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HOVON 104 AL AMYLOIDOSIS Clinical trial protocol version 7, 27 November 2012<br />

The HOVON Data Center will ensure that a six-monthly line listing <strong>of</strong> all reported SAE’s is provided to<br />

the Ethics Committee(s) if this is required by national laws or regulations or by the procedures <strong>of</strong> the<br />

Ethics Committee.<br />

Once every 3 months a safety report listing serious adverse events, serious adverse reactions <strong>and</strong><br />

SUSARS, <strong>and</strong> a tabulation <strong>of</strong> all adverse events CTCAE grade ≥ 2 will be sent to the DSMB.<br />

12.4 Reporting Suspected Unexpected Serious Adverse Reactions<br />

The HDC Safety Desk, on behalf <strong>of</strong> the sponsor, will ensure the reporting <strong>of</strong> any SUSARs to the<br />

Ethics Committees (EC), the Competent Authorities (CA), the manufacturer <strong>of</strong> the investigational<br />

product <strong>and</strong> the investigators in compliance with applicable laws <strong>and</strong> regulations, <strong>and</strong> in accordance<br />

with any trial specific agreements between the sponsor <strong>and</strong> a co-sponsor or the manufacturer.<br />

Expedited reporting <strong>of</strong> SUSARs will occur no later than 15 days after the HOVON Data Center had<br />

first knowledge <strong>of</strong> the serious adverse event. For fatal or life-threatening cases this will be no later<br />

than 7 days for a preliminary report, with another 8 days for a complete report.<br />

The manner <strong>of</strong> SUSAR reporting will be in compliance with the procedures <strong>of</strong> the Ethics Committees<br />

<strong>and</strong> Health Authorities involved.<br />

12.5 Pregnancies<br />

Pregnancies <strong>of</strong> a female subject or the female partner <strong>of</strong> a male subject, occurring while the subject is<br />

on protocol treatment or within 30 days following the last dose <strong>of</strong> any drug from the protocol treatment<br />

schedule, should be reported to the sponsor. Pregnancies must be reported to the HOVON Data<br />

Center by fax within 24 hours after the event was known to the investigator, using the pregnancy<br />

report form provided. The HOVON Data Center will forward all pregnancy reports to the manufacturer<br />

<strong>of</strong> the investigational product.<br />

The investigator will follow the female subject until completion <strong>of</strong> the pregnancy, <strong>and</strong> must notify the<br />

sponsor <strong>of</strong> the outcome <strong>of</strong> the pregnancy within 5 days or as specified below. The investigator will<br />

provide this information as a follow-up to the initial pregnancy report. If the outcome <strong>of</strong> the pregnancy<br />

meets the criteria for immediate classification as a SAE (i.e., spontaneous or therapeutic abortion,<br />

stillbirth, neonatal death, or congenital anomaly – including that in an aborted fetus), the investigator<br />

should follow the procedures for reporting SAEs. In the case <strong>of</strong> a live “normal” birth, the sponsor<br />

should be informed as soon as the information is available. All neonatal deaths that occur within 30<br />

days <strong>of</strong> birth should be reported, without regard to causality, as SAEs. In addition, any infant death<br />

Page 38 <strong>of</strong> 75 EudraCT-No: 2010-021445-42

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