Vaccine Effectiveness of a Bivalent RSV Prefusion F Protein-Based Vaccine for Preventing RSV Hospitalizations in Adults (DAN-RSV)
A Pragmatic Randomized Trial to Evaluate the Vaccine Effectiveness of Abrysvo® for Preventing RSV Hospitalizations in Adults Aged 18 Years or Above
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Mats H Lassen, MD
- Phone Number: +4529806779
- Email: mats.christian.hoejbjerg.lassen@regionh.dk
Study Contact Backup
- Name: Tor Biering-Sørensen, MD, PhD, MSc, MPH
- Phone Number: +4528933590
- Email: tor.biering-soerensen@regionh.dk
Study Locations
-
-
-
Copenhagen, Denmark, 2900
- Center for Translational Cardiology and Pragmatic Randomized Trials Department of Cardiology Copenhagen University Hospital - Herlev and Gentofte
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Søborg, Denmark, 2860
- Danske Lægers Vaccinations Service
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-
-
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A Coruña
-
Santiago de Compostela, A Coruña, Spain
- General Public Health Directorate of Galician Health Service
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria
- Age 18 years and above
- Informed consent form has been signed and dated
Exclusion Criteria:
- There are no specific exclusion criteria for this study
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: RSV prefusion F protein-based vaccine (RSV vaccine)
RSV vaccine single injection at day 0
|
For this arm, the RSV prefusion F protein-based vaccine Abrysvo® will be used
Other Names:
|
|
No Intervention: No RSV vaccine (control)
Control arm, no RSV vaccine
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Hospitalization for RSV-related respiratory tract disease
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
RSV-related respiratory tract disease hospitalization
Time Frame: ≥14 days after actual vaccination date/ booked information visit date up to 8 months
|
Primary outcome evaluated among the as-treated study population with balanced follow up time between study arms
|
≥14 days after actual vaccination date/ booked information visit date up to 8 months
|
|
Hospitalization for RSV-related lower respiratory tract disease
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
RSV-related hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
All-cause respiratory tract disease hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
RSV-related cardio-respiratory hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
All-cause cardio-respiratory hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
All-cause lower respiratory tract disease hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
All-cause hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
All-cause mortality
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Hospitalization for RSV-related respiratory tract disease by age groups
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Stratified by age groups (18-59, 60-74 years and 75+ years)
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≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
RSV-related respiratory tract disease hospitalization (as-treated)
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Among the as-treated study population with balanced follow up time between study arms
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
Hospitalization for RSV-related respiratory tract disease in subsequent seasons
Time Frame: From June 1, 2025 up to 12 months (2025/2026 season) and June 1, 2026 up to 12 months (2026/2027 season)
|
Subsequent seasons (2025/2026 and 2026/2027 RSV seasons)
|
From June 1, 2025 up to 12 months (2025/2026 season) and June 1, 2026 up to 12 months (2026/2027 season)
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hospitalization for RSV-related respiratory tract disease stratified by RSV type
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Stratification by RSV type (A or B)
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≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
Total length of hospital stays due to respiratory tract infection with RSV infection
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
RSV or pneumonia hospitalization [composite endpoint]
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Based only on ICD-10 codes
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
Pneumonia hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Any hospitalization with RSV infection
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Cardiovascular disease hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
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Hospitalization requiring mechanical ventilation
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Intensive care unit hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Myocardial infarction hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
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Heart failure hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Stroke hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Influenza hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
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COVID-19 hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
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Hospitalization for pneumococcal disease
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
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Any infectious disease hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
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MACE (composite endpoint)
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Non-fatal myocardial infarction, heart failure hospitalization, stroke, and cardiovascular death
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
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Laboratory-confirmed RSV infection
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
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|
Laboratory-confirmed influenza infection
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
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Laboratory-confirmed pneumococcal infection
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
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Laboratory-confirmed COVID-19 infection
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Cardio-respiratory mortality
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Respiratory mortality
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Cardiovascular mortality
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
In-hospital mortality
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
30-day mortality following hospital discharge for primary endpoint
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
RSV-related respiratory tract disease hospitalization by chronic obstructive pulmonary disease status
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Primary endpoint in patients with chronic obstructive pulmonary disease
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≥14 days after initially booked vaccination/ information visit date up to 8 months
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New-onset dementia
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 10 years
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≥14 days after initially booked vaccination/ information visit date up to 10 years
|
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RSV-related respiratory tract disease hospitalization by immunocompromised status
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Stratified by immunocompromised status.
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
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≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
RSV-related lower respiratory tract disease hospitalization by immunocompromised status
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Stratified by immunocompromised status.
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
All-cause respiratory tract disease hospitalization by immunocompromised status
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Stratified by immunocompromised status.
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
All-cause lower respiratory tract disease hospitalization by immunocompromised status
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Stratified by immunocompromised status.
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
RSV-related respiratory tract disease hospitalization by severe immunocompromised status
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Stratified by severe immunocompromised status.
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
All-cause respiratory tract disease hospitalization by severe immunocompromised status
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Stratified by severe immunocompromised status.
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
Atrial fibrillation hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
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≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
Hospitalization for any cardiac arrythmia
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
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≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
Hospitalization for pericarditis
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
Hospitalization for myocarditis
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
Asthma exacerbation hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
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≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
RSV-related respiratory tract disease hospitalization by hepatic or renal impairment status
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Among those with hepatic or renal impairment at baseline.
Analysis will be carried out as outlined in C3761080, EU PASS register number EUPAS1000000480
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
Hospitalization for RSV-related lower respiratory tract disease in subsequent 2025/2026 and 2026/2027 RSV seasons
Time Frame: From June 1, 2025 up to 12 months (2025/2026 season) and June 1, 2026 up to 12 months (2026/2027 season)
|
From June 1, 2025 up to 12 months (2025/2026 season) and June 1, 2026 up to 12 months (2026/2027 season)
|
|
|
RSV-related MACE
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
|
Laboratory-confirmed mycoplasma infection
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
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Laboratory-confirmed HMPV infection
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
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RSV-related tract disease hospitalization/emergency department visit
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
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Critical lower respiratory tract disease hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
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Critical respiratory tract disease hospitalization
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
|
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RSV-related COPD exacerbation
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
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All-cause COPD exacerbation
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
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≥14 days after initially booked vaccination/ information visit date up to 8 months
|
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Asthma exacerbation
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
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RSV-related asthma exacerbation
Time Frame: ≥14 days after initially booked vaccination/ information visit date up to 8 months
|
≥14 days after initially booked vaccination/ information visit date up to 8 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Tor Biering-Sørensen, MD, PhD, MSc, MPH, Center for Translational Cardiology and Pragmatic Randomized Trials, Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte
Publications and helpful links
General Publications
- Lassen MCH, Johansen ND, Christensen SH, Aliabadi N, Skaarup KG, Modin D, Claggett BL, Larsen CS, Larsen L, Wiese L, Dalager-Pedersen M, Lindholm MG, Jensen AMR, Dons M, Bernholm KF, Davidovski FS, Duus LS, Ottosen CI, Nielsen AB, Borchsenius JH, Espersen C, Kose G, Fussing FH, Pareek M, Kober L, Solomon SD, Jensen JUS, Martel CJ, Gessner BD, Schwarz C, Gonzalez E, Skovdal M, Moulton LH, Zhang P, Begier E, Biering-Sorensen T. Bivalent RSV Prefusion F Protein-Based Vaccine for Preventing Cardiovascular Hospitalizations in Older Adults: A Prespecified Analysis of the DAN-RSV Trial. JAMA. 2025 Oct 28;334(16):1431-1441. doi: 10.1001/jama.2025.15405.
- Lassen MCH, Christensen SH, Johansen ND, Aliabadi N, Skaarup KG, Modin D, Claggett BL, Larsen CS, Larsen L, Wiese L, Dalager-Pedersen M, Lindholm MG, Kober L, Solomon SD, Staehr Jensen JU, Martel CJ, Schwarz C, Gonzalez E, Skovdal M, Moulton LH, Zhang P, Gessner BD, Begier E, Biering-Sorensen T. A pragmatic individually randomized trial to evaluate bivalent RSV prefusion F protein-based vaccine effectiveness for preventing RSV hospitalizations in adults aged 60 years or above (DAN-RSV): Rationale and trial design. Am Heart J. 2026 Jan;291:14-25. doi: 10.1016/j.ahj.2025.07.068. Epub 2025 Jul 28.
- Lassen MCH, Johansen ND, Christensen SH, Aliabadi N, Skaarup KG, Modin D, Claggett BL, Larsen CS, Larsen L, Wiese L, Dalager-Pedersen M, Lindholm MG, Jensen AMR, Dons M, Bernholm KF, Davidovski FS, Duus LS, Ottosen CI, Nielsen AB, Borchsenius JH, Espersen C, Kose G, Fussing FH, Kober L, Solomon SD, Jensen JUS, Martel CJ, Gessner BD, Schwarz C, Gonzalez E, Skovdal M, Moulton LH, Zhang P, Begier E, Biering-Sorensen T. RSV Prefusion F Vaccine for Prevention of Hospitalization in Older Adults. N Engl J Med. 2026 Jan 8;394(2):138-151. doi: 10.1056/NEJMoa2509810. Epub 2025 Aug 30.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- DAN-RSV
- 2024-516600-42-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
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.
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.