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    Summary
    EudraCT Number:2022-003024-41
    Sponsor's Protocol Code Number:20190531
    National Competent Authority:Greece - EOF
    Clinical Trial Type:EEA CTA
    Trial Status:Trial now transitioned
    Date on which this record was first entered in the EudraCT database:2023-01-20
    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 ConcernedGreece - EOF
    A.2EudraCT number2022-003024-41
    A.3Full title of the trial
    A Phase 3, Multicenter, Open-label, Long-term Extension Study of Apremilast in Children 2 Years of Age or Older With Oral Ulcers Associated With Behçet’s Disease or 5 Years of Age or Older With Juvenile Psoriatic Arthritis
    Μια Πολυκεντρική, Ανοιχτού Σχεδιασμού, Μακροχρόνια Δοκιμή Επέκτασης Φάσης 3 της Απρεμιλάστης σε Παιδιά Ηλικίας 2 Ετών και Άνω με Στοματικά Έλκη που σχετίζονται με τη Νόσο Αδαμαντιάδη-Behçet ή σε Παιδιά Ηλικίας 5 Ετών και Άνω με Νεανική Ψωριασική Αρθρίτιδα
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Apremilast study in children with active oral ulcers associated with
    Behçet's Disease or Juvenile Psoriatic Arthritis
    Μια Ανοιχτού Σχεδιασμού, Παιδιατική Μακροχρόνια Δοκιμή Επέκτασης Φάσης 3 της Απρεμιλάστης σε Παιδιά με Στοματικά Έλκη που Σχετίζονται με τη Νόσο Αδαμαντιάδη- Behçet ή Νεανική Ψωριασική Αρθρίτιδα
    A.4.1Sponsor's protocol code number20190531
    A.7Trial is part of a Paediatric Investigation Plan Yes
    A.8EMA Decision number of Paediatric Investigation PlanP/353/2022
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorAmgen Inc
    B.1.3.4CountryUnited States
    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 supportAmgen Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationAmgen Hellas Ltd.
    B.5.2Functional name of contact pointMedical Information
    B.5.3 Address:
    B.5.3.1Street Address59-61 Agiou Konstantinou, Building C'
    B.5.3.2Town/ cityMarousi, Athens
    B.5.3.3Post codeGR 15124
    B.5.3.4CountryGreece
    B.5.4Telephone number+302103447000
    B.5.5Fax number+302103447050
    B.5.6E-mailmedinfo-amgen-hellas@amgen.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 Otezla
    D.2.1.1.2Name of the Marketing Authorisation holderAmgen Europe B.V.
    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 nameApremilast 20 mg
    D.3.2Product code AMG 407
    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 INNApremilast
    D.3.9.1CAS number 608141-41-9
    D.3.9.2Current sponsor codeAMG 407
    D.3.9.4EV Substance CodeSUB130837
    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 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 Yes
    D.2.1.1.1Trade name Otezla
    D.2.1.1.2Name of the Marketing Authorisation holderAmgen Europe B.V.
    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 nameApremilast 30 mg
    D.3.2Product code AMG 407
    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 INNApremilast
    D.3.9.1CAS number 608141-41-9
    D.3.9.2Current sponsor codeAMG 407
    D.3.9.4EV Substance CodeSUB130837
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number30
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation 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 nameApremilast
    D.3.2Product code AMG 407
    D.3.4Pharmaceutical form Oral suspension
    D.3.4.1Specific paediatric formulation Yes
    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 INNApremilast
    D.3.9.1CAS number 608141-41-9
    D.3.9.2Current sponsor codeAMG 407
    D.3.9.4EV Substance CodeSUB130837
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    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 Yes
    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
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Subjects with active Behçet's Disease or Juvenile Psoriatic Arthritis
    Ασθενείς με στοματικά έλκη που σχετίζονται με τη Νόσο Αδαμαντιάδη ή Νεανική Ψωριασική Αρθρίτιδα
    E.1.1.1Medical condition in easily understood language
    Behçet Disease: inflammation in blood vessels throughout the body, manifests as mouth or genital ulcers with eye & skin lesions
    JPA:Joint inflammation with psoriatic disorder affecting pediatric pts
    Νόσος Αδαμαντιάδη: φλεγμονή στα αιμοφόρα αγγεία σε όλο το σώμα, εκδηλώνεται ως έλκη στόματος ή γεννητικών οργάνων με οφθαλμικές & δερματικές βλάβες. Παρακαλώ ανατρέξετε στο πρωτοκολλο.

    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 21.1
    E.1.2Level LLT
    E.1.2Classification code 10004212
    E.1.2Term Behcet's disease
    E.1.2System Organ Class 100000004866
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10079454
    E.1.2Term Systemic juvenile idiopathic arthritis
    E.1.2System Organ Class 100000004859
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Evaluate the long-term safety of apremilast in subjects 2 years of age or older with oral ulcers associated with Behçets disease or 5 years of age or older with active JPsA that have completed Study 20190530 or Study 20190529
    Αξιολόγηση της μακροχρόνιας ασφάλειας της απρεμιλάστης σε ασθενείς ηλικίας 2 ετών και άνω με στοματικά έλκη που σχετίζονται με τη νόσο Αδαμαντιάδη-Behçet ή ηλικίας 5 ετών και άνω με ενεργή ΝΨΑ που έχουν ολοκληρώσει τη Δοκιμή 20190530 ή τη δοκιμή 20190529
    E.2.2Secondary objectives of the trial
    Not applicable
    Δεν Εφαρμόζεται
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Subject’s legally authorized representative has provided informed consent when the subject is legally too young to provide informed consent and the subject has provided written assent based on local regulations and/or guidelines prior to any study-specific activities/procedures being initiated.
    2. Subject must have completed week 52 (Apremilast Active Treatment Phase) of Study 20190529 (from France and Turkey sites only) or Study 20190530 where drug is not commercially available in their country.
    3. Subject must have an age and sex specific body mass index (BMI) value no lower in range than the 5th percentile on the Centers for Disease Control (CDC) growth chart (Appendix 11.7) for children and adolescents (CDC, 2000) at randomization.
    4. Subject is willing and able to adhere to the study visit schedule and other protocol requirements.
    5. Subject must have acceptable benefit/risk for continued treatment with apremilast.
    1. Ο νόμιμος εκπρόσωπος του ασθενούς έχει παράσχει συναίνεση μετά από ενημέρωση όταν ο ασθενής δεν έχει τη νόμιμη ηλικία για παροχή συναίνεσης μετά από ενημέρωση και ο ασθενής έχει παράσχει έγγραφη συναίνεση με βάση τους τοπικούς κανονισμούς ή/και τις τοπικές κατευθυντήριες οδηγίες πριν από την έναρξη οποιασδήποτε δραστηριότητας/διαδικασίας της δοκιμής.
    2. Οι ασθενείς θα πρέπει να έχουν ολοκληρώσει την επίσκεψη της εβδομάδας 52 (Φάση Δραστικής Θεραπείας με Απρεμιλάστη) της Δοκιμής 20190529 (από κέντρα της Γαλλίας και της Τουρκίας μόνο) ή της Δοκιμής 20190530, όπου το φάρμακο δεν κυκλοφορεί στην αγορά της χώρας τους.
    3. Ο ασθενής θα πρέπει να έχει τιμή δείκτης μάζας σώματος (ΔΜΣ), με βάση την ηλικία και το φύλο του, όχι χαμηλότερη σε εύρος από το 5ο εκατοστημόριο του πίνακα ανάπτυξης που παρέχεται από το Κέντρο για τον Έλεγχο Νοσημάτων (CDC) των ΗΠΑ (Παράρτημα 11.7) για παιδιά και εφήβους (CDC, 2000) κατά την τυχαιοποίηση.
    4. Ο ασθενής είναι πρόθυμος και ικανός να τηρήσει το χρονοδιάγραμμα των επισκέψεων της δοκιμής και τις υπόλοιπες απαιτήσεις του πρωτοκόλλου.
    5. Ο ασθενής θα πρέπει να έχει αποδεκτό προφίλ οφέλους/ κινδύνου για συνέχιση της θεραπείας με απρεμιλάστη.
    E.4Principal exclusion criteria
    1. Answer “Yes” to any question on the Columbia-Suicide Severity Rating Scale (C-SSRS) at the week 52 visit on Study 20190529 (subjects from France and Turkey sites only) or Study 20190530.
    2. Scheduled surgery or other interventions that would interrupt the subject’s participation in the study.
    3. Female subjects of childbearing potential (for the purpose of this study, a female subject is considered of childbearing potential if she is 12 years old or older or has reached menarche, whichever occurred first) unwilling to use protocol specified method of contraception see Appendix 5 (Section 11.5) during treatment and for an additional 30 days after the last dose of investigational product.
    4. Female subjects planning to become pregnant while on study through 30 days after the last dose of investigational product.
    5. Female subjects of childbearing potential with a positive pregnancy test assessed at week 0 by a highly sensitive urine or serum pregnancy test.
    6. Subject has known sensitivity to any of the products to be administered during dosing.
    7. Subject likely to not be available to complete all protocol-required study visits.
    1. Απάντηση «Ναι» σε οποιαδήποτε ερώτηση της Κλίμακας Αξιολόγησης της Βαρύτητας της Αυτοκτονικότητας του Πανεπιστημίου Columbia (C-SSRS) στην επίσκεψη της εβδομάδας 52 της Δοκιμής 20190529 (ασθενείς από κέντρα της Γαλλίας και της Τουρκίας μόνο) ή της Δοκιμής 20190530.
    2. Προγραμματισμένη χειρουργική επέμβαση ή άλλες παρεμβάσεις που θα διέκοπταν τη συμμετοχή του ασθενούς στη δοκιμή.
    3. Κορίτσι με δυνατότητα τεκνοποίησης (για τον σκοπό αυτής της δοκιμής, ένα κορίτσι θεωρείται ότι έχει δυνατότητα τεκνοποίησης εάν είναι ηλικίας ≥ 12 ετών ή βρίσκεται μετά την εμμηναρχή, όποιο είναι προγενέστερο) που είναι απρόθυμο να χρησιμοποιεί μία από τις καθορισμένες από το πρωτόκολλο μεθόδους αντισύλληψης που αναφέρονται στο Παράρτημα 5 (Ενότητα 11.5) κατά τη διάρκεια της θεραπείας και για ένα επιπρόσθετο διάστημα 30 ημερών μετά την τελευταία δόση του υπό έρευνα προϊόντος.
    4. Κορίτσι προγραμματίζει να μείνει έγκυος ενώ συμμετέχει στη δοκιμή και για έως και 30 ημέρες μετά την τελευταία δόση του υπό έρευνα προϊόντος.
    5. Κορίτσι με δυνατότητα τεκνοποίησης και θετικό απότελεσμα σε δοκιμασία κύησης που πραγματοποιήθηκε την εβδόμαδα 0 μέσω μιας δοκιμασίας κύησης ούρων ή ορού υψηλής ευαισθησίας.
    6. Ο ασθενής έχει γνωστή ευαισθησίας σε οποιοδήποτε από τα προϊόντα που πρόκειται να χορηγηθούν κατά τη διάρκειας της δοσολογίας.
    7. Ο ασθενής είναι πιθανό να μην είναι διαθέσιμος για την ολοκλήρωση όλων των απαιτούμενων από το πρωτόκολλο επισκέψεων της δοκιμής.
    E.5 End points
    E.5.1Primary end point(s)
    - Adverse events: Type, frequency, severity, and relationship to apremilast
    - Columbia-Suicide Severity rating Scale (C-SSRS)
    - Tanner Staging
    - Body weight, height, and body mass index (BMI)
    - Vital signs and laboratory parameters
    •Ανεπιθύμητα συμβάντα: Τύπος, συχνότητα, βαρύτητα και σχέση με την απρεμιλάστη.
    •Κλίμακα Αξιολόγησης της Βαρύτητας της Αυτοκτονικότητας του Πανεπιστημίου Columbia (C-SSRS)
    •Στάδιο κατά Tanner
    •Σωματικό βάρος, ύψος και δείκτης μάζας σώματος (ΔΜΣ)
    •Ζωτικά σημεία και εργαστηριακές παράμετροι
    E.5.1.1Timepoint(s) of evaluation of this end point
    week 0, 26 , 52, 78, 104, 130 , 156 , 182 , 208 and 212
    Εβδομάδα 0, 26, 52, 78, 104, 130, 156, 182, 208 και 212
    E.5.2Secondary end point(s)
    Not applicable
    Δεν Εφαρμόζεται
    E.5.2.1Timepoint(s) of evaluation of this end point
    Not applicable
    Δεν Εφαρμόζεται
    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 No
    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 No
    E.8.1.1Randomised No
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    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 No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial1
    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 concerned3
    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
    Israel
    France
    Spain
    Switzerland
    Greece
    Italy
    Turkey
    United Kingdom
    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
    Τελευταία Επίσκεψη Τελευταίου Ασθενούς
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years9
    E.8.9.1In the Member State concerned months10
    E.8.9.1In the Member State concerned days15
    E.8.9.2In all countries concerned by the trial years9
    E.8.9.2In all countries concerned by the trial months11
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1Number of subjects for this age range: 40
    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) Yes
    F.1.1.5.1Number of subjects for this age range: 20
    F.1.1.6Adolescents (12-17 years) Yes
    F.1.1.6.1Number of subjects for this age range: 20
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 8
    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 No
    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
    children aged 2-11 years old and adolescents aged 12-17 years old, accompanied by parents or carer
    παιδιά ηλικίας 2-11 ετών και έφηβη ηλικίας 12-17 ετών, συνοδεύονται από γονείς ή φροντιστές
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state3
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 24
    F.4.2.2In the whole clinical trial 48
    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)
    Not applicable
    Δεν Εφαρμόζεται
    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 Decision2023-04-04
    N.Ethics Committee Opinion of the trial application
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion
    P. End of Trial
    P.End of Trial StatusTrial now transitioned
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