia de alguna de las siguientes anomalías o afecciones:
    a. Prueba de función hepática anómala, definida como bilirrubina total >1,5×límite superior de la normalidad (ULN, upper limit of normal) (se podrán incluir participantes con síndrome de Gilbert con bilirrubina total >1,5×ULN si la bilirrubina directa es < = 1,5×ULN y < = 35% de la bilirrubina total).
    b. Hepatopatía actual o antecedentes de hepatopatía crónica, incluidas (entre otras) infecciones por virus de la hepatitis, hepatopatía por consumo de drogas o alcohol, esteatohepatitis no alcohólica, hepatitis autoinmunitaria, hemocromatosis, enfermedad de Wilson, déficit de alpha-1 antitripsina, colangitis biliar primaria, colangitis esclerosante primaria o cualquier otra hepatopatía que el Investigador considere clínicamente importante.
    c. Anomalías hepáticas o biliares conocidas (con excepción del síndrome de Gilbert o cálculos biliares asintomáticos).
    7. Anomalías de laboratorio clínicamente importantes, en la selección.
    8. Cáncer de mama en los 10 últimos años, o linfoma, leucemia o neoplasia maligna en los 5 últimos años. Una excepción a este requisito de 5 años es el carcinoma cutáneo de células basales o de células escamosas que se haya extirpado y no presente evidencia de metástasis en 5 años.
    9. Trastorno psiquiátrico importante en curso (por ejemplo, depresión o ansiedad no controladas).
    10. Positividad en el control de drogas (cocaína, heroína, ketamina [salvo por prescripción médica], opiáceos), en la selección.
    11. Positividad en la prueba de anticuerpos contra el virus de la inmunodeficiencia humana (HIV, human immunodeficiency virus).
    12. Presencia del antígeno de superficie del virus de la hepatitis B (HBsAg, hepatitis B surface antigen) [o anticuerpo contra el antígeno central del virus de la hepatitis B (HBcAb, hepatitis B core antibody)], en la selección o en los 3 meses anteriores a la primera dosis del tratamiento en investigación.
    13. Positividad en la prueba de anticuerpos o de ácido ribonucleico (RNA, ribonucleic acid) del virus de la hepatitis C, en la selección o en los 3 meses anteriores al Día 1.
    E.5 End points
    E.5.1Primary end point(s)
    Change from baseline in 6MWT (total distance) after 21-day dosing
    Cambio frente al basal en la 6MWT (distancia total) tras 21 días de tratamiento
    E.5.1.1Timepoint(s) of evaluation of this end point
    After 21 day dosing
    Tras 21 días de tratamiento
    E.5.2Secondary end point(s)
    Change from baseline in individual muscle groups maximum strength (measured with a dynamometer) after 21-day dosing
    Change from baseline after 21-day dosing in:
    - 6MWT (fatigue index)
    - revised Hammersmith scale score
    - ESNHP
    Change from baseline in jitter and blocking measured via sfEMG after 21-day dosing
    AEs, physical examinations, clinical laboratory parameters, vital signs, ECG, C-SSRS

    Exploratory:
    Change from baseline after 21-day dosing in:
    - INQoL score
    - FSS
    Plasma levels of NMD670 and its metabolite NMD1190
    Cambio frente al basal en la fuerza máxima de determinados grupos musculares (medida mediante dinamómetro) tras 21 días de tratamiento
    Cambio frente al basal tras 21 días de tratamiento en:
    - 6MWT (índice de fatiga)
    - puntuación de la escala Hammersmith revisada
    - ESNHP
    Cambio frente al basal en el jitter y el bloqueo en su medición mediante sfEMG tras 21 días de tratamiento
    AEs, exploraciones físicas, determinaciones de laboratorio, constantes vitales, ECG, C SSRS

    Exploratorios:
    Cambio frente al basal tras 21 días de tratamiento en:
    - Puntuación de INQoL
    - FSS
    Niveles plasmáticos de NMD670 y de su metabolito NMD1190
    E.5.2.1Timepoint(s) of evaluation of this end point
    After 21 day dosing
    During study participation
    Tras 21 días de tratamiento
    Durante la participación en el 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 No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) 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 No
    E.8.1.6Cross over Yes
    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 concerned2
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA15
    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
    Canada
    United States
    Netherlands
    Spain
    Germany
    Italy
    Belgium
    Denmark
    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
    Última visita del último paciente
    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 months7
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months7
    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: 54
    F.1.3Elderly (>=65 years) No
    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 state10
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 37
    F.4.2.2In the whole clinical trial 54
    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)
    Standard of care
    Tratamiento estándar
    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 Decision2023-09-21
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion
    P. End of Trial
    P.End of Trial StatusOngoing
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