A Proof-of-concept Study of the Efficacy and Safety of Nipocalimab in Participants With Active Rheumatoid Arthritis
A Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled, Proof-of-concept Study Evaluating the Efficacy and Safety of Nipocalimab Administered Intravenously in Participants With Active Rheumatoid Arthritis Despite Standard Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Expanded Access
Expanded Access
Temporarily not available
- 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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Hamburg, Germany, 20095
- Hamburger Rheuma Forschungszentrum II
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Ratingen, Germany, 40878
- Rheumazentrum Ratingen
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Bydgoszcz, Poland, 85-168
- Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy
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Nadarzyn, Poland, 05-830
- NZOZ Lecznica Mak-Med sc
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Poznan, Poland, 61 397
- Prywatna Praktyka Lekarska Prof Um Dr Hab Med Pawel Hrycaj
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Warszawa, Poland, 03 291
- Centrum Medyczne AMED Targowek
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A Coruna, Spain, 15006
- Hosp Univ A Coruna
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Bilbao, Spain, 48013
- Hosp. Univ. de Basurto
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Santiago de Compostela, Spain, 15706
- Hosp. Clinico Univ. de Santiago
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Sevilla, Spain, 41009
- Hosp. Virgen Macarena
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Vigo, Spain, 36214
- Hosp. Do Meixoeiro
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Edinburgh, United Kingdom, EH4 2XU
- Western General Hospital
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London, United Kingdom, SE5 9RS
- Kings College Hospital NHS Trust
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Newcastle, United Kingdom, NE29 8NH
- North Tyneside General Hospital
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Stoke on Trent, United Kingdom, ST6 7AG
- Haywood Hospital
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Arizona
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Glendale, Arizona, United States, 85306
- Arizona Arthritis & Rheumatology Associates PC
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Mesa, Arizona, United States, 85210
- Arizona Arthritis & Rheumatology Research, PLLC
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Tucson, Arizona, United States, 85704
- Arizona Arthritis & Rheumatology Research, PLLC
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California
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Palm Desert, California, United States, 92260
- Desert Medical Advances
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Poway, California, United States, 92064
- Arthritis Care and Research Center Inc.: Smitha Reddy, MD
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San Diego, California, United States, 92108
- TriWest Research Associates, LLC
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Upland, California, United States, 91786
- Inland Rheumatology Clinical Trials, Inc.
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North Carolina
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Charlotte, North Carolina, United States, 28210
- DJL Clinical Research, PLLC
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Ohio
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Vandalia, Ohio, United States, 45377
- STAT Research, Inc.
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South Carolina
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Summerville, South Carolina, United States, 29486
- Low Country Rheumatology PA
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Tennessee
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Jackson, Tennessee, United States, 38305
- West Tennessee Research Institute
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Texas
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Houston, Texas, United States, 77089
- Accurate Clinical Research, Inc.
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Mesquite, Texas, United States, 75150
- Southwest Rheumatology Research LLC
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of rheumatoid arthritis (RA) and meeting the 2010 American college of rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria for RA for at least 3 months before screening
- Has moderate to severe active RA as defined by persistent disease activity with at least 6 swollen and 6 tender joints out of the 66/68-swollen and tender joint count at the time of screening and at baseline
- Is positive for anti-citrullinated protein antibodies (ACPA) and/or rheumatoid factor (RF) at screening
- Screening C-reactive protein (CRP) greater than or equal to (>=) 0.3 milligram per deciliter (mg/dL) by the central laboratory
- A woman of childbearing potential must have a negative highly sensitive urine pregnancy test (beta-human chorionic gonadotropin [beta-hCG]) at screening and a negative urine (beta-hCG) pregnancy test at Week 0 prior to administration of study intervention
Exclusion Criteria:
- Has any confirmed or suspected clinical immunodeficiency syndrome not related to treatment of his/her RA or has a family history of congenital or hereditary immunodeficiency unless confirmed absent in the participant
- Currently has a malignancy or has a history of malignancy within 3 years before screening (with the exception of localized basal cell carcinoma and/or squamous cell carcinoma skin cancer that has been adequately treated with no evidence of recurrence for at least 12 weeks before the first administration of study intervention or cervical carcinoma in situ that has been treated with no evidence of recurrence for at least 3 months before the first administration of study intervention)
- Is (anatomically or functionally) asplenic
- Has experienced myocardial infarction (MI), unstable ischemic heart disease, or stroke within 12 weeks of screening
- Has other known inflammatory diseases that might confound the evaluations of benefit from nipocalimab therapy, including but not limited to ankylosing spondylitis, psoriatic arthritis, systemic lupus erythematosus, Lyme disease
- Is currently taking immunoglobulin (Ig)G fragment crystallizable (Fc)-related protein therapeutics
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: Group 1: Placebo
Participants will receive placebo intravenously (IV) every 2 weeks (q2w) through Week 10 along with standard-of-care background therapy.
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Placebo infusion will be administered intravenously.
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Experimental: Group 2: Nipocalimab
Participants will receive nipocalimab IV q2w through Week 10 along with standard-of-care background therapy.
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Nipocalimab infusions will be administered intravenously.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline in Disease Activity Index Score 28 Using C-reactive Protein (DAS28-CRP) at Week 12
Time Frame: Baseline (Week 0), Week 12
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Change from baseline in DAS28-CRP at Week 12 were reported.
The DAS28 is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity, and C-reactive protein (CRP; in milligrams per liter [mg/L]).
The set of 28 joint count was based on evaluation of the shoulder, elbow, wrist, metacarpophalangeal (MCP) MCP1 to MCP5, proximal interphalangeal (PIP) PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities.
Score on the DAS28 ranged from 0 to 10, where higher scores indicated more disease activity.
Negative changes from baseline indicated improvement of arthritis.
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Baseline (Week 0), Week 12
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants Who Achieved American College of Rheumatology (ACR) 20 at Week 12
Time Frame: Week 12
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Percentage of participants who achieved ACR20 at Week 12 were reported.
ACR20 response is defined as: greater than or equal to (>=)20% improvement from baseline in both swollen joint count (66 joints) and tender joint count (68 joints), and >=20% improvement from baseline in 3 of 5 assessments: patient's assessment of pain using visual analog scale (VAS; 0-100 millimeters [mm], 0=no pain and 100=worst possible pain), patient's global assessment of disease activity (arthritis, VAS; 0-100 mm, 0=excellent and 100= poor), physician's global assessment of disease activity (VAS; 0-100 mm, 0=no arthritis activity and 100=extremely active arthritis), patient's assessment of physical function as measured by Disability Index of Health Assessment Questionnaire (HAQ-DI; 20-question instrument assessing 8 functional areas; range: 0-3, 0= no difficulty, 3= inability to perform task in that area), and CRP.
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Week 12
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Percentage of Participants Who Achieved American College of Rheumatology (ACR) 50 at Week 12
Time Frame: Week 12
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Percentage of participants who achieved ACR50 at Week 12 were reported.
ACR50 response is defined as: >=50% improvement from baseline in both swollen joint count (66 joints) and tender joint count (68 joints), and >=50% improvement from baseline in 3 of 5 assessments: patient's assessment of pain using visual analog scale (VAS; 0-100 mm, 0=no pain and 100=worst possible pain), patient's global assessment of disease activity (arthritis, VAS; 0-100 mm, 0=excellent and 100= poor), physician's global assessment of disease activity (VAS; 0-100 mm, 0=no arthritis activity and 100=extremely active arthritis), patient's assessment of physical function as measured by Disability Index of Health Assessment Questionnaire (HAQ-DI; 20-question instrument assessing 8 functional areas; range: 0-3, 0= no difficulty, 3= inability to perform task in that area), and CRP.
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Week 12
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Percentage of Participants Who Achieved American College of Rheumatology (ACR) 70 at Week 12
Time Frame: Week 12
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Percentage of participants who achieved ACR70 at Week 12 were reported.
ACR70 response is defined as: >=70% improvement from baseline in both swollen joint count (66 joints) and tender joint count (68 joints), and >=70% improvement from baseline in 3 of 5 assessments: patient's assessment of pain using visual analog scale (VAS; 0-100 mm, 0=no pain and 100=worst possible pain), patient's global assessment of disease activity (arthritis, VAS; 0-100 mm, 0=excellent and 100= poor), physician's global assessment of disease activity (VAS; 0-100 mm, 0=no arthritis activity and 100=extremely active arthritis), patient's assessment of physical function as measured by Disability Index of Health Assessment Questionnaire (HAQ-DI; 20-question instrument assessing 8 functional areas; range: 0-3, 0= no difficulty, 3= inability to perform task in that area), and CRP.
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Week 12
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Percentage of Participants Who Achieved American College of Rheumatology (ACR) 90 at Week 12
Time Frame: Week 12
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Percentage of participants who achieved ACR90 at Week 12 were reported.
ACR90 response is defined as: >=90% improvement from baseline in both swollen joint count (66 joints) and tender joint count (68 joints), and >=90% improvement from baseline in 3 of 5 assessments: patient's assessment of pain using visual analog scale (VAS; 0-100 mm, 0=no pain and 100=worst possible pain), patient's global assessment of disease activity (arthritis, VAS; 0-100 mm, 0=excellent and 100= poor), physician's global assessment of disease activity (VAS; 0-100 mm, 0=no arthritis activity and 100=extremely active arthritis), patient's assessment of physical function as measured by Disability Index of Health Assessment Questionnaire (HAQ-DI; 20-question instrument assessing 8 functional areas; range: 0-3, 0= no difficulty, 3= inability to perform task in that area), and CRP.
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Week 12
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Percentage of Participants Who Achieved Disease Activity Index Score 28 Using C-reactive Protein (DAS28-CRP) Remission at Week 12
Time Frame: Week 12
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Percentage of participants who achieved DAS28-CRP remission at Week 12 were reported.
The DAS28 remission is defined as DAS28 -CRP value of less than (<) 2.6 at Week 12.
The DAS28 is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity, and CRP; in mg/L).
The set of 28 joint count is based on evaluation of the shoulder, elbow, wrist, MCP1 to MCP5, PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities.
Score on the DAS28 ranged from 0 to 10, where higher scores indicated more disease activity.
Negative changes from baseline indicated improvement of arthritis.
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Week 12
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Percentage of Participants Who Achieved Disease Activity Index Score 28 Using C-reactive Protein (DAS28-CRP) Low Disease Activity (LDA) European League Against Rheumatism (EULAR) at Week 12
Time Frame: Week 12
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Percentage of participants who achieved DAS28-CRP LDA EULAR at Week 12 were reported.
The DAS28 LDA EULAR is defined as DAS28 -CRP value of less than or equal to (<=) 3.2 at Week 12.
The DAS28 is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity, and C-reactive protein (CRP; in mg/L).
The set of 28 joint count is based on evaluation of the shoulder, elbow, wrist, MCP1 to MCP5, PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities.
Score on the DAS28 ranged from 0 to 10, where higher scores indicated more disease activity.
Negative changes from baseline indicated improvement of arthritis.
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Week 12
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Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) Score at Week 12
Time Frame: Baseline (Week 0), Week 12
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Change from baseline in HAQ-DI score at Week 12 were reported.
The HAQ-DI is a patient-reported questionnaire that measures the degree of difficulty a person has in accomplishing tasks in 8 functional areas: dressing, arising, eating, walking, hygiene, reaching, gripping, and activities of daily living, over the past week.
Responses in each functional area were scored on a scale from 0 (indicating no difficulty) to 3 (inability to perform a task in that area).
Overall score was computed as the sum of category scores and divided by the number of categories answered and ranging from 0 to 3, where 0 represents no disability and 3 represents very severe, high-dependency disability.
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Baseline (Week 0), Week 12
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Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
Time Frame: From Week 0 up to 8 weeks post last dose at Week 10 (up to Week 18)
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Percentage of participants with TEAEs were reported.
An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product.
An AE does not necessarily have a causal relationship with the intervention.
TEAEs were defined as any AE occurring at or after the initial administration of study intervention through the safety follow-up visit (8 weeks after the last administration of study intervention).
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From Week 0 up to 8 weeks post last dose at Week 10 (up to Week 18)
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Percentage of Participants With Treatment-emergent Serious Adverse Events (TESAEs)
Time Frame: From Week 0 up to 8 weeks post last dose at Week 10 (up to Week 18)
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Percentage of participants with TESAEs were reported.
An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product.
An AE does not necessarily have a causal relationship with the intervention.
A SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/ incapacity, or resulted in congenital anomaly/birth defect.
TESAEs were defined as any SAE occurring at or after the initial administration of study intervention through the safety follow-up visit (8 weeks after the last administration of study intervention).
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From Week 0 up to 8 weeks post last dose at Week 10 (up to Week 18)
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Percentage of Participants With AEs Leading to Discontinuation of Study Intervention
Time Frame: From Week 0 up to Week 10
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Percentage of participants with AEs leading to discontinuation of study intervention were reported.
An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product.
An AE does not necessarily have a causal relationship with the intervention.
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From Week 0 up to Week 10
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Percentage of Participants With Treatment-emergent Adverse Events of Special Interest (AESIs)
Time Frame: From Week 0 up to 8 weeks post last dose at Week 10 (up to Week 18)
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Percentage of participants with TEAEs of special interest were reported.
An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product.
An AE does not necessarily have a causal relationship with the intervention.
TEAEs were defined as any AE occurring at or after the initial administration of study intervention through the safety follow-up visit (8 weeks after the last administration of study intervention).
TEAEs associated with the following situations were considered to be AESIs: (a) Infections that were severe or require IV anti-infective or operative/invasive intervention; (b) Hypoalbuminemia with albumin <20 grams per liter (g/L) (<2.0 grams per deciliter [g/dL]).
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From Week 0 up to 8 weeks post last dose at Week 10 (up to Week 18)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
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
- CR109058
- 2021-000510-42 (EudraCT Number)
- 80202135ARA2001 (Other Identifier: Janssen Research & Development, LLC)
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
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