Overview
Sponsor-declared trial summary
Severe infections
The main objective of the MODIFY trial is to decrease the number of days patients are treated with empirical broad-spectrum antibiotics.
Key facts
- Sponsor
- Hellenic Institute For The Study Of Sepsis
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Bacterial Infections and Mycoses [C01]
- Trial duration
- 14 Sep 2023 → ongoing
- Decision date (initial)
- 2023-04-27
- Transition trial
- No
- Low-intervention
- Yes
- Rare-disease indication
- No
- Vulnerable population
- Yes
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Pharmacoeconomic, Efficacy, Therapy
The main objective of the MODIFY trial is to decrease the number of days patients are treated with empirical broad-spectrum antibiotics.
Secondary objectives 1
- Secondary objectives refer to the impact of the MODIFY strategy on clinical outcomes as this is expressed by time to optimal therapy, the change of the SOFA (sequential organ failure assessment) score and mortality.
Conditions and MedDRA coding
Severe infections
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10040047 | Sepsis | 100000004862 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 8
- Male or female
- For women of child-bearing potential, willingness to avoid pregnancy during the study and agreement to notify investigator if pregnancy occurs.
- Age more than or equal to 18 years
- Sepsis defined by the Sepsis-3 definition; this is defined separately for community-acquired sepsis and for hospital-acquired sepsis. Community-acquired sepsis is defined as any SOFA score 2 points or more for patients admitted in hospital emergencies with community-acquired pneumonia (CAP), community-acquired acute pyelonephritis (AP) or community-acquired primary bacteremia (BSI). CAP, AP and BSI are considered community-acquired for patients who have no history of hospitalization lasting more than 2 days the last 90 days or who are not under hemodialysis or who are not residents of long-term care facilities. Hospital-acquired sepsis is defined as any SOFA score increase by 2 points or more from the admission SOFA score for patients with onset of hospital-acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), acute pyelonephritis (AP) or primary bacteremia (BSI) at least 48 hours after hospital admission. For patients with history of hospitalization lasting more than 2 days the last 90 days or who are under hemodialysis or who are residents of long-term care facilities and are admitted to hospital with HAP, VAP, AP and BSI the definition of hospital-acquired sepsis applies. In this case, the baseline SOFA score is considered as the known SOFA score before infection onset.
- Presence of one of the following infections: community-acquired pneumonia (CAP), hospital-acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), acute pyelonephritis (AP) and primary bacteremia (BSI).
- Positive blood culture
- Written informed consent provided by the patient or by their legal representative in case of patients unable to consent due to sepsis onset affecting their mental capacity.
- Patients who have completed their participation in another study for more than 30 days can be included in this study.
Exclusion criteria 8
- Failure to obtain written consent to participate
- Previous enrollment in this study within the past 90 days. Patients enrolled in another study will not be accepted.
- Patients in pregnancy or breastfeeding. Women of child-bearing potential will be screened by a urine pregnancy test before inclusion in the study
- Patients receiving prolonged antibiotic therapies (e.g. endocarditis, implantable device-associated infection, cerebral/hepatic abscess, osteomyelitis, meningitis)
- Patients with severe infections due to viruses or parasites (e.g. Dengue, Toxoplasma gondii, Plasmodium spp.)
- Patients with infection due to Mycobacterium tuberculosis
- Patients suffering from cystic fibrosis
- Severely immunocompromised patients such as a) patients with infection by the human immunodeficiency virus and with a CD4 count of less than 200 cells/mm3; b) neutropenic patients with less than 500 neutrophils/mm3; and c) patients with solid organ transplantation.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- The number of days under treatment with broad-spectrum antibiotics in the group receiving the MODIFY strategy compared to patients treated by standard of care.
Secondary endpoints 11
- Time to first change of antibiotics
- Time to the first sterile blood culture
- Maintenance of the same antimicrobial(s) in case of activity against the pathogen
- At least 2-point decrease of baseline SOFA score by day 7
- 28-day mortality
- 90-day mortality
- Incidence of laboratory documented Clostrioides difficile infection
- Length of hospital stay
- Cost of hospitalization
- Time to escalation of antibiotics
- Time to de-escalation of antibiotics
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 17
SUB185581 · Substance
- Active substance
- Vaborbactam
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 6 g gram(s)
- Max total dose
- 60 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07422MIG · Substance
- Active substance
- Ceftazidime
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 6 g gram(s)
- Max total dose
- 60 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB72111 · Substance
- Active substance
- Avibactam
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 1.5 g gram(s)
- Max total dose
- 15 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB09867MIG · Substance
- Active substance
- Piperacillin
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 16 g gram(s)
- Max total dose
- 160 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07433MIG · Substance
- Active substance
- Cefuroxime
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 4.5 g gram(s)
- Max total dose
- 45 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08151MIG · Substance
- Active substance
- Imipenem
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 4 g gram(s)
- Max total dose
- 40 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB22240 · Substance
- Active substance
- Anidulafungin
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 200 mg milligram(s)
- Max total dose
- 1.1 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08520MIG · Substance
- Active substance
- Linezolid
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 1.2 g gram(s)
- Max total dose
- 12 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06801MIG · Substance
- Active substance
- Colistimethate Sodium
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- IV INJECTION, IV INFUSION
- Max daily dose
- 9000000 IU international unit(s)
- Max total dose
- 90000000 IU international unit(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB184909 · Substance
- Active substance
- Relebactam
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 1 g gram(s)
- Max total dose
- 10 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB04714MIG · Substance
- Active substance
- Teicoplanin
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- IV INJECTION, IV INFUSION
- Max daily dose
- 12 mg/kg milligram(s)/kilogram
- Max total dose
- 66 mg/kg milligram(s)/kilogram
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB167762 · Substance
- Active substance
- Ceftolozane
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 3 g gram(s)
- Max total dose
- 30 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB10849MIG · Substance
- Active substance
- Tazobactam
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 2 g gram(s)
- Max total dose
- 20 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB16444MIG · Substance
- Active substance
- Micafungin
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 150 mg milligram(s)
- Max total dose
- 1.5 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07431MIG · Substance
- Active substance
- Ceftriaxone
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS INJECTION
- Max daily dose
- 2 g gram(s)
- Max total dose
- 20 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB05076MIG · Substance
- Active substance
- Vancomycin
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 2 g gram(s)
- Max total dose
- 20 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08778MIG · Substance
- Active substance
- Meropenem
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- IV INJECTION, IV INFUSION
- Max daily dose
- 6 g gram(s)
- Max total dose
- 60 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Comparator 17
SUB07431MIG · Substance
- Active substance
- Ceftriaxone
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS INJECTION
- Max daily dose
- 2 g gram(s)
- Max total dose
- 20 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB185581 · Substance
- Active substance
- Vaborbactam
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 6 g gram(s)
- Max total dose
- 60 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB167762 · Substance
- Active substance
- Ceftolozane
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 3 g gram(s)
- Max total dose
- 30 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB05076MIG · Substance
- Active substance
- Vancomycin
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 2 g gram(s)
- Max total dose
- 20 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB09867MIG · Substance
- Active substance
- Piperacillin
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 16 g gram(s)
- Max total dose
- 160 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB72111 · Substance
- Active substance
- Avibactam
- Pharmaceutical form
- POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 1.5 g gram(s)
- Max total dose
- 15 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08520MIG · Substance
- Active substance
- Linezolid
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 1.2 g gram(s)
- Max total dose
- 12 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08151MIG · Substance
- Active substance
- Imipenem
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 4 g gram(s)
- Max total dose
- 40 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB04714MIG · Substance
- Active substance
- Teicoplanin
- Pharmaceutical form
- POWDER AND SOLVENT FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 12 mg/kg milligram(s)/kilogram
- Max total dose
- 66 mg/kg milligram(s)/kilogram
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06801MIG · Substance
- Active substance
- Colistimethate Sodium
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- IV INJECTION, IV INFUSION
- Max daily dose
- 9000000 IU international unit(s)
- Max total dose
- 90000000 IU international unit(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08778MIG · Substance
- Active substance
- Meropenem
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- IV INJECTION, IV INFUSION
- Max daily dose
- 6 g gram(s)
- Max total dose
- 60 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07422MIG · Substance
- Active substance
- Ceftazidime
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 6 g gram(s)
- Max total dose
- 60 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB10849MIG · Substance
- Active substance
- Tazobactam
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 2 g gram(s)
- Max total dose
- 20 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB16444MIG · Substance
- Active substance
- Micafungin
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 150 mg milligram(s)
- Max total dose
- 1.5 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB184909 · Substance
- Active substance
- Relebactam
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 1 g gram(s)
- Max total dose
- 10 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB22240 · Substance
- Active substance
- Anidulafungin
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 200 mg milligram(s)
- Max total dose
- 1.1 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07433MIG · Substance
- Active substance
- Cefuroxime
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- IV INJECTION, IV INFUSION
- Max daily dose
- 4.5 g gram(s)
- Max total dose
- 45 g gram(s)
- Max treatment duration
- 10 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Hellenic Institute For The Study Of Sepsis
- Sponsor organisation
- Hellenic Institute For The Study Of Sepsis
- Address
- Michalakopoulou 88
- City
- Athens
- Postcode
- 115 28
- Country
- Greece
Scientific contact point
- Organisation
- Hellenic Institute For The Study Of Sepsis
- Contact name
- President of the board
Public contact point
- Organisation
- Hellenic Institute For The Study Of Sepsis
- Contact name
- President of the board
Third parties 1
| Organisation | City, country | Duties |
|---|---|---|
| Sustchem Techniki Symvouleftiki S.A. ORG-100046975
|
Athens, Greece | Other, Code 8 |
Locations
1 EU/EEA country · 15 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Greece | Ongoing, recruitment ended | 190 | 15 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Greece | 2023-09-14 | 2023-09-15 | 2026-01-15 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 35 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1 Protocol 2022-502962-26-00 CLEAN EL | 7 |
| Protocol (for publication) | D1 Protocol 2022-502962-26-00 CLEAN EN | 7 |
| Protocol (for publication) | D1_Protocol 2022-502962-26-00 CLEAN EL V 7 | 7 |
| Protocol (for publication) | D1_Protocol 2022-502962-26-00 CLEAN EN V 7 | 7 |
| Protocol (for publication) | D1_Protocol 2022-502962-26-00 TRACK CHANGES EL V 7 | 7 |
| Protocol (for publication) | D1_Protocol 2022-502962-26-00 TRACK CHANGES EN V 7 | 7 |
| Recruitment arrangements (for publication) | RECRUITMENT AND INFORMED CONSENT PROCEDURE REDACTED | 1 |
| Subject information and informed consent form (for publication) | MODIFY_ICF REDACTED | 2 |
| Summary of Product Characteristics (SmPC) (for publication) | Ecalta | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Ecalta | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Primaxin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Primaxin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Recarbrio | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Recarbrio | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Rocephin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Rocephin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Tazocin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Tazocin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Vaborem | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Vaborem | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Vondem | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Vondem | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Zavicefta | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Zavicefta | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Zavicefta SmPC | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Zerbaxa | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Zerbaxa | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Zyvoxid | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | Zyvoxid | 1 |
| Synopsis of the protocol (for publication) | D1 Protocol Synopsis 2022-502962-26-00 CLEAN EL | 7 |
| Synopsis of the protocol (for publication) | D1 Protocol Synopsis 2022-502962-26-00 CLEAN EN | 7 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis 2022-502962-26-00 CLEAN EL V 7 | 7 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis 2022-502962-26-00 CLEAN EN V 7 | 7 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis 2022-502962-26-00 TRACK CHANGES EL V 7 | 7 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis 2022-502962-26-00 TRACK CHANGES EN V 7 | 7 |
Application history
5 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-02-10 | Greece | Acceptable 2023-04-27
|
2023-04-27 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2023-09-12 | Greece | Acceptable | 2023-12-04 |
| 3 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-03-29 | Greece | Acceptable 2024-06-04
|
2024-06-21 |
| 4 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-02-26 | Greece | Acceptable 2025-05-05
|
2025-05-05 |
| 5 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-11-03 | Greece | Acceptable 2025-05-05
|
2025-11-03 |