A Molecular Profiling Study of Patients With EGFR Mutation-positive Locally Advanced or Metastatic NSCLC Treated With Osimertinib (ELIOS)
A Multicentre, Open-label, Single-arm, Molecular Profiling Study of Patients With EGFR Mutation-positive Locally Advanced or Metastatic NSCLC Treated With Osimertinib
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Brescia, Italy, 25100
- Research Site
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Meldola, Italy, 47014
- Research Site
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Monza, Italy, 20900
- Research Site
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Parma, Italy, 43126
- Research Site
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Roma, Italy, 00152
- Research Site
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Terni, Italy, 05100
- Research Site
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Busan, Korea, Republic of, 47392
- Research Site
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Cheongiu, Korea, Republic of, 28644
- Research Site
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Seongnam, Korea, Republic of, 13620
- Research Site
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Seoul, Korea, Republic of, 03722
- Research Site
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Seoul, Korea, Republic of, 05505
- Research Site
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Seoul, Korea, Republic of, 135-710
- Research Site
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Seoul, Korea, Republic of, 06591
- Research Site
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Johor Bahru, Malaysia, 81100
- Research Site
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Kuantan, Malaysia, 25100
- Research Site
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Kuching, Malaysia, 93586
- Research Site
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Lembah Pantai, Malaysia, 59100
- Research Site
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Pulau Pinang, Malaysia, 10450
- Research Site
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A Coruña, Spain, 15006
- Research Site
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Barcelona, Spain, 08035
- Research Site
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Las Palmas de Gran Canaria, Spain, 35016
- Research Site
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Madrid, Spain, 28046
- Research Site
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Sevilla, Spain, 41009
- Research Site
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Georgia
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Athens, Georgia, United States, 30607
- Research Site
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Atlanta, Georgia, United States, 30307
- Research Site
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Research Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Provision of informed consent prior
- Patients aged 18 years or older
- Patients with histological confirmation of locally advanced or metastatic NSCLC
- Patients with M1 stage according to the Tumor, Node and Metastasis Classification of Malignant Tumours (TNM)
- Patients with an EGFR deletion or mutation known (from tumour biopsy or plasma) to be associated with EGFR TKI sensitivity
- Existence of measurable or evaluable disease (as per RECIST 1.1 criteria).
- Possibility of obtaining sufficient tissue sample, via a biopsy or surgical resection of the primary tumour or metastatic tumour tissue
- WHO performance status 0-1
- Life expectancy ≥12 weeks
- Capacity to swallow
- Patients able to complete study and within geographical proximity allowing for adequate follow up
- Resolution of all acute toxic effects of previous anticancer therapy
- Female patients must be using highly effective contraceptive measures, and must have a negative pregnancy test prior to start of dosing if of childbearing potential
- Male patients must be willing to use barrier contraception
Exclusion Criteria:
- Locally advanced lung cancer candidate for curative treatment through radical surgery and/or radio(chemo)therapy
- Patients diagnosed with another lung cancer subtype
- Patients with an EGFR exon 20 insertion
- Patients with just one measurable or evaluable tumour lesion that has been resected or irradiated prior to their enrolment in the study
- Second active neoplasia
- Treatment with an investigational drug within five half-lives of the compound
- Participation in another clinical study with an investigational product (IP) during the last 3 weeks before the first day of study treatment
- Patients who have received prior immunotherapies
- Patients who have received prior EGFR treatments for lung cancer
- Patients who have received prior treatment with an EGFR TKI including in the adjuvant setting
- Patients who have received previous treatment for metastatic or stage IV disease
- Prior treatment with cytotoxic chemotherapy for advanced NSCLC
- Patients with a history of cancer that has been completely treated, with no evidence of malignant disease currently cannot be enrolled in the study if their chemotherapy was completed less than 6 months prior and/or have received a bone marrow transplant less than 2 years before the first day of study treatment
- Any unresolved toxicities from prior therapy greater than CTCAE grade 1 at the time of starting study treatment with the exception of alopecia and grade 2, prior platinum-therapy related neuropathy
- Any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses or active infection (eg, patients receiving treatment for infection) including hepatitis C and human immunodeficiency virus (HIV), or active uncontrolled Hepatitis B virus (HBV) infection.
- Patients who have had a surgical procedure unrelated to the study within 14 days or major surgery within 1 month prior to the administration of the study drug
- Past medical history of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis
- Any of the following cardiac criteria: Mean resting QT interval corrected for heart rate (QTc) more than 470 msec, obtained from 3 ECGs, using the screening clinic ECG machine derived QTc value. Any clinically important abnormalities in rhythm, conduction or morphology of resting ECG e.g. complete left bundle branch block, third degree heart block and second degree heart block. Any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as heart failure, hypokalaemia, hypomagnesaemia, hypocalcaemia, congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age in first degree relatives or any concomitant medication known to prolong the QT interval
- Spinal cord compression, symptomatic and unstable brain metastases except for those patients who have completed definitive therapy, and have had a stable neurological status for at least 2 weeks after completion of definitive therapy. 20.Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of osimertinib
21.Inadequate bone marrow reserve or organ function 22.Female patients who are breastfeeding 23.Patients currently receiving medications or herbal supplements known to be potent inducers of cytochrome (CYP) 3A4.
24.Patient unwilling to undergo a biopsy at the time of disease progression 25.History of hypersensitivity to active or inactive excipients of osimertinib or drugs with a similar chemical structure or class to osimertinib 26.Judgment by the Investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements 27.Involvement in the planning and/or conduct of the study 28.Previous enrolment in the present study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Osimertinib
An oral, potent, selective, irreversible inhibitor of both EGFR-tyrosine kinase inhibitor sensitizing and resistance mutations in non-small cell lung cancer
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Osimertinib is an oral, potent, selective, irreversible inhibitor of both EGFR-tyrosine kinase inhibitor sensitizing and resistance mutations in non-small cell lung cancer with a significant selectivity margin over wild type EGFR.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Proportion of Patients With a Given Tumour Genetic and Proteomic Marker at the Point of Disease Progression
Time Frame: Genetic and proteomic markers were assessed at baseline and progression (up to 5 years after baseline)
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The frequency of genetic and proteomic markers at disease progression regardless of their prevalence was evaluated.
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Genetic and proteomic markers were assessed at baseline and progression (up to 5 years after baseline)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Progression Free Survival (PFS)
Time Frame: From date of first dose until date of progression or death (by any cause in the absence of recurrence), up to 5 years
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PFS is defined as the time from first dose of osimertinib until the date of Investigator assessed Response Evaluation Criteria in Solid Tumours (RECIST) 1.1-defined progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from therapy or receives another anticancer therapy prior to progression.
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From date of first dose until date of progression or death (by any cause in the absence of recurrence), up to 5 years
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Objective Response Rate (ORR)
Time Frame: From date of first dose until progression, or last evaluable assessment in the absence of progression, up to 5 years
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ORR is defined as the number (%) of patients with at least one visit response of complete response (CR) or partial response (PR) that is confirmed at least 4 weeks later.
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From date of first dose until progression, or last evaluable assessment in the absence of progression, up to 5 years
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Duration of Response (DoR)
Time Frame: From date of first documentation of complete/partial response until the date of progression, or last evaluable RECIST assessment for participants that did not progress within 2 missed visits of last assessment, up to 5 years
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Duration of response is defined as the time from the date of first documented response, (that is subsequently confirmed) until date of documented progression or death in the absence of disease progression, the end of response should coincide with the date of progression or death from any cause used for the PFS endpoint.
The time of the initial response will be defined as the latest of the dates contributing towards the first visit that was CR or PR that was subsequently confirmed.
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From date of first documentation of complete/partial response until the date of progression, or last evaluable RECIST assessment for participants that did not progress within 2 missed visits of last assessment, up to 5 years
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Disease Control Rate (DCR)
Time Frame: 8 weeks
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DCR is defined as percentage of patients with confirmed complete response, confirmed partial response or with stable disease.
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8 weeks
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Time to Treatment Discontinuation or Death (TTD)
Time Frame: From date of first dose to treatment discontinuation or death (by any cause in the absence of recurrence), up to 5 years
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TTD is defined as the time from the date of first dose of osimertinib to the earliest of treatment discontinuation or death.
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From date of first dose to treatment discontinuation or death (by any cause in the absence of recurrence), up to 5 years
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Time to First Subsequent Therapy or Death (TFST)
Time Frame: From date of first dose to start of subsequent anticancer therapy or death (by any cause in the absence of recurrence), up to 5 years
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TFST is defined as the time from the date of first dose of osimertinib to the earlier of the date of anticancer therapy start date following study treatment discontinuation, or death.
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From date of first dose to start of subsequent anticancer therapy or death (by any cause in the absence of recurrence), up to 5 years
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PFS in Patient Subgroups Defined by Molecular Profile: Epidermal Growth Factor Receptor (EGFR) Tumor Mutation at Baseline
Time Frame: From date of first dose until date of progression or death (by any cause in the absence of recurrence), up to 5 years
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PFS is defined as the time from first dose of osimertinib until the date of Investigator assessed Response Evaluation Criteria in Solid Tumours (RECIST) 1.1-defined progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from therapy or receives another anticancer therapy prior to progression.
PFS was analysed in patient subgroups defined by molecular profile, including but not limited to: EGFR tumor mutation at baseline-Exon19del or L858R
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From date of first dose until date of progression or death (by any cause in the absence of recurrence), up to 5 years
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PFS in Patient Subgroups Defined by Molecular Profile: Detectable in Plasma-Derived ctDNA at Baseline
Time Frame: From date of first dose until date of progression or death (by any cause in the absence of recurrence), up to 5 years
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PFS is defined as the time from first dose of osimertinib until the date of Investigator assessed Response Evaluation Criteria in Solid Tumours (RECIST) 1.1-defined progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from therapy or receives another anticancer therapy prior to progression.
PFS was analysed in patient subgroups defined by molecular profile, including but not limited to: Exon19del or L858R detectable in plasma derived circulating tumour deoxyribonucleic acid (ctDNA) at baseline.
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From date of first dose until date of progression or death (by any cause in the absence of recurrence), up to 5 years
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ORR in Patient Subgroups Defined by Molecular Profile: EGFR Tumor Mutation at Baseline
Time Frame: From date of first dose until progression, or last evaluable assessment in the absence of progression, up to 5 years
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ORR is defined as the number (%) of patients with at least one visit response of complete response or partial response that is confirmed at least 4 weeks later.
ORR was analysed in patient subgroups defined by molecular profile: EGFR tumor mutation at baseline-Exon19del or L858R
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From date of first dose until progression, or last evaluable assessment in the absence of progression, up to 5 years
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ORR in Patient Subgroups Defined by Molecular Profile: Detectable in Plasma Derived ctDNA at Baseline
Time Frame: From date of first dose until progression, or last evaluable assessment in the absence of progression, up to 5 years
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ORR is defined as the number (%) of patients with at least one visit response of complete response or partial response that is confirmed at least 4 weeks later.
ORR was analysed in patient subgroups defined by molecular profile: Exon19del or L858R detectable in plasma derived ctDNA at baseline.
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From date of first dose until progression, or last evaluable assessment in the absence of progression, up to 5 years
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TTD in Patient Subgroups Defined by Molecular Profile: EGFR Tumor Mutation at Baseline
Time Frame: From date of first dose to treatment discontinuation or death (by any cause in the absence of recurrence), up to 5 years
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TTD is defined as the time from the date of first dose of osimertinib to the earliest of treatment discontinuation or death.
TTD was analysed in patient subgroups defined by molecular profile: EGFR tumor mutation at baseline-Exon19del or L858R
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From date of first dose to treatment discontinuation or death (by any cause in the absence of recurrence), up to 5 years
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TTD in Patient Subgroups Defined by Molecular Profile: Detectable in Plasma Derived ctDNA at Baseline
Time Frame: From date of first dose to treatment discontinuation or death (by any cause in the absence of recurrence), up to 5 years
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TTD is defined as the time from the date of first dose of osimertinib to the earliest of treatment discontinuation or death.
TTD was analysed in patient subgroups defined by molecular profile: Exon19del or L858R detectable in plasma derived ctDNA at baseline.
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From date of first dose to treatment discontinuation or death (by any cause in the absence of recurrence), up to 5 years
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Tumour Shrinkage/Depth of Response in Patient Subgroups Defined by Molecular Profile: EGFR Tumor Mutation at Baseline
Time Frame: From date of first dose until last recorded post baseline RECIST target lesion assessment scan, up to 5 years
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Tumour shrinkage is defined as the best change from baseline in the sum of diameters of target lesions, in patient subgroups defined by molecular profile: EGFR tumor mutation at baseline-Exon19del or L858R.
A negative change denotes a reduction in target lesion size.
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From date of first dose until last recorded post baseline RECIST target lesion assessment scan, up to 5 years
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Tumour Shrinkage/Depth of Response in Patient Subgroups Defined by Molecular Profile: Detectable in Plasma Derived ctDNA at Baseline
Time Frame: From date of first dose until last recorded post baseline RECIST target lesion assessment scan, up to 5 years
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Tumour shrinkage is defined as the best change from baseline in the sum of diameters of target lesions, in patient subgroups defined by molecular profile: Exon19del or L858R detectable in plasma derived ctDNA at baseline.
A negative change denotes a reduction in target lesion size.
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From date of first dose until last recorded post baseline RECIST target lesion assessment scan, up to 5 years
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Adverse events graded by Common Terminology Criteria for Adverse Events version 4.0
Time Frame: At every visit from signing informed consent until 28 days after last dose of study treatment
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To summarize the safety and tolerability profile of osimertinib as first-line EGFR tyrosine kinase inhibitor therapy for patients with EGFR mutation-positive locally advanced or metastatic non-small cell lung cancer
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At every visit from signing informed consent until 28 days after last dose of study treatment
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Zosia Piotrowska, MD, Massachusetts General Hospital
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Tyrosine Kinase Inhibitors
- Osimertinib
Other Study ID Numbers
Other Study ID Numbers
- D5161C00003
- 2017-002359-27 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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