NOTUS: Pivotal Study to Assess the Efficacy, Safety and Tolerability of Dupilumab in Patients With Moderate to Severe COPD With Type 2 Inflammation
Study Details
Study Description
Brief Summary
Primary Objective:
To evaluate the efficacy of dupilumab administered every 2 weeks in patients with moderate or severe Chronic Obstructive Pulmonary Disease (COPD) as measured by
- Annualized rate of acute moderate or severe COPD exacerbation (AECOPD)
Secondary Objectives:
To evaluate the effect of dupilumab administered every 2 weeks on
-
Pre-bronchodilator forced expiratory volume in 1 second (FEV1) over 12 weeks compared to placebo
-
Health related quality of life, assessed by the change from baseline to Week 52 in the St. George's Respiratory Questionnaire (SGRQ)
-
Pre-bronchodilator FEV1 over 52 weeks compared to placebo
-
Lung function assessments
-
Moderate and severe COPD exacerbations
-
To evaluate safety and tolerability
-
To evaluate dupilumab systemic exposure and incidence of antidrug antibodies (ADA)
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
Approximately 68 weeks including a 4-week screening period, a 52-week treatment period, and 12 weeks of follow-up
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Dupilumab Dupilumab administered every 2 weeks |
Drug: Dupilumab SAR231893
Pharmaceutical form: Solution for injection
Route of administration: Subcutaneous
Other Names:
Drug: Inhaled Corticosteroid
Pharmaceutical form: Inhaled Powder
Route of administration: Oral inhalation
Drug: Inhaled Long-Acting Beta Agonist
Pharmaceutical form: Inhaled Powder
Route of administration: Oral inhalation
Drug: Inhaled Long-Acting Muscarinic Antagonist
Pharmaceutical form: Inhaled Powder
Route of administration: Oral inhalation
|
Placebo Comparator: Placebo Placebo dose administered every 2 weeks |
Drug: Inhaled Corticosteroid
Pharmaceutical form: Inhaled Powder
Route of administration: Oral inhalation
Drug: Inhaled Long-Acting Beta Agonist
Pharmaceutical form: Inhaled Powder
Route of administration: Oral inhalation
Drug: Inhaled Long-Acting Muscarinic Antagonist
Pharmaceutical form: Inhaled Powder
Route of administration: Oral inhalation
Drug: Placebo
Pharmaceutical form: Solution for injection
Route of administration: Subcutaneous
|
Outcome Measures
Primary Outcome Measures
- Annual rate of acute COPD exacerbation (AECOPD) [Baseline to week 52]
Annualized rate of moderate or severe COPD exacerbations over the 52-week treatment period compared to placebo
Secondary Outcome Measures
- Change in pre-bronchodilator FEV1 [Baseline to week 12]
Change in pre-bronchodilator FEV1 from baseline to Week 12 compared to placebo
- Change in SGRQ [Baseline to week 52]
Change from baseline to Week 52 in SGRQ total score compared to placebo
- Improvement in SGRQ [Baseline to week 52]
Proportion of patients with SGRQ improvement ≥4 points at Week 52
- Change in pre-bronchodilator FEV1 from baseline to Week 52 [Baseline to week 52]
Change in pre-bronchodilator FEV1 from baseline to Week 52 compared to placebo
- Change in pre-bronchodilator FEV1 from baseline to time points up to Week 44 [Baseline to weeks 2, 4, 8, 24, 36, 44]
Change in pre-bronchodilator FEV1 from baseline to weeks other than 12 and 52 (i.e. Weeks 2, 4, 8, 24, 36, and 44) compared to placebo
- Change in post-bronchodilator FEV1 lung function [Baseline to weeks 2, 4, 8, 12, 24, 36, 52]
Change in post-bronchodilator FEV1 from baseline at Weeks 2, 4, 8, 12, 24, 36 and 52 compared to placebo
- Change in forced expiratory flow (FEF) 25-75% [Baseline to weeks 2, 4, 8, 12, 24, 36, 44, 52]
Change in FEF 25-75% from baseline to Weeks 2, 4, 8, 12, 24, 36, 44 and 52
- Annualized rate of severe AECOPD [Baseline through week 52]
Annualized rate of severe COPD exacerbations compared to placebo over the 52-week treatment period
- Time to first AECOPD [Baseline through week 52]
Time to first moderate or severe COPD exacerbation compared with placebo during the 52-week treatment period
- Adverse events [Baseline through week 64]
Number of adverse events (AEs)/treatment-emergent adverse events (TEAEs)
- Potentially clinically significant abnormality (PCSA) in laboratory tests [Baseline through week 64]
Percentage of patients with at least one incidence of PCSA
- Anti-drug antibodies [Baseline through week 64]
Incidence of anti-drug antibodies against dupilumab
Eligibility Criteria
Criteria
Inclusion Criteria:
Inclusion criteria:
-
Participants with a physician diagnosis of COPD who meet the following criteria at screening:
-
Current or former smokers with a smoking history of ≥10 pack-years.
-
Moderate-to-severe COPD (post-bronchodilator FEV1/ forced vital capacity [FVC] ratio <0.70 and post-bronchodilator FEV1 % predicted >30% and ≤70%).
-
Medical Research Council (MRC) Dyspnea Scale grade ≥2.
-
Patient-reported history of signs and symptoms of chronic bronchitis (chronic productive cough) for 3 months in the year up to screening in the absence of other known causes of chronic cough.
-
Documented history of high exacerbation risk defined as exacerbation history of ≥2 moderate or ≥1 severe within the year prior to inclusion. At least one exacerbation should have occurred while the patient was taking inhaled corticosteroid (ICS)/long acting beta agonist (LABA)/long acting muscarinic antagonist (LAMA) (or LABA/LAMA if ICS is contraindicated). Moderate exacerbations are recorded by the investigator and defined as AECOPD that require either systemic corticosteroids (intramuscular, intravenous, or oral) and/or antibiotics. One of the two required moderate exacerbations has to require the use of systemic corticosteroids. Severe exacerbations are recorded by the investigator and defined as AECOPD requiring hospitalization or observation > 24 hours in emergency department/urgent care facility.
-
Background triple therapy (ICS + LABA + LAMA) for 3 months prior to randomization with a stable dose of medication for ≥1 month prior to Visit 1; Double therapy (LABA + LAMA) allowed if ICS is contraindicated.
-
Evidence of Type 2 inflammation: Patients with blood eosinophils ≥300 cells/microliter at Visit 1.
Exclusion Criteria:
Exclusion criteria:
-
COPD diagnosis for less than 12 months prior to randomization.
-
Participants with current diagnosis of asthma according to the Global Initiative for Asthma (GINA) guidelines, or documented history of asthma.
-
Significant pulmonary disease other than COPD (e.g., lung fibrosis, sarcoidosis, interstitial lung disease, pulmonary hypertension, bronchiectasis, Churg-Strauss Syndrome etc) or another diagnosed pulmonary or systemic disease associated with elevated peripheral eosinophil counts.
-
Cor pulmonale, evidence of right cardiac failure.
-
Long-term treatment with oxygen >4.0 L/min OR if a participant requires more than 2.0 L/min in order to maintain oxygen saturation >88%
-
Hypercapnia requiring Bi-level ventilation.
-
AECOPD as defined in inclusion criteria within 4 weeks prior to screening, or during the screening period.
-
Respiratory tract infection within 4 weeks prior to screening, or during the screening period.
-
History of, or planned pneumonectomy or lung volume reduction surgery. Patients who are participating in the acute phase of a pulmonary rehabilitation program, ie, who started rehabilitation <4 weeks prior to screening (Note: patients in the maintenance phase of a rehabilitation program can be included).
-
Diagnosis of α-1 anti-trypsin deficiency.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Investigational Site Number :8400095 | Cullman | Alabama | United States | 35055 |
2 | Investigational Site Number :8400090 | Jasper | Alabama | United States | 35501 |
3 | Investigational Site Number :8400116 | Scottsboro | Alabama | United States | 35768 |
4 | Investigational Site Number :8400061 | Peoria | Arizona | United States | 85381 |
5 | Investigational Site Number :8400093 | Phoenix | Arizona | United States | 85014 |
6 | Investigational Site Number :8400107 | Phoenix | Arizona | United States | 85051 |
7 | Investigational Site Number :8400065 | Tempe | Arizona | United States | 85283 |
8 | Investigational Site Number :8400022 | Little Rock | Arkansas | United States | 72209 |
9 | Investigational Site Number :8400031 | Bakersfield | California | United States | 93301 |
10 | Investigational Site Number :8400051 | Huntington Beach | California | United States | 92647 |
11 | Investigational Site Number :8400032 | Newport Beach | California | United States | 92663 |
12 | Investigational Site Number :8400063 | Rancho Cucamonga | California | United States | 91730 |
13 | Investigational Site Number :8400094 | San Diego | California | United States | 92119 |
14 | Investigational Site Number :8400015 | San Diego | California | United States | 92120 |
15 | Investigational Site Number :8400007 | Westminster | California | United States | 92683 |
16 | Investigational Site Number :8400018 | Lafayette | Colorado | United States | 80026 |
17 | Investigational Site Number :8400102 | Altamonte Springs | Florida | United States | 32701 |
18 | Investigational Site Number :8400035 | Boynton Beach | Florida | United States | 33435 |
19 | Investigational Site Number :8400043 | Boynton Beach | Florida | United States | 33437 |
20 | Investigational Site Number :8400111 | Bradenton | Florida | United States | 34208 |
21 | Investigational Site Number :8400092 | Cape Coral | Florida | United States | 33991 |
22 | Investigational Site Number :8400020 | Clearwater | Florida | United States | 33765 |
23 | Investigational Site Number :8400081 | Cutler Bay | Florida | United States | 33157 |
24 | Investigational Site Number :8400021 | DeBary | Florida | United States | 32713 |
25 | Investigational Site Number :8400060 | DeLand | Florida | United States | 32720 |
26 | Investigational Site Number :8400039 | Fort Lauderdale | Florida | United States | 33308 |
27 | Investigational Site Number :8400047 | Fort Myers | Florida | United States | 33907 |
28 | Investigational Site Number :8400071 | Greenacres City | Florida | United States | 33467 |
29 | Investigational Site Number :8400079 | Hialeah | Florida | United States | 33012 |
30 | Investigational Site Number :8400100 | Loxahatchee Groves | Florida | United States | 33470 |
31 | Investigational Site Number :8400089 | Miami | Florida | United States | 33155 |
32 | Investigational Site Number :8400012 | Miami | Florida | United States | 33165 |
33 | Investigational Site Number :8400062 | Miami | Florida | United States | 33174 |
34 | Investigational Site Number :8400123 | Miami | Florida | United States | 33176 |
35 | Investigational Site Number :8400075 | Miami | Florida | United States | 33184 |
36 | Investigational Site Number :8400101 | Orlando | Florida | United States | 32825 |
37 | Investigational Site Number :8400114 | Palmetto Bay | Florida | United States | 33157 |
38 | Investigational Site Number :8400077 | Plant City | Florida | United States | 33563 |
39 | Investigational Site Number :8400013 | Saint Petersburg | Florida | United States | 33704 |
40 | Investigational Site Number :8400001 | Winter Park | Florida | United States | 32789 |
41 | Investigational Site Number :8400048 | Adairsville | Georgia | United States | 30103 |
42 | Investigational Site Number :8400099 | Atlanta | Georgia | United States | 30345 |
43 | Investigational Site Number :8400045 | Blue Ridge | Georgia | United States | 30513 |
44 | Investigational Site Number :8400058 | Columbus | Georgia | United States | 31902 |
45 | Investigational Site Number :8400064 | Conyers | Georgia | United States | 30094 |
46 | Investigational Site Number :8400052 | Lawrenceville | Georgia | United States | 30046 |
47 | Investigational Site Number :8400003 | Rincon | Georgia | United States | 31326 |
48 | Investigational Site Number :8400078 | Suwanee | Georgia | United States | 30024 |
49 | Investigational Site Number :8400119 | Evansville | Indiana | United States | 47715 |
50 | Investigational Site Number :8400118 | Crowley | Louisiana | United States | 70526 |
51 | Investigational Site Number :8400050 | Fall River | Massachusetts | United States | 02723 |
52 | Investigational Site Number :8400004 | South Dartmouth | Massachusetts | United States | 02747 |
53 | Investigational Site Number :8400053 | Detroit | Michigan | United States | 48202 |
54 | Investigational Site Number :8400120 | Lathrup Village | Michigan | United States | 48076 |
55 | Investigational Site Number :8400034 | Rochester | Michigan | United States | 48307 |
56 | Investigational Site Number :8400057 | Saginaw | Michigan | United States | 48638 |
57 | Investigational Site Number :8400096 | Southfield | Michigan | United States | 48055 |
58 | Investigational Site Number :8400017 | Chesterfield | Missouri | United States | 63017-3625 |
59 | Investigational Site Number :8400019 | Missoula | Montana | United States | 59808 |
60 | Investigational Site Number :8400016 | Lincoln | Nebraska | United States | 68510 |
61 | Investigational Site Number :8400073 | Omaha | Nebraska | United States | 68114 |
62 | Investigational Site Number :8400008 | Manasquan | New Jersey | United States | 08736-2609 |
63 | Investigational Site Number :8400054 | Mineola | New York | United States | 11501-3893 |
64 | Investigational Site Number :8400037 | New Windsor | New York | United States | 12553-7754 |
65 | Investigational Site Number :8400044 | Westfield | New York | United States | 14787 |
66 | Investigational Site Number :8400076 | Charlotte | North Carolina | United States | 28210 |
67 | Investigational Site Number :8400042 | Charlotte | North Carolina | United States | 28277 |
68 | Investigational Site Number :8400010 | Gastonia | North Carolina | United States | 28054 |
69 | Investigational Site Number :8400087 | Monroe | North Carolina | United States | 28112 |
70 | Investigational Site Number :8400006 | Mooresville | North Carolina | United States | 28117 |
71 | Investigational Site Number :8400117 | Mooresville | North Carolina | United States | 28117 |
72 | Investigational Site Number :8400025 | New Bern | North Carolina | United States | 28562 |
73 | Investigational Site Number :8400068 | Winston-Salem | North Carolina | United States | 27103 |
74 | Investigational Site Number :8400082 | Columbus | Ohio | United States | 43235 |
75 | Investigational Site Number :8400024 | Toledo | Ohio | United States | 43617 |
76 | Investigational Site Number :8400009 | DuBois | Pennsylvania | United States | 15801 |
77 | Investigational Site Number :8400046 | Erie | Pennsylvania | United States | 16508 |
78 | Investigational Site Number :8400049 | Scottdale | Pennsylvania | United States | 15683 |
79 | Investigational Site Number :8400026 | Clinton | South Carolina | United States | 29325 |
80 | Investigational Site Number :8400105 | Lancaster | South Carolina | United States | 29720 |
81 | Investigational Site Number :8400027 | Rapid City | South Dakota | United States | 57702 |
82 | Investigational Site Number :8400066 | Franklin | Tennessee | United States | 37067 |
83 | Investigational Site Number :8400110 | Johnson City | Tennessee | United States | 37601 |
84 | Investigational Site Number :8400108 | Amarillo | Texas | United States | 79106 |
85 | Investigational Site Number :8400059 | Carrollton | Texas | United States | 75007 |
86 | Investigational Site Number :8400011 | Cypress | Texas | United States | 77429 |
87 | Investigational Site Number :8400091 | Houston | Texas | United States | 77004 |
88 | Investigational Site Number :8400055 | Houston | Texas | United States | 77084 |
89 | Investigational Site Number :8400070 | Houston | Texas | United States | 77099 |
90 | Investigational Site Number :8400029 | Lampasas | Texas | United States | 76550-1820 |
91 | Investigational Site Number :8400028 | Longview | Texas | United States | 75605 |
92 | Investigational Site Number :8400069 | Plano | Texas | United States | 75024 |
93 | Investigational Site Number :8400038 | San Antonio | Texas | United States | 78229 |
94 | Investigational Site Number :8400080 | San Antonio | Texas | United States | 78258 |
95 | Investigational Site Number :8400115 | Sugar Land | Texas | United States | 77479 |
96 | Investigational Site Number :8400030 | Abingdon | Virginia | United States | 24210 |
97 | Investigational Site Number :8400056 | Norfolk | Virginia | United States | 23507 |
98 | Investigational Site Number :8400040 | Richmond | Virginia | United States | 23236 |
99 | Investigational Site Number :8400088 | Greenfield | Wisconsin | United States | 53228 |
100 | Investigational Site Number :0320007 | Berazategui | Buenos Aires | Argentina | CP 1884 |
101 | Investigational Site Number :0320006 | Caba | Buenos Aires | Argentina | C1122AAK |
102 | Investigational Site Number :0320004 | Caba | Buenos Aires | Argentina | C1414AIF |
103 | Investigational Site Number :0320001 | Caba | Buenos Aires | Argentina | C1425BEN |
104 | Investigational Site Number :0320003 | Caba | Buenos Aires | Argentina | C1425FVH |
105 | Investigational Site Number :0320010 | La Plata | Buenos Aires | Argentina | B1900BNN |
106 | Investigational Site Number :0320005 | Quilmes | Ciudad De Buenos Aires | Argentina | B1878FNR |
107 | Investigational Site Number :0320011 | Cordoba | Córdoba | Argentina | X5003DCE |
108 | Investigational Site Number :0320008 | Rosario | Santa Fe | Argentina | S2000DEJ |
109 | Investigational Site Number :0320009 | Rosario | Santa Fe | Argentina | S2002OJP |
110 | Investigational Site Number :0320002 | Buenos Aires | Argentina | C1121ABE | |
111 | Investigational Site Number :0320012 | Launs Este | Argentina | B1824KAJ | |
112 | Investigational Site Number :0360003 | Westmead | New South Wales | Australia | 2145 |
113 | Investigational Site Number :0360006 | Box Hill | Victoria | Australia | 3128 |
114 | Investigational Site Number :0360005 | Clayton | Victoria | Australia | 3168 |
115 | Investigational Site Number :0360001 | Murdoch | Western Australia | Australia | 6150 |
116 | Investigational Site Number :0560002 | Edegem | Belgium | 2650 | |
117 | Investigational Site Number :0560001 | Leuven | Belgium | 3000 | |
118 | Investigational Site Number :0560003 | Liege | Belgium | 4000 | |
119 | Investigational Site Number :0560004 | Mechelen | Belgium | 2800 | |
120 | Investigational Site Number :0760008 | Passo Fundo | Rio Grande Do Sul | Brazil | 99010-120 |
121 | Investigational Site Number :0760001 | Porto Alegre | Rio Grande Do Sul | Brazil | 90160-090 |
122 | Investigational Site Number :0760006 | Blumenau | Santa Catarina | Brazil | 89030-100 |
123 | Investigational Site Number :0760016 | Botucatu | São Paulo | Brazil | 18618-970 |
124 | Investigational Site Number :0760015 | Campinas | São Paulo | Brazil | 13059900 |
125 | Investigational Site Number :0760007 | Santo Andre | São Paulo | Brazil | 09060-870 |
126 | Investigational Site Number :0760012 | Sao Paulo | São Paulo | Brazil | 01229-010 |
127 | Investigational Site Number :0760002 | Sao Paulo | São Paulo | Brazil | 05403-900 |
128 | Investigational Site Number :0760009 | Sorocaba | São Paulo | Brazil | 18040-425 |
129 | Investigational Site Number :0760003 | São Paulo | Brazil | 01.228-000 | |
130 | Investigational Site Number :1005021 | Dupnitsa | Bulgaria | 2600 | |
131 | Investigational Site Number :1005012 | Haskovo | Bulgaria | 6305 | |
132 | Investigational Site Number :1005011 | Montana | Bulgaria | 3400 | |
133 | Investigational Site Number :1005008 | Plovdiv | Bulgaria | 4002 | |
134 | Investigational Site Number :1005015 | Ruse | Bulgaria | 70000 | |
135 | Investigational Site Number :1005013 | Ruse | Bulgaria | 7002 | |
136 | Investigational Site Number :1005018 | Sofia | Bulgaria | 1000 | |
137 | Investigational Site Number :1005003 | Sofia | Bulgaria | 1142 | |
138 | Investigational Site Number :1005001 | Sofia | Bulgaria | 1233 | |
139 | Investigational Site Number :1005006 | Sofia | Bulgaria | 1233 | |
140 | Investigational Site Number :1005002 | Sofia | Bulgaria | 1407 | |
141 | Investigational Site Number :1005009 | Sofia | Bulgaria | 1680 | |
142 | Investigational Site Number :1005024 | Stara Zagora | Bulgaria | 6000 | |
143 | Investigational Site Number :1005004 | Stara Zagora | Bulgaria | 6001 | |
144 | Investigational Site Number :1005023 | Veliko Tyrnovo | Bulgaria | 5000 | |
145 | Investigational Site Number :1005019 | Vidin | Bulgaria | 3700 | |
146 | Investigational Site Number :1005020 | Vratsa | Bulgaria | 3000 | |
147 | Investigational Site Number :1240014 | Moncton | New Brunswick | Canada | E1G 5C4 |
148 | Investigational Site Number :1240010 | Ajax | Ontario | Canada | L1S 2J5 |
149 | Investigational Site Number :1240008 | London | Ontario | Canada | N5W 6A2 |
150 | Investigational Site Number :1240009 | Sarnia | Ontario | Canada | N7T 4X3 |
151 | Investigational Site Number :1240007 | Windsor | Ontario | Canada | N8X 1T3 |
152 | Investigational Site Number :1240004 | Montreal | Quebec | Canada | H3T 1E2 |
153 | Investigational Site Number :1240012 | Québec | Quebec | Canada | G1V 4W2 |
154 | Investigational Site Number :1240001 | Quebec | Canada | G1G 3Y8 | |
155 | Investigational Site Number :1240005 | Quebec | Canada | G2J 0C4 | |
156 | Investigational Site Number :1520009 | Valdivia | Los Ríos | Chile | 5110683 |
157 | Investigational Site Number :1520006 | Curicó | Maule | Chile | 3341643 |
158 | Investigational Site Number :1520001 | Talca | Maule | Chile | |
159 | Investigational Site Number :1520007 | Santiago | Reg Metropolitana De Santiago | Chile | 7500571 |
160 | Investigational Site Number :1520003 | Santiago | Reg Metropolitana De Santiago | Chile | 7500692 |
161 | Investigational Site Number :1520002 | Santiago | Reg Metropolitana De Santiago | Chile | 8910131 |
162 | Investigational Site Number :1520004 | Quillota | Valparaíso | Chile | 2260877 |
163 | Investigational Site Number :1700002 | Bogota | Colombia | 11001000 | |
164 | Investigational Site Number :1700005 | Manizales | Colombia | 170004 | |
165 | Investigational Site Number :2030004 | Jihlava | Czechia | 58633 | |
166 | Investigational Site Number :2030001 | Jindrichuv Hradec III | Czechia | 37701 | |
167 | Investigational Site Number :2030007 | Kralupy nad Vltavou | Czechia | 278 01 | |
168 | Investigational Site Number :2030003 | Miroslav | Czechia | 67172 | |
169 | Investigational Site Number :2030002 | Strakonice | Czechia | 38601 | |
170 | Investigational Site Number :2500009 | Bayonne | France | 64100 | |
171 | Investigational Site Number :2500010 | Besancon | France | 25030 | |
172 | Investigational Site Number :2500002 | Dijon | France | 21079 | |
173 | Investigational Site Number :2500005 | Lyon | France | 69004 | |
174 | Investigational Site Number :2500013 | Marseille | France | 13003 | |
175 | Investigational Site Number :2500004 | Marseille | France | 13015 | |
176 | Investigational Site Number :2500003 | Montpellier | France | 34295 | |
177 | Investigational Site Number :2500001 | Nantes | France | 44093 | |
178 | Investigational Site Number :2500007 | Paris | France | 75014 | |
179 | Investigational Site Number :2500008 | Paris | France | 75015 | |
180 | Investigational Site Number :2500006 | Pessac | France | 33600 | |
181 | Investigational Site Number :2760015 | Berlin | Germany | 10117 | |
182 | Investigational Site Number :2760017 | Darmstadt | Germany | 64283 | |
183 | Investigational Site Number :2760009 | Frankfurt am Main | Germany | 60596 | |
184 | Investigational Site Number :2760002 | Hamburg | Germany | 20354 | |
185 | Investigational Site Number :2760003 | Hannover | Germany | 30173 | |
186 | Investigational Site Number :2760007 | Koblenz | Germany | 56068 | |
187 | Investigational Site Number :2760011 | Leipzig | Germany | 04347 | |
188 | Investigational Site Number :2760010 | Lübeck | Germany | 23552 | |
189 | Investigational Site Number :2760012 | Mainz | Germany | 55128 | |
190 | Investigational Site Number :2760008 | Marburg | Germany | 35043 | |
191 | Investigational Site Number :2760020 | Peine | Germany | 31224 | |
192 | Investigational Site Number :2760016 | Rosenheim | Germany | 83022 | |
193 | Investigational Site Number :2760013 | Schwerin | Germany | 19055 | |
194 | Investigational Site Number :2760018 | Wiesbaden | Germany | 65183 | |
195 | Investigational Site Number :3000001 | Athens | Greece | 11527 | |
196 | Investigational Site Number :3000005 | Athens | Greece | 12462 | |
197 | Investigational Site Number :3000006 | Athens | Greece | ||
198 | Investigational Site Number :3000003 | Heraklion | Greece | 71110 | |
199 | Investigational Site Number :3000002 | Ioannina | Greece | 455 00 | |
200 | Investigational Site Number :3000007 | Palaio Faliro, Athens | Greece | 17562 | |
201 | Investigational Site Number :3000004 | Thessaloniki | Greece | 57010 | |
202 | Investigational Site Number :3480003 | Edelény | Hungary | 3780 | |
203 | Investigational Site Number :3480004 | Gödöllö | Hungary | 2100 | |
204 | Investigational Site Number :3480002 | Hajdunánás | Hungary | 4080 | |
205 | Investigational Site Number :3480005 | Szombathely | Hungary | 9700 | |
206 | Investigational Site Number :3480001 | Százhalombatta | Hungary | 2440 | |
207 | Investigational Site Number :4280008 | Balvi | Latvia | LV-4501 | |
208 | Investigational Site Number :4280007 | Rezekne | Latvia | LV - 4601 | |
209 | Investigational Site Number :4280001 | Riga | Latvia | LV -1010 | |
210 | Investigational Site Number :4280005 | Riga | Latvia | LV -1010 | |
211 | Investigational Site Number :4280006 | Riga | Latvia | LV -1021 | |
212 | Investigational Site Number :4280002 | Riga | Latvia | LV-1002 | |
213 | Investigational Site Number :4280003 | Riga | Latvia | LV-1038 | |
214 | Investigational Site Number :4400001 | Kaunas | Lithuania | 44320 | |
215 | Investigational Site Number :4400003 | Kaunas | Lithuania | 49449 | |
216 | Investigational Site Number :4400008 | Kaunas | Lithuania | 50161 | |
217 | Investigational Site Number :4400007 | Klaipeda | Lithuania | 92231 | |
218 | Investigational Site Number :4400004 | Vilnius | Lithuania | 01117 | |
219 | Investigational Site Number :4400005 | Vilnius | Lithuania | 04130 | |
220 | Investigational Site Number :4840008 | Benito Juarez | Ciudad De Mexico | Mexico | 03100 |
221 | Investigational Site Number :4840002 | Guadalajara | Jalisco | Mexico | 44100 |
222 | Investigational Site Number :4840011 | Zapopan | Jalisco | Mexico | 45070 |
223 | Investigational Site Number :4840004 | Monterrey | Nuevo León | Mexico | 64710 |
224 | Investigational Site Number :4840010 | Chihuahua | Mexico | 31000 | |
225 | Investigational Site Number :4840007 | Mexico City | Mexico | 14050 | |
226 | Investigational Site Number :4840009 | Mexico | Mexico | 67000 | |
227 | Investigational Site Number :4840005 | Veracruz | Mexico | 91910 | |
228 | Investigational Site Number :5280005 | Arnhem | Netherlands | 6815 AD | |
229 | Investigational Site Number :5280001 | Breda | Netherlands | 4818 CK | |
230 | Investigational Site Number :5280010 | Dordrecht | Netherlands | 3318 AT | |
231 | Investigational Site Number :5280009 | Harderwijk | Netherlands | 3844 DG | |
232 | Investigational Site Number :5280007 | Heerlen | Netherlands | 6419 PC | |
233 | Investigational Site Number :5280002 | Leeuwarden | Netherlands | 8934 AD | |
234 | Investigational Site Number :5280006 | Nijmegen | Netherlands | 6532 SZ | |
235 | Investigational Site Number :5280011 | Roermond | Netherlands | 6043 CV | |
236 | Investigational Site Number :5280008 | Zutphen | Netherlands | 7207 AE | |
237 | Investigational Site Number :5280004 | Zwolle | Netherlands | 8025 AB | |
238 | Investigational Site Number :6040003 | Chancay | Peru | ||
239 | Investigational Site Number :6040002 | Lima Lima | Peru | Lima 01 | |
240 | Investigational Site Number :6040006 | Lima | Peru | 021 | |
241 | Investigational Site Number :6040004 | Lima | Peru | 15004 | |
242 | Investigational Site Number :6040001 | Lima | Peru | LIMA 31 | |
243 | Investigational Site Number :6040005 | Piura | Peru | 20000 | |
244 | Investigational Site Number :6160009 | Grudziadz | Kujawsko-pomorskie | Poland | 86-300 |
245 | Investigational Site Number :6160007 | Krakow | Malopolskie | Poland | 31-559 |
246 | Investigational Site Number :6160015 | Grodzisk Mazowiecki | Mazowieckie | Poland | 05-825 |
247 | Investigational Site Number :6160010 | Rzeszow | Podkarpackie | Poland | 35-205 |
248 | Investigational Site Number :6160008 | Bialystok | Podlaskie | Poland | 15-044 |
249 | Investigational Site Number :6160018 | Katowice | Slaskie | Poland | 40-611 |
250 | Investigational Site Number :6160011 | Katowice | Slaskie | Poland | 40-648 |
251 | Investigational Site Number :6160014 | Elblag | Warminsko-mazurskie | Poland | 82-300 |
252 | Investigational Site Number :6160019 | Krakow | Poland | 30-033 | |
253 | Investigational Site Number :6200007 | Almada | Portugal | 2801-951 | |
254 | Investigational Site Number :6200006 | Aveiro | Portugal | 3810-501 | |
255 | Investigational Site Number :6200008 | Coimbra | Portugal | 3000-075 | |
256 | Investigational Site Number :6200011 | Covilhã | Portugal | 6200-251 | |
257 | Investigational Site Number :6200002 | Guimarães | Portugal | 4810-061 | |
258 | Investigational Site Number :6200005 | Leiria | Portugal | 2410-197 | |
259 | Investigational Site Number :6200009 | Lisboa | Portugal | 1769 | |
260 | Investigational Site Number :6200012 | Matosinhos | Portugal | 4464-513 | |
261 | Investigational Site Number :6200003 | Porto | Portugal | 4099-001 | |
262 | Investigational Site Number :6200004 | Porto | Portugal | 4200-319 | |
263 | Investigational Site Number :6425004 | Bacau | Romania | 600252 | |
264 | Investigational Site Number :6425003 | Cluj-Napoca | Romania | 400275 | |
265 | Investigational Site Number :6425005 | Constanta | Romania | 900002 | |
266 | Investigational Site Number :6425002 | Iasi | Romania | 700732 | |
267 | Investigational Site Number :6425006 | Pitesti | Romania | 110117 | |
268 | Investigational Site Number :6425001 | Timisoara | Romania | 300134 | |
269 | Investigational Site Number :6430011 | Chelyabinsk | Russian Federation | 454091 | |
270 | Investigational Site Number :6430001 | Moscow | Russian Federation | 115093 | |
271 | Investigational Site Number :6430003 | Moscow | Russian Federation | 115280 | |
272 | Investigational Site Number :6430002 | Moscow | Russian Federation | 125284 | |
273 | Investigational Site Number :6430009 | Nizhny Novgorod | Russian Federation | 603126 | |
274 | Investigational Site Number :6430010 | Ryazan | Russian Federation | ||
275 | Investigational Site Number :6430013 | Saint Petersburg | Russian Federation | 198328 | |
276 | Investigational Site Number :6430014 | Saint Petersburg | Russian Federation | 928260 | |
277 | Investigational Site Number :6430004 | St-Petersburg | Russian Federation | 194354 | |
278 | Investigational Site Number :6430012 | Stavropol | Russian Federation | 355020 | |
279 | Investigational Site Number :6430006 | Tomsk | Russian Federation | 634034 | |
280 | Investigational Site Number :6430008 | Ulyanovsk | Russian Federation | 432017 | |
281 | Investigational Site Number :6430005 | Voronezh | Russian Federation | 394066 | |
282 | Investigational Site Number :6880005 | Belgrade | Serbia | 11000 | |
283 | Investigational Site Number :6880006 | Belgrade | Serbia | 11000 | |
284 | Investigational Site Number :6880007 | Belgrade | Serbia | 11000 | |
285 | Investigational Site Number :6880003 | Kragujevac | Serbia | 34000 | |
286 | Investigational Site Number :6880001 | Sremska Kamenica | Serbia | 21204 | |
287 | Investigational Site Number :6880002 | Valjevo | Serbia | 14000 | |
288 | Investigational Site Number :7030007 | Banska Bystrica | Slovakia | 97517 | |
289 | Investigational Site Number :7030006 | Humenne | Slovakia | 066 01 | |
290 | Investigational Site Number :7030005 | Kosice | Slovakia | 040 01 | |
291 | Investigational Site Number :7030003 | Levice | Slovakia | 93401 | |
292 | Investigational Site Number :7030001 | Poprad | Slovakia | 058 01 | |
293 | Investigational Site Number :7030002 | Spisska Nova Ves | Slovakia | 05201 | |
294 | Investigational Site Number :7100004 | Cape Town | South Africa | 7500 | |
295 | Investigational Site Number :7100014 | Chatsworth | South Africa | 4091 | |
296 | Investigational Site Number :7100001 | Durban | South Africa | 4001 | |
297 | Investigational Site Number :7100013 | Durban | South Africa | 4001 | |
298 | Investigational Site Number :7100003 | Durban | South Africa | 4071 | |
299 | Investigational Site Number :7100002 | Gatesville | South Africa | 7764 | |
300 | Investigational Site Number :7100009 | Johannesburg | South Africa | 0157 | |
301 | Investigational Site Number :7100012 | Middelburg | South Africa | 1050 | |
302 | Investigational Site Number :7100006 | Parow | South Africa | 7500 | |
303 | Investigational Site Number :7100005 | Pretoria | South Africa | 0157 | |
304 | Investigational Site Number :7100008 | Somerset West | South Africa | 7130 | |
305 | Investigational Site Number :7100011 | Vereeniging | South Africa | 1935 | |
306 | Investigational Site Number :7240007 | Oviedo | Asturias | Spain | 33011 |
307 | Investigational Site Number :7240009 | Badalona | Barcelona [Barcelona] | Spain | 08916 |
308 | Investigational Site Number :7240001 | Barcelona | Barcelona [Barcelona] | Spain | 08003 |
309 | Investigational Site Number :7240002 | Barcelona | Barcelona [Barcelona] | Spain | 08023 |
310 | Investigational Site Number :7240006 | Madrid | Madrid, Comunidad De | Spain | 28040 |
311 | Investigational Site Number :7240003 | Madrid | Madrid, Comunidad De | Spain | 28046 |
312 | Investigational Site Number :7240008 | Valencia | Valenciana, Comunidad | Spain | 46017 |
313 | Investigational Site Number :7240010 | Málaga | Spain | 29010 | |
314 | Investigational Site Number :7240011 | Zaragoza | Spain | 50009 | |
315 | Investigational Site Number :8040011 | Chernivtsi | Ukraine | 58001 | |
316 | Investigational Site Number :8040002 | Ivano-Frankivsk | Ukraine | 76018 | |
317 | Investigational Site Number :8040003 | Ivano-Frankivsk | Ukraine | 76018 | |
318 | Investigational Site Number :8040001 | Kharkiv | Ukraine | 61124 | |
319 | Investigational Site Number :8040007 | Kyiv | Ukraine | 01033 | |
320 | Investigational Site Number :8040004 | Kyiv | Ukraine | 03049 | |
321 | Investigational Site Number :8040006 | Lviv | Ukraine | 79011 | |
322 | Investigational Site Number :8040010 | Ternopil | Ukraine | 46000 | |
323 | Investigational Site Number :8040008 | Zaporizhzhia | Ukraine | 69076 | |
324 | Investigational Site Number :8040009 | Zaporizhzhya | Ukraine | 69600 | |
325 | Investigational Site Number :8260003 | Cambridge | Cambridgeshire | United Kingdom | CB2 2QQ |
326 | Investigational Site Number :8260002 | Blackpool | Lancashire | United Kingdom | FY3 7DQ |
327 | Investigational Site Number :8260006 | Swansea | Neath Port Talbot | United Kingdom | SA2 8QA |
328 | Investigational Site Number :8260007 | North Shields | Newcastle Upon Tyne | United Kingdom | NE29 8NH |
329 | Investigational Site Number :8260004 | South Shields | Newcastle Upon Tyne | United Kingdom | NE34 0PL |
330 | Investigational Site Number :8260013 | Nottingham | Nottinghamshire | United Kingdom | NG5 1PB |
331 | Investigational Site Number :8260012 | Aylesbury | United Kingdom | HP218AL | |
332 | Investigational Site Number :8260001 | Bradford | United Kingdom | BD9 6RJ | |
333 | Investigational Site Number :8260005 | Bristol | United Kingdom | BS10 5NB | |
334 | Investigational Site Number :8260011 | Chippenham | United Kingdom | SN15 2SB | |
335 | Investigational Site Number :8260015 | Derby | United Kingdom | DE223NE |
Sponsors and Collaborators
- Sanofi
- Regeneron Pharmaceuticals
Investigators
- Study Director: Clinical Sciences & Operations, Sanofi
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- EFC15805
- 2018-001954-91
- U1111-1211-8837