Overview
Sponsor-declared trial summary
Atherosclerotic cardiovascular disease, chronic kidney disease and systemic inflammation
To demonstrate the superiority of ziltivekimab CCI s.c. once-monthly in reducing the risk of MACE (as defined by the primary endpoint) compared to placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation.
Key facts
- Sponsor
- Novo Nordisk A/S
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Cardiovascular Diseases [C14]
- Trial duration
- 24 Sep 2021 → ongoing
- Decision date (initial)
- 2024-05-06
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Novo Nordisk A/S
External identifiers
- EU CT number
- 2023-506926-35-00
- EudraCT number
- 2020-004853-59
- WHO UTN
- U1111-1259-3422
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Efficacy
To demonstrate the superiority of ziltivekimab CCI s.c. once-monthly in reducing the risk of MACE (as defined by the primary endpoint) compared to placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation.
Secondary objectives 8
- To demonstrate the superiority of ziltivekimab CCI s.c. once-monthly compared to placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation, with regards to reducing the risk of expanded MACE (as defined by the confirmatory secondary endpoint)
- To demonstrate the superiority of ziltivekimab CCI s.c. once-monthly compared to placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation, with regards to reducing the risk of heart failure (as defined by the confirmatory secondary endpoint)
- To demonstrate the superiority of ziltivekimab CCI s.c. once-monthly compared to placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation, with regards to reducing all-cause mortality
- To demonstrate the superiority of ziltivekimab CCI s.c. once-monthly compared to placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation, with regards to delaying the progression of CKD (as defined by the confirmatory secondary endpoint)
- To compare the effects of ziltivekimab CCI s.c. once-monthly versus placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation, with regards to reducing systemic inflammation (defined by the secondary and exploratory endpoints)
- To compare the effects of ziltivekimab CCI s.c. once-monthly versus placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation, with regards to improving patient reported outcomes (PRO)
- To compare the effects of ziltivekimab CCI s.c. once-monthly versus placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation, with regards to not increasing severe infections (as defined by secondary safety endpoints)
- To compare the effects of ziltivekimab CCI s.c. once-monthly versus placebo, both added to standard of care, in participants with established ASCVD, CKD and systemic inflammation, with regards to improving markers of anaemia (as defined by the supportive secondary endpoint)
Conditions and MedDRA coding
Atherosclerotic cardiovascular disease, chronic kidney disease and systemic inflammation
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency, Food And Drug Administration
- EMA paediatric investigation plan (PIP)
- EMEA-002840-PIP01-20
- Plan to share IPD
- No
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 3
- Chronic kidney disease defined by one of the below: eGFR ≥15 and < 60 mL/min/1.73 m2 (using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation), OR UACR ≥200 mg/g and eGFR ≥60 mL/min/1.73 m2 (using the CKD-EPI creatinine equation).
- Serum hs-CRP ≥2 mg/L
- Evidence of ASCVD by one or more of the following: Coronary heart disease defined as at least one of the following: Documented history of MI, prior coronary revascularisation procedure, or ≥50% stenosis in major epicardial coronary artery documented by cardiac catheterisation or CT coronary angiography. Cerebrovascular disease defined as at least one of the following: Prior stroke of atherosclerotic origin, prior carotid artery revascularisation procedure, or ≥50% stenosis in carotid artery documented by X-ray angiography, MR angiography, CT angiography or Doppler ultrasound. Symptomatic peripheral artery disease (PAD) defined as at least one of the following: Intermittent claudication with an ankle-brachial index (ABI) ≤ 0.90 at rest, intermittent claudication with a ≥50% stenosis in peripheral artery (excluding carotid) documented by X-ray angiography, MR angiography, CT angiography or Doppler ultrasound, prior peripheral artery (excluding carotid) revascularisation procedure, or lower extremity amputation at or above ankle due to atherosclerotic disease (excluding e.g., trauma or osteomyelitis).
Exclusion criteria 4
- Clinical evidence of, or suspicion of, active infection at the discretion of the investigator.
- Myocardial infarction, stroke, hospitalisation for unstable angina pectoris, or transient ischaemic attack within 60 days prior to randomisation (visit 2).
- Planned coronary, carotid or peripheral artery revascularisation known on the day of randomisation (visit 2).
- Major cardiac surgical, non-cardiac surgical, or major endoscopic procedure (thoracoscopic or laparoscopic) within the past 60 days prior to randomisation (visit 2) or any major surgical procedure planned at the time of randomisation (visit 2).
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Time to first occurrence of 3-point MACE, a composite endpoint consisting of CV death, non-fatal MI, and non-fatal stroke. Measured from randomisation to end-of-study.
Secondary endpoints 20
- Time to first occurrence of expanded MACE, a composite endpoint consisting of CV death, non-fatal MI, non-fatal stroke, and hospitalisation for unstable angina pectoris requiring urgent coronary revascularisation. Measured from randomisation to end-of-study.
- Number of heart failure hospitalisations or urgent heart failure visits or CV deaths from randomisation to end-of-study.
- Time to first occurrence of a composite kidney endpoint consisting of CV death, onset of persistent ≥ 40% reduction in eGFR (CKD-EPI) compared with baseline and kidney failure defined as death from kidney failure, onset of persistent eGFR< 15 mL/min/1.73 m2 (CKD-EPI), or initiation of chronic kidney replacement therapy. Measured from randomisation to end-of-study.
- Time to occurrence of all-cause mortality from randomisation to end-of-study.
- Time to first occurrence of each of the individual components of the expanded MACE endpoint and the kidney composite endpoint from randomisation to end-of-study.
- Time to first occurrence of MIs (fatal and non-fatal) from randomisation to end-of-study.
- Time to first occurrence of stroke (fatal and non-fatal) from randomisation to end-of-study.
- Time to first occurrence of a composite MACE endpoint consisting of all-cause mortality, non-fatal MI, and non-fatal stroke. Measured from randomisation to end-of-study.
- Time to first occurrence of a 4-component kidney endpoint consisting of onset of persistent ≥ 40% reduction in eGFR (CKD-EPI) compared with baseline, and kidney failure defined as death from kidney failure, onset of persistent eGFR< 15 mL/min/1.73 m2 (CKD-EPI), or initiation of chronic kidney replacement therapy. Measured from randomisation to end-of-study.
- Time to first occurrence of coronary revascularisation from randomisation to end-of-study.
- Change in UACR from randomisation to 2 years.
- Change in eGFR (CKD-EPI) from randomisation to 2 years.
- Annual rate of change in eGFR (CKD-EPI) (total eGFR slope) from randomisation to end-of-study.
- Change in hs-CRP from randomisation to 2 years.
- Change in NT-pro-BNP from randomisation to 2 years.
- Change in left ventricular ejection fraction (LVEF) from randomisation to 2 years.
- Number of events of atrial fibrillation from randomisation to end-of-study.
- Change in haemoglobin from randomisation to 2 years.
- Number of hospitalisations with infection as primary cause or death due to infection from randomisation to end-of-study.
- Change in Short Form 36 (SF-36) Physical Component Score (PCS) from randomisation to 2 years.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD10000896 · Product
- Active substance
- Ziltivekimab
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS
- Max daily dose
- 0 Other
- Max total dose
- 0 Other
- Max treatment duration
- 1 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Novo Nordisk A/S
- Sponsor organisation
- Novo Nordisk A/S
- Address
- Novo Alle 1
- City
- Bagsvaerd
- Postcode
- 2880
- Country
- Denmark
Scientific contact point
- Organisation
- Novo Nordisk A/S
- Contact name
- EU submission Hub
Public contact point
- Organisation
- Novo Nordisk A/S
- Contact name
- EU submission Hub
Third parties 17
| Organisation | City, country | Duties |
|---|---|---|
| Caristo Diagnostics Ltd ORL-000006245
|
Oxford, United Kingdom | Other |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | Laboratory analysis |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | Other |
| Transperfect Translations International Inc. ORG-100043494
|
New York, United States | Other |
| Marken Limited ORG-100050177
|
London, United Kingdom | Other |
| Perceptive Eclinical Limited ORG-100041144
|
Nottingham, United Kingdom | Other |
| Qualitymetric Incorporated LLC ORG-100044132
|
Johnston, United States | Other |
| Oracle America Inc. ORG-100039874
|
Redwood City, United States | Other |
| International Drug Development Institute ORG-100028563
|
Ottignies-Louvain-La-Neuve, Belgium | Other |
| Affidea Piraeus Biopathological ORG-100047597
|
Pireas, Greece | Other |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | Other |
| Bioiatriki Private Medical Polyclinic S.A. ORG-100047061
|
Athens, Greece | Other |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | Other |
| Medable Inc. ORG-100043083
|
Palo Alto, United States | Other |
| The Brigham And Women’s Hospital Inc. ORG-100030562
|
Boston, United States | Other |
| Oracle Danmark ApS ORG-100044663
|
Hellerup, Denmark | Other |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | Other |
Locations
18 EU/EEA countries · 257 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ongoing, recruitment ended | 96 | 9 |
| Bulgaria | Ongoing, recruitment ended | 317 | 19 |
| Croatia | Ongoing, recruitment ended | 47 | 7 |
| Czechia | Ongoing, recruitment ended | 78 | 6 |
| Denmark | Ongoing, recruitment ended | 90 | 7 |
| Germany | Ongoing, recruitment ended | 94 | 25 |
| Greece | Ongoing, recruitment ended | 216 | 22 |
| Hungary | Ongoing, recruitment ended | 105 | 9 |
| Italy | Ongoing, recruitment ended | 110 | 22 |
| Latvia | Ended | 41 | 7 |
| Lithuania | Ongoing, recruitment ended | 55 | 10 |
| Netherlands | Ongoing, recruitment ended | 115 | 11 |
| Poland | Ongoing, recruitment ended | 400 | 32 |
| Portugal | Ongoing, recruitment ended | 106 | 14 |
| Romania | Ongoing, recruitment ended | 170 | 25 |
| Slovakia | Ongoing, recruitment ended | 132 | 14 |
| Spain | Ongoing, recruitment ended | 118 | 11 |
| Sweden | Ended | 45 | 7 |
| Rest of world
Korea, Democratic People's Republic of, Russian Federation, Taiwan, Brazil, Ukraine, United Kingdom, China, Serbia, Thailand, India, Malaysia, Japan, South Africa, Turkey, Australia, Argentina, Canada, Israel, United States, Mexico
|
— | 3,865 | — |
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 |
|---|---|---|---|---|---|
| Belgium | 2021-10-29 | 2021-11-04 | 2024-04-09 | ||
| Bulgaria | 2021-11-16 | 2021-11-16 | 2024-04-04 | ||
| Croatia | 2023-02-09 | 2023-02-27 | 2024-03-28 | ||
| Czechia | 2022-10-21 | 2022-11-09 | 2024-03-18 | ||
| Denmark | 2021-12-09 | 2021-12-22 | 2024-05-07 | ||
| Germany | 2021-11-25 | 2021-12-01 | 2024-03-27 | ||
| Greece | 2021-10-25 | 2021-11-04 | 2024-03-27 | ||
| Hungary | 2022-10-03 | 2022-11-22 | 2024-04-02 | ||
| Italy | 2021-11-09 | 2021-11-10 | 2024-04-03 | ||
| Latvia | 2022-10-14 | 2026-05-26 | 2022-10-26 | 2024-04-08 | |
| Lithuania | 2021-09-24 | 2021-09-28 | 2024-04-09 | ||
| Netherlands | 2021-10-08 | 2021-11-05 | 2024-04-03 | ||
| Poland | 2021-10-04 | 2021-10-13 | 2024-04-09 | ||
| Portugal | 2022-02-21 | 2022-02-25 | 2024-02-21 | ||
| Romania | 2022-12-30 | 2023-01-18 | 2024-04-09 | ||
| Slovakia | 2021-09-24 | 2021-09-27 | 2024-04-05 | ||
| Spain | 2022-02-10 | 2022-02-22 | 2024-04-09 | ||
| Sweden | 2021-12-17 | 2026-05-20 | 2022-03-22 | 2024-04-04 |
Oversight and notifications
Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77
Serious breaches 1 · Art. 52 CTR
Serious breach SB-109970
- Sponsor became aware
- 2025-12-01
- Date of breach
- 2025-07-07
- Submission date
- 2025-12-08
- Member states concerned
- Belgium, Bulgaria, Croatia, Czechia, Denmark, Germany, Greece, Hungary, Italy, Latvia, Lithuania, Portugal, Romania, Spain, Sweden, Netherlands, Poland, Slovakia
- Categories
- Protocol
- Areas impacted
- Subject rights, Subject safety, Data reliability or robustness
- Benefit-risk balance changed
- No
- Description
- A relocation of the site facility proceeded without final executed transfer agreement, resulting in trial materials, participants’ source binder and Investigator Trial Master File (ITMF) remained at the initial site facility interrupting trial participants’ visits, trial product dispensation and proper documentation.
The member state most affected is Germany. - Sponsor actions
- All trial materials were reestablished at the new site on 24-Oct-2025, and a new trial product shipment was delivered on 26-Nov-2025. The CRA trained the new study nurses during the monitoring visit on 25-Nov-2025 and confirmed site staff system access was activated. The PI will schedule an onsite participant visit before the end of 2025, with another monitoring visit
planned for January 2026. The PI and staff will reconstruct missing visit documentation using available records and record any data gaps in a formal evidence log.
| Organisation | City | Country | Type |
|---|---|---|---|
| SANA Kliniken Oberfranken Coburg GmbH | Coburg | Germany | Clinical investigator |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 191 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_EX6018-4758_Protocol EU CT 2023-506926-35_ENG_For publication | 14 |
| Protocol (for publication) | D1_EX6018-4758_Protocol EU CT 2023-506926-35_Greek_For publication | 14 |
| Protocol (for publication) | Patient facing material with copyright_blank document | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Recruitment arrangements (for publication) | K_EX6018-4758 Transition document_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC Future Research Biomarkers FR_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC future research echocardio DU_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC Future Research echocardio FR_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC Future-research-biomarkers DU_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC Main DU_For publication | 7 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC Main FR_For publication | 7 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC Male Partner DU_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC Male Partner FR_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC Optional pre-screening DU_For publication | 7 |
| Subject information and informed consent form (for publication) | L1_BE EX6018-4758 SI-IC Optional pre-screening FR_For publication | 7 |
| Subject information and informed consent form (for publication) | L1_BG EX6018-4758 SI-IC Direct Shipment_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_BG EX6018-4758 SI-IC Future research biomarkers_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_BG EX6018-4758 SI-IC Future research echo_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_BG EX6018-4758 SI-IC Main_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_BG EX6018-4758 SI-IC Male partner_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_BG EX6018-4758 SI-IC Optional Pre-screening_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_BG_EX6018-4758 SI-IC Future research biomarkers_English_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_BG_EX6018-4758 SI-IC Main_English_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC biomarkers_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC Direct to patient_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC ECHO_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC Home care_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC Main for enrolled subjects_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC Main_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC Male partner_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC Pre-screening_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC Subject GDPR enrolled subjects_For publication | 7 |
| Subject information and informed consent form (for publication) | L1_CZ EX6018-4758 SI-IC Subject GDPR_For publication | 7 |
| Subject information and informed consent form (for publication) | L1_CZ_EX6018-4758 SI-IC Biomarker substudy for enrolled subjects_czech_for publication | 3 |
| Subject information and informed consent form (for publication) | L1_DE EX6018-4758 SI-IC Direct to patient_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_DE EX6018-4758 SI-IC Future Research Biomarker_For publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_DE EX6018-4758 SI-IC Future Research Echo_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_DE EX6018-4758 SI-IC Main_For publication | 6.0 |
| Subject information and informed consent form (for publication) | L1_DE EX6018-4758 SI-IC Male partner_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_DE EX6018-4758 SI-IC Optional Pre-Screening_For publication | 7 |
| Subject information and informed consent form (for publication) | L1_DE EX6018-4758 SI-IC Patient app_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_DK EX6018-4758 SI-IC CT sub-study_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_DK EX6018-4758 SI-IC Main_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_DK EX6018-4758 SI-IC Pre-screening_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_DK_EX6018-4758 SI-IC Main_Danish_Dine rettigheder som forsgsperson_For publi | 1 |
| Subject information and informed consent form (for publication) | L1_ES EX6018-4758 SI-IC Direct Shipment of IMP & Home Health Care service_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_ES EX6018-4758 SI-IC Main & Future Research Bio & Future Research Echo_For publication | 5.0 |
| Subject information and informed consent form (for publication) | L1_ES EX6018-4758 SI-IC Optional Pre-screening_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_ES EX6018-4758 SI-IC Substudy_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_GR EX6018-4758 SI-IC Adult_For publication | 6.0 |
| Subject information and informed consent form (for publication) | L1_GR EX6018-4758 SI-IC CCTA sub-study_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_GR EX6018-4758 SI-IC DTP_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_GR EX6018-4758 SI-IC Future Research Echo_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_GR EX6018-4758 SI-IC Future Research_For publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_GR EX6018-4758 SI-IC Home Health Care Service_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_GR EX6018-4758 SI-IC Male partner_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_GR EX6018-4758 SI-IC Optional Pre-screening_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_HR EX6018-4758 SI-IC DTP_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_HR EX6018-4758 SI-IC Main_For publication | 8 |
| Subject information and informed consent form (for publication) | L1_HR EX6018-4758 SI-IC Male Partner_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_HR EX6018-4758 SI-IC Pregnant participant_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_HR EX6018-4758 SI-IC Prescreening_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Direct to Patient_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Future Research Biomarkers_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Future Research Echo_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Main Patient Information_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Main_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Male Partner_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Patient Information Direct to Patient__For publication | 3 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Patient Information Future Research Biomarkers_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Patient Information Future Research Echo_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Patient Information Male Partner_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Patient Information Pre-screening_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_HU EX6018-4758 SI-IC Pre-screening_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_IT EX6018-4758 SI-IC Direct Shipment of IMP_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_IT EX6018-4758 SI-IC Future Research Biomarker_For publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_IT EX6018-4758 SI-IC Future Research Echocardiography_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_IT EX6018-4758 SI-IC Home Heatlh Care Service_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_IT EX6018-4758 SI-IC Main Adult_For publication | 6.0 |
| Subject information and informed consent form (for publication) | L1_IT EX6018-4758 SI-IC Male partner_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_IT EX6018-4758 SI-IC Pre-screening_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_LT EX6018-4758 SI-IC Direct shipment_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_LT EX6018-4758 SI-IC Future research biomarkers_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_LT EX6018-4758 SI-IC Future Research Echocardiography_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_LT EX6018-4758 SI-IC Home Health Care Services_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_LT EX6018-4758 SI-IC Main_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_LT EX6018-4758 SI-IC Pre-Screening_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_LT EX6018-4758 SI-IC Pregnant Partner_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC CCTA sub-study LV_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC CCTA sub-study RU_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Direct Shipment of IMP LV_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Direct Shipment of IMP RU_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Future Research Biomarkers LV_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Future Research Biomarkers RU_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Future Research Echocardiography LV_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Future Research Echocardiography RU_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Home Health Care Service LV_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Home Health Care Service RU_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Main LV_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Main RU_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Male Partner LV_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Male Partner RU_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Optional Pre-screening LV_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_LV EX6018-4758 SI-IC Optional Pre-screening RU_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_NL EX6018-4758 SI-IC Direct to Patient_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_NL EX6018-4758 SI-IC Future Research Echo_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_NL EX6018-4758 SI-IC Future Research Lab_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_NL EX6018-4758 SI-IC Main_For publication | 8 |
| Subject information and informed consent form (for publication) | L1_NL EX6018-4758 SI-IC Male Partner_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_NL EX6018-4758 SI-IC Pre-screening_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_NL EX6018-4758 SI-IC updated info PIF-insurance_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC Data protection form NN processor-for publication | 2 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC Data protection form-for publication | 2 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC CCTA sub-study-for publication | 2 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC Direct to Patient_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC Future Research Biomarkers_For publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC Future Research Echocardiography_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC Home Health Care Service-for publication | 1 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC Main_For publication | 7.0 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC Male Partner Abnormal Pregnancy_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_PL EX6018-4758 SI-IC Optional Pre-screening_For publication | 7 |
| Subject information and informed consent form (for publication) | L1_PT EX6018-4758 SI-IC CCTA sub-study_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_PT EX6018-4758 SI-IC Direct Shipment of IMP_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_PT EX6018-4758 SI-IC Future Research Biomarkers_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_PT EX6018-4758 SI-IC Future Research Ecocardiography_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_PT EX6018-4758 SI-IC Home Health Care Service_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_PT EX6018-4758 SI-IC Local Pregnancy_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_PT EX6018-4758 SI-IC Main_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_PT EX6018-4758 SI-IC Male Partner_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_PT EX6018-4758 SI-IC Optional Pre-screening_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_RO EX6018-4758 SI-IC CCTA sub-study_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_RO EX6018-4758 SI-IC Direct Shipment of IMP_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_RO EX6018-4758 SI-IC Future Research Biomarkers_For publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_RO EX6018-4758 SI-IC Future Research Echo_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_RO EX6018-4758 SI-IC Home Health Care Service_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_RO EX6018-4758 SI-IC Main_For publication | 5.0 |
| Subject information and informed consent form (for publication) | L1_RO EX6018-4758 SI-IC Male Partner_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_RO EX6018-4758 SI-IC Optional Pre-screening_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_SE EX6018-4758 SI-IC Direct Shipment of IMP_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_SE EX6018-4758 SI-IC Future Research_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_SE EX6018-4758 SI-IC Main_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_SE EX6018-4758 SI-IC Male Partner_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_SE EX6018-4758 SI-IC Pre-screening_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_SK EX6018-4758 SI-IC Data Protection_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_SK EX6018-4758 SI-IC Direct Shipment of IMP_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_SK EX6018-4758 SI-IC Future Research Biomarkers_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_SK EX6018-4758 SI-IC Future Research ECHO_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_SK EX6018-4758 SI-IC Home Health Care Service_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_SK EX6018-4758 SI-IC Local COVID-19_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_SK EX6018-4758 SI-IC Main_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_SK EX6018-4758 SI-IC Male Partner_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_SK EX6018-4758 SI-IC Pre-screening_For publication | 6 |
| Subject information and informed consent form (for publication) | L2_CZ_EX6018-4758 Guidance for supporting HCPs Czech for publication | 3 |
| Subject information and informed consent form (for publication) | L2_CZ_EX6018-4758 Patient ID visit card Czech for publication | 3 |
| Subject information and informed consent form (for publication) | L2_CZ_EX6018-4758 Patient ID visit reminder card Czech for publication | 3 |
| Subject information and informed consent form (for publication) | L2_HU_EX6018-4758 Other subject information material ID card for publication | 4 |
| Subject information and informed consent form (for publication) | L2_HU_EX6018-4758 Other subject information visit reminder ID card for publication | 5 |
| Synopsis of the protocol (for publication) | D1_BE_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Dutch-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_BE_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-French-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_BE_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-German-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_BG_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Bulgarian-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_CZ_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-CZ-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_CZ_EX6018-4758 Protocol synopsis experts EU CT 2023-506926-35-00-CZ- for publication | 2 |
| Synopsis of the protocol (for publication) | D1_ES_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Spanish-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-ENG-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_GR_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Greek-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_HU_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Hungarian-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_IT_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Italian-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_LT_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Lithuanian-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_NL_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Dutch-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_PL_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Polish-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_PT_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Portuguese-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_RO_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Romanian-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_SE_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Swedish-for publication | 2 |
| Synopsis of the protocol (for publication) | D1_SK_EX6018-4758 Protocol synopsis EU CT 2023-506926-35-00-Slovak-for publication | 2 |
Application history
16 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-03-22 | Denmark | Acceptable 2024-04-30
|
2024-04-30 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-07-10 | Denmark | Acceptable 2024-10-11
|
2024-10-11 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-11-13 | Acceptable | 2025-02-14 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-11-15 | Acceptable | 2025-02-18 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-4 | 2024-11-22 | Acceptable | 2025-01-21 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2024-12-03 | Acceptable | 2024-12-17 | |
| 7 | SUBSTANTIAL MODIFICATION | SM-6 | 2024-12-06 | Acceptable | 2024-12-13 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-7 | 2025-03-04 | Denmark | Acceptable 2025-05-02
|
2025-05-02 |
| 9 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-06-18 | Denmark | Acceptable 2025-05-02
|
2025-06-18 |
| 10 | SUBSTANTIAL MODIFICATION | SM-8 | 2025-06-30 | Denmark | Acceptable 2025-08-29
|
2025-08-29 |
| 11 | SUBSTANTIAL MODIFICATION | SM-9 | 2025-10-07 | Acceptable | 2025-11-07 | |
| 12 | SUBSTANTIAL MODIFICATION | SM-10 | 2025-10-09 | Acceptable | 2025-11-10 | |
| 13 | SUBSTANTIAL MODIFICATION | SM-11 | 2025-10-10 | Acceptable | 2025-10-28 | |
| 14 | SUBSTANTIAL MODIFICATION | SM-12 | 2025-12-05 | Denmark | Acceptable | 2026-02-02 |
| 15 | SUBSTANTIAL MODIFICATION | SM-13 | 2026-03-11 | Acceptable | 2026-03-31 | |
| 16 | SUBSTANTIAL MODIFICATION | SM-14 | 2026-03-31 | Acceptable | 2026-05-26 |