Evaluate the Remission MAINtenance Using Extended Administration of Prednisone in Systemic Anti-neutrophil Cytoplasmic Antibodies (ANCA)-Associated Vasculitis. (MAINEPSAN)
A Prospective, Multicentric, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Remission MAINtenance Using Extended Administration of Prednisone in Systemic Anti-neutrophil Cytoplasmic Antibodies (ANCA)-Associated Vasculitis.
Immunosuppressive therapy of granulomatosis with polyangiitis (GPA, Wegener's) and microscopic polyangiitis (MPA) has transformed the outcome from death to a strong likelihood of disease control and temporary remission. However, most patients have recurrent relapses that lead to damage and require repeated treatment associated with long-term morbidity and death.
Rituximab has been shown to be as effective as cyclophosphamide to induce remission and maintenance of remission in severe GPA and MPA patients, with an acceptable safety profile . Although rituximab is becoming the standard of care for maintenance therapy in these patients, relapse still occurs and the optimal duration of prednisone therapy remains debated.
On the one hand, most US studies use early withdrawal (6-12 months) because of feared side effects. On the other hand, most European trials propose late withdrawal (>18 months) given a lower observed relapse rate on long-term low dose glucocorticoids treatment.
In a systematic review and meta-analysis, glucocorticoids regimen was the most significant variable explaining the variability between the proportions of ANCA-associated vasculitis patients with relapses. Nevertheless, it was an indirect estimation of treatment effect because of the absence of dedicated randomized trial. This meta-analysis concluded that combined longer-term (i.e. >12 months) use of low dose prednisone or nonzero glucocorticoids target is associated with a 20% reduction of relapse compared to early withdrawal (i.e. ≤12 months).
The relapse rate in patients with early glucocorticoids (10-12 months) withdrawal was provided in two studies and was of 37 and 34%, respectively. By contrast, the relapse rate in patients with late prednisone withdrawal (18-24 months) and receiving rituximab as maintenance treatment was 14% at 24 months in the MAINRITSAN trial. Of note, the decision to withdraw glucocorticoids after 18 months was left to physician's discretion in this study and two thirds of the nonsevere relapses occurred when patients were off prednisone.
The trial detailed here is the first prospective trial evaluating the length of glucocorticoid administration as remission adjunctive treatment for patients with GPA or MPA.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Immunosuppressive therapy of granulomatosis with polyangiitis (GPA, Wegener's) and microscopic polyangiitis (MPA) has transformed the outcome from death to a strong likelihood of disease control and temporary remission. However, most patients have recurrent relapses that lead to damage and require repeated treatment associated with long-term morbidity and death.
Rituximab has been shown to be as effective as cyclophosphamide to induce remission and maintenance of remission in severe GPA and MPA patients, with an acceptable safety profile. Although rituximab is becoming the standard of care for maintenance therapy in these patients, relapse still occurs and the optimal duration of prednisone therapy remains debated.
On the one hand, most US studies use early withdrawal (6-12 months) because of feared side effects. On the other hand, most European trials propose late withdrawal (>18 months) given a lower observed relapse rate on long-term low dose glucocorticoids treatment.
In a systematic review and meta-analysis, glucocorticoids regimen was the most significant variable explaining the variability between the proportions of ANCA-associated vasculitis patients with relapses. Nevertheless, it was an indirect estimation of treatment effect because of the absence of dedicated randomized trial. This meta-analysis concluded that combined longer-term (i.e. >12 months) use of low dose prednisone or nonzero glucocorticoids target is associated with a 20% reduction of relapse compared to early withdrawal (i.e. ≤12 months).
The relapse rate in patients with early glucocorticoids (10-12 months) withdrawal was provided in two studies and was of 37 and 34%, respectively. By contrast, the relapse rate in patients with late prednisone withdrawal (18-24 months) and receiving rituximab as maintenance treatment was 14% at 24 months in the MAINRITSAN trial. Of note, the decision to withdraw glucocorticoids after 18 months was left to physician's discretion in this study and two thirds of the nonsevere relapses occurred when patients were off prednisone.
The trial detailed here is the first prospective trial evaluating the length of glucocorticoid administration as remission adjunctive treatment for patients with GPA or MPA.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jean-Christophe LEGA, Pr
- Phone Number: 04.78.86.19.79
- Email: jean-christophe.lega@chu-lyon.fr
Study Contact Backup
- Name: Xavier Puéchal, Dr
- Phone Number: 01.58.41.32.41
- Email: xavier.puechal@aphp.fr
Study Locations
-
-
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Amiens, France, 80054
- Recruiting
- CHU Amiens-Hopital Nord
-
Contact:
- Jean SCHMIDT, MD
- Phone Number: +33 3 22 66 82 30
- Email: jean.schmidt@chu-amiens.fr
-
Principal Investigator:
- Jean SCHMIDT, MD
-
Angers, France, 49933
- Recruiting
- CHU Angers
-
Contact:
- Christian LAVIGNE, MD
- Phone Number: +33 2 41 35 38 24
- Email: chlavigne@chu-angers.fr
-
Principal Investigator:
- Christian LAVIGNE, MD
-
Avignon, France, 84000
- Not yet recruiting
- Clinique Rhône-Durance
-
Contact:
- Pierre GOBERT, MD
- Phone Number: +33 4 32 75 30 59
- Email: pgobert@ch-avignon.fr
-
Principal Investigator:
- Pierre GOBERT, MD
-
Bar-le-Duc, France, 55000
- Not yet recruiting
- Hôpital Jeanne d'Arc
-
Contact:
- Philippe EVON, MD
- Phone Number: +33 3.29.45.88.03
- Email: pevon@pssm.fr
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Principal Investigator:
- Philippe EVON, MD
-
Bobigny, France, 93009
- Not yet recruiting
- Hôpital Avicenne
-
Contact:
- Robin DHOTE, MD
- Phone Number: +33 1 48 95 58 70
- Email: robin.dhote@avc.aphp.fr
-
Principal Investigator:
- Robin DHOTE, MD
-
Brest, France, 29200
- Recruiting
- Hôpital La Cavale Blanche
-
Contact:
- Claire DE MOREUIL, MD
- Phone Number: +33 2.98.34.73.36
- Email: claire.demoreuil@chu-brest.fr
-
Principal Investigator:
- Claire DE MOREUIL, MD
-
Bron, France, 69500
- Recruiting
- Hôpital Louis Pradel
-
Contact:
- Vincent COTTIN, Pr
- Phone Number: +33 4 72 35 70 72
- Email: vincent.cottin@chu-lyon.fr
-
Principal Investigator:
- Vincent Cottin, Pr
-
Caen, France, 14033
- Recruiting
- CHU de Caen - Côte de Nacre
-
Contact:
- Nicolas MARTIN-SILVA, MD
- Phone Number: +33 2 31 06 57 32
- Email: martinsilva.n@chu-caen.fr
-
Principal Investigator:
- Nicolas MARTIN-SILVA, MD
-
Chartres, France, 28018
- Not yet recruiting
- Hopital Louis Pasteur
-
Contact:
- Richard DAMADE, MD
- Phone Number: +33 2 37 30 30 30
- Email: rdamade@ch-chartres.fr
-
Principal Investigator:
- Richard DAMADE, MD
-
Clermont-Ferrand, France, 63003
- Recruiting
- Chu Estaing
-
Contact:
- Marc RUIVARD, Pr
- Phone Number: +33 4 73 75 00 85
- Email: mruivard@chu-clermontferrand.fr
-
Principal Investigator:
- Marc RUIVARD, Pr
-
Clermont-Ferrand, France, 63003
- Recruiting
- CHU Gabriel Montpied
-
Contact:
- Olivier AUMAITRE, Pr
- Phone Number: +33 4 73 75 14 35
- Email: oaumaitre@chu-clermontferrand.fr
-
Principal Investigator:
- Olivier AUMAITRE, Pr
-
Créteil, France, 94010
- Not yet recruiting
- CHIC Créteil
-
Contact:
- Antoine FROISSART, MD
- Phone Number: +33 1 45 17 54 80
- Email: antoine.froissart@chicreteil.fr
-
Principal Investigator:
- Antoine FROISSART, MD
-
Dijon, France, 21000
- Not yet recruiting
- CHRU François Mitterrand
-
Contact:
- Jean-Michel REBIBOU, Pr
- Phone Number: +33 3 80 29 34 34
- Email: Jean-michel.rebibou@chu-dijon.fr
-
Principal Investigator:
- Jean-Michel REBIBOU, Pr
-
Lille, France, 59037
- Not yet recruiting
- CHRU Lille - Hôpital Claude Huriez
-
Contact:
- Eric HACHULLA, Pr
- Phone Number: +33 3 20 44 92 96
- Email: e-hachulla@chru-lille.fr
-
Principal Investigator:
- Eric HACHULLA, Pr
-
Lyon, France, 69004
- Recruiting
- Centre Hospitalier Croix Rousse
-
Contact:
- Pascal SEVE, Pr
- Phone Number: +33 4 26 73 26 36
- Email: pascal.seve@chu-lyon.fr
-
Principal Investigator:
- Pascal SEVE, Pr
-
Lyon, France, 69137
- Recruiting
- Hopital Edouard Herriot
-
Contact:
- Arnaud HOT, Pr
- Phone Number: +33 4 72 11 75 68
- Email: arnaud.hot@chu-lyon.fr
-
Principal Investigator:
- Arnaud HOT, Pr
-
Lyon, France, 69137
- Not yet recruiting
- Hopital Edouard Herriot
-
Contact:
- Laurent JULLIARD, Pr
- Phone Number: +33 4 72 11 02 51
- Email: laurent.juillard@chu-lyon.fr
-
Principal Investigator:
- Laurent JULLIARD, Pr
-
Marseille, France, 13005
- Not yet recruiting
- Hôpital de la Conception
-
Contact:
- Noémie JOURDE CHICHE, Pr
- Phone Number: +33 4 91 38 30 42
- Email: Noemie.jourde@ap-hm.fr
-
Principal Investigator:
- Noémie JOURDE CHICHE, Pr
-
Marseille, France, 13385
- Not yet recruiting
- Hôpital La Timone
-
Contact:
- Nicolas SCHLEINITZ, Pr
- Phone Number: +33 4 91 38 87 62
- Email: nicolas.schleinitz@ap-hm.fr
-
Principal Investigator:
- Nicolas SCHLEINITZ, Pr
-
Metz, France, 57045
- Not yet recruiting
- HP Site Belle Isle
-
Contact:
- François MAURIER, MD
- Phone Number: +33 3 57 84 15 01
- Email: francois.maurier@hp-metz.fr
-
Principal Investigator:
- François MAURIER, MD
-
Nantes, France, 44093
- Recruiting
- CHU NANTES - Hôtel Dieu
-
Principal Investigator:
- Antoine NEEL, MD
-
Contact:
- Antoine NEEL, MD
- Phone Number: +33 2 40 08 77 65
- Email: antoine.neel@chu-nantes.fr
-
Nice, France, 06001
- Recruiting
- CHU de Nice - Hôpital Pasteur 2
-
Contact:
- Nathalie TIEULIE, MD
- Phone Number: +33 4 92 03 54 77
- Email: tieulie.n@chu-nice.fr
-
Principal Investigator:
- Nathalie TIEULIE, MD
-
Paris, France, 75014
- Recruiting
- Hopital Cochin
-
Contact:
- Xavier PUECHAL, Pr
- Phone Number: +33 1 58 41 29 71
- Email: xavier.puechal@aphp.fr
-
Principal Investigator:
- Xavier PUECHAL, Pr
-
Paris, France, 75013
- Recruiting
- Hôpital La Pitié Salpêtrière
-
Contact:
- Patrice CACOUB, Pr
- Phone Number: +33 1 42 17 80 27
- Email: patrice.cacoub@psl.aphp.fr
-
Principal Investigator:
- Patrice CACOUB, Pr
-
Paris, France, 75475
- Not yet recruiting
- Hopital Saint Louis
-
Contact:
- Alfred MAHR, Pr
- Phone Number: +33 1 42 49 97 80
- Email: alfred.mahr@sls.aphp.fr
-
Principal Investigator:
- Alfred MAHR, Pr
-
Paris, France, 75015
- Not yet recruiting
- Hopital Europeen G. Pompidou
-
Contact:
- Alexandre KARRAS, Pr
- Phone Number: +33 1 56 09 37 60
- Email: alexandre.karras@egp.aphp.fr
-
Principal Investigator:
- Alexandre KARRAS, Pr
-
Pessac, France, 33600
- Not yet recruiting
- Hopital Haut Leveque
-
Contact:
- Jean-François VIALLARD, Pr
- Phone Number: +33 5 57 65 64 83
- Email: jean-francois.viallard@chu-bordeaux.fr
-
Principal Investigator:
- Jean-François VIALLARD, Pr
-
Pierre-Bénite, France, 69310
- Recruiting
- Centre Hospitalier Lyon Sud
-
Contact:
- Jean-Christophe LEGA, Pr
- Phone Number: 04.78.86.19.79
- Email: jean-christophe.lega@chu-lyon.fr
-
Pierre-Bénite, France, 69495
- Recruiting
- CH Lyon Sud
-
Contact:
- Jean Christophe LEGA, Pr
- Phone Number: +33 4.78.86.19.79
- Email: jean-christophe.lega@chu-lyon.fr
-
Principal Investigator:
- Jean Christophe LEGA, Pr
-
Poitiers, France, 86021
- Not yet recruiting
- Chu de Poitiers
-
Contact:
- Mathieu PUYADE, MD
- Phone Number: +33 5 49 44 32 76
- Email: mathieu.puyade@chu-poitiers.fr
-
Principal Investigator:
- Mathieu PUYADE, MD
-
Rennes, France, 35200
- Recruiting
- CHRU Rennes - Hôpital Sud
-
Contact:
- Thomas LE GALLOU, MD
- Phone Number: +33 2 99 26 71 28
- Email: Thomas.LE.GALLOU@chu-rennes.fr
-
Principal Investigator:
- Thomas LE GALLOU, MD
-
Rouen, France, 76031
- Recruiting
- Hopital Charles Nicolle
-
Contact:
- Ygal BENHAMOU, MD
- Phone Number: +33 2 32 88 90 14
- Email: ygal.benhamou@chu-rouen.fr
-
Principal Investigator:
- Ygal BENHAMOU, MD
-
Strasbourg, France, 67000
- Not yet recruiting
- CHU Strasbourg
-
Contact:
- Vincent POINDRON, MD
- Phone Number: +33 3 69 55 05 21
- Email: vincent.poindron@chru-strasbourg.fr
-
Principal Investigator:
- Vincent POINDRON, MD
-
Strasbourg, France, 67098
- Not yet recruiting
- CHRU Hautepierre
-
Contact:
- Jacques-Eric GOTTENBERG, Pr
- Phone Number: +33 3 88 12 79 54
- Email: jacques-eric.gottenberg@chru-strasbourg.fr
-
Principal Investigator:
- Jacques-Eric GOTTENBERG, Pr
-
Strasbourg, France
- Recruiting
- Hopitaux Universaitaire de Strasbourg Hopitaux
-
Contact:
- Thierry KRUMMEL, MD
- Phone Number: +33 3 69 55 13 22
- Email: Thierry.krummel@chru-strasbourg.fr
-
Principal Investigator:
- Thierry KRUMMEL, MD
-
Suresnes, France, 92150
- Not yet recruiting
- Hopital Foch
-
Contact:
- Mathieu GROH, MD
- Phone Number: +33 1 46 25 24 16
- Email: je.kahn@hopital-foch.org
-
Principal Investigator:
- Mathieu GROH, MD
-
Tours, France, 37044
- Not yet recruiting
- CHRU Bretonneau
-
Contact:
- Elisabeth DIOT, MD
- Phone Number: +33 2 47 47 98 19
- Email: elisabeth.diot@chu-tours.fr
-
Principal Investigator:
- Elisabeth DIOT, MD
-
Troyes, France, 10003
- Recruiting
- CH de Troyes
-
Contact:
- Pascale CHAUVEAU-JOUVE, MD
- Phone Number: +33 3 25 49 49 49
- Email: pascale.chauveau-jouve@ch-troyes.fr
-
Principal Investigator:
- Pascale CHAUVEAU-JOUVE, MD
-
Valenciennes, France, 59322
- Recruiting
- Ch Valenciennes
-
Contact:
- Thomas QUEMENEUR, MD
- Phone Number: +33 3 27 14 30 89
- Email: quemeneur-t@ch-valenciennes.fr
-
Principal Investigator:
- Thomas QUEMENEUR, MD
-
Vandœuvre-lès-Nancy, France, 54511
- Not yet recruiting
- Hopitaux de Brabois
-
Contact:
- Rolland JAUSSAUD, MD
- Phone Number: +33 3 83 15 40 60
- Email: r.jaussaud@chru-nancy.fr
-
Principal Investigator:
- Rolland JAUSSAUD, MD
-
Vannes, France, 56017
- Recruiting
- CH Bretagne Atlantique
-
Principal Investigator:
- Pascal GODMER, MD
-
Contact:
- Pascal GODMER, MD
- Phone Number: +33 2 97 01 41 45
- Email: pascal.godmer@ch-bretagne-atlantique.fr
-
Verdun, France, 55100
- Not yet recruiting
- CH de Verdun
-
Contact:
- Assetou DIARRASOUBA, MD
- Phone Number: +33 3 29 83 64 42
- Email: adiarrassouba@ch-verdun.fr
-
Principal Investigator:
- Assetou DIARRASOUBA, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with a diagnosis of MPA or GPA independently of ANCA status,
- Patient aged of 18 years or older,
- Patients with newly-diagnosed disease or relapsing disease at the time of screening, with an inactive disease defined as a BVAS = 0,
- Patients receiving maintenance infusion of rituximab 500 mg at 6 and 12 months after the start of vasculitis induction
- Patients receiving 5-10 mg/day of prednisone at screening,
- Patient able to give written informed consent prior to participation in the study.
- At Inclusion visit day, patient must be between 5 and 10 mg/day prednisone and at randomization visit day (D1), patient must be at 5 mg/day prednisone
Exclusion Criteria:
- Patients with EGPA, or other vasculitides, defined by the ACR criteria and/or the Chapel Hill Consensus Conference,
- Patients with vasculitis with active disease defined as a BVAS >0,
- Patients with acute infections or chronic active infections (including HIV, HBV or HCV),
- Patients with active cancer or recent cancer (<5 years), except basocellular carcinoma and prostatic cancer of low activity controlled by hormonal treatment,
- Pregnant women and lactation. Patients with childbearing potential should have reliable contraception for the all duration of the study,
- Patients with other uncontrolled diseases, including drug or alcohol abuse, severe psychiatric diseases, that could interfere with participation in the trial according to the protocol,
- Patients included in other investigational therapeutic study within the previous 3 months,
- Patients suspected not to be observant to the proposed treatments,
- Patients who have white blood cell count ≤4,000/mm3,
- Patients who have platelet count ≤100,000/mm3,
- Patients who have ALT or AST level greater than 3 times the upper limit of normal that cannot be attributed to underlying MPA-GPA disease,
- Patients unable to give written informed consent prior to participation in the study.
- Patients with contraindication to use rituximab,
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Prednisone 5mg/day extended of 12 additional months
Prednisone 5mg/day will be administered from Day 1 to Month 12
|
Prednisone 5mg/day orally during 12 Month + 1 mg/week tapering until 0mg.
|
|
Placebo Comparator: Placebo 5mg/day extended of 12 additional months
Placebo 5mg/day will be administered from Day 1 to Month 12
|
1mg/week orally tapering Prednisone until Month 1 + Placebo orally 5mg/day until Month 13
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Relapse-free survival, relapse being defined as BVAS > 0.
Time Frame: from Screening to Month 30.
|
rate of relapse-free survival of patients continuing low-dose prednisone treatment until Month 10 VS those who will have prednisone treatment cessation at Month 1, on remission maintenance with Rituximab therapy, after achievement of remission of GPA or MPA, defined as a survival of patients maintaining a BVAS=0 at Month 30, in patient with newly-diagnosed or relapsing GPA or MPA and who will all have received glucocorticoids for 12 months after diagnosis or last flare before inclusion.
|
from Screening to Month 30.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Compare the rate of serious adverse events between Inclusion and Month 30 after randomization
Time Frame: from Day 1 to Month 30
|
Proportion of patients with at least one adverse event between inclusion and Month 30.
|
from Day 1 to Month 30
|
|
Compare the rate of predefined severe events related to glucocorticoids between inclusion and Month 30 including osteoporotic fracture and weight gain.
Time Frame: From Screening to Month 30
|
Percentage of patients with at least one predefined severe event corresponding to adverse events of grade 3 to 5 of the Common Terminology Criteria, including severe side effect related to glucocorticoids (infection requiring hospitalization or intravenous antibiotics, osteoporotic fracture, diabetes requiring medication, cardiovascular event, symptomatic osteonecrosis, psychiatric or mood disorder requiring drug administration, weight gain >10 kg) between inclusion and Month 30 - Weight gain between inclusion and Month 30 |
From Screening to Month 30
|
|
To compare the rate of vasculitis relapse at Month 30
Time Frame: from Day 1 to Month 30
|
Proportion of patients with minor or major vasculitis relapse between inclusion and Month 30 (BVAS >0) and time to first vasculitis relapse
|
from Day 1 to Month 30
|
|
To compare the prednisone use between inclusion and Month 30
Time Frame: from screening to Month 30
|
Prednisone area under the curve of administrated dose between inclusion and Month 30
|
from screening to Month 30
|
|
To compare variation of the Bone mineral density and markers between inclusion and Month 30
Time Frame: From Screening to Month 30
|
Variation of the Bone mineral density between inclusion and Month 30 - Variation of the Bone markers including C-terminal crosslinked telopeptide of type I collagen (CTX) and serum procollagen type 1 amino-terminal propeptide (P1NP) between inclusion and Month 30 |
From Screening to Month 30
|
|
To compare sequelae assessed by BVAS (vasculitis activity) at 30 months
Time Frame: From Screening to Month 30.
|
BVAS (vasculitis activity) at 30 months - Variation of BVAS (Vasculitis activity) |
From Screening to Month 30.
|
|
To compare sequelae assessed by the Vasculitis Damage Index (VDI) at 30 months
Time Frame: From screening to Month 30.
|
|
From screening to Month 30.
|
|
- To compare sequelae assessed by Combined Damage Assessment Index (CDA) at 30 months
Time Frame: From Screening to Month 30.
|
|
From Screening to Month 30.
|
|
- To compare functional disability at Month 30 after randomization (Day 1) in both arms
Time Frame: From Day 1 to Month 30.
|
Variation of HAQ (disability) between inclusion and at Month 30
|
From Day 1 to Month 30.
|
|
To compare quality of life at Month 30 after randomization (Day 1) in both arms
Time Frame: - From Day 1 to Month 30.
|
- Variation of SF-36 (quality of life) between inclusion and at Month 30
|
- From Day 1 to Month 30.
|
|
- To compare healthcare resource utilization at Month 30 after randomization (Day 1) in both arms
Time Frame: From Day 1 to Month 30.
|
- Healthcare resource utilization between inclusion and Month 30 being defined as the percentage of patients being hospitalized at least once except only for rituximab infusions
|
From Day 1 to Month 30.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jean-Christophe LEGA, Pr, Hospices Civils de Lyon
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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 (Estimated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 69HCL17_0020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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