A Study of Baricitinib in Participants With Rheumatoid Arthritis (RA-BRANCH)
A Randomized, Controlled Pragmatic Phase 3b/4 Study of Baricitinib in Patients With Rheumatoid Arthritis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or
- Phone Number: 1-317-615-4559
- Email: clinical_inquiry_hub@lilly.com
Study Locations
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Arizona
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Chandler, Arizona, United States, 85225
- Arizona Research Clinic PLLC
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Mesa, Arizona, United States, 85202
- Arizona Arthritis & Rheumatology Associates, P. C.
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Paradise Valley, Arizona, United States, 85253
- Arizona Arthritis & Rheumatology Research
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Peoria, Arizona, United States, 85381
- Sun Valley Arthritis Center, LTD
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Phoenix, Arizona, United States, 85037
- Arizona Arthritis & Rheumatology Associates
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Arkansas
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Jonesboro, Arkansas, United States, 72401
- Arthritis and Rheumatism Associates
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California
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Burbank, California, United States, 91505
- Providence St. Joseph's Medical Center
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Canoga Park, California, United States, 91303
- Hope Clinical Research, Inc.
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Covina, California, United States, 91722
- Medvin Clinical Research - Covina
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El Cajon, California, United States, 92020
- Triwest Research Associates LLC
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Huntington Beach, California, United States, 92648
- Newport Huntington Med Grp
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La Mesa, California, United States, 91942
- BioSolutions Clinical Research Center
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Los Alamitos, California, United States, 90720
- Valerius Medical Group and Research Center of Greater Long Beach
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Monterey Park, California, United States, 91754
- R. Srinivasan, M.D., Inc. dba Monterey Park Medical Center
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Poway, California, United States, 92064
- ACRC Studies
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Rancho Mirage, California, United States, 92270
- Desert Medical Advances
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San Diego, California, United States, 92120
- Purushotham & Akther Kotha MD Inc
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San Leandro, California, United States, 94578
- East Bay Rheumatology Medical Group, Inc
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Santa Rosa, California, United States, 95403
- Providence Medical Foundation
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Tujunga, California, United States, 91042
- Dan La, MD Inc
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Tustin, California, United States, 92780
- Office: Dr Robin K Dore
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Upland, California, United States, 91786
- Inland Rheumatology & Osteoporosis Medical Group
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West Hills, California, United States, 91307
- Nazanin Firooz, MD Inc.
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Whittier, California, United States, 90602
- Medvin Clinical Research - Whittier
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Connecticut
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Danbury, Connecticut, United States, 06810
- Danbury Clinical Research, LLC
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Delaware
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Lewes, Delaware, United States, 19958
- Delaware Arthritis
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Florida
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DeBary, Florida, United States, 32713
- Omega Research Debary, LLC
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Fort Lauderdale, Florida, United States, 33334
- Cria Center for Rheumatology
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Gainesville, Florida, United States, 32607
- SIMED Health
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Hollywood, Florida, United States, 33024
- GNP Research at Mark Jaffe, MD
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Lake Worth, Florida, United States, 33467 2991
- Rheumatology Center Of Palm Beach, Pllc
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Margate, Florida, United States, 33063
- Arthritis and Rheumatology Center of South Florida
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Miami, Florida, United States, 33185
- Felicidad Medical Research
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Miami, Florida, United States, 33155
- Miami Clinical Reserach
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Orlando, Florida, United States, 32806
- Rheumatology Associates of Central Florida
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Orlando, Florida, United States, 32819
- Heuer MD Research
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Orlando, Florida, United States, 32827
- UCF Health Lake Nona Orlando
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Plantation, Florida, United States, 33324
- IRIS Research and Development, LLC
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St. Petersburg, Florida, United States, 33705
- BayCare Health System Inc
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Tamarac, Florida, United States, 33321
- West Broward Rheumatology Associates
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Tampa, Florida, United States, 33613
- Avita Clinical Research
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Tampa, Florida, United States, 33614
- Tampa Medical Group, P.A.
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Zephyrhills, Florida, United States, 33542-7505
- Florida Medical Clinic LLC
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Georgia
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Atlanta, Georgia, United States, 30342
- Arthritis & Rheumatology of Georgia
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Gainesville, Georgia, United States, 30501
- Arthritis Center of North Georgia
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Idaho
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Boise, Idaho, United States, 83702
- St Luke's Clinic - Intermountain Orthopaedics
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Illinois
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Hinsdale, Illinois, United States, 60521
- Hinsdale Orthopaedics, Illinois Bone and Joint
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Rockford, Illinois, United States, 61114
- OrthoIllinois
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Rockford, Illinois, United States, 61107
- Rockford Orthopedic Associates
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Schaumburg, Illinois, United States, 60195
- Greater Chicago Specialty Physicians, LLC
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Skokie, Illinois, United States, 60076
- Center of Robert Hozman
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Indiana
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South Bend, Indiana, United States, 46617
- Beacon Medical Group Clinical Research
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Kentucky
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Bowling Green, Kentucky, United States, 42101
- Graves-Gilbert Clinic
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Hopkinsville, Kentucky, United States, 42240
- Western KY Rheumatology PLLC
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Louisiana
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Lake Charles, Louisiana, United States, 70605
- Accurate Clinical Research
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Monroe, Louisiana, United States, 71203
- Arthritis and Diabetes Clinic, Inc.
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New Orleans, Louisiana, United States, 70121
- Ochsner Clinic Foundation
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Maryland
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Cumberland, Maryland, United States, 21502
- Klein and Associates MD, PA
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Massachusetts
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Fall River, Massachusetts, United States, 02721
- NECCR PrimaCare Research
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Michigan
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Grand Blanc, Michigan, United States, 48439
- Michigan Rheumatology Group
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Okemos, Michigan, United States, 48864
- Pandit Rheumatology PC
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Missouri
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Jefferson City, Missouri, United States, 65109
- Jefferson City Medical Group
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Springfield, Missouri, United States, 65807
- Clinvest Research LLC
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St Louis, Missouri, United States, 63131
- West County Rheumatology
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Nevada
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Henderson, Nevada, United States, 89104
- Lovelace Scientific Resources
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Reno, Nevada, United States, 89519
- Allied Clinical Research
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New Hampshire
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Lebanon, New Hampshire, United States, 03756
- Dartmouth-Hitchcock Medical Center
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New Jersey
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Somerset, New Jersey, United States, 08873
- Arthritis Care Medical Center
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Toms River, New Jersey, United States, 08757
- Atlantic Coastal Research
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West Long Branch, New Jersey, United States, 07764
- Sahni Rheumatology & Therapy PC
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New York
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New York, New York, United States, 10016
- NYU Langone
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North Carolina
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Greensboro, North Carolina, United States, 27408
- Medication Management
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Hickory, North Carolina, United States, 28601
- PMG Research of Hickory, LLC
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Leland, North Carolina, United States, 28451
- Cape Fear Arthritis Care
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Wilmington, North Carolina, United States, 28401
- Carolina Arthritis Associates
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Ohio
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Cincinnati, Ohio, United States, 45242
- Cincinnati Arthritis Associates
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Marion, Ohio, United States, 43302
- Craig S Thompson MD LLC
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Middleburg Heights, Ohio, United States, 44130
- Paramount Medical Research
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73103
- Arthritis & Rheumatology Center of Oklahoma PLLC
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Oregon
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Corvallis, Oregon, United States, 97330
- Good Samaritan Hospital Corvallis
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Pennsylvania
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Cranberry Township, Pennsylvania, United States, 15090
- Advanced Rheumatology and Arthritis Research Center, PC
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Duncansville, Pennsylvania, United States, 16635
- Altoona Center for Clinical Research
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Wyomissing, Pennsylvania, United States, 19610
- Pennsylvania Regional Center for Arthritis and Osteoporosis Research
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South Carolina
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North Charleston, South Carolina, United States, 29406
- Articularis Healthcare d/b/a/ Low Country Rheumatology, PA
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South Dakota
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Rapid City, South Dakota, United States, 57701
- Monument Health Rapid City Hospital
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Tennessee
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Crossville, Tennessee, United States, 38555
- Cumberland Rheumatology
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Jackson, Tennessee, United States, 38305
- West Tennessee Research Institute
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Nashville, Tennessee, United States, 37203
- Nashville Arthritis and Rheumatology
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Texas
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Allen, Texas, United States, 75013
- Accent Clinical Research Professionals, LLC
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Amarillo, Texas, United States, 79124
- Amarillo Center for Clinical Research
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College Station, Texas, United States, 77845
- Arthritis & Osteoporosis Clinic of Brazos Valley
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Dallas, Texas, United States, 75235
- Metroplex Clinical Research Center
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El Paso, Texas, United States, 79912
- El Paso Integrated Physicians Group, P.A., an Elligo Health Research, Inc. Healthcare Enabled Research Organization
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Houston, Texas, United States, 77008
- Pioneer Research Solutions
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Houston, Texas, United States, 77043
- Biopharma Informatic, LLC
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Houston, Texas, United States, 77084
- Accurate Clinical Management - Houston
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Houston, Texas, United States, 77002
- UDL Clinical Research, LLC
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Katy, Texas, United States, 77494
- Houston Rheumatology & Arthritis Specialists
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Katy, Texas, United States, 77494
- R and H Clinical Research
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Katy, Texas, United States, 77450
- Synergy Group US
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Mansfield, Texas, United States, 76063
- Prime Clinical Research
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Mesquite, Texas, United States, 75150
- Southwest Rheumatology, P.A.
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Pearland, Texas, United States, 77584
- Advanced Clinical Research Center of Houston
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Plano, Texas, United States, 75007
- Clinrx Research Joseph INC.
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Pleasanton, Texas, United States, 78064
- Violeta T. Baddour, MD
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San Antonio, Texas, United States, 78229
- Accurate Clinical Research, Inc.
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Sugar Land, Texas, United States, 77479
- Mt. Olympus Medical Research
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Sugar Land, Texas, United States, 77479
- Fort Bend Clinical Research, LLC
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Sugar Land, Texas, United States, 77479
- Accurate Clinical Management
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Temple, Texas, United States, 76508
- Baylor Scott & White Health
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The Woodlands, Texas, United States, 77380
- North Houston Rheumatology Associates
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Tomball, Texas, United States, 77375
- Dynamed Clinical Research, LP d/b/a DM Clinical Research
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Virginia
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Chesapeake, Virginia, United States, 23320
- Center for Arthritis and Rheumatic Diseases, PC
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Danville, Virginia, United States, 24541
- Spectrum Medical Inc.
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Manassas, Virginia, United States, 20109
- Arthritis & Osteoporosis Center of Northern Virinia
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Newport News, Virginia, United States, 23606
- TPMG Rheumatology/TPMG Clinical Research
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Washington
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Spokane, Washington, United States, 99204
- Arthritis Northwest, PLLC
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West Virginia
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Beckley, West Virginia, United States, 25801
- Rheumatology & Pulmonary Clinic
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Wisconsin
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Milwaukee, Wisconsin, United States, 53211
- Rheumatic Disease Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Participants must have at least one of the following characteristics:
- Documented evidence of a VTE prior to this study
- At least 60 years of age
- A body mass index (BMI) greater than or equal to 30 kilograms per meter squared (kg/m²), or
- Age 50 to less than 60 years and BMI 25 to less than 30 kg/m²
- Participants must have an inadequate response or intolerance to at least 1 disease-modifying antirheumatic drug (DMARD) (synthetic or biologic)
Exclusion Criteria:
Participant must not have prior use of a Janus kinase (JAK) inhibitor or have received more than 1 prior TNF inhibitor that was:
- discontinued for lack or loss of efficacy for RA, or
- discontinued for intolerance (AE) when used for any indication
- Participants must not be pregnant or breastfeeding
- Participants must not have had more than one VTE
- Participants must not have cancer
- Participants must not have active herpes zoster, serious infection, active tuberculosis, or any other serious illness
- Participants must not have had a live vaccine within four weeks of study start
- Participants must not have participated in any other clinical trial within four weeks of study start
- Participants must not have a history of IV drug use, other illicit drug abuse, or chronic alcohol abuse in the past year
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: Baricitinib 4mg
Participants received 4 mg of baricitinib once daily until the planned number of adjudicated primary endpoint events occurred or until the DMC recommended early termination.
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Administered orally.
Other Names:
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Active Comparator: Tumor Necrosis Factor (TNF) Inhibitor
Participants received a TNF inhibitor (adalimumab or etanercept) administered according to approved local labeling until the planned number of adjudicated primary endpoint events occurred or until the DMC recommended early termination.
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Administered subcutaneously.
Other Names:
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Experimental: Baricitinib 2mg
Participants received 2 milligrams (mg) of baricitinib once daily until the planned number of adjudicated primary endpoint events occurred or until the data monitoring committee (DMC) recommended early termination.
Those with inadequate response at 1-year after start of treatment with baricitinib 2 mg could receive rescue treatment with baricitinib 4 mg.
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Administered orally.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pooled JAJA and JAJD: Time From First Dose of Study Treatment to First Event of Venous Thromboembolism (VTE) [Combined Baricitinib Dose Versus TNF Inhibitor]
Time Frame: From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
Time from first dose of study treatment to first event of VTE was evaluated using hazard ratio as the measure of treatment effect, estimated from Cox proportional hazards regression model.
The analysis was based on pooled data from studies JAJA (NCT03915964) and JAJD (NCT04086745) and was stratified by study, with treatment group and randomization stratification factors (VTE history, age/Body Mass Index (BMI) combination, prior inadequate response or intolerance to a TNF inhibitor, and geographic region) as explanatory variables.
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From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pooled JAJA and JAJD: Time From First Dose of Study Treatment to First Arterial Thromboembolic Event (ATE) [Combined and Individual Baricitinib Dose Versus TNF Inhibitor]
Time Frame: From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
Time from first dose of study treatment to first ATE was evaluated using hazard ratio as the measure of treatment effect, estimated from Cox proportional hazards regression model.
The analysis was based on pooled data from studies JAJA (NCT03915964) and JAJD (NCT04086745) and was stratified by study, with treatment group and randomization stratification factors (VTE history, age/BMI combination, prior inadequate response or intolerance to a TNF inhibitor, and geographic region) as explanatory variables.
|
From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
|
Pooled JAJA and JAJD: Time From First Dose of Study Treatment to First Major Adverse Cerebro-Cardiovascular Event (MACE) [Combined and Individual Baricitinib Dose Versus TNF Inhibitor]
Time Frame: From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
Time from first dose of study treatment to first MACE was evaluated using hazard ratio as the measure of treatment effect, estimated from Cox proportional hazards regression model.
The analysis was based on pooled data from studies JAJA (NCT03915964) and JAJD (NCT04086745) and was stratified by study, with treatment group and randomization stratification factors (VTE history, age/BMI combination, prior inadequate response or intolerance to a TNF inhibitor, and geographic region) as explanatory variables.
|
From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
|
Pooled JAJA and JAJD: Time From First Dose of Study Treatment to First Malignancy (Excluding Nonmelanoma Skin Cancer [NMSC]) [Combined and Individual Baricitinib Dose Versus TNF Inhibitor]
Time Frame: From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
Time from first dose of study treatment to first malignancy (excluding NMSC) was evaluated using hazard ratio as the measure of treatment effect, estimated from Cox proportional hazards regression model.
The analysis was based on pooled data from studies JAJA (NCT03915964) and JAJD (NCT04086745) and was stratified by study, with treatment group and randomization stratification factors (VTE history, age/BMI combination, prior inadequate response or intolerance to a TNF inhibitor, and geographic region) as explanatory variables.
|
From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
|
Pooled JAJA and JAJD: Time From First Dose of Study Treatment to First Opportunistic Infection [Combined and Individual Baricitinib Dose Versus TNF Inhibitor]
Time Frame: From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
Time from first dose of study treatment to first opportunistic infection was evaluated using hazard ratio as the measure of treatment effect, estimated from Cox proportional hazards regression model.
The analysis was based on pooled data from studies JAJA (NCT03915964) and JAJD (NCT04086745) and was stratified by study, with treatment group and randomization stratification factors (VTE history, age/BMI combination, prior inadequate response or intolerance to a TNF inhibitor, and geographic region) as explanatory variables.
|
From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
|
Pooled JAJA and JAJD: Time From First Dose of Study Treatment to First Serious Infection [Combined and Individual Baricitinib Dose Versus TNF Inhibitor]
Time Frame: From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
Time from first dose of study treatment to first serious infection was evaluated using hazard ratio as the measure of treatment effect, estimated from Cox proportional hazards regression model.
The analysis was based on pooled data from studies JAJA (NCT03915964) and JAJD (NCT04086745) and was stratified by study, with treatment group and randomization stratification factors (VTE history, age/BMI combination, prior inadequate response or intolerance to a TNF inhibitor, and geographic region) as explanatory variables.
|
From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
|
Pooled JAJA and JAJD: Time From First Dose of Study Treatment to First Event of Venous Thromboembolism (VTE) [Individual Baricitinib Dose Versus TNF Inhibitor]
Time Frame: From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
Time from first dose of study treatment to first event of VTE was evaluated using hazard ratio as the measure of treatment effect, estimated from Cox proportional hazards regression model.
The analysis was based on pooled data from studies JAJA (NCT03915964) and JAJD (NCT04086745) and was stratified by study, with treatment group and randomization stratification factors (VTE history, age/BMI combination, prior inadequate response or intolerance to a TNF inhibitor, and geographic region) as explanatory variables.
|
From the first dose of study treatment up to 30 days after the last dose or the last study visit, whichever occurs first (approximately up to 6.1 years for JAJA and 5.3 years for JAJD participants)
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Total Duration of Treatment Exposure for Combined Baricitinib Dose, Individual Baricitinib Dose and TNF Inhibitor
Time Frame: From the date of first dose of study drug up to the last dose (approximately up to 5.3 years)
|
Duration of exposure was calculated as:
TNF inhibitor exposure = date of last TNFi (adalimumab or etanercept) - date of first TNFi dose (adalimumab or etanercept) + 1, regardless of treatment cycling from adalimumab to etanercept or vice versa. - Total baricitinib exposure (2/4 mg) = date of last baricitinib (2mg or 4mg) treatment - date of first baricitinib (2mg or 4mg) dose + 1, regardless of rescue from baricitinib 2mg to baricitinib 4mg. Patient-years is calculated as sum of duration of exposure in days for all patients in dosing regimen divided by 365.25. |
From the date of first dose of study drug up to the last dose (approximately up to 5.3 years)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company
Publications and 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
- Musculoskeletal Diseases
- Arthritis
- Joint Diseases
- Rheumatic Diseases
- Connective Tissue Diseases
- Autoimmune Diseases
- Immune System Diseases
- Skin and Connective Tissue Diseases
- Arthritis, Rheumatoid
- Anti-Inflammatory Agents
- Peptides
- Amino Acids, Peptides, and Proteins
- Proteins
- Pharmacologic Actions
- Chemical Actions and Uses
- Therapeutic Uses
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Receptors, Cell Surface
- Membrane Proteins
- Immunoglobulin Fc Fragments
- Immunoglobulin Fragments
- Peptide Fragments
- Immunoglobulin Constant Regions
- Receptors, Tumor Necrosis Factor
- Receptors, Cytokine
- Receptors, Immunologic
- Etanercept
- Adalimumab
- Tumor Necrosis Factor Inhibitors
- baricitinib
Other Study ID Numbers
Other Study ID Numbers
- 17363
- I4V-MC-JAJD (Other Identifier: Eli Lilly and Company)
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.