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A multicenter, randomized phase III study of bortezomib and ...

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HOVON 104 AL AMYLOIDOSIS<br />

Clinical trial protocol version z. 2z Novemoer zotz<br />

SPONSOR AND PRINGIPAL INVESTIGATOR SIGNATURE PAGE<br />

The presentrial protocol was subject to critical review <strong>and</strong> has been approved in the present version<br />

by the persons undersigned. The information contained is consistent with:<br />

- the current risk-benefit assessment <strong>of</strong> the investigational medicinal product<br />

- the moral, ethical, <strong>and</strong> scientific principles governing clinical research as set out in<br />

the applicable version <strong>of</strong> Declaration <strong>of</strong> Helsinki <strong>and</strong> the principles <strong>of</strong> GCP.<br />

The local investigator will be supplied by the Sponsor with details <strong>of</strong> any significant or new finding<br />

including AEs relating to treatment with the investigational medicinal product.<br />

,'l '<br />

<strong>of</strong> Principal I nvestigator<br />

7i tle t /t'/ Z<br />

Date<br />

,' / ('" t t)A.'rt,, ttr'l<br />

Printed Name <strong>of</strong> Principal Investigator<br />

Signature <strong>of</strong> Sponsor - HOVON chairman Date<br />

Printed Name <strong>of</strong> Sponsor - HOVON chairman<br />

Page 2 <strong>of</strong> 75 E ud raCT-No: 20 1 0-021 445-42

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