Balloon Angioplasty for Symptomatic Intracranial Artery Stenosis (BASIS)
A Multicenter, Prospective, Randomized, Open-label, Blinded End-point Clinical Study to Evaluate the Safety and Efficacy of Intracranial Balloon Angioplasty Plus Aggressive Medical Management for Symptomatic Intracranial Artery Stenosis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Xuan Sun, MD
- Phone Number: +8613810926284
- Email: sxuan@yeah.net
Study Locations
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Anhui
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Hefei, Anhui, China, 230022
- The First Affiliated Hospital of Anhui Medical University
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Hefei, Anhui, China, 230031
- The First Affiliated Hospital of Anhui University of CM
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Beijing
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Beijing, Beijing, China, 100853
- Chinese PLA General Hospital
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Beijing, Beijing, China, 100070
- Beijing Tian Tan Hospital, Capital Medical University
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Beijing, Beijing, China, 100020
- Beijing Chao-Yang Hospital, Capital Medical University
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Beijing, Beijing, China, 100069
- Beijing Fengtai You Anmen Hospital
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Beijing, Beijing, China, 100078
- Dongfang Hospital Beijing University of Chinese Medicine
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Beijing, Beijing, China, 101149
- Beijing Luhe Hospital,Capital Medical University
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Beijing, Beijing, China, 101300
- Beijing Shunyi Hospital
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Guangdong
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Guangzhou, Guangdong, China, 510120
- Guangdong Provincial Hospital of Traditional Chinese Medicine
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Guangzhou, Guangdong, China, 510260
- The second Affiliated Hospital of Guangzhou Medical University
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Guangzhou, Guangdong, China, 510080
- The First Affiliated Hospital,Sun Yat-Sen University
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Guangzhou, Guangdong, China, 510510
- Guangdong Sanjiu Brain Hospital
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Shenzhen, Guangdong, China, 518110
- Shenzhen Hospital of Southern Medical University
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Guizhou
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Guiyang, Guizhou, China, 550004
- The Affiliated Hospital of Guizhou Medical University
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Henan
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Zhengzhou, Henan, China, 450003
- Henan Provincial People's Hospital
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Hubei
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Wuhan, Hubei, China, 430022
- Wuhan No.1 Hospital
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Hunan
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Changsha, Hunan, China, 410005
- Hunan Provincial People's Hospital
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Jiangsu
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Changzhou, Jiangsu, China, 213003
- The First People's Hospital of Changzhou
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Nanjing, Jiangsu, China, 210008
- Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School
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Nanjing, Jiangsu, China, 210008
- The Second Affiliated Hospital of Nanjing Medical University
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Jiangxi
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Nanchang, Jiangxi, China, 330006
- Jiangxi Provincial People's Hospital
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Jilin
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Chang chun, Jilin, China, 130021
- The First Hospital of Jilin University
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Liaoning
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Shenyang, Liaoning, China, 110015
- General Hospital of the Northern Theater of the Chinese People's Liberation Army
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Shandong
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Jinan, Shandong, China, 250021
- Shandong Provincial Hospital
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Jinan, Shandong, China, 250012
- Qilu Hospital of Shandong University
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Liaocheng, Shandong, China, 252000
- LiaochengI People's Hospital
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Qingdao, Shandong, China, 266000
- The affiliated hospital of Qingdao university
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Shanxi
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Xi'an, Shanxi, China, 710061
- The First Affiliated Hospital of Xi'an Jiaotong University
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Xian, Shanxi, China, 100005
- The Affiliated Hospital of Northwest University
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Sichuan
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Chendu, Sichuan, China, 610041
- West China Hospital Sichuan University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 35-80 years.
- Participants with primary or recurrent sICAS (a recent TIA[<90 days] or ischemic stroke [14-90 days] before enrollment attributed to 70-99% atherosclerotic stenosis of a major intracranial artery) receiving treatment with at least one antithrombotic drug and/or standard medical management of vascular risk factors;
- Diagnosed by DSA: a major intracranial artery (terminal internal carotid artery [ICA] [C4-C7 segments], middle cerebral artery [MCA] M1 segment, vertebral artery [VA] V4 segment, and basilar artery [BA]) severe atherosclerotic stenosis (70-90% according to WASID method) with lesion length ≤ 10mm, diameter ≥1.5mm, and normal distal artery. (Regarding the curvature and angle of the lesion, whether the patient is enrolled in BASIS per the investigator's determination based on the patient's situation);
- Informed consent signed.
Exclusion Criteria:
- Surgery within the past 30 days or plan to receive ≥ 3-grade surgery within 90 days;
- Thrombolytic therapy within 24 hours before enrollment;
- Neurological deficits worsen within 24 hours before enrollment;
- Acute ischemic stroke onset within 14 days before enrollment;
- Other intracranial arteries with severe stenosis (70-99%) besides the target artery and its supplying artery;
- Target artery's supplying artery stenosis > 50%. For example, patient with MCA severe stenosis (target artery) and the ipsilateral ICA stenosis > 50% should be excluded; patient with BA severe stenosis (target artery) and the dominant VA stenosis > 50% should be excluded; the patient with extracranial artery (non-lesion side) stenosis > 70% should be excluded; For patients with balanced VA, if bilateral VA stenosis > 70% at the same time, should be excluded (unable to determine which VA is the lesion artery). However, if patient's dominant VA is the lesion artery with a dysplasia or slender contralateral VA or a non-dominant contralateral VA terminating at posteroinferior cerebellar artery, should not be excluded.
- Participant with perforator stroke (except for severe stenosis of supplying artery combined with hemodynamic compromise or poor collaterals) 12;
- Baseline modified Rankin Scale ≥ 3;
- Non-atherosclerotic diseases (e.g., arterial dissection, moyamoya disease, vascular inflammatory lesions caused by infection, autoimmune diseases, post-irradiation, postpartum status; developmental or genetic abnormalities such as fibromuscular dysplasia, sickle cell anemia, suspected vasospasm);
- Target artery with severely calcified and adjacent to stenosis;
- Suspected ischemic event caused by embolism or the arterial embolism from extracranial segment (ipsilateral chest or neck vascular occlusive disease) or potential cardioembolism (e.g., atrial fibrillation, mitral stenosis, patent foramen ovale, left ventricular thrombus, myocardial infarction within 6 weeks, etc.);
- Coexistent with Intracranial tumors, aneurysms or intracranial arteriovenous malformations;
- Intracranial hemorrhage within the past 3 months, including parenchymal hemorrhage, intraventricular hemorrhage, subarachnoid hemorrhage, epidural hemorrhage or subdural hemorrhage, etc.;
- Angioplasty procedure (including balloon dilatation, stenting, or endarterectomy) performed at the original target vessel or its primary supplying artery, or a planned stenting procedure;
- Unable to receive dual antiplatelet therapy due to other diseases;
- Tortuous vascular approach that cannot be stabilized to obtain vascular access;
- Allergic to heparin, aspirin, clopidogrel, contrast agents, anesthetics, and balloon components;
- Hemoglobin < 100g/L, platelet count < 100×109/ L, international normalized ratio (INR) >1.5 (irreversible), Coagulation dysfunction or uncorrectable bleeding factors;
- Severe liver or kidney dysfunction. ALT > three-fold higher than the upper limit of normal value or AST > three-fold higher than the upper limit of normal value, or serum creatinine > two-fold higher than the upper limit of normal value;
- Pregnant and lactating women;
- Participants with renal artery, radial artery, and cardiac coronary artery requiring concurrent intervention;
- Expected survival expectation is less than< 1 year;
- Unable to complete follow-up due to mental illness, cognitive or emotional disorders;
- Participants participating in other drug/medical device clinical trials who have not yet completed the program requirements;
- Participants are not suitable for BASIS trial per investigator's opinion.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intracranial balloon angioplasty and aggressive medical management
All the participants in this group will be given Intracranial balloon angioplasty and aggressive medical management.
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A balloon (recommending the Neuro RX and Neuro LPS Intracranial Balloon Dilation Catheter [Sinomed Inc., Tianjin, China]) is navigated by the microwire to the lesion of the target artery.
Aspirin 100mg once/day during the follow-up period, Clopidogrel 75mg once/day for at least 90 days, Atorvastatin 20-80mg once/day as the situation requires and risk factors management including blood pressure to maintain 130-140/80-90 mmHg and LDL lower than 70 mg/dl or 1.8mmol/L.
|
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Experimental: Aggressive Medical management
All the participants in this group will be given aggressive medical management alone.
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Aspirin 100mg once/day during the follow-up period, Clopidogrel 75mg once/day for at least 90 days, Atorvastatin 20-80mg once/day as the situation requires and risk factors management including blood pressure to maintain 130-140/80-90 mmHg and LDL lower than 70 mg/dl or 1.8mmol/L.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Stroke or death within 30 days after enrollment or after balloon angioplasty procedure of the qualifying lesion during follow-up, or any ischemic stroke or revascularization from the qualifying artery beyond 30 days through 12 months after enrollment
Time Frame: 12 months
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This outcome includes ischemic/hemorrhagic stroke and all-cause death within 30 days after enrollment or after balloon angioplasty procedure of the qualifying lesion during follow-up, or any ischemic stroke and revascularization from the original culprit symptomatic intracranial artery beyond 30 days through 12 months after enrollment.
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Any stroke (ischemic or hemorrhage stroke) or all-cause deaths within 30 days after enrollment or after balloon angioplasty procedure of the qualifying lesion during follow-up
Time Frame: 30 days
|
Any stroke (ischemic or hemorrhage stroke) or all-cause deaths within 30 days after enrollment or after balloon.
angioplasty procedure of the qualifying lesion during follow-up.
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30 days
|
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Any stroke (ischemic or hemorrhage stroke) inside of the territory of the target artery or all-cause deaths within 90 days after enrollment
Time Frame: 90 days
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Rat of any stroke (ischemic or hemorrhage stroke) inside of the territory of the target artery or all-cause deaths within 90 days after enrollment.
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90 days
|
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Any stroke (ischemic or hemorrhage stroke) outside of the territory of the target artery within 90 days after enrollment
Time Frame: 90 days
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Rat of any stroke (ischemic or hemorrhage stroke) outside of the territory of the target artery within 90 days after enrollment.
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90 days
|
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Neurological improvement assessed by mRS at 90 days
Time Frame: 90 days
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Modified Rankin Scale (mRS score) ranged from 0 to 6 is used to measure the recovery of neurological function in patients after stroke.
Score 0 means completely no symptom.
Score 6 means death.
Higher values represent a worse outcome.
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90 days
|
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Any stroke (ischemic or hemorrhage stroke) inside of the territory of the target artery or all-cause deaths within 12 months after enrollment
Time Frame: 12 months
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Rat of any stroke (ischemic or hemorrhage stroke) inside of the territory of the target artery or all-cause deaths within 12 months after enrollment.
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12 months
|
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Revascularization of the target artery within 12 months after enrollment
Time Frame: 12 months
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Rat of revascularization of the target artery within 12 months after enrollment.
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12 months
|
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Any stroke (ischemic or hemorrhage stroke) outside of the territory of the target artery within 12 months after enrollment
Time Frame: 12 months
|
Rat of any stroke (ischemic or hemorrhage stroke) outside of the territory of the target artery within 12 months after enrollment.
|
12 months
|
|
Neurological improvement assessed by mRS at 12 months
Time Frame: 12 months
|
Modified Rankin Scale (mRS score) ranged from 0 to 6 is used to measure the recovery of neurological function in patients after stroke.
Score 0 means completely no symptom.
Score 6 means death.
Higher values represent a worse outcome.
|
12 months
|
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Restenosis rate of the target artery within 12 months (defined as rate of stenosis >70% or increased by 30% based on following-up neurovascular imaging)
Time Frame: 12 months
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Restenosis is defined as rate of stenosis >70% or increased by 30% based on following-up neurovascular imaging.
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12 months
|
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Combined events such as stroke, myocardial infarction, and vascular death within 12 months after enrollment
Time Frame: 12 months
|
Combined events include stroke, myocardial infarction and vascular death etc; Myocardial infarction occurs when blood stops flowing properly to a part of the heart, and the heart muscle is injured because it is not receiving enough oxygen; vascular death means the death is due to vessel rupture or clot.
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12 months
|
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Life quality assessment (EuroQol-5-Dimensions Scale [EQ-5D] questionnaire) within 12 months after enrollment
Time Frame: 12 months
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Quality of life evaluated by EuroQol-5-Dimensions Scale (EQ-5D) questionnaire at the 12 months follow-up.
EQ-5D descriptive system covers five dimensions including mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
Each dimension has three response levels (no problem, some problems, and severe problems).
The EQ-5D descriptive system generates 243 health states, each of which was assigned a utility.
score ranging from -0.59 to 1.00 (full health)
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12 months
|
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Any stroke (ischemic or hemorrhage stroke) inside of the territory of the target artery or all-cause deaths within 24 months after enrollment
Time Frame: 24 months
|
Rat of any stroke (ischemic or hemorrhage stroke) inside of the territory of the target artery or all-cause deaths within 24 months after enrollment.
|
24 months
|
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Any stroke (ischemic or hemorrhage stroke) outside of the territory of the target artery within 24 months after enrollment
Time Frame: 24 months
|
Rat of any stroke (ischemic or hemorrhage stroke) outside of the territory of the target artery within 24 months after enrollment.
|
24 months
|
|
Neurological improvement assessed by mRS at 24 months
Time Frame: 24 months
|
Modified Rankin Scale (mRS score) ranged from 0 to 6 is used to measure the recovery of neurological function in patients after stroke.
Score 0 means completely no symptom.
Score 6 means death.
Higher values represent a worse outcome.
|
24 months
|
|
Combined events such as stroke, myocardial infarction, and vascular death within 24 months after enrollment
Time Frame: 24 months
|
Combined events include stroke, myocardial infarction and vascular death etc; Myocardial infarction occurs when blood stops flowing properly to a part of the heart, and the heart muscle is injured because it is not receiving enough oxygen; vascular death means the death is due to vessel rupture or clot.
|
24 months
|
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Any stroke (ischemic or hemorrhage stroke) inside of the territory of the target artery or all-cause deaths within 36 months after enrollment
Time Frame: 36 months
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Rat of any stroke (ischemic or hemorrhage stroke) inside of the territory of the target artery or all-cause deaths within 36 months after enrollment.
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36 months
|
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Any stroke (ischemic or hemorrhage stroke) outside of the territory of the target artery within 36 months after enrollment
Time Frame: 36 months
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Rat of any stroke (ischemic or hemorrhage stroke) outside of the territory of the target artery or all-cause deaths within 36 months after enrollment.
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36 months
|
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Neurological improvement assessed by mRS at 36 months
Time Frame: 36 months
|
Modified Rankin Scale (mRS score) ranged from 0 to 6 is used to measure the recovery of neurological function in patients after stroke.
Score 0 means completely no symptom.
Score 6 means death.
Higher values represent a worse outcome.
|
36 months
|
|
Combined events such as stroke, myocardial infarction, and vascular death within 36 months after enrollment
Time Frame: 36 months
|
Combined events include stroke, myocardial infarction and vascular death etc; Myocardial infarction occurs when blood stops flowing properly to a part of the heart, and the heart muscle is injured because it is not receiving enough oxygen; vascular death means the death is due to vessel rupture or clot.
|
36 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Yilong Wang, MD, Beijing Tiantan Hospital
- Principal Investigator: Zhongrong Miao, MD, Beijing Tiantan Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
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 (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
Other Study ID Numbers
Other Study ID Numbers
- 2017YFC1307900
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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