- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02873819
Safety and Efficacy Study of GL-0817 (With Cyclophosphamide) for the Prevention of Recurrence of Squamous Cell Carcinoma of the Oral Cavity
A Phase 2 Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Determine the Safety and Efficacy of GL-0817 (With Cyclophosphamide) for the Prevention of Recurrence in HLA-A2+ Patients With High-Risk Squamous Cell Carcinoma of the Oral Cavity
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Budapest, Hungary
- Semmelweis University
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Budapest, Hungary
- National Institute of Oncology
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Debrecen, Hungary
- University of Debrecen Clinical Center
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Kecskemét, Hungary
- Bacs-Kiskun County Teaching Hospital
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Pecs, Hungary
- Medical Center of the University of Pecs
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Bydgoszcz, Poland
- Oncology Center of Prof. Franciszek Lukaszczyk in Bydgoszcz
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Kielce, Poland
- Swietokrzyskie Oncology Center in Kielce
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Omsk, Russian Federation
- Clinical Oncology Center
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Rostov-on-Don, Russian Federation
- Rostov Oncology Research Institute
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Saint Petersburg, Russian Federation
- Leningrad Regional Oncology Center
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Saint Petersburg, Russian Federation
- Oncology Center of Moskovskiy District
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Saransk, Russian Federation
- Ogarev Mordovia State University
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Sterlitamak, Russian Federation
- Clinical hospital #1
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Ufa, Russian Federation
- Republican Clinical Oncology Center
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Yaroslavl, Russian Federation
- Regional Clinical Oncology Hospital
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Belgrade, Serbia
- Institute of Oncology and Radiology of Serbia
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Belgrade, Serbia
- Military Medical Academy, Clinic of Maxillofacial Surgery
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Sremska Kamenica, Serbia
- Oncology Institute of Vojvodina (IOV), Clinic of Medical Oncology
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Barcelona, Spain
- University Hospital Vall d'Hebron (HUVH)
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Madrid, Spain
- University Hospital La Paz
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Sabadell, Spain
- Parc Tauli Health Corporation
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Cherkasy, Ukraine
- Cherkasy Regional Oncology Center
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Chernihiv, Ukraine
- Chernihiv Regional Oncology Center
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Dnipro, Ukraine
- Dnipropetrovsk I.I. Mechnykov Regional Clinical Hospital
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Ivano-Frankivsk, Ukraine
- Ivano-Frankivsk Regional Oncology Center
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Kharkiv, Ukraine
- Communal Non-Profit Enterprise "Regional Center of Oncology"
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Kyiv, Ukraine
- Kyiv Regional Oncology Center
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Lviv, Ukraine
- Lviv Regional Clinical Hospital
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Odesa, Ukraine
- Odesa Regional Oncology Center
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Poltava, Ukraine
- Poltava Regional Clinical Oncology Center
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Sumy, Ukraine
- Sumy Regional Clinical Oncology Center
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Vinnytsia, Ukraine
- Podillia Regional Oncology Center
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Maryland
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Baltimore, Maryland, United States, 21201
- University of Maryland Greenebaum Cancer Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age > 18 years
- Histologic diagnosis of squamous cell carcinoma of the oral cavity including the lip, floor of mouth, anterior 2/3 of tongue, alveolus and gingiva, buccal mucosa, hard palate and retromolar trigone
Subjects must have undergone primary gross total resection (no re-resected patients are allowed) with fulfillment of at least 1 of the following histologic criteria for high-risk disease:
- Histologic involvement of 2 or more regional lymph nodes
- Any lymph node with histologic extracapsular extension (ECS)
- Close (<3mm) or positive surgical margins on microscopic evaluation with no gross residual tumor
- No evidence of locoregional disease or distant metastases at screening. Subjects must have negative scans (CT, CT-PET or MRI) for locoregional recurrence, brain or lung metastases. A negative biopsy will be mandated in patients with a positive scan. Other evaluations should be performed as clinically indicated.
- No history of distant metastases.
- Tumor tissue from surgery or biopsy must be available to determine MAGE-A3 expression for correlative studies.
- Following surgery, the patient must have received external beam radiotherapy (58-66 Gy in 2 Gy fractions, 5 days per week) with concomitant cisplatin starting within 8 weeks of surgery. A brief delay in the initiation of radiotherapy following 8 weeks post-surgery due to administrative reasons (e.g., start of RT on Mondays) may be permitted by the Medical Monitor. The cumulative dose of cisplatin the subject received must be > 150 mg/m2. Protocol therapy must be initiated within a period of 4-8 weeks (28-56 days) following the end of RT.
- The patient is, in the investigator's opinion, adequately recovered from the effects of surgery and chemoradiotherapy to participate in this study.
- Blood HLA-A2 phenotype
- ECOG Performance Status < 1
Laboratory values obtained ≤ 14 days prior to randomization:
- Absolute neutrophil count (ANC) ≥ 1500/μL (without intervention, e.g., G-CSF)
- Platelets ≥ 75,000/μL (without intervention, e.g., transfusion)
- Hemoglobin ≥ 8.0 g/dl (Note: The use of transfusion or other intervention to achieve Hgb ≥8.0 g/dl is acceptable).
- Alkaline phosphatase ≤ 2.5 x upper limit of normal (ULN)
- AST and ALT ≤ 2 x ULN
- Creatinine < 2 x ULN
- Bilirubin < 1.5x ULN (except for patients with Gilbert's disease, for whom the upper acceptable limit of serum bilirubin is 3mg/dL)
A female subject is eligible to enter the study if she is:
- not pregnant or nursing; Female participants must not breastfeed during the study and for a period of 30 days following the last dose.
- of non-childbearing potential (i.e., women who had a hysterectomy, are postmenopausal which is defined as 1 year without menses, have both ovaries surgically removed or have current documented tubal ligation); or
of childbearing potential (i.e., women with functional ovaries and no documented impairment of oviductal or uterine function that would cause sterility). This category includes women with oligomenorrhea [even severe], women who are perimenopausal or have just begun to menstruate. These women must have a negative serum pregnancy test at screening, and agree to one of the following:
- complete abstinence from intercourse from 2 weeks prior to administration of the 1st dose of study agent and 6 months after the last dose of study agent; or
- consistent and correct use of 1 of the following highly effective methods of birth control for one month prior to the start of the study agent and 6 months after the last dose:
- combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal)
- progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable)
- intrauterine device (IUD)
- intrauterine hormone-releasing system ( IUS)
- bilateral tubal occlusion
- vasectomized partner (if vasectomized is the sole sexual partner and has received medical confirmation of surgical success)
- A male subject who is sexually active with a woman of childbearing potential is eligible to enter the study if he agrees to use effective contraception throughout the study and for 6 months after the last dose of study agent.
- The subject must be capable of understanding the investigational nature, potential risks and benefits of the study and capable of providing valid informed consent. The subject must provide study specific informed consent prior to any protocol procedures that are not a part of standard care, including consent for assessment of HLA-A2 status, mandatory tissue submission for MAGE-A3 analysis and correlative studies.
- The subject must be willing to return to the study center for vaccinations and study-related follow up procedures including blood and tumor collections and completion of imaging studies as required by the protocol.
Exclusion Criteria:
- Known HIV or hepatitis B/C infection (testing not required). Subjects who are hepatitis C antibody positive may be enrolled if they are confirmed to have a negative viral load at screening.
- Subjects with active autoimmune disease or a history of autoimmune disease requiring systemic steroids or other immunosuppressive treatment.
- Subjects who have used systemic corticosteroids or other immunosuppressants for any condition within 14 days of randomization. Inhaled or topical steroids are permitted.
- Any medical condition which would, in the investigator's opinion, compromise the patient's ability to mount an immune response, renders the patient a poor candidate for this trial or could confound the results of the study
- Major surgery or traumatic injury within 28 days of randomization
- Prior splenectomy or organ allograft
- Any other prior, concurrent or planned chemotherapy, immunotherapy, radiotherapy, device, or investigational therapy for this cancer other than those specified in this study.
- History of other malignancy (i.e., excluding disease under study) within 3 years of randomization. Exceptions include: adequately-treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix or breast, or adequately treated non-metastatic prostate cancer.
- Known hypersensitivity to GM-CSF, yeast-derived products or any component of the GM-CSF drug product (e.g., mannitol) or poly-ICLC (e.g., carboxymethylcellulose).
- Known hypersensitivity to cyclophosphamide, its metabolites or any other components, or known urinary outflow obstruction.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: GL-0817
Subjects in active treatment will be vaccinated with GL-0817 with the adjuvants Poly-ICLC (Hiltonol®) and GM-CSF (Sargramostim, Leukine®) 3 times at 3-week intervals followed by 7 doses at 3-month intervals beginning at Week 18. Patients will receive IV Cyclophosphamide 1 day prior to the first 3 vaccinations.
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GL-0817, IV at the dose 1.5 mg will be administered 3 times at 3-week intervals followed by 7 doses at 3-month intervals beginning at the Week 18 visit
Other Names:
Hiltonol will be administered intramuscularly at the dose of 1.4 mg as adjuvant to GL0817, 3 times at 3-week intervals followed by 7 doses at 3-month intervals beginning at the Week 18 visit
Other Names:
Sargramostim will be administered intramuscularly at the dose of 100 μg/m2, as adjuvant to GL0817, 3 times at 3-week intervals followed by 7 doses at 3-month intervals beginning at the Week 18 visit
Other Names:
cyclophosphamide will be administered IV at a dose of 200 mg/m2 (maximum dose 400 mg) one day prior to first three vaccinations of GL0817 with adjuvants
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Placebo Comparator: Placebo
Subjects in placebo arm will receive placebo to cyclophosphamide (normal saline solution) followed by Poly-ICLC/GM-CSF/placebo vaccine injections on the same schedule as the GL-0817 cohort.
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Placebo (normal saline) will be administered as per the schedule of cyclophosphamide and GL0817/adjuvants administration
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Disease-free interval
Time Frame: Up to 2 years
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Up to 2 years
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Disease-free survival (DFS)
Time Frame: up to 2 years
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up to 2 years
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Overall survival (OS)
Time Frame: up to 5 years
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up to 5 years
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Disease-free interval in a per protocol analysis
Time Frame: up to 2 years
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up to 2 years
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Adverse event profile
Time Frame: up to week 94
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up to week 94
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms, Glandular and Epithelial
- Disease Attributes
- Neoplasms, Squamous Cell
- Carcinoma
- Recurrence
- Carcinoma, Squamous Cell
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antirheumatic Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Interferon Inducers
- Cyclophosphamide
- Poly ICLC
- Sargramostim
Other Study ID Numbers
- GL0817-01
- 2016-001256-22 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Squamous Cell Carcinoma of the Oral Cavity
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Roswell Park Cancer InstituteNational Cancer Institute (NCI)WithdrawnRecurrent Squamous Cell Carcinoma of the Lip and Oral Cavity | Recurrent Squamous Cell Carcinoma of the Oropharynx | Recurrent Verrucous Carcinoma of the Oral Cavity | Stage I Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage I Squamous Cell Carcinoma of the Oropharynx | Stage I Verrucous... and other conditionsUnited States
-
Wake Forest University Health SciencesTerminatedStage I Adenoid Cystic Carcinoma of the Oral Cavity | Stage I Mucoepidermoid Carcinoma of the Oral Cavity | Stage I Squamous Cell Carcinoma of the Hypopharynx | Stage I Squamous Cell Carcinoma of the Larynx | Stage I Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage I Verrucous Carcinoma... and other conditionsUnited States
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Ohio State University Comprehensive Cancer CenterRecruitingTongue Cancer | Recurrent Squamous Cell Carcinoma of the Hypopharynx | Recurrent Squamous Cell Carcinoma of the Larynx | Recurrent Squamous Cell Carcinoma of the Lip and Oral Cavity | Recurrent Verrucous Carcinoma of the Larynx | Recurrent Verrucous Carcinoma of the Oral Cavity | Recurrent Adenoid... and other conditionsUnited States
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Ohio State University Comprehensive Cancer CenterCompletedTongue Cancer | Stage I Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage I Squamous Cell Carcinoma of the Oropharynx | Stage I Verrucous Carcinoma of the Oral Cavity | Stage II Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage II Squamous Cell Carcinoma of the Oropharynx | Stage... and other conditionsUnited States
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City of Hope Medical CenterNational Cancer Institute (NCI)TerminatedRecurrent Squamous Cell Carcinoma of the Hypopharynx | Recurrent Squamous Cell Carcinoma of the Larynx | Recurrent Squamous Cell Carcinoma of the Lip and Oral Cavity | Recurrent Squamous Cell Carcinoma of the Oropharynx | Recurrent Verrucous Carcinoma of the Larynx | Recurrent Verrucous Carcinoma... and other conditionsUnited States
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Ohio State University Comprehensive Cancer CenterCompletedTongue Cancer | Salivary Gland Squamous Cell Carcinoma | Stage I Salivary Gland Cancer | Stage I Squamous Cell Carcinoma of the Hypopharynx | Stage I Squamous Cell Carcinoma of the Larynx | Stage I Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage I Squamous Cell Carcinoma of the Nasopharynx and other conditionsUnited States
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Mitchell MachtayNot yet recruitingSquamous Cell Carcinoma of the Oral Cavity or Oropharynx
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Mayo ClinicNational Cancer Institute (NCI)CompletedMucositis | Tongue Cancer | Oral Complications | Recurrent Salivary Gland Cancer | Recurrent Squamous Cell Carcinoma of the Larynx | Recurrent Squamous Cell Carcinoma of the Lip and Oral Cavity | Recurrent Squamous Cell Carcinoma of the Oropharynx | Recurrent Verrucous Carcinoma of the Larynx | Recurrent... and other conditionsUnited States
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OHSU Knight Cancer InstituteNational Cancer Institute (NCI)WithdrawnSquamous Cell Carcinoma of the Skin | Recurrent Skin Cancer | Recurrent Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage III Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage IVB Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage IVA Squamous Cell Carcinoma of the...United States
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Rutgers, The State University of New JerseyNational Cancer Institute (NCI); Rutgers Cancer Institute of New JerseyWithdrawnTongue Cancer | Stage III Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage III Verrucous Carcinoma of the Oral Cavity | Stage IVA Verrucous Carcinoma of the Oral Cavity | Stage IVB Squamous Cell Carcinoma of the Lip and Oral Cavity | Stage IVB Verrucous Carcinoma of the Oral Cavity | Stage IVA Squamous Cell Carcinoma of the Lip and Oral CavityUnited States
Clinical Trials on GL-0817
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Pennington Biomedical Research CenterGeneral MillsCompleted
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Memorial Sloan Kettering Cancer CenterGenelux CorporationActive, not recruiting
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Glac Biotech Co., LtdRecruitingChronic Obstructive Pulmonary Disease | Type 2 DiabetesTaiwan
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Motus GI Medical Technologies LtdCompleted
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Genelux CorporationTemporarily not availableAdvanced Stage Cancer (Solid Tumor Disease for 4 Patients) | Acute Myeloid Leukemia (6 Patients)United States
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Genelux CorporationCompletedAdvanced Cancers (Solid Tumors)United Kingdom
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Genelux GmbHCompletedA Study of GL-ONC1, an Oncolytic Vaccinia Virus, in Patients With Advanced Peritoneal CarcinomatosisPeritoneal CarcinomatosisGermany
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Isfahan University of Medical SciencesUnknownDepression | Anxiety | Psychological Distress
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University of TorontoUnknownCardiovascular Diseases | Obesity | Diabetes Mellitus, Type 2 | Body WeightCanada
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Genelux CorporationCompletedCancer of Head and NeckUnited States