A Study of Nivolumab in Combination With Ipilimumab in Participants With Advanced Hepatocellular Carcinoma (CheckMate 9DW)
A Randomized, Multi-center, Phase 3 Study of Nivolumab in Combination With Ipilimumab Compared to Sorafenib or Lenvatinib as First-Line Treatment in Participants With Advanced Hepatocellular Carcinoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Expanded Access
Expanded Access
Approved
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, C1426ANZ
- Local Institution - 0136
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San Miguel de Tucumán, Argentina, 4000
- Local Institution - 0058
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Buenos Aires
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Caba, Buenos Aires, Argentina, C1090AAS
- Local Institution - 0037
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Pilar, Buenos Aires, Argentina, B1629ODT
- Local Institution - 0194
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Santa Fe Province
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Rosario, Santa Fe Province, Argentina, 2000
- Local Institution - 0282
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New South Wales
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Kogarah, New South Wales, Australia, 2217
- Local Institution - 0003
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Liverpool, New South Wales, Australia, 1871
- Local Institution - 0038
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Westmead, New South Wales, Australia, 2145
- Local Institution - 0002
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Queensland
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Birtinya, Queensland, Australia, 4560
- Local Institution - 0004
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Herston, Queensland, Australia, 4029
- Local Institution - 0013
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South Australia
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Adelaide, South Australia, Australia, 5000
- Local Institution - 0009
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Victoria
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Clayton, Victoria, Australia, 3168
- Local Institution - 0019
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Fitzroy, Victoria, Australia, 3065
- Local Institution - 0026
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Melbourne, Victoria, Australia, 3004
- Local Institution - 0001
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St Albans, Victoria, Australia, 3021
- Local Institution - 0020
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Graz, Austria, 8036
- Local Institution - 0188
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Klagenfurt, Austria, 9020
- Local Institution - 0065
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Vienna, Austria, 1090
- Local Institution - 0186
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Lower Austria
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Sankt Pölten, Lower Austria, Austria, 3100
- Local Institution - 0114
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Wiener Neustadt, Lower Austria, Austria, 2700
- Local Institution - 0057
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Brussels, Belgium, 1070
- Local Institution - 0034
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Federal District, Belgium, 72115700
- Local Institution - 0008
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Ghent, Belgium, 9000
- Local Institution - 0124
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Ghent, Belgium, 9000
- Local Institution - 0298
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Haine-Saint-Paul, Belgium, 7100
- Local Institution - 0099
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Leuven, Belgium, 3000
- Local Institution - 0064
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Liège, Belgium, 4000
- Local Institution - 0104
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Paranã, Brazil, 81520-060
- Local Institution - 0016
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Rio de Janeiro, Brazil, 22793-080
- Local Institution - 0015
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São Paulo, Brazil, 01246-000
- Local Institution - 0023
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São Paulo, Brazil, 01323-900
- Local Institution - 0022
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São Paulo, Brazil, 04038-034
- Local Institution - 0050
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Espírito Santo
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Vitória, Espírito Santo, Brazil, 29055-450
- Local Institution - 0278
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Estado de Bahia
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Salvador, Estado de Bahia, Brazil, 41253190
- Local Institution
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Salvador, Estado de Bahia, Brazil, 41950-640
- Local Institution - 0061
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Federal District
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Brasília, Federal District, Brazil, 70200-730
- Local Institution - 0181
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Rio Grande do Sul
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Ijuí, Rio Grande do Sul, Brazil, 98700-000
- Local Institution - 0279
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Pelotas, Rio Grande do Sul, Brazil, 96020-360
- Local Institution - 0060
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São Paulo
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Jaú, São Paulo, Brazil, 17210-120
- Local Institution - 0054
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São José do Rio Preto, São Paulo, Brazil, 15090-000
- Hospital de Base de Sao Jose do Rio Preto
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Local Institution - 0192
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Araucania
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Temuco, Araucania, Chile, 4780000
- Local Institution - 0296
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Coquimbo Region
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La Serena, Coquimbo Region, Chile, 1720430
- Local Institution - 0094
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RM
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Santiago, RM, Chile, 7630372
- Local Institution - 0283
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Santiago Metropolitan
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Santiago, Santiago Metropolitan, Chile
- Local Institution - 0095
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Santiago, Santiago Metropolitan, Chile, 7710007
- Local Institution - 0024
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Santiago, Santiago Metropolitan, Chile, 8380456
- Local Institution - 0156
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Valparaiso
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Viña del Mar, Valparaiso, Chile, 2520598
- Local Institution - 0012
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Viña del Mar, Valparaiso, Chile, 2540402
- Local Institution - 0216
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Anhui
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Hefei, Anhui, China, 230601
- Local Institution - 0146
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Hefei, Anhui, China, 230022
- Local Institution - 0120
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100000
- Local Institution - 0175
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Beijing, Beijing Municipality, China, 100142
- Local Institution - 0152
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Fujian
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Fuzhou, Fujian, China, 350002
- Local Institution - 0151
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Fuzhou, Fujian, China, 350014
- Local Institution - 0121
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Guangdong
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Guangzhou, Guangdong, China, 510000
- Local Institution - 0125
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Guangzhou, Guangdong, China, 510515
- Local Institution - 0150
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Heilongjiang
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Harbin, Heilongjiang, China, 150081
- Local Institution - 0135
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Hunan
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Changsha, Hunan, China, 410011
- Local Institution - 0059
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Changsha, Hunan, China, 410006
- Local Institution - 0109
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Jiangsu
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Nanjing, Jiangsu, China, 210002
- Local Institution - 0130
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Jiangxi
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Nanchang, Jiangxi, China, 330006
- Local Institution - 0145
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Nanchang, Jiangxi, China, 330019
- Local Institution - 0149
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Jilin
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Changchun, Jilin, China, 130021
- Local Institution - 0162
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Changchun, Jilin, China, 130102
- Local Institution - 0166
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Liaoning
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Dalian, Liaoning, China, 116023
- Local Institution - 0131
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Shenyang, Liaoning, China, 110004
- Local Institution - 0123
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Shenyang, Liaoning, China, 110117
- Local Institution - 0132
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Shaanxi
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Xi'an, Shaanxi, China, 710038
- Local Institution - 0133
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Shan3xi
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Xi'an, Shan3xi, China, 710100
- Local Institution - 0307
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Xi'an, Shan3xi, China, 710061
- Local Institution - 0147
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Shandong
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Qingdao, Shandong, China, 266000
- Local Institution - 0153
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200032
- Local Institution - 0134
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Sichuan
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Chongqing, Sichuan, China, 400030
- Local Institution - 0179
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Zhejiang
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Hangzhou, Zhejiang, China, 310022
- Local Institution - 0107
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Hangzhou, Zhejiang, China, 310000
- Local Institution - 0108
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Brno, Czechia, 60200
- Local Institution
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Prague
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Prague, Prague, Czechia, 14059
- Local Institution - 0274
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Amiens, France, 80054
- Local Institution - 0068
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Caen, France, 14033
- Local Institution - 0116
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Clichy, France, 92110
- Local Institution - 0069
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Dijon, France, 21000
- Local Institution - 0138
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Grenoble, France, 38043
- Local Institution - 0081
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Lyon, France, 69004
- Local Institution - 0070
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Marseille, France, 13009
- Local Institution
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Montpellier, France, 34295
- Local Institution - 0082
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Nice, France, 6202
- Local Institution - 0067
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Pessac, France, 33604
- Local Institution - 0025
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Poitiers, France, 86021
- Local Institution - 0137
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Toulouse, France, 31059
- Local Institution - 0042
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Vandœuvre-lès-Nancy, France, 54500
- Local Institution - 0071
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Villejuif, France, 94800
- Local Institution - 0051
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Bonn, Germany, 53127
- Local Institution - 0231
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Cologne, Germany, 50937
- Local Institution - 0028
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Essen, Germany, 45147
- Local Institution - 0052
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Freiburg im Breisgau, Germany, 79106
- Local Institution - 0185
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Hamburg, Germany, 20246
- Local Institution - 0006
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Hanover, Germany, 30625
- Local Institution - 0102
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Leipzig, Germany, 04103
- Local Institution - 0118
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Mainz, Germany, 55131
- Local Institution - 0031
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Mannheim, Germany, 68167
- Local Institution - 0056
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München, Germany, 81675
- Local Institution
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North Rhine-Westphalia, Germany, 45136
- Local Institution - 0053
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Hesse
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Frankfurt am Main, Hesse, Germany, 60590
- Local Institution - 0005
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Hong Kong, Hong Kong, 999077
- Local Institution - 0036
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Hong Kong, Hong Kong
- Local Institution - 0032
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Candiolo, Italy, 10060
- Local Institution - 0084
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Milan, Italy, 20122
- Local Institution - 0039
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Novara, Italy, 28100
- Local Institution - 0100
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Padova, Italy, 35128
- Local Institution - 0219
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Parma, Italy, 43126
- Local Institution - 0033
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Roma, Italy, 00128
- Local Institution - 0112
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Rome, Italy, 00168
- Local Institution - 0079
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Siena, Italy, 53100
- Local Institution - 0111
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Vicenza, Italy, 36100
- Local Institution - 0044
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Forli-Cesena
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Meldola, Forli-Cesena, Italy, 47014
- Local Institution - 0110
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Milano
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Rozzano, Milano, Italy, 20089
- Local Institution - 0101
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Chiba, Japan, 260-8677
- Local Institution - 0204
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Fukuoka, Japan, 830-0011
- Local Institution - 0178
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Hiroshima, Japan, 7348551
- Local Institution - 0177
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Sapporo, Japan, 0600033
- Local Institution - 0155
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Chiba
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Kashiwa-shi, Chiba, Japan, 2778577
- Local Institution - 0193
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Ehime
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Matsuyama, Ehime, Japan, 790-0024
- Local Institution - 0203
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Ishikawa-ken
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Kanazawa, Ishikawa-ken, Japan, 920-8641
- Local Institution - 0176
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Kanagawa
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Yokohama, Kanagawa, Japan, 241-8515
- Local Institution - 0262
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Yokohama, Kanagawa, Japan, 2320024
- Local Institution - 0200
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Kyoto
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Kyoto, Kyoto, Japan, 602-8566
- Local Institution - 0189
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Nara
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Kashihara, Nara, Japan, 634-8522
- Local Institution - 0261
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Osaka
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Abeno-ku, Osaka, Japan, 5458586
- Local Institution - 0263
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Sayama, Osaka, Japan, 5898511
- Local Institution - 0127
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Saga-ken
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Saga, Saga-ken, Japan, 8408571
- Local Institution - 0281
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Saitama
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Iruma-gun, Saitama, Japan, 3500495
- Local Institution - 0258
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Shizuoka
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Izunokuni-shi, Shizuoka, Japan, 410-2295
- Local Institution - 0259
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Tokyo
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Minato, Tokyo, Japan, 105-8470
- Local Institution - 0128
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Minato-ku, Tokyo, Japan, 105-8470
- Local Institution - 0122
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Mitaka, Tokyo, Japan, 181-8611
- Local Institution - 0201
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Musashino-shi, Tokyo, Japan, 180-8610
- Local Institution - 0199
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Auckland, New Zealand, 1023
- Local Institution - 0047
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Canterbury
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Christchurch, Canterbury, New Zealand, 8011
- Local Institution - 0286
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Gdansk, Poland, 80219
- Local Institution - 0148
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Otwock, Poland, 05-400
- Local Institution - 0049
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Warsaw, Poland, 02-034
- Local Institution - 0092
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Rio Piedras, Puerto Rico, 00935
- Local Institution - 0289
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San Juan, Puerto Rico, 00927-4308
- Local Institution - 0035
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Bucharest, Romania, 022328
- Local Institution - 0164
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Cluj-Napoca, Romania, 400015
- Local Institution - 0165
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Craiova, Romania, 200385
- Local Institution
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Timișoara, Romania, 300166
- Local Institution - 0163
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Dolj
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Craiova, Dolj, Romania, 200542
- Local Institution - 0103
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Arkhangelsk, Russia, 163045
- Local Institution - 0029
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Barnaul, Russia, 656045
- Local Institution - 0066
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Chelyabinsk, Russia, 454087
- Local Institution - 0074
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Moscow, Russia, 115478
- Local Institution - 0007
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Pyatigorsk, Russia, 357502
- Local Institution - 0072
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Saint Petersburg, Russia, 197758
- Local Institution - 0075
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Saint Petersburg, Russia, 198255
- Local Institution - 0091
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Sochi, Russia, 354057
- Local Institution - 0073
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Singapore, Singapore, 258499
- Local Institution - 0017
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Singapore, Singapore, 308442
- Local Institution - 0174
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Singapore, Singapore, 168583
- Local Institution - 0048
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Busan, South Korea, 49241
- Local Institution - 0142
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Gyeonggi-do, South Korea, 010408
- Local Institution - 0097
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Gyeongsangnam-do, South Korea, 050612
- Local Institution - 0098
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Seoul, South Korea, 03722
- Local Institution - 0141
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Seoul, South Korea, 05505
- Local Institution - 0140
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Seoul, South Korea, 06351
- Local Institution - 0139
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Gyeonggi-do
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Seongnam-si, Gyeonggi-do, South Korea, 13496
- Local Institution - 0143
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Seoul
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Guro-gu, Seoul, South Korea, 8308
- Local Institution - 0167
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Jongno-gu, Seoul, South Korea, 03080
- Local Institution - 0062
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Barcelona, Spain, 08035
- Local Institution - 0297
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Barcelona, Spain, 08036
- Local Institution - 0055
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Barcelona, Spain, 08908
- Local Institution - 0089
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Córdoba, Spain, 14004
- Local Institution - 0090
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El Palmar, Spain, 30120
- Local Institution - 0087
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Madrid, Spain, 28007
- Local Institution - 0041
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Madrid, Spain, 28028
- Local Institution - 0093
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Madrid, Spain, 28035
- Local Institution - 0290
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Majadahonda, Spain, 28222
- Local Institution - 0045
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Pamplona, Spain, 31008
- Local Institution - 0085
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Santander, Spain, 39008
- Local Institution - 0088
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Zaragoza, Spain, 50009
- Local Institution - 0040
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Bern, Switzerland, 3010
- Local Institution - 0063
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Kaohsiung City, Taiwan, 807
- Local Institution - 0272
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Kaohsiung City, Taiwan, 83301
- Local Institution - 0096
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Taichung, Taiwan, 40447
- Local Institution - 0105
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Taichung, Taiwan, 40705
- Local Institution - 0271
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Tainan, Taiwan, 704
- Local Institution - 0168
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Tainan, Taiwan, 736
- Local Institution - 0270
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Taipei, Taiwan, 10002
- Local Institution - 0144
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Taipei, Taiwan, 11266
- Local Institution - 0078
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Taoyuan, Taiwan, 333
- Local Institution - 0173
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Edinburgh, United Kingdom, EH4 2XU
- Local Institution - 0160
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London, United Kingdom, SE5 9RS
- Local Institution - 0129
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Greater London
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London, Greater London, United Kingdom, W12 OHS
- Local Institution - 0171
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Surrey
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Guildford, Surrey, United Kingdom, GU2 7XX
- Local Institution - 0154
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Arizona
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Tucson, Arizona, United States, 85719
- Local Institution - 0292
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California
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Coronado, California, United States, 92118
- Local Institution - 0288
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Duarte, California, United States, 91010-3012
- Local Institution - 0157
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District of Columbia
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Washington D.C., District of Columbia, United States, 20007
- Local Institution - 0077
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Kentucky
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Louisville, Kentucky, United States, 40217
- Local Institution - 0027
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Maryland
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Baltimore, Maryland, United States, 21287
- Local Institution - 0190
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Michigan
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Ann Arbor, Michigan, United States, 48105
- Local Institution
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Detroit, Michigan, United States, 48202
- Local Institution - 0018
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New Jersey
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Newark, New Jersey, United States, 07103
- Local Institution - 0295
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Ohio
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Toledo, Ohio, United States, 43623
- Local Institution - 0043
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15212
- Local Institution - 0284
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Texas
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Dallas, Texas, United States, 75203
- Local Institution - 0304
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Houston, Texas, United States, 77030
- Local Institution - 0202
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Lubbock, Texas, United States, 79410
- Local Institution - 0046
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Utah
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Salt Lake City, Utah, United States, 84106
- Local Institution - 0172
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants must have a diagnosis of HCC based on histological confirmation
- Participants must have an advanced HCC
- Participants must have at least one Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 measurable previously untreated lesion
- Child-Pugh score 5 or 6
- Eastern Cooperative Oncology Group (ECOG) performance status(PS) 0 or 1
Exclusion Criteria:
- Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC
- Prior liver transplant
- Episodes of hepatic encephalopathy (greater than or equal to [>=] Grade 2) within 12 months prior to randomization
- Active brain metastases or leptomeningeal metastases
Other protocol-defined inclusion/exclusion criteria apply.
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: Nivolumab + Ipilimumab
|
Participants will receive nivolumab as intravenous (IV) infusion.
Participants will receive ipilimumab as IV infusion.
|
|
Active Comparator: Sorafenib/lenvatinib
|
Participants will receive sorafenib as oral tablets.
Participants will receive lenvatinib as oral capsules.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Overall Survival (OS)
Time Frame: Up to 4 years
|
Up to 4 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Duration of Response (DOR)
Time Frame: Up to 4 years
|
Up to 4 years
|
|
Objective Response Rate (ORR)
Time Frame: Up to 4 years
|
Up to 4 years
|
|
Time to Symptom Deterioration (TTSD)
Time Frame: Up to 4 years
|
Up to 4 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb
Publications and helpful links
General Publications
- Yau T, Galle PR, Decaens T, Sangro B, Qin S, da Fonseca LG, Karachiwala H, Blanc JF, Park JW, Gane E, Pinter M, Pena AM, Ikeda M, Tai D, Santoro A, Pizarro G, Chiu CF, Schenker M, He A, Chon HJ, Wojcik-Tomaszewska J, Verset G, Wang QQ, Stromko C, Neely J, Singh P, Jimenez Exposito MJ, Kudo M; CheckMate 9DW investigators. Nivolumab plus ipilimumab versus lenvatinib or sorafenib as first-line treatment for unresectable hepatocellular carcinoma (CheckMate 9DW): an open-label, randomised, phase 3 trial. Lancet. 2025 May 24;405(10492):1851-1864. doi: 10.1016/S0140-6736(25)00403-9. Epub 2025 May 8.
- Yau T, Galle PR, Decaens T, Sangro B, Qin S, da Fonseca LG, Karachiwala H, Blanc JF, Park JW, Gane E, Pinter M, Matilla Pena A, Ikeda M, Tai D, Santoro A, Pizarro G, Chiu CF, Schenker M, He A, Chon HJ, Wojcik-Tomaszewska J, Verset G, Wang QQ, Stromko C, Neely J, Singh P, Jimenez Exposito MJ, Kudo M. A plain language summary of the CheckMate 9DW study: nivolumab in combination with ipilimumab for unresectable hepatocellular carcinoma (advanced liver cancer). Future Oncol. 2026 Apr;22(10):1135-1152. doi: 10.1080/14796694.2026.2651375. Epub 2026 Apr 14.
- Huynh JC, Cho M, Monjazeb A, Al-Obeidi E, Singh A, Tam K, Lara F, Martinez A, Garcia L, Kim EJ. Phase I/II trial of BMS-986,205 and nivolumab as first line therapy in hepatocellular carcinoma. Invest New Drugs. 2024 Feb;42(1):35-43. doi: 10.1007/s10637-023-01416-w. Epub 2023 Dec 1.
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
- Neoplasms by Site
- Neoplasms
- Neoplasms by Histologic Type
- Digestive System Neoplasms
- Digestive System Diseases
- Liver Diseases
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Liver Neoplasms
- Carcinoma
- Carcinoma, Hepatocellular
- Amino Acids, Peptides, and Proteins
- Proteins
- Organic Chemicals
- Pyridines
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Hydrocarbons
- Hydrocarbons, Cyclic
- Hydrocarbons, Aromatic
- Amides
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Benzene Derivatives
- Urea
- Acids, Heterocyclic
- Phenylurea Compounds
- Niacinamide
- Nicotinic Acids
- Sorafenib
- Nivolumab
- Ipilimumab
- lenvatinib
Other Study ID Numbers
Other Study ID Numbers
- CA209-9DW
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
- CSR
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.