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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03563053
Registration number
NCT03563053
Ethics application status
Date submitted
23/05/2018
Date registered
20/06/2018
Titles & IDs
Public title
Open-label, Long-term, Extension Treatment Using Intra-Erythrocyte Dexamethasone Sodium Phosphate in Patients With Ataxia Telangiectasia Who Participated in the IEDAT-02-2015 Study
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Scientific title
Open-label, Long-term, Extension Treatment Using Intra-Erythrocyte Dexamethasone Sodium Phosphate in Patients With Ataxia Telangiectasia Who Participated in the IEDAT-02-2015 Study
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Secondary ID [1]
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IEDAT-03-2018
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Universal Trial Number (UTN)
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Trial acronym
OLE-IEDAT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Ataxia Telangiectasia
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Condition category
Condition code
Neurological
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Other neurological disorders
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Neurological
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0
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Neurodegenerative diseases
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Human Genetics and Inherited Disorders
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0
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0
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Other human genetics and inherited disorders
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Cardiovascular
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - EryDex System
Experimental: active drug - \~14-22 mg dexamethasone sodium phosphate (DSP)
Other interventions: EryDex System
EryDex System is a combination product that is used to load dexamethasone sodium phosphate (DSP) into autologous erythrocytes (EDS) creating the EDS-end product which is infused into the patients
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Long term safety/tolerability of EDS-EP: # of pts with treatment related Adverse Events (CTCAE4.0)
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Assessment method [1]
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AEs will be listed and summarized by body system and preferred term. Incidence of AEs(%),intensity and relatedness to study drug will be reported. SAEs and events newly occurring or worsening after administration of study medication will be summarized. AEs that result in death/discontinuation of the study medication will be listed separately
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Timepoint [1]
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1 year
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Primary outcome [2]
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Long term safety/tolerability of EDS-EP: lab parameters according to clinical practice such as hematology, biochemistry, urinalysis, HbA1c (haemoglobin A1c or glycated haemoglobin test), CD4+ lymphocytes count, CRP (C reactive protein)
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Assessment method [2]
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Values will be listed and summarized as normal or abnormal, according to local normal ranges, depending on the lab assessment (not possible to provide unique range and unit of measure due to changes from lab to lab). Abnormal and clinically notable values will be identified and listed for each parameter
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Timepoint [2]
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1 year
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Primary outcome [3]
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Long term safety/tolerability of EDS-EP: 12-lead ECG (Electrocardiography)
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Assessment method [3]
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Results will be listed and summarized as normal or abnormal, according guidelines (PR interval: \< 100 msec or \> 210 msec; QRS interval: \< 50 msec or \> 120 msec; QTc interval: \> 450 msec; Heart rate: \< 50 bpm (sinus bradycardia) or \> 120 bpm (sinus tachycardia); Morphology: presence of T-wave inversion, abnormal R-waves, pathological Q-waves, significant ST elevation or depression). Abnormal and clinically notable values will be identified and listed
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Timepoint [3]
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1 year
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Primary outcome [4]
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Long term safety/tolerability of EDS-EP: physical and neurological exam
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Assessment method [4]
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Results will be listed and summarized as normal or abnormal, according to local assessment. Examination includes general appearance,skin,neck(including thyroid),eyes/ears,nose,mouth,throat,lungs,heart, abdomen,back,lymphnodes,extremities,nervous system. Abnormal and clinically notable values will be identified and listed for each parameter
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Timepoint [4]
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1 year
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Primary outcome [5]
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Long term safety/tolerability of EDS-EP: Columbia Suicide Severity Rating Scale (CSSRS)
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Assessment method [5]
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Outcome will be listed and summarized on the basis of the answers: answer of "yes" to any of the 6 questions may indicate a need for referral to a trained mental health professional and an answer of "yes" to questions 4, 5 or 6 indicate high-risk
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Timepoint [5]
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1 year
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Primary outcome [6]
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Long term safety/tolerability of EDS-EP: Bone Mineral Density
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Assessment method [6]
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Z-scores will be listed and summarized as normal or abnormal, following guidelines provided in the 2013 International Society for Clinical Densitometry Official Pediatric Position. Abnormal and clinically notable values will be identified and listed for each parameter
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Timepoint [6]
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1 year
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Primary outcome [7]
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Long term safety/tolerability of EDS-EP: Tanner staging
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Assessment method [7]
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The results (stages from I to V, according to the age, from 0 to 18) will be listed and summarized. Abnormal and clinically notable values will be identified and listed for each parameter
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Timepoint [7]
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1 year
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Primary outcome [8]
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Long term safety/tolerability of EDS-EP: sterility test
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Assessment method [8]
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Outcome can be Positive or negative. Results will be listed and summarized
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Timepoint [8]
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1 year
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Secondary outcome [1]
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To evaluate the long-term effect of EDS-EP on health related Quality of Life (EQ-5D-5L scale: EuroQol 5 dimension 5 level scale)
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Assessment method [1]
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Descriptive analyses will be performed to evaluate the long-term effects of EDS-EP on health-related Quality of Life (QoL), assessed by EQ-5D-5L scale. EQ-5D-5L descriptive system scoring: from 5, min/worst, to 25, best/max); EQ-VAS (EQ Visual Analogue scale) scoring: from 0, min/worst, to 100, best/max
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Timepoint [1]
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1 year
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Eligibility
Key inclusion criteria
* Patient completed the double-blind period in the IEDAT-02-2015 trial and must have completed the final (Visit 15/Month 12) efficacy assessments of IEDAT-02-2015.
* Patient tolerated the study medication, without any evidence of steroid adverse events, or treatment-related severe/ serious adverse events
* Body weight > 15 kg.
* The patient and his/her parent/caregiver (if below the age of consent), or a legal representative, has provided written informed consent to participate. If consent is provided solely by the caregiver in accordance with local regulations, the patient must provide assent to participate in the study
* Patient does not present safety contraindication for continuation of treatment, as determined by the Principal Investigator (PI) according to the procedures described below.
Procedure for selecting patients for further treatment in IEDAT-03-2018:
The Principal Investigator will ask all patients who meet the above requirements, and determine their interest in continuing to receive treatment with the study medication in a new protocol. The Principal Investigator will then determine the eligibility of the patients on the basis of his/her clinical judgement of patients' status and their safety.
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Minimum age
6
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
General
1. Females that are
1. pregnant, or are breast-feeding (for EU countries only);
2. of childbearing potential, pregnant, or are breast-feeding (for US and Rest of World countries).
Females of childbearing potential using adequate birth control, as determined by their Health Care Provider, will be eligible.
2. A disability that may prevent the patient from completing all study requirements.
3. Current participation in a clinical study with another investigational drug.
Medical History and Current Status
4. CD4+ lymphocytes count <400/mm3 (for patients 6 years of age) or <200/mm3 (for patients >6 years).
5. Current neoplastic disease.
6. Severe impairment of the immunological system.
7. Severe or unstable pulmonary disease.
8. Uncontrolled diabetes. Patients with diabetes that has been stabilized (i.e. no hypoglycemic or hyperglycemic episodes in the past 3 months) will be eligible.
9. Any other severe, unstable, or serious disease or condition that in the Investigator's opinion would put the patient at risk for imminent lifethreatening morbidity, need for hospitalization, or mortality.
10. Eligibility of patients with abnormal laboratory test values will be determined by the Investigator.
11. Confirmed hemoglobinopathies, e.g. hemoglobin C disease, sickle cell anemia, or thalassemia.
12. Moderate or severe renal and/or hepatic impairment.
13. Patients who experienced moderate/ severe steroid side effects, or moderate/ severe adverse events associated with the study medication administered in the IEDAT-02 study.
Prior/Concomitant Medication
14. Requires treatment with an oral or parenteral steroid. Treatment with inhaled or intranasal steroids for asthma or allergies, as well as use of topical steroids will be permitted.
15. Requires any other concomitant medication prohibited by the protocol.
16. Use of any drug that is a strong inducer/inhibitor of CYP3A4.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/06/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2021
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Department of Neurology Royal Children's Hospital - Parkville
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Recruitment postcode(s) [1]
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3052 - Parkville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Maryland
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Country [3]
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United States of America
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State/province [3]
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Ohio
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Country [4]
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United States of America
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State/province [4]
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Texas
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Country [5]
0
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Belgium
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State/province [5]
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Leuven
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Country [6]
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Germany
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State/province [6]
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Frankfurt
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Country [7]
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India
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State/province [7]
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Bangalore
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Country [8]
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India
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State/province [8]
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Chennai
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Country [9]
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India
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State/province [9]
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Hyderabad
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Country [10]
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India
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State/province [10]
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Mumbai
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Country [11]
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India
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State/province [11]
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New Delhi
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Country [12]
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Italy
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State/province [12]
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Roma
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Country [13]
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Poland
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State/province [13]
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Warsaw
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Country [14]
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Spain
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State/province [14]
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Madrid
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Country [15]
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Tunisia
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State/province [15]
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Tunis
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Quince Therapeutics S.p.A.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is an international (North America, Europe, Africa, Asia and Australia), multi-center, prospective, open-label treatment study, designed to continue to provide the study medication to all patients who completed 12 months of treatment (including those treated with placebo) in the IEDAT-02-2015 trial, completed the study assessments, do not present safety contraindication to continuation of treatment, and provided informed consent. The study aims to collect information on the long-term safety and efficacy of the trial treatment.
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Trial website
https://clinicaltrials.gov/study/NCT03563053
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Guenter R Janhofer, MD
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Address
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EryDel S.p.A.
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Irene Maccabruni, BS
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Address
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Country
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Phone
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+393458415028
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03563053