A Study of Subcutaneous Abatacept to Treat Diffuse Cutaneous Systemic Sclerosis (ASSET)

February 13, 2020 updated by: Dinesh Khanna, MD, MS

A Phase 2 Study to Evaluate Subcutaneous Abatacept vs. Placebo in Diffuse Cutaneous Systemic Sclerosis- a Double-blind, Placebo-controlled, Randomized Controlled Trial.

The study hypothesis is that SC abatacept is safe and shows evidence of efficacy (improvement in modified Rodnan score [mRSS]) in patients with diffuse cutaneous systemic sclerosis (dcScc) compared to matching placebo.

Study Overview

Status

Completed

Intervention / Treatment

Detailed Description

This study is a randomized placebo-controlled double-blind phase 2 trial of patients with dcSSc. Eligible participants will be randomized in a 1:1 ratio to either 125 mg SC abatacept or matching placebo, stratified by duration of dcSSc disease duration (<18 months vs >18 to </=36 months). Study participants will be treated for 12 months on double-blind study medication, followed by an additional 24 weeks of open-label SC abatacept therapy. 86 patients will be randomized in approximately 35 centers in the US, Canada and Europe, with the goal of analyzing 74 participants. The investigators study will test whether abatacept is statistically superior to placebo in reducing the MRSS at month 12 and explore the ability of abatacept to prevent or reverse progression in patients with early disease duration and lower MRSS scores, and reverse established disease in patients with longer disease duration and higher MRSS scores.

Study Type

Interventional

Enrollment (Actual)

88

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Ontario
      • London, Ontario, Canada, N6A4V2
        • St. Joseph Health Care London
      • Toronto, Ontario, Canada, M5T 3L9
        • Mount Sinai Hospital
    • Quebec
      • Montreal, Quebec, Canada, H3T 1E2
        • Jewish General Hospital
      • London, United Kingdom, Nw3 2QG
        • Royal Free Hospital
    • California
      • Los Angeles, California, United States, 90045
        • Arthritis Associates of Southern California
      • Los Angeles, California, United States, 90095
        • University of California- Los Angeles
      • Redwood City, California, United States, 94063
        • Stanford University
    • District of Columbia
      • Washington, District of Columbia, United States, 20009
        • Georgetown University
    • Illinois
      • Chicago, Illinois, United States, 60611
        • Northwestern University
    • Massachusetts
      • Boston, Massachusetts, United States, 02118
        • Boston University
      • Boston, Massachusetts, United States, 02116
        • Harvard Mass General
    • Michigan
      • Ann Arbor, Michigan, United States, 48109
        • University of Michigan
    • Minnesota
      • Minneapolis, Minnesota, United States, 55455
        • University of Minnesota
      • Rochester, Minnesota, United States, 55905
        • Mayo Clinic
    • New Jersey
      • New Brunswick, New Jersey, United States, 08831
        • Rutgers University Clinical Research Center
    • New York
      • Albany, New York, United States, 12203
        • Steffens Scleroderma Center
      • Great Neck, New York, United States, 11021
        • Northwell Health
      • New York, New York, United States, 10032
        • Columbia University
      • New York, New York, United States, 10021
        • Hospital for Special Surgery
    • Ohio
      • Cleveland, Ohio, United States, 44195
        • Cleveland Clinic
      • Columbus, Ohio, United States, 43221
        • Ohio State University Medical Center
    • Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19104
        • University of Pennsylvania
      • Pittsburgh, Pennsylvania, United States, 15261
        • University of Pittsburgh
    • South Carolina
      • Charleston, South Carolina, United States, 29425
        • Medical University of South Carolina
    • Texas
      • Houston, Texas, United States, 77030
        • University of Texas Health Center at Houston
    • Utah
      • Salt Lake City, Utah, United States, 84132
        • University of Utah
    • Washington
      • Seattle, Washington, United States, 98122
        • Swedish Health Services

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Diagnosis of Systematic Sclerosis (SSc), as defined using the 2013 American College of Rheumatology/ European Union League Against Rheumatism classification of SSc
  2. Diffuse Systemic Sclerosis (dcSSc) as defined by LeRoy and Medsger
  3. Disease duration of ≤ 36 months (defined as time from the first non-Raynaud phenomenon manifestation)
  4. For disease duration of ≤ 18 months: ≥ 10 and ≤ 35 mRSS units at the screening visit
  5. For disease duration of >18-36 months: ≥ 15 and ≤ 45 mRSS units at the screening visit and one of the following:

    • Increase ≥ 3 in mRSS units compared with the last visit within previous 1-6 months
    • Involvement of one new body area with ≥ 2 mRSS units compared with the last visit within the previous 1-6 months
    • Involvement of two new body areas with ≥ 1 mRSS units compared with the last visit within the previous 1-6 months
    • Presence of 1 or more Tendon Friction Rub
  6. Age ≥ 18 years at the screening visit
  7. If female of childbearing potential, the patient must have a negative pregnancy test at screening and baseline visits
  8. Oral corticosteroids (≤ 10 mg/day of prednisone or equivalent) and NSAIDs are permitted if the patient is on a stable dose regimen for

    • 2 weeks prior to and including the baseline visit.
  9. ACE inhibitors, calcium-channel blockers, proton-pump inhibitors, and/or oral vasodilators are permitted if the patient is on a stable dose for ≥ 2 weeks prior to and including the baseline visit.

Exclusion Criteria:

  1. Rheumatic disease other than dcSSc; it is acceptable to include patients with fibromyalgia and scleroderma-associated myopathy
  2. Limited cutaneous systemic sclerosis or sine scleroderma at the screening visit
  3. Major surgery (including joint surgery) within 8 weeks prior to screening visit
  4. Infected ulcer prior to randomization
  5. Treatment with any investigational agent within ≤ 4 weeks (or 5 half-lives of the investigational drug, whichever is longer) of the baseline visit
  6. Previous treatment with cell-depleting therapies, including investigational agents, including but not limited to, CAMPATH, anti-CD4, anti-CD5, anti-CD3, anti-CD19, and ABA
  7. Anti-CD20, and cyclophosphamide within 12 months prior to baseline visit.
  8. Use of Intravenous Immunoglobulin (IVIG) within 12 weeks prior to baseline visit
  9. Previous treatment with chlorambucil, bone marrow transplantation, or total lymphoid irradiation
  10. Immunization with a live/attenuated vaccine within ≤ 4 weeks prior to the baseline visit
  11. Treatment with methotrexate, hydroxychloroquine, cyclosporine A, azathioprine, mycophenolate mofetil rapamycin, colchicine, or D-penicillamine, within≤ 4 weeks prior to the baseline visit
  12. Treatment with etanercept within ≤ 2 weeks, infliximab, certolizumab, golimumab, ABA or adalimumab within ≤ 8 weeks, anakinra within ≤ 1 week prior to the baseline visit
  13. Pulmonary disease with FVC ≤ 50% of predicted, or DLCO (uncorrected for hemoglobin ) ≤ 40% of predicted at the screening visit
  14. Pulmonary arterial hypertension (PAH) as determined by right heart catheterization or on PAH approved medications for PAH. It is acceptable to use PDFE-5 inhibitors for Raynaud's and digital ulcers.
  15. Subjects at risk for tuberculosis (TB). Specifically excluded from this study will be participants with a history of active TB within the last 3 years, even if it was treated; a history of active TB greater than 3 years ago, unless there is documentation that the prior anti-TB treatment was appropriate in duration and type; current clinical, radiographic, or laboratory evidence of active TB; and latent TB that was not successfully treated (≥ 4 weeks).
  16. Positive for hepatitis B surface antigen prior to the baseline visit
  17. Positive for hepatitis C antigen, if the presence of hepatitis C virus was also shown with polymerase chain reaction or recombinant immunoblot assay prior to baseline visit
  18. Subjects at risk for tuberculosis (TB). Specifically excluded from this study will be participants with a history of active TB within the last 3 years, even if it was treated; a history of active TB greater than 3 years ago, unless there is documentation that the prior anti-TB treatment was appropriate in duration and type; current clinical, radiographic, or laboratory evidence of active TB; and latent TB that was not successfully treated (≥ 4 weeks).
  19. Any of the following at the screening visit: Hemoglobin <8.5 g/dL; WBC < 3,000/mm3 (<3 x 109/L); platelets < 100,000/mm3 (<3 x 109/L); serum creatinine > 2 x ULN; serum ALT or AST > 2 x ULN
  20. Severe skin thickening (mRSS 3) on the inner aspects of thighs, upper arms, or abdomen
  21. Patients with a history of anaphylaxis to abatacept

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Abatacept
125 mg SC abatacept vs SC placebo administered weekly for 12 months, with a 24-week open-label extension
Subjects will be treated with injections of 125 mg of abatacept or placebo weekly for 52 weeks
Other Names:
  • Orencia
Placebo Comparator: Placebo
125mg Placebo
125 mg of Placebo

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Proportion of Participants With at Least One Adverse Events (AEs) or Serious AEs (SAEs) in 1 Year
Time Frame: 52 weeks
Safety is measured using AEs, including clinical significant changes in vital signs, laboratory test abnormalities and clinical tolerability of abatacept, and using serious AEs
52 weeks
Change From Baseline in the Modified Rodnan Skin Score (mRSS) to Month 12
Time Frame: Baseline and 52 weeks
The efficacy of treatment on skin fibrosis will be measured by changes from baseline to month 12 in mRSS, a measure of skin thickness. mRSS scores have a range from 0 to 51, with higher score indicating greater severity of SSc (worse outcome).
Baseline and 52 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change From Baseline to Month 12 in Patient Global Assessment for Overall Disease
Time Frame: Baseline and Week 52
Patient global assessment for overall disease represents the patient's assessment of the patient's global scleroderma on a 0 (excellent) -10 (extremely poor) Likert scale. Higher score means worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in Physician Global Assessment for Overall Disease
Time Frame: Baseline and Week 52
This assessment represents the physician's assessment of the patient's current disease activity on a 0 (excellent) -10 (extremely poor) Likert scale. Higher score means worse outcome.
Baseline and Week 52
Change in % Predicted FVC
Time Frame: Baseline and 52 weeks
FVC is Forced vital capacity, a measure of lung function. FVC % Predicted is calculated using equations from Hankinson [Hankinson JL, Odencrantz JR, Fedan KB. Spirometric reference values from a sample of the general U.S. population. Am J Respir Crit Care Med. 1999;159(1):179-87], incorporating age, gender, and race. It is calculated as the (FVC Observed / FVC predicted) * 100, where FVC predicted is calculated relative to a reference population.
Baseline and 52 weeks
Change From Baseline to Month 12 in FVC (in ml)
Time Frame: Baseline and Week 52
FVC = forced vital capacity, a measure of lung function
Baseline and Week 52
Change From Baseline to Month 12 in HAQ-DI - Overall
Time Frame: Baseline and Week 52
The HAQ-DI is the Health Assessment Question Disability Index that assesses the extent of a patient's functional ability. The HAQ-DI overall score ranges from 0 (no disability) to 3 (severe disability). Higher score means worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in SHAQ-DI VAS - Overall Disease
Time Frame: Baseline and Week 52
Scleroderma-Health Assessment Question Disability Index visual analogue scales (VAS) assess the burden of digital ulcers, Raynaud's, gastrointestinal involvement, breathing, and overall disease. The VAS scale for disease severity ranges from 0 (no disease) to 150 (very severe). A higher score means a worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in SHAQ-DI VAS - Breathing
Time Frame: Baseline and Week 52
Scleroderma-Health Assessment Question Disability Index visual analogue scales (VAS) assess the burden of digital ulcers, Raynaud's, gastrointestinal involvement, breathing, and overall disease. The VAS scale for how much breathing problems interfered with daily activities ranges from 0 (do not limit activities) to 150 (very severe limitation). A higher score means a worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in SHAQ-DI VAS - Raynaud's
Time Frame: Baseline and Week 52
Scleroderma-Health Assessment Question Disability Index visual analogue scales (VAS) assess the burden of digital ulcers, Raynaud's, gastrointestinal involvement, breathing, and overall disease. The VAS scale for how much Raynaud's interfered with daily activities ranges from 0 (does not limit activities) to 150 (very severe limitation). A higher score means a worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in SHAQ-DI VAS - Burden of Digital Ulcers
Time Frame: Baseline and Week 52
Scleroderma-Health Assessment Question Disability Index visual analogue scales (VAS) assess the burden of digital ulcers, Raynaud's, gastrointestinal involvement, breathing, and overall disease. The VAS scale for how much finger ulcers interfered with daily activities ranges from 0 (do not limit activities) to 150 (very severe limitation). A higher score means a worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in SHAQ-DI VAS - GI Involvement
Time Frame: Baseline and Week 52
Scleroderma-Health Assessment Question Disability Index visual analogue scales (VAS) assess the burden of digital ulcers, Raynaud's, gastrointestinal involvement, breathing, and overall disease. The VAS scale for how much intestinal problems interfered with daily activities ranges from 0 (do not limit activities) to 150 (very severe limitation). A higher score means a worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in Swollen Joint Count
Time Frame: Baseline and 52 weeks
28 joints are assessed for swelling (positive or negative). The number of swollen joint count ranges from 0 to 28. A higher number indicates worse outcome.
Baseline and 52 weeks
Change From Baseline to Month 12 in Tender Joint Counts
Time Frame: Baseline and 52 weeks
28 joints are assessed for tenderness (positive or negative). The number of tender joint counts ranges from 0 to 28. A higher number indicates worse outcome.
Baseline and 52 weeks
Change From Baseline to Month 12 in PROMIS-29 - Physical Function
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 29-item short-form health-reported quality of life measures (PROMIS-29) were administered. The transformed score (T-score) for the physical function domain was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., better outcome).
Baseline and Week 52
Change From Baseline to Month 12 in PROMIS-29 - Anxiety
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 29-item short-form health-reported quality of life measures (PROMIS-29) were administered. The transformed score (T-score) for the anxiety domain was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., worse outcome).
Baseline and Week 52
Change From Baseline to Month 12 in PROMIS-29 - Depression
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 29-item short-form health-reported quality of life measures (PROMIS-29) were administered. The transformed score (T-score) for the depression domain was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., worse outcome).
Baseline and Week 52
Change From Baseline to Month 12 in PROMIS 29 - Fatigue
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 29-item short-form health-reported quality of life measures (PROMIS-29) were administered. The transformed score (T-score) for the fatigue domain was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., worse outcome).
Baseline and Week 52
Change From Baseline to Month 12 in PROMIS-29 - Sleep Disturbance
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 29-item short-form health-reported quality of life measures (PROMIS-29) were administered. The transformed score (T-score) for the sleep disturbance domain was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e.,worse outcome).
Baseline and Week 52
Change From Baseline to Month 12 in PROMIS-29 - Pain Interference
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 29-item short-form health-reported quality of life measures (PROMIS-29) were administered. The transformed score (T-score) for the pain interference domain was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., worse outcome).
Baseline and Week 52
Change From Baseline to Month 12 in PROMIS-29 - Ability to Participate in Social Roles & Activities
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 29-item short-form health-reported quality of life measures (PROMIS-29) were administered. The transformed score (T-score) for the ability to participate in social roles and activities domain was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., better outcome).
Baseline and Week 52
Change From Baseline to Month 12 in PROMIS-29 - Pain Intensity
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 29-item short-form health-reported quality of life measures (PROMIS-29) were administered. The transformed score (T-score) for the pain intensity domain was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., worse outcome).
Baseline and Week 52
Change From Baseline to Month 12 in SCTC GIT - Composite Score
Time Frame: Baseline and Week 52
The SCTC GIT is the UCLA Scleroderma Clinical Trial Consortium Gastrointestinal Instrument. It assesses scleroderma-related gastrointestinal symptoms. The composite score ranges from 0 to 2.83; 0 indicates better health and higher score indicates worse health.
Baseline and Week 52
ACR CRISS at 12 Months
Time Frame: Week 52
The American College of Rheumatology Combined Response Index in Systemic Sclerosis is a composite endpoint. It is determined in a 2-step process. The first step assesses whether the patient has had a significant decline in renal or cardiopulmonary involvement. If none of these apply, the second step assesses the probability of improvement by measuring changes in five outcomes and integrating them into a single number using an equation described in Khanna D, Berrocal VJ, et al. [The American College of Rheumatology Provisional Composite Response Index for Clinical Trials in Early Diffuse Cutaneous Systemic Sclerosis. Arthritis and Rheumatology. 2016; 68(2):299-311.]. It incorporates changes in the modified Rodnan skin score, percent predicted forced vital capacity (FVC), patient and physician global assessments, and SHAQ-DI over 1 year. The score ranges from 0 to 1; a higher score indicates better outcome.
Week 52
Change From Baseline to Month 12 in PROMIS - Fatigue
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 8-question short-form health-reported quality of life measure fatigue domain was administered. The transformed score (T-score) was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., worse outcome).
Baseline and Week 52
Change From Baseline to Month 12 in PROMIS - Sleep Disturbance
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 4-question short-form health-reported quality of life measure sleep disturbance domain was administered. The transformed score (T-score) was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., better outcome).
Baseline and Week 52
Change From Baseline to Month 12 in PROMIS - Sleep Impairment
Time Frame: Baseline and Week 52
The Patient-Reported Outcomes Measurement Information System (PROMIS) 8-question short-form health-reported quality of life measure sleep impairment domain was administered. The transformed score (T-score) was used, where 50 (10) is the mean (standard deviation) of a relevant reference population. Higher scores equals more of the concept being measured (i.e., worse outcome).
Baseline and Week 52
Change From Baseline to Month 12 in HAQ-DI - Dressing and Grooming
Time Frame: Baseline and Week 52
The HAQ-DI is the Health Assessment Question Disability Index that assesses the extent of a patient's functional ability. The HAQ-DI subscore ranges from 0 (no disability) to 3 (severe disability). A higher score means worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in HAQ-DI - Hygiene
Time Frame: Baseline and Week 52
The HAQ-DI is the Health Assessment Question Disability Index that assesses the extent of a patient's functional ability. The HAQ-DI subscore ranges from 0 (no disability) to 3 (severe disability). A higher score means worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in HAQ-DI - Arising
Time Frame: Baseline and Week 52
The HAQ-DI is the Health Assessment Question Disability Index that assesses the extent of a patient's functional ability. The HAQ-DI subscore ranges from 0 (no disability) to 3 (severe disability). A higher score means worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in HAQ-DI - Reach
Time Frame: Baseline and Week 52
The HAQ-DI is the Health Assessment Question Disability Index that assesses the extent of a patient's functional ability. The HAQ-DI subscore ranges from 0 (no disability) to 3 (severe disability). A higher score means worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in HAQ-DI - Eating
Time Frame: Baseline and Week 52
The HAQ-DI is the Health Assessment Question Disability Index that assesses the extent of a patient's functional ability. The HAQ-DI subscore ranges from 0 (no disability) to 3 (severe disability). A higher score means worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in HAQ-DI - Grip
Time Frame: Baseline and Week 52
The HAQ-DI is the Health Assessment Question Disability Index that assesses the extent of a patient's functional ability. The HAQ-DI subscore ranges from 0 (no disability) to 3 (severe disability). A higher score means worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in HAQ-DI - Walking
Time Frame: Baseline and Week 52
The HAQ-DI is the Health Assessment Question Disability Index that assesses the extent of a patient's functional ability. The HAQ-DI subscore ranges from 0 (no disability) to 3 (severe disability). A higher score means worse outcome.
Baseline and Week 52
Change From Baseline to Month 12 in HAQ-DI - Common Daily Activities
Time Frame: Baseline and Week 52
The HAQ-DI is the Health Assessment Question Disability Index that assesses the extent of a patient's functional ability. The HAQ-DI subscore ranges from 0 (no disability) to 3 (severe disability). A higher score means worse outcome.
Baseline and Week 52

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Dinesh Khanna, MD, MS, University of Michigan

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 1, 2014

Primary Completion (Actual)

September 12, 2018

Study Completion (Actual)

October 17, 2018

Study Registration Dates

First Submitted

June 3, 2014

First Submitted That Met QC Criteria

June 9, 2014

First Posted (Estimate)

June 11, 2014

Study Record Updates

Last Update Posted (Actual)

February 17, 2020

Last Update Submitted That Met QC Criteria

February 13, 2020

Last Verified

February 1, 2020

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

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.

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