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Table 1 Descriptions of the three studies included in this paper

From: Experiences and challenges with the new European Clinical Trials Regulation

Study

Description

EU-SolidAct / Bari-SolidAct

(EU CTR : 2022-500385-99-00)

• EU-SolidAct denotes the platform trial and is part of the EU-RESPONSE project (EU Horizon 2020 Grant no. 101015736)

• Bari-SolidAct is a phase 3 sub-investigation looking into the efficacy and safety of the JAK-inhibitor baricitinib in hospitalised COVID-19 patients

 ◦ Submitted and approved under the CTD (CTD 2001/20/EC) through VHP in 14 European countries in the spring of 2021 [2, 3]

 ◦ 14 initial countries: Austria, Belgium, Czechia, France, Germany, Greece, Hungary, Ireland, Italy, Luxembourg, Norway, Portugal, Slovakia, and Spain

 ◦ Fully academic (Sponsor, Oslo University Hospital)

 ◦ Platform and trial arm were transferred from VHP governed by CTD to CTIS governed by CTR 15th March 2022

AXL-SolidAct

(EU CTR: 2022-500363-12-00)

• Phase 2b trial assessing the efficacy of the AXL-inhibitor bemcentinib on hospitalised patients with moderate pulmonary COVID-19

• New arm in the EU-SolidAct platform trial

• Submitted 19 April 2022

MOSAIC

(EU CTR: 2022-501132-42-00)

• Observational cohort study of clinical and virological outcomes in human mpox virus disease (formerly monkeypox)

• Sponsor: University of Oxford; Sponsor’s representative in Europe: French National Agency for Research on AIDS (ANRS)/Inserm; Sponsor’s representative in Switzerland: Geneva University Hospital

• Launched in response to a request from the EMA Clinical Trials Coordination Group (CTCG) for an observational study to characterise the evolving outbreak across Europe

• Collects only clinical data and research samples

• Study aims to describe the clinical and virological outcomes of patients with laboratory confirmed mpox

• Inside the EU: Classified as a Low Intervention Clinical Trial as data is collected on mpox patients who receive tecovirimat (a drug newly authorised under “exceptional circumstances” without being studies in an mpox population)

• Outside the EU (UK and Switzerland, and France prior to the CTIS application): received approval as an observational trial

• Study initially submitted in June 2022 in eight EU/EEA countries: Belgium, France, Ireland, Italy, Netherlands, Norway, Portugal, and Spain