20-valent Pneumococcal Conjugate Vaccine Safety and Immunogenicity Study in Healthy Japanese Infants
A PHASE 3, RANDOMIZED, DOUBLE-BLIND, THIRD PARTY UNBLIND TRIAL TO EVALUATE THE SAFETY AND IMMUNOGENICITY OF A 20-VALENT PNEUMOCOCCAL CONJUGATE VACCINE IN HEALTHY JAPANESE INFANTS
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Aichi
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Nagoya-shi, Aichi, Japan, 460-0001
- NHO Nagoya Medical Center
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Toyota-shi, Aichi, Japan, 471-8513
- Toyota Memorial Hospital
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Chiba
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Chiba-shi, Chiba, Japan, 260-0001
- Tsubaki Children's Clinic
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Funabashi-city, Chiba, Japan, 273-0035
- Sunrise Children's Clinic
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Isumi-city, Chiba, Japan, 299-4503
- medical corporation Shigyo-no-kai Sotobo Children's Clinic
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Yotsukaido-shi, Chiba, Japan, 284-0001
- Sou Clinic
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Yotsukaido-shi, Chiba, Japan, 284-0003
- NHO Shimoshizu National Hospital
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Fukui
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Fukui-shi, Fukui, Japan, 910-0833
- Fukui Aiiku Hospital
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Fukuoka
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Fukuoka-City, Fukuoka, Japan, 813-0036
- Fukazawa Clinic
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Fukuoka-city, Fukuoka, Japan, 814-0121
- Shindo Children's Clinic
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Fukuoka-city, Fukuoka, Japan, 819-0041
- Inamitsu Children's Clinic
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Fukuoka-shi, Fukuoka, Japan, 819-0002
- Shimomura Pediatrics Clinic
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Iizuka, Fukuoka, Japan, 820-8505
- Iizuka Hospital
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Kasuga-city, Fukuoka, Japan, 816-0801
- Yokoyama Children'S Clinic
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Gifu
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Gifu-city, Gifu, Japan, 500-8212
- Yajima Children's Clinic
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Hokkaido
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Ebetsu Shi, Hokkaido, Japan, 069-0816
- Azuma kodomo katei clinic
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Sapporo, Hokkaido, Japan, 003-0023
- Nakata pediatric clinic
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Sapporo shi, Hokkaido, Japan, 0630061
- Nishi Sapporo Pediatrics
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Hyōgo
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Akashi-City, Hyōgo, Japan, 674-0068
- Yoshimura Child Clinic
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Kanagawa
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Kawasaki-shi, Kanagawa, Japan, 211-0063
- Morino Kodomo Clinic
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Kumamoto
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Kumamoto Shi, Kumamoto, Japan, 862-0960
- MIURA Children's Clinic
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Kumamoto-shi, Kumamoto, Japan, 862-0924
- Sakuranbo Kodomo Clinic
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MIE
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Kuwana-city, MIE, Japan, 511-0865
- Matsuda Pediatric Clinic
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Nagano
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Nagano-shi, Nagano, Japan, 381-0025
- Arakawa Family Clinic
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Osaka
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Kawachinagano, Osaka, Japan, 586-8521
- NHO Osaka Minami Medical Center
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Osaka-City, Osaka, Japan, 556-0005
- Aizenbashi Hospital
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Saga
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Ureshino-shi, Saga, Japan, 843-0393
- NHO Ureshino Medical Center
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Saitama
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Hanyu-shi, Saitama, Japan, 348-0045
- Hanyu General Hospital
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Kumagaya-shi, Saitama, Japan, 360-0018
- Enomoto Clinic
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Shiga
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Ritto-Shi, Shiga, Japan, 520-3046
- Saiseikai Shiga Hospital
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Tokyo
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Fuchu-city, Tokyo, Japan, 183-0042
- Sakiyama Pediatric Clinic
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Nishitokyo-shi, Tokyo, Japan, 202-0004
- Saitoh-Clinic
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Setagaya-ku, Tokyo, Japan, 154-0002
- Inami Pediatrics
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Setagaya-ku, Tokyo, Japan, 157-0066
- Sasamoto Children's Clinic
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Shinjuku-ku, Tokyo, Japan, 160-0017
- Futaba Clinic
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Suginami-ku, Tokyo, Japan, 167-0052
- Tamura Clinic
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Yamanashi
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Kofu-city, Yamanashi, Japan, 400-0853
- Childrens Clinic of Kose
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Tsuru-shi, Yamanashi, Japan, 402-0025
- Takei Clinic
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Japanese male or female infants ≥2 months to ≤6 months at the time of consent.
- Healthy infants determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study.
Exclusion Criteria:
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis)
- Major known congenital malformation or serious chronic disorder.
- History of microbiologically proven invasive disease caused by S pneumoniae.
- Other acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 20-valent pneumococcal conjugate vaccine (subcutaneous)
20-valent pneumococcal conjugate vaccine administered by subcutaneous injection (SC)
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20-valent pneumococcal conjugate vaccine
|
|
Active Comparator: 13-valent pneumococcal conjugate vaccine (subcutaneous)
13-valent pneumococcal conjugate vaccine administered by subcutaneous injection (SC)
|
13-valent pneumococcal conjugate vaccine
|
|
Experimental: 20-valent pneumococcal conjugate vaccine (intramuscular)
20-valent pneumococcal conjugate vaccine administered by intramuscular injection (IM)
|
20-valent pneumococcal conjugate vaccine
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Local Reactions (LR) Within 7 Days After Dose 1
Time Frame: Within 7 Days after Dose 1
|
Local reactions included pain at injection site, redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 centimeter (cm).
Pain at injection site was graded as mild: hurts if gently touched; moderate: hurts if gently touched with crying; severe: limited limb movement.
Redness and swelling were graded as mild: >0 to 2.0 cm; moderate >2.0 to 7.0 cm; and severe: >7.0 cm.
|
Within 7 Days after Dose 1
|
|
Percentage of Participants With Local Reactions Within 7 Days After Dose 2
Time Frame: Within 7 Days after Dose 2
|
Local reactions included pain at injection site, redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm.
Pain at injection site was graded as mild: hurts if gently touched; moderate: hurts if gently touched with crying; severe: limited limb movement.
Redness and swelling were graded as mild: >0 to 2.0 cm; moderate >2.0 to 7.0 cm; and severe: >7.0 cm.
|
Within 7 Days after Dose 2
|
|
Percentage of Participants With Local Reactions Within 7 Days After Dose 3
Time Frame: Within 7 Days after Dose 3
|
Local reactions included pain at injection site, redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm.
Pain at injection site was graded as mild: hurts if gently touched; moderate: hurts if gently touched with crying; severe: limited limb movement.
Redness and swelling were graded as mild: >0 to 2.0 cm; moderate >2.0 to 7.0 cm; and severe: >7.0 cm.
|
Within 7 Days after Dose 3
|
|
Percentage of Participants With Local Reactions Within 7 Days After Dose 4
Time Frame: Within 7 Days after Dose 4
|
Local reactions included pain at injection site, redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm.
Pain at injection site was graded as mild: hurts if gently touched; moderate: hurts if gently touched with crying; severe: limited limb movement.
Redness and swelling were graded as mild: >0 to 2.0 cm; moderate >2.0 to 7.0 cm; and severe: >7.0 cm.
|
Within 7 Days after Dose 4
|
|
Percentage of Participants With Systemic Events Within 7 Days After Dose 1
Time Frame: Within 7 Days After Dose 1
|
Systemic events included fever, decreased appetite, drowsiness and irritability.
Fever was defined as an axillary temperature greater than or equal to (>=) 37.5 degree Celsius (C), and categorized as >=37.5 to 38.4 degree C, greater than (>)38.4 to 38.9 degree C,>38.9 to 40.0 degree C and >40.0 degree C; decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed); drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity); Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
|
Within 7 Days After Dose 1
|
|
Percentage of Participants With Systemic Events Within 7 Days After Dose 2
Time Frame: Within 7 Days After Dose 2
|
Systemic events included fever, decreased appetite, drowsiness and irritability.
Fever was defined as an axillary temperature >=37.5 degree C and categorized as >=37.5 to 38.4 degree C,>38.4 to 38.9 degree C,>38.9 to 40.0 degree C and >40.0 degree C; decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed); drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity); Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
|
Within 7 Days After Dose 2
|
|
Percentage of Participants With Systemic Events Within 7 Days After Dose 3
Time Frame: Within 7 Days After Dose 3
|
Systemic events included fever, decreased appetite, drowsiness and irritability.
Fever was defined as an axillary temperature >=37.5 degree C and categorized as >=37.5 to 38.4 degree C,>38.4 to 38.9 degree C,>38.9 to 40.0 degree C and >40.0 degree C; decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed); drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity); Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
|
Within 7 Days After Dose 3
|
|
Percentage of Participants With Systemic Events Within 7 Days After Dose 4
Time Frame: Within 7 Days After Dose 4
|
Systemic events included fever, decreased appetite, drowsiness and irritability.
Fever was defined as an axillary temperature >=37.5 degree C and categorized as >=37.5 to 38.4 degree C,>38.4 to 38.9 degree C,>38.9 to 40.0 degree C and >40.0 degree C; decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed); drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity); Irritability: graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
|
Within 7 Days After Dose 4
|
|
Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3
Time Frame: Day 1 of Dose 1 to 1 Month after Dose 3
|
An adverse event (AE) was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
|
Day 1 of Dose 1 to 1 Month after Dose 3
|
|
Percentage of Participants With AEs From Dose 4 to 1 Month After Dose 4
Time Frame: From Dose 4 to 1 Month after Dose 4
|
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
|
From Dose 4 to 1 Month after Dose 4
|
|
Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to 1 Month After Dose 4
Time Frame: From Dose 1 to 1 Month after Dose 4
|
A serious AE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/ incapacity; congenital anomaly/birth defect and other important medical events.
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From Dose 1 to 1 Month after Dose 4
|
|
Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to 1 Month After Dose 4
Time Frame: From Dose 1 to 1 Month after Dose 4
|
An NDCMC was defined as a significant disease or medical condition, not previously identified, that is expected to be persistent or was otherwise long-lasting in its effects.
|
From Dose 1 to 1 Month after Dose 4
|
|
Percentage of Participants With Predefined Pneumococcal Serotype-specific Immunoglobulin G (IgG) Concentrations 1 Month After Dose 3
Time Frame: 1 Month after Dose 3
|
Pneumococcal serotype-specific IgG Concentrations were measured for 20vPnC serotypes: 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.
Assay results below the lower limit of quantitation (LLOQ) were set to 0.5*LLOQ.
The predefined levels, >=0.35 micrograms/mL for all serotypes except for serotypes 5 (>=0.23 micrograms/mL), 6B (>=0.10 micrograms/mL) and 19A (>=0.12 micrograms/mL).
|
1 Month after Dose 3
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Geometric Mean Concentration of Pneumococcal Serotype-Specific IgG Concentrations 1 Month After Dose 3
Time Frame: 1 Month after Dose 3
|
Pneumococcal serotype-specific IgG concentrations were measured for 20vPnC serotypes: 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.
Assay results below the LLOQ were set to 0.5*LLOQ.
|
1 Month after Dose 3
|
|
Geometric Mean Concentration of Pneumococcal Serotype-Specific IgG Concentrations 1 Month After Dose 4
Time Frame: 1 Month after Dose 4
|
Pneumococcal serotype-specific IgG concentrations were measured for 20vPnC serotypes: 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.
|
1 Month after Dose 4
|
|
Geometric Mean Titer (GMTs) of Serotype Specific Opsonophagocytic Activity (OPA) at 1 Month After Dose 3, Before Dose 4 and 1 Month After Dose 4
Time Frame: 1 Month after Dose 3, before Dose 4 and 1 Month after Dose 4
|
20vPnC serotypes included: 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.
OPA titers were determined in randomly selected subsets of sera from each vaccine group.
|
1 Month after Dose 3, before Dose 4 and 1 Month after Dose 4
|
|
Percentage of Participants With Pre-defined Pneumococcal Serotype-specific IgG Concentrations at 1 Month After Dose 4
Time Frame: 1 Month after Dose 4
|
Pneumococcal serotype-specific IgG concentrations were measured for 20vPnC serotypes: 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.
The predefined levels, >=0.35 micrograms/mL for all serotypes except for serotypes 5 (>=0.23 micrograms/mL), 6B (>=0.10 micrograms/mL) and 19A (>=0.12 micrograms/mL).
|
1 Month after Dose 4
|
|
Geometric Mean Fold Rise (GMFR) in Serotype-Specific IgG Concentrations From 1 Month After Dose 3 to Before Dose 4
Time Frame: 1 Month after Dose 3 to before Dose 4
|
GMFR of pneumococcal 20vPnC serotypes included: 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.
The GMFR from 1 month after Dose 3 to before Dose 4 was reported from participants in Dose 3 evaluable immunogenicity population.
|
1 Month after Dose 3 to before Dose 4
|
|
GMFR in Serotype-Specific IgG Concentrations From 1 Month After Dose 3 to 1 Month After Dose 4
Time Frame: From 1 Month after Dose 3 to 1 Month after Dose 4
|
GMFR of pneumococcal 20vPnC serotypes included: 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.
The GMFR from 1 month after Dose 3 to 1 month after Dose 4 was reported from participants in both the Dose 3 and Dose 4 evaluable immunogenicity population.
|
From 1 Month after Dose 3 to 1 Month after Dose 4
|
|
GMFR in Serotype-Specific IgG Concentrations From Before Dose 4 to 1 Month After Dose 4
Time Frame: From before Dose 4 to 1 Month after Dose 4
|
GMFR of pneumococcal 20vPnC serotypes included: 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.
The GMFR from before Dose 4 to 1 month after Dose 4 was reported from participants in the Dose 4 evaluable immunogenicity population.
|
From before Dose 4 to 1 Month after Dose 4
|
Collaborators and Investigators
Sponsor
Sponsor
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
Other Study ID Numbers
Other Study ID Numbers
- B7471016
- 2022-001146-38 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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.
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